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07-SEPTEMBER-2008 03:17:44 - fetishism Redirected from Sexual Fetishism Sexual fetishism Classification and external resources Foot fetishism is one of the most common fetishes ICD-10 F65. ICD-9 302.81 MeSH D005329 Wikinews has related news: Dr. Joseph Merlino on sexuality, insanity, Freud, fetishes and apathy Sexual fetishism, or erotic fetishism, is the sexual attraction to materials and objects not conventionally viewed as being sexual in nature; the term was first introduced by Alfred Binet,1 the psychologist better known for inventing IQ testing. Fetishism is diagnosable as a paraphilia in the DSM and the ICD, but only if the fetish causes significant distress for the person or has detrimental effects on important areas of his or her life. Many people embrace their fetishes rather than seek treatment to attempt to be rid of them. Body parts may also be the subject of sexual fetishes also known as partialism in which the body part preferred by the fetishist takes a sexual precedence over the owner. Sexual fetishism may be regarded as a disorder of sexual preference, or as an enhancing element to a relationship.2 . In a review of the files of all cases over a 20 year period who met criteria for an non-transvestic fetishes in a teaching hospital, 48 cases were identified, and the objects of their fetishes included clothing 58.3%, rubber and rubber items 22.9%, footwear 14.6%, body parts 14.6%, leather and leather items 10.4%, and soft materials and fabrics 6.3%.3 Contents 1 Types 2 Psychological origins and development 3 Modern theory 3.1 Diagnosis 3.2 Treatment 3.2.1 Cognitive therapy 3.2.2 Psychoanalysis 3.2.3 Medication 3.2.4 Surgery 4 Gender 5 See also 6 References 6.1 Further reading 7 External links Types Alfred Binet proposed a dualism of spiritual love and plastic love in which to categorize the fetishes. Spiritual love occupied the devotion for specific mental phenomena, for example; attitudes, social class, or occupational roles; while plastic love referred to the devotion exhibited towards material objects such as body parts, textures or shoes. The existential approach to mental disorders developed in the 1940s and influenced a view that fetishes had complex personal meanings beyond the general categories of psychoanalytical treatment. For instance, the Austrian neurologist and existential therapist Viktor Frankl once noted the case of a man with a sexual fetish involving simultaneously both frogs and glue.4 Psychological origins and development Modern psychology assumes that fetishism either is being conditioned or imprinted or the result of a strong emotional i.e. traumatic experience. But also physical factors like brain construction and hery are considered possible explanations. In the following, the most important theories are presented in chronological order: Alfred Binet suspected fetishism was the pathological result of associations. Accidentally simultaneous presentation of a sexual stimulus and an inanimate object, thus his argument, led to the object being permanently connected to sexual arousal. About 1900, a sexologist named Havelock Ellis brought up the revolutionary idea that already in early childhood erotic feelings emerged and that it was the first experience with its own body that determined a child's sexual orientation. Psychiatrist Richard von Krafft-Ebing consented to Binet's theory in 1912, recognizing that it predicted the observed wide variety of fetishes but unsure why these particular associations persisted over the whole of a lifetime while other associations changed or faded. In his eyes, the only possible explanation was that fetishists suffered from pathological sexual degeneration and hypersensitivity.citation needed Sexologist Magnus Hirschfeld followed another line of thought when he proposed his theory of partial attractiveness in 1920. According to his argumentation, sexual attractiveness never originated in a person as a whole but always was the product of the interaction of individual features. He stated that nearly everyone had special interests and thus suffered from a healthy kind of fetishism, while only detaching and overvaluing of a single feature resulted in pathological fetishism. Today, Hirschfeld's theory is often mentioned in the context of gender role specific behavior: females present sexual stimuli by highlighting body parts, clothes or accessories; males react to them. In 1951, Donald Winnicott presented his theory of transitional objects and phenomena, according to which childish actions like thumb sucking and objects like cuddly toys are the source of manifold adult behavior, amongst many others fetishism. 