Diagnostic and Statistical Manual of Mental Disorders (4 edición). Washington D.C.: American Psychiatric Association. 1994. p. 525. Archivado desde el original el 16 de enero de 2011. «A Paraphilia must be distinguished from the nonpathological use of sexual fantasies, behaviors, or objects as a stimulus for sexual excitement in individuals without a paraphilia. Fantasies, behaviors, or objects are paraphiliac only when they lead to clinically significant distress or impairment (e.g., are obligatory, result in sexual dysfunction, require participation of nonconsenting individuals, lead to legal complications, interfere with social relationships).»
Diagnostic and Statistical Manual of Mental Disorders (4 edición). Washington D.C.: American Psychiatric Association. 1994. p. 525. Archivado desde el original el 16 de enero de 2011. «A Paraphilia must be distinguished from the nonpathological use of sexual fantasies, behaviors, or objects as a stimulus for sexual excitement in individuals without a paraphilia. Fantasies, behaviors, or objects are paraphiliac only when they lead to clinically significant distress or impairment (e.g., are obligatory, result in sexual dysfunction, require participation of nonconsenting individuals, lead to legal complications, interfere with social relationships).»