tress or impairment to the individual or a pa raphilia whose satisfaction has entailed personal
harm, or risk of harm, to others. A paraphilia is a necessary but not a sufficient condition for
having a paraphilic disorder, and a paraphilia by it self does not automatically justify or require
clinical intervention. The distinction between paraphilias and paraphilic disorders was im-
plemented without making any changes to the basi c structure of the diagnostic criteria as they
had existed since DSM-III-R. Th e change proposed for DSM-5 is that individuals who meet