5 The use of a transitional object in infanthood is a healthy experience Winnicott, 1953. To understand the origin of a fetish object and of fetishism, the infant's use of the transitional object and of transitional phenomena in general must be studied Winnicott, 1953. In his article 'Transitional objects and phenomena', Winnicott says about fetish: Fetish can be described in terms of a persistence of a specific object or type of object dating from infantile experience in the transitional field, linked with the delusion of a maternal phallus Winnicott, 1953. In other words, a specific object or type of object, dating from an experience during the period where the mother gradually pulls back as an immediate provider of satisfaction of the child's desires, persists as a characteristic in adult sexual life. Before this transitional phase, the child believes that his own wish creates the object of his desire specifically the qualities of his mother that fulfill his needs, which brings with it a sense of satisfaction. During this phase the child gradually adapts to the frustrating realization that the object cannot be controlled to serve the child's needs. The transitional object is always the result of a gratifying relationship with the mother, specifically with the maternal body. It stands for the satisfying qualities that the object the mother of the first relationship the child has. The child adapts to the impact of the realization that the mother is not always there to 'bring the world to him' through fantasizing about the object of his desire while using an object a teddy bear, a piece of cloth. He creates an illusion of the previous object. In relation to the transitional object the infant passes from magical omnipotent control to control by manipulation involving muscle eroticism and co-ordination pleasure. In opposition to this, the fetish represents the impossibility of pleasure with the body of the mother. The transitional object may eventually develop into a fetish object and so persist as a characteristic of the adult sexual life Winnicott, 1953. Normally, the child gains from the experience of frustration during the transitional phase. Though, the infant can be disturbed by a close adaptation to need that is continued too long or is not allowed its natural decrease. Behaviorism traced fetishism back to classical conditioning and came up with numerous specialized theories. The common theme running through all of them is that sexual stimulus and the fetish object are presented simultaneously causing them to be connected in the learning process. This is similar to Binet's early theory, though it differs in that it specifies association to classical conditioning and leaves out any judgment about pathogenicity. The super stimulus theory stressed that fetishes could be the result of generalization. For example, it may only be shiny skin that arouses a person at first, but in time more common stimuli, such as shiny latex, may have the same effect. The problem with such a theory was that classical conditioning normally needs many repetitions, but this form would require only one. To account for this the preparedness theory was put forward; it stated that reacting to an object with sexual arousal could be the result of an evolutionary process, because such a reaction could prove to be useful for survival. In pointing to how conditioned sexual behavior can persist over time, one may cite how, in 2004, when quails were trained to copulate with a piece of terry cloth, their conditioning was sustained through ongoing repetition. 6 Because classical conditioning seemed to be unable to explain how the conditioned behavior is kept alive over many years, without any repetition, some behaviorists came up with the theory that fetishism was the result of a special form of conditioning, called imprinting. Such conditioning happens during a specific time in early childhood in which sexual orientation is imprinted into the child's mind and remains there for the rest of his or her life. Various neurologists pointed out that fetishism could be the result of neuronal cross links between neighboring regions in the human brain. For example, in 2002 Vilayanur S. Ramachandran stated that the region processing sensory input from the feet lies immediately next to the region processing sexual stimulation. Today, psychodynamics has parted with the idea of proposing one explanation for all fetishes at the same time. Instead, it focuses on one form of fetishism at a time and the patients' individual problems. Over the past decades, various case studies have been published in which fetishism could successfully be linked to emotional problems. Some argue that a lack of parental love leads to a child projecting its affection to inanimate objects, others state in consent with Freud's model of psychosexual development that premature suppression of sexuality could lead to a child getting stuck in a transitory phase. Modern theory Most of the sexual orientations popularly called fetishism are regarded as normal variations of human sexuality by psychologists and medical doctors. Even those orientations that are potential forms of fetishism are usually considered unobjectionable as long as all involved persons feel comfortable. Only if the diagnostic criteria presented in detail below are met is the medical diagnosis of fetishism justified. The leading thought is that a fetishist is ill only if he or she suffers from the addiction, not simply because of the addiction itself. Diagnosis According to the ICD-10-GM, version 2005, fetishism is the use of