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The Mental Health Perspective. Exhibitionism falls under the psychiatric category of paraphilias. Paraphilias are sexual feelings or behaviors that may involve sexual partners that are not human, not consenting, or that involve suffering by one or both partners. The criterion of the DSM-IV-TR (Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision) for the diagnosis of exhibitionism is that the individual has experienced intense sexual urges and arousal or behavior involving the exposure of their genitals to strangers for at least six months. Additionally, the individual has either acted upon these urges or they cause significant personal distress or interpersonal difficulty.