Sexual Addiction to the Diagnostic and Statistical Manual of Mental Disorders (DSM) system has failed to get support of the American Psychiatric Association (APA). In the past, the Diagnostic and Statistical Manual of Mental Disorders (DSM), the American Psychiatric Association's guide, described some BDSM activities as sexual disorders. 87. Tomasi, D. Wang, G.-J. Wang, R. Caparelli, E.C. Logan, J. Volkow, N.D. sixty four. Agrawal, A. Verweij, K.