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Fetishistic Disorder

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Armand D

on 12 December 2013

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Transcript of Fetishistic Disorder

- Body part(s)
- Nonliving object(s)
- Combination of two

Specify if:
- In a controlled environment
- In full remission
Development and Course
Onset during puberty, but fetishes can develop prior to adolescence

Once established, fetishistic disorder tends to have a continuous course that fluctuates in intensity and frequency of urges or behavior
Diagnostic Issues
Knowledge and consideration for normative aspects of sexual behavior are important
Helps distinguish disorder from acceptable sexual behavior

Not systematically reported to occur in females.
In clinical samples, fetishistic disorder is nearly exclusively reported in males.
Fetishistic Disorder
Sexual arousal from use of nonliving objects or specific focus on nongenital body part(s)
at least 6 months
recurrent and intense fantasies, urges, or behaviors

Cause significant distress or impairment in social, occupational, or other areas of functioning.

Objects not limited to articles of clothing used in cross-dressing (transvestic disorder) or devices designed for genital stimulation (vibrator).
Associated Features
Multisensory experience including:

While masturbating, or preferring sexual partner utilize a fetish object

Individuals may acquire collections of fetish objects

Armand De Asis, Michael Ricci, Jerry Rivera
Possible Causes
Early childhood: object association w/ sexual arousal/gratification
Adolescence: conditioning with masturbation.
poorly develop social skills, isolated, diminished capacity for intimacy
Child victim or observer of inappropriate sexual behaviors learns to imitate, is later reinforced.
Individuals deprived of normal social sexual contacts, seek alternative gratification
Most common: doubts about masculinity
Functional Consequences
Typical impairments associated with fetishistic disorder include:
Sexual dysfunction
Prefer solitary sexual activity

Males with fetishistic disorder may steal and collect fetishistic objects of desire
Have been arrested and charged for nonsexual antisocial behaviors
Differential Diagnosis
Transvestic disorder
Not diagnosed when fetish objects are limited to articles of clothing exclusively worm during cross-dressing

Sexual masochism disorder or other paraphilic disorders
Fetishes can co-occur with other paraphilic disorders, especially “sadomachism” and transvestic disorder

Fetishistic behavior without fetishistic disorder
Use of a fetish object for arousal without any associated distress or impairment or other adverse consequence would not meet criteria for fetishistic disorder
Electroshock Therapy
Surgical Castration
Symptoms and sexual thoughts
LHRH Agonists - "chemical castration"
Cognitive Behavior Therapy
Aversive conditioning
Full transcript