INTERNATIONAL CLASSIFICATION OF DISEASES

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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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INTERNACIONAL CLASSIFICATION OF DISEASES