DSM Controversies, Defining the Normal and the Paraphilia: Sexual Pleasure Objects, Fantasy, Variations, Soft-BDSM, ESR, Hypersexuality, Sex Addiction and Nymphomania

Abstract

In sexuality research and sex therapy, it is generally very difficult to define “the normal” and to differentiate variations, mild and harmless fantasies, sexual games and fantasy role play from paraphilia. In DSM classifications, there are still dilemmas, misinterpretations, contradictions and controversies to define paraphilias and what pathology is and what is not. There are new definitions and terminology in sexuality research, such as “Expanded Sexual Response” (ESR), “status orgasmus” “Never Ending Orgasms (Super Orgasms)”, “Deep Vaginal Erogenous Zones” (DVZ),”Sexual Pleasure Objects” (SEPOs), “Hypersexuality” “Non-genital orgasms” and “soft-non-pathological BDSM” etc. In this review novel definitions of some new notions are given and it is discussed why those sexual behaviors cannot be regarded as a pathology or paraphilia, such as “Hypersexuality” and soft-BDSM; a unified definition of paraphilias is proposed. Sometimes, ESR women are often confused with pathological hypersexuality. ESR is defined as: “being able to attain long lasting and/or prolonged and/or multiple and/or sustained orgasms and/or status orgasmus that lasted longer and more intense than the classical orgasm patterns defined in the literature”. Lately a research performed in United Kingdom revealed that the research team had discovered more than 500 women who were having more than 30 to 50 orgasms in one or two hours (see: You Tube, “Never Ending Orgasm” documentary). We have concluded in many publications that during an ESR orgasm and status orgasmus, some women can have trains of tens of orgasms in a given love making session. Women can be trained to achieve ESR orgasms and it is a learned phenomenon. Although defined recently in medical literature, the notion of ESR is as old as history, starting from the Dionysus Cult Era and Far Eastern sexual traditions descending from Early Ages and Tantra and Taoist cultures. At the turn of 21st Century, Female Orgasm is still a mystery and we only know the tip of the Orgasmic Iceberg of Females.