Coprophilia

[2][3] In the Diagnostic and Statistical Manual of Mental Disorders (DSM), published by the American Psychiatric Association, it is classified under 302.89—Paraphilia NOS (Not Otherwise Specified) and has no diagnostic criteria other than a general statement about paraphilias that says "the diagnosis is made if the behavior, sexual urges, or fantasies cause clinically significant distress or impairment in social, occupational, or other important areas of functioning".

[5] A table in Larry Townsend's The Leatherman's Handbook II (the 1983 second edition; the 1972 first edition did not include this list) which is generally considered authoritative states that a brown handkerchief is a symbol for coprophilia in the handkerchief code, which is employed usually among gay male casual-sex seekers or BDSM practitioners in the United States, Canada, Australia and Europe.

The term received news attention through its use in a U.S. Congress staff hoax email and being addressed by the United States Federal Communications Commission.

[12] According to psychologist Anil Aggrawal, it is a synonym for a Cleveland steamer and is part of a coprophilia vocabulary that also includes the Dirty Sanchez.

The New Partridge Dictionary of Slang and Unconventional English says, "This appears to have been contrived with the intention to provoke shock rather than actually as a practice, although, no doubt, some have or will experiment.