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Sexual fetishism

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Sexual fetishism

Sexual fetishism is a sexual fixation on anything not considered sexual by its respective nature. The object of interest is called the fetish; the person who has a fetish is a fetishist. A sexual fetish may be regarded as a mental disorder if it causes significant psychosocial distress for the person or has detrimental effects on important areas of their life. Sexual arousal from a particular body part can be further classified as partialism.

Medical definitions restrict the term sexual fetishism to objects or body parts. In common language, fetish is also used for a sexual interest in specific activities, people, types of people, substances, or situations.

The word fetish is commonly used for any sexually arousing stimuli, not all of which meet the medical criteria for fetishism. This broader usage of fetish covers parts or features of the body (including obesity and body modifications), objects, situations and activities (such as smoking or BDSM). Paraphilias such as urophilia, necrophilia and coprophilia have been described as fetishes.

Originally, most medical sources defined fetishism as a sexual interest in non-living objects, body parts or secretions. The publication of the DSM-III in 1980 changed that, by excluding arousal from body parts in its diagnostic criteria for fetishism. In 1987, the revised DSM-III-R introduced a new diagnosis for body part arousal called partialism. The DSM-IV retained this distinction. Martin Kafka argued that partialism should be merged into fetishism because of overlap between the two conditions. The DSM-5 subsequently did so in 2013.

In a review of 48 cases of clinical fetishism in 1983, fetishes included clothing (58.3%), rubber and rubber items (22.9%), footwear (14.6%), body parts (14.6%), leather (10.4%), and soft materials or fabrics (6.3%). A 2007 study counted members of Internet discussion groups with the word fetish in their name. Of the groups about body parts or features, 47% belonged to groups about feet (podophilia), 9% about body fluids (including urophilia, scatophilia, lactaphilia, menophilia, mucophilia), 9% about body size, 7% about hair (hair fetish), and 5% about muscles (muscle worship). Less popular groups focused on navels (navel fetishism), legs, body hair, mouth, and nails, among other things. Of the groups about clothing, 33% belonged to groups about clothes worn on the legs or buttocks (such as stockings or skirts), 32% about footwear (shoe fetishism), 12% about underwear (underwear fetishism), and 9% about whole-body wear such as jackets. Less popular object groups focused on headwear, stethoscopes, wristwear, pacifiers, and diapers (diaper fetishism).

Erotic asphyxiation is the use of choking to increase the pleasure in sex. The fetish also includes an individualized part that involves choking oneself during the act of masturbation, which is known as auto-erotic asphyxiation. This usually involves a person being connected and strangled by a homemade device that is tight enough to give them pleasure but not tight enough to suffocate them to death. This is dangerous due to the issue of hyperactive pleasure seeking which can result in strangulation when there is no one to help if the device gets too tight and strangles the user.

Devotism involves being attracted to disability or body modifications on another person that are the result of amputation for example. Devotism is only a sexual fetish when the person who has the fetish considers the amputated body part on another person the object of sexual interest.

Fetishism and paraphilias in general usually becomes evident during puberty, but may develop prior to that. No single cause for fetishism has been conclusively established. Currently widely accepted etiological models hypothesize paraphilias to originate from a complex set of neurological, social, and cultural factors in a given person. Different paraphilias may have different causes, and there is no guarantee that two persons with the same paraphilias as the other would be interested in the same aspects of it or have the same ultimate cause for its development.

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