Paraphilias are sexual interests in objects, situations, or individuals that are atypical.
The American Psychiatric Association, in its Diagnostic and Statistical Manual, Fifth Edition (DSM), draws a distinction between paraphilias (which it describes as atypical sexual interests) and paraphilic disorders (which additionally require the experience of distress, impairment in functioning, and/or the desire to act on them with a nonconsenting person).
He cautioned, however, that "not all these paraphilias have necessarily been seen in clinical setups.
This may not be because they do not exist, but because they are so innocuous they are never brought to the notice of clinicians or dismissed by them.
"[3] Most of the following names for paraphilias, constructed in the nineteenth and especially twentieth centuries from Greek and Latin roots (see List of medical roots, suffixes and prefixes), are used in medical contexts only.