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PSYCH 422 Glossary (Collapsible Format)

Acrotomophilia

A fetishistic interest in amputees or amputation stumps.

Location in Course Notes: Located in Lesson 11: Atypical Sexuality under Paraphilia NOS. Presented as an uncommon form of attraction within the paraphilic spectrum.

Adult Baby

An adult who obtains sexual satisfaction from acting as a baby or toddler.

Location in Course Notes: Not directly listed by term in the main outline of Lesson 11: Atypical Sexuality, but it would fall under the broader category of Paraphilia Not Otherwise Specified (NOS) as an uncommon form of sexual expression that may be clinical if it leads to distress or dysfunction.

Anorgasmia

Persistent or recurrent delay or absence of orgasm following a normal sexual excitement phase. About 10–15% of U.S. women report never having experienced orgasm under any circumstances.

Source: Discussed in Lesson 12: Sexual Disorders ? Disorders of Orgasm, Exam 3 10 – 15.docx.

Autoerotic Asphyxia

Self-strangulation for purposes of sexual arousal.

Location in Course Notes: While not a primary heading, it is acknowledged within the broader discussion of high-risk paraphilic behaviors in Lesson 11: Atypical Sexuality. This behavior is often mentioned alongside others that carry significant physical risk:contentReference[oaicite:2]{index=2}.

Autogynephilia

A form of male-to-female transsexuality characterized by a man’s sexual arousal at the thought of being or becoming a woman.

Location in Course Notes: The term “autogynephilia” is not explicitly defined in the notes, but its underlying concept is briefly touched upon under discussions of gender identity and sexual arousal in Lesson 11. For clinical definitions, supplemental sources may be required.

Aversion Therapy

Behavior therapy that attempts to eliminate unwanted desires or behaviors by associating them with an unpleasant experience.

Location in Course Notes: Found under Lesson 11: Atypical Sexuality in the section Treatment of Sex Offenders. Specifically mentioned as a behavioral intervention using electric shock or noxious stimuli to counter undesirable arousal patterns:contentReference[oaicite:0]{index=0}.

BDSM

An all-inclusive term for forms of sexual expression that involve inflicting and receiving physical pain, restraint, or humiliation.

Location in Course Notes: Explicitly discussed in Lesson 11: Atypical Sexuality. The text clarifies that many people engage in BDSM in consensual, non-pathological ways and that clinical diagnosis as a paraphilia depends on distress, dysfunction, or harm.

Behavior Therapy

Treatment of paraphilias or other disorders based on conditioning or behavioral psychology theories.

Location in Course Notes: The concept is central to the section titled Psychological and Behavioral Therapies in Lesson 11: Atypical Sexuality, covering conditioning-based approaches like aversion therapy and covert sensitization:contentReference[oaicite:3]{index=3}.

Bondage

The use of physical restraint for purposes of sexual arousal.

Location in Course Notes: Bondage is discussed under the heading Sadomasochism (Sadism and Masochism) in Lesson 11: Atypical Sexuality. It is one of the components that can appear in BDSM relationships and may or may not rise to the level of a paraphilic disorder depending on severity and impact on functioning.

Child Molester

An adult who has had sexual contact with a prepubescent child.

Location in Course Notes: Found in Lesson 10: Sexuality Across the Life Span under the heading Adult-Child Sexual Contact. The term is contextualized within discussions of criminal behavior and the legal status of such contact in the U.S. and other Western nations. It is noted that while many people with pedophilia do not offend, a child molester is defined by behavior, not attraction.

Chlamydia

A sexually transmitted disease caused by infection with the bacterium Chlamydia trachomatis. Can be asymptomatic but may lead to PID and infertility if untreated.

Source: Covered under Lesson 13: Sexually Transmitted Infections ? Bacterial STIs ? Chlamydia, Exam 3 10 – 15.docx:contentReference[oaicite:1]{index=1}.

Cognitive Therapy

Therapy based on changing a person’s beliefs and thought processes.

Location in Course Notes: Described in Lesson 11: Atypical Sexuality as a restructuring method for disordered thinking, often used in combination with behavioral interventions in sex offender treatment:contentReference[oaicite:4]{index=4}.

Conditioning

The modification of behavior by learning through association and/or reinforcement.

