For a Diagnosis of Sexual Sadism Disorder to Be Made

For a diagnosis of sexual sadism disorder to be made, which of the following criteria must be met in addition to sexual fantasies, urges, or behaviors involving inflicting pain and humiliation on the person's sex partner?

A) The urges and behavior must be enjoyed by the person's partner.
B) The urges and behavior may cause the person significant distress or impairment in functioning but must only involve a consenting partner.
C) The urges must involve animals as sex partners.
D) The urges and behavior must cause the person significant distress or impairment in functioning or involve a non-consenting partner.