Sexual fetishism or erotic fetishism is a sexual fixation on a nonliving object or nongenital body part. While medical definitions restrict the term sexual fetishism to objects or body parts,  fetish can, in common discourse, also refer to sexual interest in specific activities. In common parlance, the word fetish is used to refer to any sexually arousing stimuli, not all of which meet the medical criteria for fetishism. The publication of the DSM-III in changed that by excluding arousal from body parts in its diagnostic criteria for fetishism. In a review of 48 cases of clinical fetishism, fetishes included clothing
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Sexual fetishism or erotic fetishism is a sexual fixation on a nonliving object or nongenital body part. While medical definitions restrict the term sexual fetishism to objects or body parts,  fetish can, in common discourse, also refer to sexual interest in specific activities. In common parlance, the word fetish is used to refer to any sexually arousing stimuli, not all of which meet the medical criteria for fetishism.
The publication of the DSM-III in changed that by excluding arousal from body parts in its diagnostic criteria for fetishism. In a review of 48 cases of clinical fetishism, fetishes included clothing A study counted members of Internet discussion groups with the word fetish in their name.
Less popular groups focused on navels navel fetishism , legs, body hair, mouth, and nails, among other things. Less popular object groups focused on headwear, stethoscopes, wristwear, 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 body modifications on another person that are the result of amputation. 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 usually becomes evident during puberty, and may develop prior to that. Some explanations invoke classical conditioning. In several experiments, men have been conditioned to show arousal to stimuli like boots, geometric shapes or penny jars by pairing these cues with conventional erotica. He suggests that conditioning combines with some other factor, such as an abnormality in the sexual learning process.
Theories of sexual imprinting propose that humans learn to recognize sexually desirable features and activities during childhood. Fetishism could result when a child is imprinted with an overly narrow or "incorrect" concept of a sex object.
Neurological differences may play a role in some cases. Vilayanur S. Ramachandran observed that the region processing sensory input from the feet lies immediately next to the region processing genital stimulation, and suggested an accidental link between these regions could explain the prevalence of foot fetishism. Various explanations have been put forth for the rarity of female fetishists.
The ICD defines fetishism as a reliance on non-living objects for sexual arousal and satisfaction. Under the DSM-5 , fetishism is sexual arousal from nonliving objects or specific nongenital body parts, excluding clothes used for cross-dressing as that falls under transvestic disorder and sex toys that are designed for genital stimulation.
In order to be diagnosed as fetishistic disorder , the arousal must persist for at least six months and cause significant psychosocial distress or impairment in important areas of their life. The ReviseF65 project has campaigned for the ICD diagnosis to be abolished completely to avoid stigmatizing fetishists. He suggests that, in cases where the individual fails to control harmful behavior, they instead be diagnosed with a personality or impulse control disorder. According to the World Health Organization , fetishistic fantasies are common and should only be treated as a disorder when they impair normal functioning or cause distress.
Cognitive behavioral therapy is one popular approach. Cognitive behavioral therapists teach clients to identify and avoid antecedents to fetishistic behavior, and substitute non-fetishistic fantasies for ones involving the fetish. Antiandrogens may be prescribed to lower sex drive. A large body of literature has shown that it reduces general sexual fantasies. Side effects may include osteoporosis , liver dysfunction , and feminization.
Some hospitals use leuprorelin and goserelin to reduce libido, and while there is presently little evidence for their efficacy, they have fewer side effects than other antiandrogens. Relationship counselors may attempt to reduce dependence on the fetish and improve partner communication using techniques like sensate focusing. Partners may agree to incorporate the fetish into their activities in a controlled, time-limited manner, or set aside only certain days to practice the fetishism.
The prevalence of fetishism is not known with certainty. None of the women's favorite fantasies had fetishistic themes. Essentially, fetishism is the attribution of inherent value or powers to an object.
Alfred Binet suspected fetishism was the pathological result of associations. He argued that, in certain vulnerable individuals, an emotionally rousing experience with the fetish object in childhood could lead to fetishism. The sexologist Magnus Hirschfeld followed another line of thought when he proposed his theory of partial attractiveness in According to his argument, sexual attractiveness never originates in a person as a whole but always is 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.
