As Black et al. noted, nonparaphilic sexual impulsivity disorders are understudied, and uniform operational criteria to characterize them are lacking. Their study used Coleman's compulsive sexual behaviors typology (3), which includes some behaviors that are not clearly genital or sexual but are more relational and romantic (e.g., compulsive fixation or erotomania, multiple love relationships). We propose that the term "paraphilia-related disorders" be used to describe nonparaphilic sexual disorders, since this term does not implicitly characterize the form of these disorders (e.g., as impulsive, compulsive, or addictive). Paraphilia-related disorders are sexual disorders that, like paraphilias, are repetitive, intrusive, persist at least 6 months, and are accompanied by psychosocial distress and impairment, but the specific behaviors are not currently considered as socially anomalous or deviant. In our research, the predominant paraphilia-related disorders are ego-dystonic compulsive masturbation, protracted promiscuity, and dependence on pornography. Less prevalent forms include phone sex dependence, severe sexual desire incompatibility, and dependence on sexual accessories such as objects (e.g., dildos) or drugs (e.g., amyl nitrate, cocaine) (2, 4). Although it is not clearly noted in Black et al.'s report, our studies have consistently found that male subjects with paraphilias, including sex offenders, commonly have paraphilia-related disorders as well.