as individuals who conduct the behaviors may be satisfied with thei r masochistic interest.
Comorbidity
Known comorbidities with sexu al masochism disorder are largely based on individuals in
treatment. Disorders that occur comorbidly wi th sexual masochism disorder typically in-
clude other paraphilic disorders,  such as transvestic fetishism.
Sexual Sadism Disorder
Diagnostic Criteria 302.84 (F65.52)
A. Over a period of at least 6 months, recurrent and intense sexual arousal from the phys-
ical or psychological suffering of another person, as manifested by fantasies, urges, or
behaviors.
B. The individual has acted on these sexual  urges with a nonconsenting person, or the
sexual urges or fantasies cause clinically significant distress or impairment in social,
occupational, or other important areas of functioning.
Specify if:
In a controlle d environment:  This specifier is primarily applicable to individuals living
in institutional or other settings where opportunities to engage in sadistic sexual behav-
iors are restricted.
In full remission:  The individual has not acted on the urges with a nonconsenting per-
son, and there has been no distress or impairment in social, occupational, or other ar-
eas of functioning, for at least 5 years while in an uncontrolled environment.