the disorder, may be considered in the differential diagnosis.
Comorbidity
Known comorbidities with sexual sadism diso rder are largely based on individuals (al-
most all males) convicted for criminal acts involving sadistic acts against nonconsenting
victims. Hence, these comorbidities might not apply to all individuals who never engaged
in sadistic activity with a nonconsenting vi ctim but who qualify for a diagnosis of sexual
sadism disorder based on subjec tive distress over their sexual  interest. Diso rders that are
commonly comorbid with sexual sadism diso rder include other paraphilic disorders.
Pedophilic Disorder
Diagnostic Criteria 302.2 (F65.4)
A. Over a period of at least 6 months, recurrent, intense sexually arousing fantasies, sex-
ual urges, or behaviors involving sexual activity with a prepubescent child or children
(generally age 13 years or younger).
B. The individual has acted on these sexual urges, or the sexual urges or fantasies cause
marked distress or interpersonal difficulty.
C. The individual is at least age 16 years and at  least 5 years older than the child or chil-
dren in Criterion A.
Note:  Do not include an individual in late adolescence involved in an ongoing sexual
relationship with a 12- or 13-year-old.
Specify whether:
Exclusive type  (attracted only to children)
Nonexclusive type