Abstract
Clinicians worldwide are reporting varying patterns of over- and underacting within the spectrum of sexual behaviors, causing distress, dyscontrol, and other disadvantages to individuals, families, and communities. The DSM-IV does not adequately account for disorders of sexual behavior except for those classified as paraphilias. The authors, practicing clinical sexologists, have identified two distinct patterns of sexually disordered behaviors, which they propose be included in the next revision of the DSM, following field testing to further refine their reliability.