Sexual arousal and satisfaction from the psychological or physical suffering of others.

Intense sexually arousing fantasies and urges involving non-animate objects, which lead to the individual’s personal distress or affect social and occupational functioning.

Intense recurrent sexual urges to touch and rub up against non-consenting people.

Intense sexually arousing fantasies that occur while observing an unsuspecting person naked, in the process of undressing, or engaging in a sexual activity.