Sigmund Freud believed that sexual fetishism in men derived from the unconscious fear of the mother's genitals, from men's universal fear of castration, and from a man's fantasy that his mother had had a penis but that it had been cut off.
He did not discuss sexual fetishism in women. In , 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. He speculated that the child's transitional object became sexualized. Human fetishism has been compared to Pavlovian conditioning of sexual response in other animals. Both male and female rats will develop a sexual preference for neutrally or even noxiously scented partners if those scents are paired with their early sexual experiences.
Possible boot fetishism has been reported in two different primates from the same zoo. Whenever a boot was placed near the first, a common chimpanzee born in captivity, he would invariably stare at it, touch it, become erect, rub his penis against the boot, masturbate, and then consume his ejaculate. The second, a guinea baboon , would become erect while rubbing and smelling the boot, but not masturbate or touch it with his penis. From Wikipedia, the free encyclopedia.
Not to be confused with Fetishism. Sexual arousal a person receives from an object or situation. American Psychiatric Publishing. Retrieved 24 May World Health Organization. Retrieved 2 March Paraphilia Not Otherwise Specified: Psychopathology and theory.
Laws and W. O'Donohue Eds. New York: Guilford. International Journal of Impotence Research. Archives of Sexual Behavior. British Journal of Psychiatry. Retrieved 9 April Di; Ciocca, G.
March Human Sexuality and Its Problems. Elsevier Health Sciences. In Laws, D. Sexual Deviance: Theory, Assessment, and Treatment, 2nd edition. The Guilford Press.
How the experience of sexual reward connects sexual desire, preference, and performance". International Review of Neurobiology. The Lancet. Psychological Bulletin. Archived from the original PDF on 5 January Journal of Homosexuality. The Journal of Sexual Medicine. Online Etymology Dictionary. Revue Philosophiqu. Science in the bedroom: A history of sex research. Basic Books. Behaviour Research and Therapy. British Medical Journal.
German Presentation , In: Psyche 23, International Journal of Comparative Psychology. In Wilson, G. ICD - 10 : F Sexual fetishism. Other specified paraphilic disorder Erotic target location error Courtship disorder Polymorphous perversity Sexual fetishism Human sexual activity Perversion Sexology.
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Women who feel distressed by a lack of sexual desire may have some help on the way. HSDD is a term coined to describe low sexual desire without a clear cause. The physiology of sexual arousal and desire is complex in women.
In research funded by a licensing partner of the drug manufacturer, bremelanotide was studied for both effectiveness and safety.
However, bremelanotide did not change or improve the number of satisfying sexual events. At least 45 minutes before anticipated sexual activity, a woman injects the medication into a thigh or her abdomen or her partner can do this. No one knows precisely how bremelanotide works, but it does activate melanocortin receptors, which seem to be involved in a host of brain activities, including possible links to appetite and cardiovascular health.
Additionally, those who experience no improvement in sexual desire or related distress within eight weeks should stop using the medicine. As with any medication, side effects may occur. Other possible side effects include flushing and headache. Also, bremelanotide is for generalized HSDD, which means decreased sexual desire regardless of the kind of sexual activity involved including masturbation , the environment, or who the partner might be. There are also some safety precautions.
Women with high blood pressure should avoid bremelanotide because it can temporarily raise blood pressure. Women who use naltrexone to treat alcohol dependence should not use bremelanotide because of drug interactions. Also, some women in the studies experienced darkening of skin and gums. Although rare, such changes are permanent. For women, low sexual desire and distress linked with it are complex and challenging to treat.
Bremelanotide modestly increases sexual desire in some women, and may slightly lessen distress over a lack of desire. This blog aims to provide reliable information as well as healthy dialog about the topics covered. We do not provide responses to personal medical concerns nor do we endorse any recommendations offered in the comments.
Comments on this blog do not represent the views of our editors or Harvard University, and have not been checked for accuracy. All comments submitted to this site become the non-exclusive property of Harvard University.
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