Extramarital relations would be considered a legal offense but not ordinarily a psychiatric deviation impotence would be a psychiatric deviation (or a physical disorder) but not a legal offense.This book will deal with all sexual deviations that can be viewed as psychological disorders. Sexual offense is a legal distinction sexual deviation is a psychiatric distinction with social overtones. It is also important to distinguish between sexual offenses (which only have to be unacceptable to society) and sexual deviations, although the two frequently coincide. Since these are usually included in discussions of sexual deviation, it would probably be useful to specify that sexual deviations include not only culturally unacceptable sex behavior but also sex behavior that is pathological in origin. Rosen and Gregory (1965) have proposed the following definition specifically for our culture: “persistent preference for a sexual object or mode other than genital heterosexual behavior with an adult.”Rosen and Gregory’s definition applies to such clear-cut deviations as sodomy, fetishism, exhibitionism, and sadism, but does not include all types of socially disapproved sexual behavior, such as promiscuity and prostitution, nor does it embrace such pathological conditions as frigidity, impotence, and nymphomania. There may also be wide differences even within the same society -for example, variations in sexual foreplay and coital position are generally more acceptable on higher than on lower socioeconomic levels in this country a deviation, therefore, must be defined in terms of the total society and not simply one segment of it. Polygamy, prostitution, and homosexuality are acceptable in some cultures, but not in ours. One approach puts the primary emphasis on social disapproval, and defines it as “sexual behavior at variance with more or less culturally accepted sexual activities.” This is the definition given by the American Psychiatric Association, which cites homosexuality, transvestism, sexual sadism, and sexually violent (criminal) acts as examples.The element of social disapproval cannot be avoided because what is considered deviant in one society may not be considered deviant in another. There is considerable confusion about the definition of sexual deviation.
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