inanimate objects as a stimulus to achieve sexual arousal and satisfaction. The corresponding ICD code for fetishism is F65.0. The diagnostic criteria for fetishism are as follows: Unusual sexual fantasies, drives or behavior occur over a time span of at least six months. Sometimes unusual sexual fantasies occur and vanish by themselves; in this case any medical treatment is not necessary. The affected person, her object or another person experience impairment or distress in multiple functional areas. Functional area refers to different aspects of life such as private social contacts, job, etc. It is sufficient for the diagnosis if one of the participants is being hurt or mistreated in any other way. It must be noted that a correct diagnosis in terms of the ICD manual stipulates hierarchical proceeding. That is, first the criteria for F65 must be fulfilled, then those for F65.0. As criteria are not repeated in substages this can be mistakable to laymen or medics that have not been educated in the use of this manual. Furthermore, it must be noted that according to the ICD, an addiction to specific parts or features of the human body and even inanimate parts of corpses, under no circumstances are fetishism, even though some of them may be forms of paraphilia. According to the DSM-IV-TR, fetishism is the use of nonliving objects as a stimulus to achieve sexual arousal or satisfaction. This only applies if the objects are not specifically designed for sexual stimulation e.g., a vibrator. The corresponding DSM-code for fetishism is 302.81; the diagnostic criteria are basically the same as those of the ICD. In the DSM manual, all diagnostic criteria are given in the corresponding section of the text book, i. e. here no hierarchical processing is needed. Both definitions are the result of lengthy discussions and multiple revisions. Still today, arguments go on whether a specific diagnosis fetishism is needed at all or if paraphilia as such is sufficient. Some demand that the diagnosis be abolished completely to no longer stigmatize fetishists, e. g. project ReviseF65. Others demand that it be specified even more to prevent scientists from confusing it with the popular use of the term fetishism. And then again, ever and anon researchers argue that it should be expanded to cover other sexual orientations, such as an addiction to words or fire. Most physicians would not say that a man who finds women attractive because she is dressed in high heels, lacy stockings or a corset has an abnormal fetish. Treatment There are two possible treatments for fetishism: cognitive therapy and psychoanalysis, though treatment does not have to be necessary. Both may be complemented by additional treatments. Cognitive therapy Cognitive therapy seeks to change the patient's behavior without analyzing how and why it shows up. It is based on the idea that fetishism is the result of conditioning or imprinting. One possible therapy is aversive conditioning: the patient is being confronted with his fetish and as soon as sexual arousal starts, exposed to a displeasing stimulus. It is reported that in earlier times painful stimuli such as electric shocks have been used as aversive stimulus. Today a common aversive stimulus are photographs that show unpleasing scenes such as penned in genitals. In a variant called assisted aversive conditioning, an assistant releases abominable odors as aversive stimulus. Another possible therapy is a technique called thought stop: the therapist asks the patient to think of his fetish and suddenly cries out stop!. The patient will be irritated, his line of thought broken. After analyzing the effects of the sudden break together, the therapist will teach the patient to use this technique by himself to interrupt thoughts about his fetish and thus prevent undesired behavior. Psychoanalysis Psychoanalysis tries to spot the traumatic unconscious experience that caused the fetishism in first instance. Bringing this unconscious knowledge to consciousness and thus enabling the patient to work up his trauma rationally and emotionally shall relieve him from his problems. As opposed to cognitive therapy, psychoanalysis tackles the cause itself. There are versatile attempts at this analyzing process, including talk therapy, dream analysis and play therapy. Which method will be chosen depends upon the problem itself, the patient's attitude and reactions to certain methods and the therapist's education and preference. This type of treatment is rarely used. Medication Pharmaceutical treatment consists of various forms of drugs that inhibit the production of sex steroids, above all male testosterone and female estrogen. By cutting down the level of sex steroids, sexual desire is diminished. Thus, in theory, a patient might gain the ability to control his fetish and reasonably process his own thoughts without being distracted by sexual arousal. Also, the application may give the patient relief in everyday life, enabling him to ignore his fetish and get back to daily routine. Other research has assumed that fetishes may be like obsessive-compulsive disorders, and has looked into the use of