Location in Course Notes: Covered in the section on Causal Factors for Paraphilias in Lesson 11: Atypical Sexuality. Classical and instrumental conditioning are discussed as mechanisms by which nonsexual stimuli can become sexualized

Courtship Disorder

A paraphilia or cluster of paraphilias seen as a disorder of normal courtship behavior.

Location in Course Notes: While the term itself is not extensively elaborated in the notes, it is conceptually linked to the framework used in Lesson 11: Atypical Sexuality to categorize paraphilias like voyeurism and exhibitionism as disruptions of the typical courtship process.

Covert Sensitization

A behavior therapy in which the unpleasant experience is provided by the subject’s own imagination or manipulation.

Location in Course Notes: Also listed in Lesson 11: Atypical Sexuality within Treatment of Sex Offenders. Described as a subtler alternative to aversion therapy that may include imagined unpleasant consequences:contentReference[oaicite:1]{index=1}.

Cross-Dressing

Wearing the clothes of the other sex for any of a variety of reasons.

Location in Course Notes: Covered in Lesson 11: Atypical Sexuality under the subheading Transvestic Fetishism. Distinguished from drag or gender identity topics; focuses on whether cross-dressing is sexually motivated.

Cycle of Abuse

The theory that some abused children grow up to repeat similar forms of abuse on others.

Location in Course Notes: Discussed in two contexts: (1) in Lesson 14: Partner Violence under the section Cycle of Intimate Partner Violence describing a three-phase cycle (tension building, violence, and reconciliation), and (2) in Lesson 11 where a similar “cycle of abuse” is associated with adult pedophiles who were abused in childhood.

Delayed Ejaculation

Difficulty achieving or inability to achieve orgasm and/or ejaculation.

Source: Discussed under Disorders of Sexual Orgasm as “Male Orgasmic Disorder (Delayed Ejaculation)” in Lesson 12: Sexual Disorders, Exam 3 10 – 15.docx:contentReference[oaicite:0]{index=0}.

Delayed Ejaculation

Difficulty or inability to achieve orgasm and/or ejaculation.

Source: Covered in Lesson 12: Sexual Disorders ? Male Orgasmic Disorder (Delayed Ejaculation), Exam 3 10 – 15.docx.

Dominance

The use of humiliation or subservience for purposes of sexual arousal.

Location in Course Notes: Covered alongside Bondage and Masochism in Lesson 11: Atypical Sexuality under Sadomasochism. It is referenced as part of consensual BDSM practices that typically do not meet paraphilic disorder criteria unless they dominate one’s sexual life or cause distress.

Dominatrix

A woman who acts the role of the dominating partner in a BDSM setting.

Location in Course Notes: Not directly labeled as “dominatrix,” but the role is implied in the discussion of consensual BDSM under Sadomasochism in Lesson 11: Atypical Sexuality. Examples in class often include professional dominatrices as part of case examples.

Drag

The wearing of exaggerated feminine clothing by a man, often for entertainment purposes.

Location in Course Notes: While not formally defined in the course notes, drag is indirectly referenced under Transvestic Fetishism in Lesson 11: Atypical Sexuality. It is noted that not all cross-dressers are fetishists, and drag performers may cross-dress for entertainment rather than sexual arousal.

Dyspareunia

Pain during sexual intercourse (coitus).

Source: Discussed under Disorders Involving Sexual Pain in Lesson 12: Sexual Disorders, Exam 3 10 – 15.docx:contentReference[oaicite:5]{index=5}.

Erectile Dysfunction

Persistent inability to achieve or maintain an erection adequate for desired sexual activity.

Source: Thoroughly explained under Disorders of Sexual Arousal ? Male Erectile Disorder (ED) in Lesson 12: Sexual Disorders, Exam 3 10 – 15.docx:contentReference[oaicite:1]{index=1}.

Erectile Dysfunction

Persistent inability to achieve or maintain an erection adequate for desired sexual activity.

Source: Reviewed in Lesson 12: Sexual Disorders ? Male Erectile Disorder (ED), Exam 3 10 – 15.docx.

Exhibitionism

A paraphilia involving exposure of the genitalia to strangers, sometimes with masturbation. Also called flashing.

Location in Course Notes: Found under Lesson 11: Atypical Sexuality, heading Exhibitionism. The behavior is defined as “a recurrent or persistent tendency to expose the genitalia to unsuspecting strangers,” usually for sexual arousal and almost always involving masturbation.

