Here's some general info, till you get the more recently revised version from Kes.
"The DSM-IV mental disorders are grouped into sixteen major diagnostic classes, one of which is entitled Sexual and Gender Identity Disorders. The sexual disorders are subdivided into three categories, Sexual Dysfunctions, Paraphilias, and Gender Identity Disorders, as well as a catch-all category called Sexual Disorder Not Otherwise Specified (NOS).
The Sexual Dysfunctions are characterized by disturbance in sexual desire and in the psychophysiological changes that constitute the sexual response cycle. These disturbances result in decreased sexual desire and/or performance and cause marked distress and interpersonal difficulty. Sexual Dysfunctions include Low Sexual Desire Disorders (Hypoactive Sexual Desire Disorder and Sexual Aversion Disorder), Sexual Arousal Disorders (Female Sexual Arousal Disorder and Male Erectile Disorder), Orgasmic Disorders (Female Orgasmic Disorder, Male Orgasmic Disorder, and Premature Ejaculation), and Sexual Pain Disorders (Dyspareunia, or genital pain during intercourse, and Vaginismus, or severe vaginal spasm which causes pain for a woman and interferes with penetration). There is also a group of Secondary and Other Sexual Dysfunctions, which include Sexual Dysfunction Due to a General Medical Condition, Substance-Induced Sexual Dysfunction, and a residual category, Sexual Dysfunction Not Otherwise Specified (NOS).
The paraphilias are characterized by recurrent, intense sexual urges, fantasies, or behaviors that involve unusual objects, activities, or situations that occur over a period of at least six months and cause clinically significant distress or impairment in social, occupational, or other important areas of functioning. For some individuals, paraphilic fantasies or stimuli are obligatory for erotic arousal and are always included in sexual activity; in other cases, the paraphilic preferences occur only episodically, while at other times the person is able to function sexually without paraphilic fantasies or stimuli. In contrast to the Dysfunctions, which are associated with decreased sexual functioning, the Paraphilias are commonly associated with increased sexual activity, often with compulsive and/or impulsive features.
Paraphilic sexual activity revolves around fantasies, urges, or behaviors that are considered unusual or frankly deviant by society and generally involve (a) nonhuman objects or animals; (b) humiliation or suffering of the patient or partner, or (c) nonconsenting persons, including children. Even when such urges or fantasies are not acted upon, the level of distress may be sufficient to warrant a diagnosis; far more commonly, paraphiliacs have acted upon their desires many times before a diagnosis is made (Morrison, 1995, p. 360).
Gender Identity Disorders (transsexualism), a third type of sexual disorder, are characterized by strong and persistent cross-gender identification accompanied by persistent discomfort with one's assigned sex. Transsexuals cross-dress to look like the other sex, not specifically for sexual stimulation. They may be sexually attracted to males, females, both, or neither.
Sexual Disorder Not Otherwise Specified (NOS) is included for coding disorders of sexual functioning that are not classifiable in any of the specific categories. One of the three examples given for this disorder is "Distress about a pattern o repeated sexual relationships involving a succession of lovers who are experienced by the individual only as things to be used" (DSM-IV . 638). This diagnosis has historically been the most common one to be used for patients identified as sexual addicts.
Addictive Sexual Disorders
The range of fantasies, urges, and behaviors which can be considered addictive sexual disorders may be appreciated by reviewing the ten categories developed by Carnes (1991):
Table 1: Patterns and Themes of Sexual Addiction
1. Fantasy sex: Items focused on sexual fantasy life and consequences due to obsession. Themes include denial, delusion, and problems due to preoccupation.
2. Seductive role sex: Items focused on seductive behavior for conquest. Multiple relationships, affairs, and unsuccessful serial relationships.
3. Anonymous sex: engaging in sex with anonymous partners, having one-night stands.
4. Paying for sex: paying prostitutes for sex, paying for sexually explicit phone calls.
5. Trading sex: receiving money or drugs for sex or using sex as a business. Highly correlated were swapping partners and using nudist clubs to find sex partners.
6. Voyeuristic sex: Items focused on forms of visual sex, including pornography, window peeping, and secret observation. Highly correlated with excessive masturbation, even to the point of injury.
7. Exhibitionist sex: exposing oneself in public places or from the home or car; wearing clothes designed to expose.
8. Intrusive sex: touching others without permission, using position or power (e.g. professional, religious) to sexually exploit another person; rape.
9. Pain exchange: causing or receiving pain to enhance sexual pleasure. Use of dramatic roles, sexual aids, and animals were common themes.
10.Exploitive Sex: Use of force or partner vulnerability to gain sexual access.
Five of Carnes' categories can be readily identified in the DSM-IV as specific paraphilias. These include voyeuristic sex, exhibitionistic sex, pain exchange (sexual sadism, sexual masochism), as well as some types of intrusive sex (frotteurism), and exploitive sex (pedophilia). Four of the remaining categories may be correlated with paraphilias: fantasy sex may be associated with paraphilic urges not acted upon, anonymous sex may be used to permit expression of paraphilic behavior with decreased risk of consequences, and paying for sex or trading sex are means by which a partner who may permit paraphilic activity may be purchased.
Sexual improprieties and excesses that are considered addictive in nature can usually be classified into one of three major DSM-IV categories: Paraphilia (either one or more specifically identified in the DSM-IV or Paraphilia NOS), Impulse Control Disorder NOS, or Sexual disorder NOS. When the behavior does not fit easily into one of these categories, and is not considered a manifestation of some other DSM IV Axis I diagnosis, then it can be diagnosed a work-related problem or a relational problem, utilizing a V code on Axis I.
Impulse-Control Disorders is another DSM-IV category which may include sexual behaviors. Some authors have considered compulsive sexual behavior to be essentially an impulse control disorder (e.g., Barth and Kinder (1987)). In our opinion, some cases of sexual excess represent an impulse-control disorder, whereas most cases are attributable to other DSM diagnoses which embrace the predominant compulsive features associated with sexual acting out. The essential feature of Impulse-Control Disorders is the failure to resist an impulse, drive, or temptation to perform an act that is harmful to the person or to others. The individual feels an increasing sense of tension or arousal before committing the act and then experiences pleasure, gratification, or relief associated with the activity. Following the sexual acting out, there may or may not be regret, self-reproach, or guilt".
