Listen to the Silence

  “A paraphilia must be distinguished from the non-pathological use of sexual fantasies, behaviors or objects as a stimulus for sexual excitement in individuals without a Paraphilia.    Fantasies, behaviors or objects are paraphilic only when they lead to a clinically significant distress or impairment (e.g., are obligatory, result in sexual dysfunction, require participation of non-consenting individuals, lead to legal complications, interfere with social relationships). “   (DSM-IV-TR, American Psychiatric Association, p.568) “For Sexual Sadism, the diagnosis is made if the person has acted on these urges with a non-consenting person, or the urges, sexual fantasies or behaviors cause marked distress or interpersonal difficulty.”   (DSM-IV-TR, American Psychiatric Association, p.566) So.    I am not a Sadist.    Neither Am You.    Really.    I just want to inject a little humorous reality, for a second.      Just to kind of ground things.    I’ve just finished reading a