Extrafamilial Child Molester

A person who has had sexual contact with children outside his own immediate family.

Location in Course Notes: Also addressed in Lesson 10: Sexuality Across the Life Span within Adult-Child Sexual Contact. This term is contrasted with intrafamilial molestation, highlighting that although extrafamilial molestation is serious, repeated abuse by someone close to the child (e.g., a family member) tends to have more severe consequences:contentReference[oaicite:3]{index=3}.

Female Sexual Arousal Disorder

Insufficient physiological arousal in women, making sex unpleasant or painful.

Source: Explained under Female Sexual Arousal Disorder in Lesson 12: Sexual Disorders, Exam 3 10 – 15.docx:contentReference[oaicite:6]{index=6}.

Fetishism

Sexual arousal by inanimate objects, materials, or parts of the body.

Location in Course Notes: Found in Lesson 11: Atypical Sexuality within the “Exam 3 10–15” document. Look under the subheading Fetishism, which includes DSM-5 criteria, examples of common fetishes (like feet or rubber), and how it differs from transvestic fetishism.

Frotteurism

A paraphilia involving touching or rubbing the clothed genitals against a stranger without their consent or knowledge, as in a crowded public place.

Location in Course Notes: Found under Lesson 11: Atypical Sexuality with the heading Frotteurism. Often described in relation to public transportation or crowded environments, this behavior involves repeated attempts to rub against nonconsenting individuals, typically for arousal.

Genital Herpes

A viral infection caused primarily by HSV-2, sometimes HSV-1. Causes outbreaks of sores and may be asymptomatic between episodes. Incurable but manageable with antivirals.

Source: Found in Lesson 13: Sexually Transmitted Infections ? Viral STIs ? Herpes Simplex Viruses (HSV 1 and 2), Exam 3 10 – 15.docx:contentReference[oaicite:3]{index=3}.

Gonorrhea

A sexually transmitted disease caused by infection with the bacterium Neisseria gonorrhoeae. Can lead to pelvic inflammatory disease (PID) or infertility if untreated.

Source: Explained in Lesson 13: Sexually Transmitted Infections ? Bacterial STIs ? Gonorrhea, Exam 3 10 – 15.docx:contentReference[oaicite:0]{index=0}.

Good Lives Model

A form of therapy for sex offenders focused on improving the subject’s ability to achieve a broad range of life goals.

Location in Course Notes: The Good Lives Model is not explicitly named in the provided lesson text, but the model’s emphasis on holistic well-being aligns with goals outlined in Lesson 11’s Treatment of Sex Offenders—particularly improving social skills and reducing risk factors for reoffending:contentReference[oaicite:6]{index=6}.

Hebophile

An adult whose sexual attraction is directed mainly to pubescent children.

Location in Course Notes: Referenced in Lesson 11: Atypical Sexuality under the subheading Pedophilia. The notes clarify the distinction between pedophilia (prepubescent attraction) and hebephilia (pubescent attraction), often framed by biological development rather than strict chronological age.

HPV

Human papillomavirus is the most common STI in the U.S. Certain types cause genital warts or cervical/anal/oral cancers. Some strains are preventable with vaccines.

Source: Discussed in Lesson 13: Sexually Transmitted Infections ? Viral STIs ? Human Papillomaviruses (HPV), Exam 3 10 – 15.docx:contentReference[oaicite:4]{index=4}.

Hypoactive Sexual Desire Disorder

Low or absent interest in sex, when this condition causes distress. This is the most common female sexual dysfunction and often treated with psychotherapy or hormone therapy depending on cause.

Source: Explained in Lesson 12: Sexual Disorders ? Disorders of Sexual Desire, Exam 3 10 – 15.docx.

Indecent Exposure

The crime of exposing the genitals or female breasts in public—exact legal definitions vary.

Location in Course Notes: Not listed as a primary heading, but it is referenced in Lesson 11 as the legal term most often associated with Exhibitionism. In many jurisdictions, charges of indecent exposure may be levied against individuals with exhibitionistic behavior.

Intrafamilial Child Molester

A person who has had sexual contact with his own children or stepchildren.

Location in Course Notes: Covered in Lesson 10: Sexuality Across the Life Span under Adult-Child Sexual Contact. Research indicates that sexual abuse by a trusted family member (i.e., intrafamilial) results in more adverse psychological outcomes for the child than non-incestuous or one-time abuse:contentReference[oaicite:2]{index=2}.

