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The psychiatry of a fetish

However, in common parlance, the word is often used to describe particular sexual interests, such as sexual role-playing, preference for certain physical characteristics, and preferred sexual activities or objects. Fetishistic disorder refers to recurrent, intense sexual arousal from use of an inanimate object or from a very specific focus on a nongenital body part or parts that causes significant distress or functional impairment. See also Overview of Paraphilic Disorders. Fetishism is a form of paraphilia, but most people who have fetishism do not meet the clinical criteria for a paraphilic disorder, which require that the person's behavior, fantasies, or intense urges result in clinically significant distress or functional impairment. The fetish may replace typical sexual activity with a partner or may be integrated into sexual activity with a willing partner.
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The Disparate Classification of Gender and Sexual Orientation in American Psychiatry

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Fetishistic Disorder - Psychiatric Disorders - Merck Manuals Professional Edition

Modern psychology assumes that fetishism either is being conditioned or imprinted or the result of a strong emotional i. Physical factors like brain construction and heredity are also 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 , 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 , 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.
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Fetishes: There's more to them than leather and kinky boots

The first recorded use of the word Fetishist to indicate an object of desire, someone who is aroused due to a body part, or an object belonging to a person who is the object of desire was in Harper, There are those to whom an object or body part has the power to captivate and enthrall. Such a focus itself is not considered a disorder, unless it is accompanied by distress or impairment. Fetishistic Disorder is a DSM-5 Diagnostic and Statistical Manual of Mental Disorders, fifth edition , diagnosis assigned to individuals who experience sexual arousal from objects or a specific part of the body which is not typically regarded as erotic. Almost any body part or object can be a Fetish.
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Although it is assumed that fetishism usually begins by adolescence, there is very limited data on the characteristics of sexual fetishism in children or adolescents. This paper aims to describe clinical pictures of two adolescent boys who developed sexual fetishism. They were 13 and 12 years-old of age and both have comorbid attention deficit hyperactivity and social anxiety disorders. We plan to discuss clinical picture, treatment intervention and impact of comorbid attention deficit hyperactivity and social anxiety disorders in the development of sexual fetishism in these subjects. Fetishism is a paraphilic sexual disorder characterized by recurrent, intense sexually arousing fantasies, sexual urges or behaviors involving the use of nonliving objects, such as undergarments, over a period of at least 6 months.
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