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302 Sexual deviations and disorders
Abnormal sexual inclinations or behavior which are part of a referral
problem. The limits and features of normal sexual inclination and behavior
have not been stated absolutely in different societies and cultures but are
broadly such as serve approved social and biological purposes. The sexual
activity of affected persons is directed primarily either towards people not
of the opposite sex, or towards sexual acts not associated with coitus
normally, or towards coitus performed under abnormal circumstances. If the
anomalous behavior becomes manifest only during psychosis or other mental
illness the condition should be classified under the major illness. It is
common for more than one anomaly to occur together in the same individual; in
that case the predominant deviation is classified. It is preferable not to
include in this category individuals who perform deviant sexual acts when
normal sexual outlets are not available to them.
302.0 Homosexuality
Exclusive or predominant sexual attraction for persons of the same sex with or
without physical relationship. Code homosexuality here whether or not it is
considered as a mental disorder.
Lesbianism
Excludes: homosexual paedophilia (302.2)
302.1 Bestiality
Sexual or anal intercourse with animals.
302.2 Paedophilia
Sexual deviations in which an adult engages in sexual activity with a child of
the same or opposite sex.
302.3 Transvestism
Sexual deviation in which sexual pleasure is derived from dressing in clothes
of the opposite sex. There is no consistent attempt to take on the identity
or behavior of the opposite sex.
Excludes: trans-sexualism (302.5)
302.4 Exhibitionism
Sexual deviation in which the main sexual pleasure and gratification is
derived from exposure of the genitals to a person of the opposite sex.
302.5 Trans-sexualism
Sexual deviation centered around fixed beliefs that the overt bodily sex is
wrong. The resulting behavior is directed towards either changing the sexual
organs by operation or completely concealing the bodily sex by adopting both
the dress and behavior of the opposite sex.
Excludes: transvestism (302.3)
302.6 Disorders of psychosexual identity
Behavior occurring in preadolescents of immature psychosexuality which is
similar to that shown in the sexual deviations described under transvestism
(302.3) and trans-sexualism (302.5). Cross-dressing is intermittent, although
it may be frequent, and identification with the behavior and appearance of
the opposite sex is not yet fixed. The commonest form is feminism in boys.
Gender-role disorder
Excludes: homosexuality (302.0)
trans-sexualism (302.5)
transvestism (302.3)
302.7 Frigidity and impotence
Frigidity--dislike of or aversion to sexual intercourse, of
psychological origin, of sufficient intensity to lead, if
not to active avoidance, to marked anxiety, discomfort or pain
when normal sexual intercourse takes place. Less severe
degrees of this disorder that also give rise to consultation
should also be coded here.
Impotence--sustained inability, due to psychological causes,
to maintain an erection which will allow normal heterosexual
penetration and ejaculation to take place.
Dyspareunia, psychogenic
Excludes: impotence of organic origin
normal transient symptoms from ruptured hymen
transient or occasional failures of erection due to fatigue,
anxiety, alcohol or drugs
302.8 Other
Fetishism Sadism
Masochism
302.9 Unspecified
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