Kegel Exercises

Exercises to strengthen pelvic floor muscles to improve sexual function or reduce urinary leakage.

Source: Cited alongside Sensate Focus and the Start-Stop Method as a therapy for premature ejaculation in Exam 3 10 – 15.docx, Lesson 12: Sexual Disorders:contentReference[oaicite:3]{index=3}.

Masochism

Sexual arousal from being subjected to pain, bondage, or humiliation.

Location in Course Notes: Fully defined in Lesson 11: Atypical Sexuality under Sadomasochism. Masochism is described as the preference for receiving pain or humiliation as the most important source of sexual gratification.

Masturbatory Reconditioning

Uses the pleasure of orgasm to increase sexual arousal to previously non-arousing targets.

Location in Course Notes: This specific term is not labeled in the body of the exam notes but is grouped conceptually with cognitive-behavioral sex offender treatments mentioned in the Therapies for Sex Offenders section of Lesson 11:contentReference[oaicite:2]{index=2}.

Media Fetishism

Sexual attraction to materials such as rubber or silk. Also called material fetishism.

Location in Course Notes: Included under Fetishism in Lesson 11: Atypical Sexuality. Describes media fetishes as common variants and discusses potential sensory and associative factors.

Necrophilia

Sexual arousal from viewing or having contact with dead bodies.

Location in Course Notes: Also categorized under Lesson 11: Atypical Sexuality in the Paraphilia Not Otherwise Specified (NOS) section. It is listed with other atypical attractions such as telephone scatologia and partialism:contentReference[oaicite:1]{index=1}.

Object Fetishism

Sexual arousal by inanimate objects.

Location in Course Notes: Mentioned within the broader discussion of Fetishism in Lesson 11. Emphasized as distinct from symbolic items like clothing or media fetishes.

Partialism

Fetishistic attraction to specific parts of the body.

Location in Course Notes: Found in Lesson 11: Atypical Sexuality under the heading Paraphilia Not Otherwise Specified (NOS). Listed among lesser-known paraphilias like apotemnophilia and zoophilia.

Pedophile

A person whose sexual feelings are directed mainly toward prepubescent children.

Location in Course Notes: Covered under Lesson 11: Atypical Sexuality in the section titled Pedophilia. Includes diagnostic criteria (persistent attraction to prepubescent children, age discrepancy with child, age of perpetrator), clinical implications, and distinctions between pedophilia and child molestation.

Penile Implant

An implanted medical device used to treat erectile dysfunction.

Source: Described alongside vacuum constriction system under Devices and Implants in Lesson 12: Sexual Disorders, Exam 3 10 – 15.docx:contentReference[oaicite:4]{index=4}.

Penile Implant

An implanted medical device used to treat erectile dysfunction.

Source: Described under Lesson 12: Sexual Disorders ? Treatments for Male Erectile Disorder ? Devices and Implants, Exam 3 10 – 15.docx.

Persistent Genital Arousal Disorder

Long-lasting physiological arousal in women not accompanied by subjective pleasure.

Source: Though not explicitly labeled, this is inferred in the broader discussion of female arousal disorders and is part of the general pathology noted in Lesson 12: Sexual Disorders, Exam 3 10 – 15.docx:contentReference[oaicite:7]{index=7}.

Premature Ejaculation

Ejaculation that occurs before the man desires, often immediately after penetration.

Source: Detailed extensively in Lesson 12: Sexual Disorders, under “Disorders of Sexual Orgasm” in Exam 3 10 – 15.docx:contentReference[oaicite:7]{index=7}.

Premature Ejaculation

Ejaculation that occurs before the man desires, often immediately after penetration.

Source: Covered in Lesson 12: Sexual Disorders ? Disorders of Sexual Orgasm, Exam 3 10 – 15.docx.

Primary Disorder

A disorder not preceded by a period of healthy sexual function.

Source: Definitions given in Lesson 12: Sexual Disorders from Exam 3 10 – 15.docx covering primary, secondary, and situational dysfunctions:contentReference[oaicite:4]{index=4}.

Prostaglandin E1

A hormone injected into the penis to induce erection.

Source: Listed under Hormonal Treatments in Lesson 12: Sexual Disorders ? Treatments for Male Erectile Disorder in Exam 3 10 – 15.docx:contentReference[oaicite:2]{index=2}.

