A 30-year-old man is arrested after repeatedly pressing and rubbing his erect genitals against women standing near him in crowded public buses. He becomes sexually aroused during these acts, has fantasised about them for over a year, and feels distressed by his inability to control the behaviour. The victims are strangers who have not consented. What is the most likely diagnosis?

• A Voyeuristic disorder
• B Frotteuristic disorder ✓
• C Exhibitionistic disorder
• D Sexual masochism disorder

Explanation

Frotteuristic disorder requires recurrent, intense sexual arousal from touching or rubbing against a non-consenting person over at least six months, with the urges acted on or accompanied by distress or impairment. Voyeurism centres on watching, not contact, and exhibitionism centres on exposing the genitals, which kills both distractors. Masochism involves arousal from receiving suffering, which is entirely absent here.

Reference: Diagnostic and Statistical Manual of Mental Disorders, 5th ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

Written and medically reviewed by the StethoPrep medical team.