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===Definition of typical versus atypical interests=== Clinical literature contains reports of many paraphilias, only some of which receive their own entries in the diagnostic taxonomies of the [[American Psychiatric Association]] or the [[World Health Organization]].<ref>{{cite web |title="Axis I. Clinical Disorders, most V-Codes and conditions that need Clinical attention". Retrieved: 23 November, 2007 |url=http://psyweb.com/Mdisord/DSM_IV/jsp/Axis_I.jsp |url-status=dead |archive-url=https://web.archive.org/web/20101219132536/http://psyweb.com/Mdisord/DSM_IV/jsp/Axis_I.jsp |archive-date=19 December 2010 |access-date=2013-03-14 |publisher=Psyweb.com }}</ref><ref>World Health Organization, International Statistical Classification of Diseases and Related Health Problems, (2007), [https://www.who.int/classifications/apps/icd/icd10online/ Chapter V, Block F65; Disorders of sexual preference.] Retrieved 2007-11-29.</ref> There is disagreement regarding which sexual interests should be deemed paraphilic disorders versus normal variants of sexual interest.<ref>[http://www.dsmivtr.org/2-3changes.cfm Summary of Practice-Relevant Changes to the DSM-IV-TR] {{webarchive|url=https://web.archive.org/web/20080511220758/http://www.dsmivtr.org/2-3changes.cfm|date=11 May 2008}} from [http://www.dsmivtr.org/ Diagnostic and Statistical Manual of Mental Disorders (DSM)] {{webarchive|url=https://web.archive.org/web/20080517004926/http://www.dsmivtr.org/|date=17 May 2008}}</ref> The DSM-IV-TR also acknowledges that the diagnosis and classification of paraphilias across cultures or religions "is complicated by the fact that what is considered deviant in one cultural setting may be more acceptable in another setting".<ref name="auto">American Psychiatric Association. (2000). ''Diagnostic and statistical manual of mental disorders'' (4th ed., text rev.). Washington, DC: Author.</ref> Some argue that [[cultural relativism]] is important to consider when discussing paraphilias, because there is wide variance concerning what is sexually acceptable across cultures.<ref>{{cite journal |last1=Bhugra |first1=Dinesh |last2=Popelyuk |first2=Dmitri |last3=McMullen |first3=Isabel |date=30 March 2010 |title=Paraphilias Across Cultures: Contexts and Controversies |journal=[[Journal of Sex Research]] |location=London, England |publisher=[[Routledge]] |volume=2 |issue=47 |pages=242β256 |doi=10.1080/00224491003699833 |pmid=20358463 |s2cid=40452769}}</ref> [[Consensual]] adult activities and [[adult entertainment]] involving [[sexual roleplay]], novel, superficial, or trivial aspects of [[sexual fetishism]], or incorporating the use of [[sex toys]] are not necessarily paraphilic.<ref name="auto" />
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