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The American Psychiatric Association has classified certain voyeuristic fantasies , urges and behaviour patterns as a paraphilia in the " Diagnostic and Statistical Manual " ( DSM-IV ) if the person has acted on these urges , or the sexual urges or fantasies cause marked distress or interpersonal difficulty .
 American Psychiatric Association, Diagnostic and Statistical Manual
Please list all entity words in the text that fit the category. Output format is "word1, word2". 
Option: media, plant, vehicle, astronomical object, time, disease, animal, location, person, organization, mythical figure, food, biology, geographical phenomenon, instrument, event 
Text: {0} 
Answer:
 American Psychiatric Association, Diagnostic and Statistical Manual