A paraphilic interest really just means being sexually aroused by something that other people are not. Paraphilia stands in contrast to ‘normophilic’ sexual interests, a slightly ridiculous way of saying that someone is into normal sex. According to one of the main books used to diagnose mental-health concerns, the DSM-5,2 normophilic interests involve ‘genital stimulation or preparatory fondling with phenotypically normal, physically mature, consenting human partners’. According to this, someone is only sexually normal if they like touching the private parts of someone who looks normal, is a grown-up, and is giving consent. Does this suggest that being attracted to someone who looks different, due to choice or genetic lottery, is pathological?