As stated by Wikipedia:
So if we are capable of keeping infantilism from public display, would that put this into not being a paraphilia? Most people look at fetishes as being normal and healthy so long as nobody gets hurt, and everyone involved feels comfortable. But if "significant psychosocial distress" is the qualifying factor of a paraphilia, then i have one, because I am going nuts with the stress caused socially by my parents, councilors, and religion. If these three factors were excluded then i wouldn't be experiencing stress.If a sexual fetish causes significant psychosocial distress for the person or has detrimental effects on important areas of their life, it is diagnosable as a paraphilia in the DSM and the ICD. Many people embrace their fetish rather than attempting treatment to rid themselves of it.
Psychologists and medical practitioners regard fetishism as normal variations of human sexuality. Even those orientations that are potential forms of fetishism are usually considered unobjectionable as long as all people involved feel comfortable. Only if the diagnostic criteria presented in detail below are met is the medical diagnosis of fetishism justified. The leading criterion is that a fetishist is ill only if he or she suffers from the addiction, not simply because of the addiction itself.
Should the previous factors be included in the definition of an un-healthy fetish?