psychiatric drugs serotonin uptake inhibitors and dopamine blockers for controlling paraphilias that interfere with a person's ability to function. Although ongoing research has shown positive results in single case studies with some drugs, e. g. with topiramate7, there is not yet any medicament that tackles fetishism itself. Because of that, physical treatment is only suitable to support one of the psychological methods. Surgery In few cases, brain surgery has turned out to be a remedy for fetishism8. It must be noted, however, that these surgical engagements were always due to other diagnosis like epilepsy and the relief of fetishism was a mere side effect. Though some consider brain construction a possible cause for fetishism, surgery is never considered a possible treatment. Gender Most of the material on fetishism is in reference to heterosexual men, with most of the objects fetishized being high-femme items such as lingerie, hosiery, and heels. Until recently there was little mention of women ever having fetishes.citation needed However, the visual map of fetishes linked below flags several clusters as having a number of women admirers, such as corsetry and some of the medical-related fetishes. The preferences of women fetishists are not necessarily a mirror image of those of male fetishists; just because many men are attracted to women in high heels does not necessarily mean there are many women attracted to men in construction boots. The book Female Perversions, which also discussed corsetry and self-cutting, in part discusses female transvestism. It gave examples both of women who became excited by dressing in a butch way, i.e. the mirror image of male transvestite fetishism, and of women who became aroused by dressing in a very femme way, or parallel to male transvestite fetishism. See also Paraphilias List of paraphilias Fetish fashion Ai Kora: A Japanese comedy manga series about sexual fetishism References ^ Binet, A. 1887. Le fetishisme dans l'amour Fetishism in love. Revue Philosophie, 24, 143-167. ^ International Classification of Diseases ICD ^ Chalkley, A. J., Powell, G. E. 1983. The clinical description of forty-eight cases of sexual fetishism. British Journal of Psychiatry, 142, 292-295 ^ Viktor Emil Frankl. 2004. On the Theory and Therapy of Mental Disorders. Routledge. ISBN 0415950295. p.xxiii. ^ D. W. Winnicott: Ãœbergangsobjekte und Ãœbergangsphänomene. Eine Studie über den ersten, nicht zum Selbst gehörenden Besitz. German Presentation 1951, 1953. In: Psyche 23, 1969. ^ F. Koksal, M. Domjan, A. Kurt, O. Sertel, S. Orung, R. Bowers, G. Kumru: An animal model of fetishism. In: Behavior Research and Therapy. 2004 Dec;4212:1421-34. ^ I. S. Shiah, C. Y. Chao, W. C. Mao, Y. J. Chuang. Treatment of paraphilic sexual disorder: the use of topiramate in fetishism. In: International Clinical Psychopharmacology. 2006 Jul;214:241-3. ^ W. Mitchell, M. Falconer, D. Hill. Epilepsy with fetishism relieved by temporal lobectomy. In: Lancet. 1954 Sep 25;2676839:626-30. Further reading Steele, Valerie 1995. Fetish: Fashion, Sex, and Power. Oxford University Press. ISBN 0-19-509044-6. Utley, Larry; Carey-Adamme, Autumn 2002. Fetish Fashion: Undressing the Corset. Green Candy Press. ISBN 1-931160-06-6. Gates, Katharine. Deviant Desires: Incredibly Strange Sex. Juno Books. ISBN 1-890451-03-7. Love, Brenda 1994. The Encyclopedia of Unusual Sex Practices. Barricade Books. ISBN 1-56980-011-1. Kaplan, Louise J. 1991. Female Perversions: the temptations of Emma Bovary. New York: Doubleday. ISBN 0-385-26233-7. External links Most Common Fetishes - an analysis of the AOL search data gives some idea of which fetishes are most common. Zen Tickling - an example of a website that creates tickling fetish videos and clips. v d e WHO ICD-10 mental and behavioral disorders F · 290-319 Neurological/symptomatic Dementia Alzheimer's disease, multi-infarct dementia, Pick's disease, Creutzfeldt-Jakob disease, Huntington's disease, Parkinson's disease, AIDS dementia complex, Frontotemporal dementia, Elopement, Sundowning, Wandering · Delirium · Post-concussion syndrome · Organic brain syndrome Psychoactive substance alcohol drunkenness, alcohol dependence, alcoholic hallucinosis, Alcohol withdrawal, delirium tremens, Korsakoff's syndrome, alcohol abuse · opioids opioid dependency · sedative/hypnotic benzodiazepine withdrawal · cocaine cocaine dependence · general Intoxication, Drug abuse, Physical dependence, Withdrawal Psychotic disorder Schizophrenia disorganized schizophrenia · Schizophreniform disorder · Schizotypal personality disorder · Delusional disorder · Folie à deux · Schizoaffective disorder Mood affective Mania · Bipolar disorder · Clinical depression · Cyclothymia · Dysthymia Neurotic, stress-related and somatoform Anxiety disorder Agoraphobia, Panic disorder, Panic attack, Generalized anxiety disorder, Social anxiety, Social phobia · OCD · Acute stress reaction · PTSD · Adjustment disorder · Conversion disorder Ganser syndrome · Somatoform disorder Somatization disorder, Body dysmorphic disorder, Hypochondriasis, Nosophobia, Da Costa's syndrome, Psychalgia · Neurasthenia