Prostaglandin E1

A hormone injected into the penis to induce erection.

Source: Found under Lesson 12: Sexual Disorders ? Treatments for Male Erectile Disorder ? Hormonal Treatments, Exam 3 10 – 15.docx.

Recidivism

The tendency of convicted offenders to reoffend.

Location in Course Notes: Addressed in Lesson 11: Atypical Sexuality under Recidivism of Sex Offenders. The course notes highlight that sex offenders with deviant preferences (e.g., pedophilia) have higher recidivism rates and that older age reduces the likelihood of reoffending.

Relapse Prevention Therapy

Therapy aimed at training a person to avoid or cope with situations that trigger undesirable behaviors.

Location in Course Notes: Included in Lesson 11: Atypical Sexuality in the section on Therapies for Sex Offenders. Focuses on developing coping skills to avoid relapse into deviant behavior:contentReference[oaicite:5]{index=5}.

Sadomasochism

The infliction and acceptance of pain or humiliation as a means of sexual arousal.

Location in Course Notes: Covered extensively in Lesson 11: Atypical Sexuality under Sadomasochism (Sadism and Masochism). Clarifies distinctions between sadism, masochism, and their combination, and discusses criteria for paraphilic diagnosis.

Secondary Disorder

A disorder that follows a period of healthy sexual function.

Source: Part of the classification of sexual dysfunction types in Lesson 12: Sexual Disorders, Exam 3 10 – 15.docx:contentReference[oaicite:5]{index=5}.

Selective Serotonin Reuptake Inhibitors (SSRIs)

Antidepressants that can depress sexual function.

Source: Covered under “Treatment of Hypersexuality or Compulsive Sexual Behavior” and “Treatments for Premature Ejaculation” in Lesson 12: Sexual Disorders from the file Exam 3 10 – 15.docx:contentReference[oaicite:0]{index=0}.

Sensate Focus

A form of sex therapy involving graduated touching exercises.

Source: Included as a therapeutic exercise under “Treatments for Premature Ejaculation” in Lesson 12: Sexual Disorders from the file Exam 3 10 – 15.docx:contentReference[oaicite:2]{index=2}.

Sex Therapist

A professional who treats sexual disorders, usually via psychotherapy and sexual exercises.

Source: Described as part of treatment options for sexual dysfunction in Lesson 12: Sexual Disorders in Exam 3 10 – 15.docx:contentReference[oaicite:1]{index=1}.

Sexual Aversion Disorder

Extreme aversion to, and avoidance of, all genital sexual contact with a partner. It is a rare diagnosis and included under DSM-5’s broader sexual interest/arousal disorders.

Source: Included in Lesson 12: Sexual Disorders ? Disorders of Sexual Desire, Exam 3 10 – 15.docx.

Sexual Interest/Arousal Disorder

A DSM-5 classification that combines desire and arousal dysfunctions. While the term is used diagnostically, most readings separate desire and arousal for clarity in treatment and discussion.

Source: Presented in Lesson 12: Sexual Disorders ? Disorders of Sexual Arousal, Exam 3 10 – 15.docx.

Sexuality in Older Adults

Sexuality in later life includes changes in desire, arousal, and function due to biological, psychological, and social factors. Despite declines in hormone levels and responsiveness, many older adults remain sexually active and express satisfaction in their sexual lives.

Source: Comprehensive discussion in Lesson 10: Sexuality Across the Life Span ? Sexuality in Older Adults, Exam 3 10 – 15.docx.

Andropause

The gradual decline of testosterone and fertility in aging men, sometimes likened to male menopause.

Source: Described in Lesson 10: Sexuality Across the Life Span ? Sexuality in Older Adults, Exam 3 10 – 15.docx.

Isoflavones

Plant-based compounds with estrogen-like effects, sometimes used in menopause symptom management.

Source: Included under vocabulary related to menopause in Lesson 10: Sexuality Across the Life Span, Exam 3 10 – 15.docx.

Erectile Changes with Age

Age-related decrease in erectile firmness, frequency, and response time, with increased likelihood of erectile dysfunction.

Source: Covered under Lesson 12: Sexual Disorders ? Disorders of Sexual Arousal, Exam 3 10 – 15.docx.

