Licensed Clinical Social Worker (LCSW) Practice Exam

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Which behavior is NOT characteristic of paraphilias according to the DSM?

Voyeurism
Fetishism
Autoeroticism
Exhibitionism

The correct answer is: Autoeroticism

Autoeroticism is distinctive in its focus on self-stimulation, typically in a sexual context, and does not involve the directing of sexual arousal towards another person or specific object as seen in paraphilias. In contrast, voyeurism, fetishism, and exhibitionism all involve components of external or interactive behavior that meet the definitions of paraphilias. These paraphilic behaviors require an atypical focus of sexual arousal, such as observing others (voyeurism), having sexual attraction to specific objects or non-genital body parts (fetishism), or exposing oneself to others (exhibitionism). Thus, while the other options clearly fit the DSM criteria for paraphilias, autoeroticism primarily centers on the individual, which makes it the behavior that is not typically classified as a paraphilia according to DSM standards.