Physiological/physical behavioral Eating disorder: Anorexia nervosa · Bulimia nervosa Sleep disorder: Dyssomnia Hypersomnia, Insomnia · Parasomnia REM behavior disorder, Night terror · Nightmare Sexual dysfunction: Erectile dysfunction · Premature ejaculation · Vaginismus · Dyspareunia · Hypersexuality · Female sexual arousal disorder Postpartum depression · Postnatal psychosis Adult personality and behavior Personality disorder · Passive-aggressive behavior · Kleptomania · Trichotillomania · Voyeurism · Factitious disorder · Munchausen syndrome · Ego-dystonic sexual orientation · Fetishism Mental retardation Mental retardation Psychological development developmental disorder Specific: speech and language expressive language disorder, aphasia, expressive aphasia, receptive aphasia, Landau-Kleffner syndrome, lisp · Scholastic skills dyslexia, dysgraphia, Gerstmann syndrome · Motor function developmental dyspraxia Pervasive: Autism · Rett syndrome · Asperger syndrome Behavioral and emotional, childhood and adolescence onset ADHD · Conduct disorder · Oppositional defiant disorder · Separation anxiety disorder · Selective mutism · Reactive attachment disorder · Tic disorder · Tourette syndrome · Speech stuttering · cluttering v d e Paraphilias Abasiophilia · Agalmatophilia · Andromimetophilia · Autogynephilia · Biastophilia · Bondage BDSM · Chronophilia · Coprophilia · Dacryphilia · Dendrophilia · Dippoldism · Emetophilia · Ephebophilia · Erotic asphyxiation · Erotic lactation · Exhibitionism · Food play · Frotteurism · Homeovestism · Human animal roleplay · Hybristophilia · Katoptronophilia · Klismaphilia · Macrophilia · Mysophilia · Necrophilia · Objectophilia · Odaxelagnia · Olfactophilia · Osmolagnia · Paraphilic infantilism · Pedophilia · Pyrophilia · Sadism and masochism · Salirophilia · Sexual fetishism · Somnophilia · Sthenolagnia · Teratophilia · Tightlacing · Transvestic Fetishism · Trichophilia · Troilism · Urolagnia · Vorarephilia · Voyeurism · Zoophilia Japanese terms Bukkake · Hadaka · Lolicon · Nyotaimori · Omorashi · Shotacon · Tamakeri · Wakamezake See also Human sexual behaviour · Sexology v d e Human sexual behavior Paraphilias Sexual fetishism Fetishized subjects and categories Actions, events and states Amputation · Anesthesia · Breast expansion · Crush · Disability · Lactation · Hypnosis · Impregnation · Jock sniffing · Obesity · Medical examinations · Pregnancy · Transvesticism · Smoking · Tickling · Tightlacing · Total enclosure · Wet and messy Body parts partialisms Breast · Foot · Hand · Navel · Nose Fiction Vampires · Transformation fiction Human identity and ethnic groups Asian ethnic groups · Daddy's girl · Race and ethnic groups Objects and substances Blood · Boots · Diapers · Dolls · Garments · Gloves · Latex and PVC · Masks · Medical objects · Panties · Pantyhose and stockings · Robots · Second skin clothing · Shoes · Silk and satin · Spandex Fetish society Fetish artists · Clubs · Fashion · Fetish models and modelling · Photography · Publishing · Subculture v d e Sex History History of human sexuality · History of erotic depictions · Sexual revolution Sexual acts Sexual intercourse foreplay · positions · Oral sex · Anal sex · Anal-oral sex · Group sex · Sexual sublimation · Barebacking · Dirty talk · Facial · Fingering · Fisting · Masturbation · Handjob · Non-penetrative sex · Sumata · Quickie Physiological events Ejaculation · Erection · Insemination · Orgasm · Pregnancy · Sexual arousal Health and education Andrology · Birth control · Erectile dysfunction · Gynaecology · Hypersexuality · Safer sex · Sexual dysfunction · Sex education · Sexually transmitted disease · Urology Identity Sexual identity · Sexual orientation Law Age of consent · Obscenity · Public indecency · Rape · Sexual assault · Sexual abuse · Sexual harassment Relationships and society BDSM · Incest · Marriage · Paraphilia · Prostitution · Religion and sexuality · Romance · Sexual abstinence · Sexual attraction · Sexual ethics · Sexual objectification · Sex surrogate · Sex tourism · Abortion Sex industry Artificial vagina · Dildo · Erotica · Lubricant · Paddle · Pornography · Vibrator · Sex doll · Sex toys · Sex shop · Adult video game Human sexual behavior · Human sexuality · Sexology · Sexual slang · Animal sexual behavior Retrieved from http://en..org/wiki/Sexual_fetishism Categories: Paraphilias | Sexual fetishismHidden categories: All articles with statements | Articles with statements since April 2008 | Articles with statements since July 2007 Views Article Discussion this page History Personal tools Log in / create account Navigation Main page Contents Featured content Current events Random article Search Go Search Interaction Community portal Recent changes Contact Donate to Help Toolbox What links here Related changes Upload file Special pages Printable version Permanent link Cite this page Languages БългарÑ?ки ÄŒesky Dansk Deutsch Español Français Ã?slenska Italiano עברית Nederlands 日本語 ქáƒ?რთული Polski Português РуÑ?Ñ?кий Suomi Svenska Tiếng Việt Türkçe ä¸æ–‡ This page was last modified on 15 August 2008, at 20:10
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