Sexual Activity in Older Adults

Studies show older adults frequently remain sexually active; satisfaction correlates with frequency and health status, not just age.

Source: Explained in Lesson 10: Sexuality Across the Life Span ? Sexuality in Older Adults, Exam 3 10 – 15.docx.

Physical Factors Affecting Sexuality in Older Adults

Declining levels of sex hormones (testosterone, estrogen), chronic illness, and medication side effects influence sexual functioning in older individuals.

Source: Discussed under Lesson 10: Sexuality Across the Life Span ? Sexuality in Older Adults, Exam 3 10 – 15.docx.

Situational Disorder

A disorder that appears only in specific contexts or circumstances.

Source: Included in the explanation of diagnostic criteria for dysfunctions in Lesson 12: Sexual Disorders, Exam 3 10 – 15.docx:contentReference[oaicite:6]{index=6}.

Start-Stop Method

A sex therapy technique for premature ejaculation involving alternating stimulation and rest.

Source: Cited as a behavioral exercise within therapy options for premature ejaculation in Exam 3 10 – 15.docx, Lesson 12: Sexual Disorders:contentReference[oaicite:8]{index=8}.

Start-Stop Method

A sex therapy technique for premature ejaculation involving alternating stimulation and rest.

Source: Described under treatment strategies in Lesson 12: Sexual Disorders ? Treatments for Premature Ejaculation, Exam 3 10 – 15.docx.

Syphilis

A sexually transmitted infection caused by the spirochete bacterium Treponema pallidum. Has multiple stages including primary, secondary, latent, and tertiary phases.

Source: Explained in Lesson 13: Sexually Transmitted Infections ? Bacterial STIs ? Syphilis, Exam 3 10 – 15.docx:contentReference[oaicite:2]{index=2}.

Telephone Scatologia

Sexual arousal from making obscene telephone calls.

Location in Course Notes: Discussed under Lesson 11: Atypical Sexuality in the section on Paraphilia Not Otherwise Specified (NOS). The term is listed among less common paraphilias such as necrophilia, zoophilia, and partialism:contentReference[oaicite:0]{index=0}.

Transvestism

Wearing clothes of the other sex for purposes of sexual arousal. Sometimes applied to cross-dressing.

Location in Course Notes: Detailed in Lesson 11: Atypical Sexuality under the heading Transvestic Fetishism. Emphasizes sexual arousal as the motive and distinguishes it from transgender identity and drag performance.

Vacuum Constriction System

A device that draws blood into the penis using a vacuum, aiding in erection.

Source: Described under Devices and Implants in Lesson 12: Sexual Disorders ? Treatments for Male Erectile Disorder, Exam 3 10 – 15.docx:contentReference[oaicite:3]{index=3}.

Vacuum Constriction System

A device that draws blood into the penis using a vacuum, aiding in erection.

Source: Explained in Lesson 12: Sexual Disorders ? Treatments for Male Erectile Disorder ? Devices and Implants, Exam 3 10 – 15.docx.

Vaginismus

Involuntary spasm of the muscles at the entrance of the vagina that prevents penetration and sexual intercourse, often combined with pain or fear of pain.

Source: Included under causes of dyspareunia in Lesson 12: Sexual Disorders ? Disorders Involving Sexual Pain, Exam 3 10 – 15.docx.

Voyeurism

A paraphilia involving spying on persons while they are undressing, naked, or engaged in sex.

Location in Course Notes: Located in Lesson 11: Atypical Sexuality under the heading Voyeurism. The notes define it as “a recurrent or persistent tendency to look at people engaging in sexual or intimate behavior,” typically without their knowledge, and it is associated with sexual excitement and masturbation.

Vulvar Vestibulitis Syndrome

A form of dyspareunia marked by pain at the vestibule of the vulva, often upon touch or pressure.

Source: Included under causes of dyspareunia in Lesson 12: Sexual Disorders ? Disorders Involving Sexual Pain, Exam 3 10 – 15.docx:contentReference[oaicite:8]{index=8}.

Zoophilia

A persistent preference for sexual contact with animals; considered a paraphilia.

Location in Course Notes: Found under Lesson 11: Atypical Sexuality, specifically in the section Paraphilia Not Otherwise Specified (NOS). The document lists zoophilia among paraphilias that do not meet diagnostic criteria for a specific category but are still clinically relevant:contentReference[oaicite:0]{index=0}.

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