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Fetishistic Disorder, Risk and Protective Factors - Coggle Diagram
Fetishistic Disorder
Sexual dysfunction during romantic reciprocal relationships when the preferred fetish object or body part is unavailable during foreplay or coitus
Description and Criteria
:
Diagnostic criteria in DSM-5
B. The fantasies, sexual urges, or behaviors cause clinically significant distress or impairment in social, occupation, or other areas of functioning
C. The fetish object are not limited to articles of clothing used in cross-dressing (as in transvestic disorder) or devices specifically designed for the purpose of tactile genital stimulation (vibrator)
A. over a period at least
6 months
recurrent and intense sexual arousal from either the use of nonliving objects or a highly specific focus on non-genital body part(s), as manifested by fantasies, urges, or behaviors.
Specify if:
Body part(s)
Nonliving object (s)
In full remission
(has been no distress or impairment in social, occupational, or other areas of functioning at least 5 years while in an uncontrolled environment
In a controlled environment
(individuals living in institutional/other settings where opportunities to engage in fetishtic behaviors are
restricted
Intervention
The DSM-5 does not specify treatment options for Fetishistic Disorder (American Psychiatric Association, 2013).
If the etiology of the disorder is a learned behavior,
CBT (Cognitive Behavioral Therapy)
using a form of systematic desensitization gradual exposure to the Fetishistic object, coupled with a neutral response, rather than a sexual response may work to lower or eliminate sexual arousal associated with an object.
Meston, C. ( 2013). The Sexual Psychophysiology Laboratory. Fetishes. The University Of Texas at Austin. Retrieved March 21, 2014 from
http://homepage.psy.utexas.edu/HomePage/Group/MestonLAB/HTM
%20files/Resources_msd_para.htm
Treatment of fetishistic disorder may include psychotherapy, drugs, or both. Selective serotonin reuptake inhibitors have been used with limited success in some patients who request treatment.
aversion therapy
and different types of imagery/desensitization in which the person imagines themselves in the situation and then experiencing a negative event to reduce future interest in participating in the fetishistic activities.
Cognitive restructuring
(identifying and changing the thoughts that drive the behavior) and thought stopping techniques may also be used.
Fetishistic disorder—Psychiatric disorders. (n.d.). MSD Manual Professional Edition. Retrieved November 18, 2020, from
https://www.msdmanuals.com/professional/psychiatric-disorders/sexuality,-gender-dysphoria,-and-paraphilias/fetishistic-disorder?redirectid=12919
Fetishistic disorder—Sexual disorders. (n.d.). Retrieved November 18, 2020, from
https://www.gracepointwellness.org/98-sexual-disorders/article/541-fetishistic-disorder
KM, L. (2017, June 28). Fetishistic disorder: Causes, symptoms, treatment dsm-5 302. 81(F65.0) - thriveworks. Counseling and Life Coaching - Find a Counselor.
https://thriveworks.com/blog/fetishistic-disorder/
Prevalence
Fetishistic disorder has not been systematically reported to occur in females
The data for actual prevalence of various types of paraphilias are limited. Most of the published data are case reports or small case series
In clinical samples, fetishistic disorder is nearly exclusively reported in males
88% of 262 respondents who had a footwear fetish were homosexual, and 12% reported themselves to be bisexual.
Ventriglio, Antonio; Bhat, P.S.; Torales, Julio; Bhugra, Dinesh (2018). Sexuality in the 21st century: Leather or rubber? Fetishism explained. Medical Journal Armed Forces India, (), S0377123718301291–. doi:10.1016/j.mjafi.2018.09.009
American Psychiatric Association. (2013). Anxiety Disorders. In Diagnostic and statistical manual of mental disorders (5th ed.).
https://doi.org/10.1176/appi.books.9780890425596.dsm05
Example
Grant, V. W. (1953). A case study of fetishism. The Journal of Abnormal and Social Psychology, 48(1), 142–149. doi:10.1037/h0054877
35-year-old male, American born,
of American-born parents. He is white and unmarried with shoe fetish
It has developed from early childhood as early as fourth year in grade school
Gives off excitement and pleasure that is spread all over the body, like warmth through the blood
Have actually experienced love not related with fetish for two times
Risk and Protective Factors
