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Paraphilic fantasies and behaviors Altogether, paraphilic sexual fantasies and behaviors were reported more frequently in male patients with ASD than in male HCs. If you're bothered by a low sex drive or decreased sex drive, there are lifestyle changes and sexual techniques that may put you in the mood more often. Naughty American housewife taking dirty selfies. Would like to hear from someone in a similar situation. With regard to paraphilias, the DSM-5 now distinguishes between paraphilias and paraphilic disorders, thereby aiming at a destigmatization of nonnormative sexual interests and behaviors that do not cause distress or impairment to the individual or harm to others.