Introduction

Introduction

Fetish refers to the use of certain non-living objects as stimuli for sexual arousal and sexual gratification, and as a favorite or the only means of repeated use. The objects of fetishes are mostly women's hair, plush fabrics, women's shoes, gloves, underwear, bras, menstrual belts and the like, and most of them are used and dirty things. The prevalence of the disease has not been reported. A more clinically relevant explanation is the conditioning theory, which has been suppressed in some ways and is difficult to express, such as being ashamed of being with women or irrational fear of sexual intercourse. An accidental opportunity to associate certain unrelated objects with sexual excitement, forming a conditional reflex, and then repeatedly consolidating to form a fetish.

Pathogen

Cause

The etiology of this disease has not yet been elucidated. Although there are many hypotheses, it has not been confirmed that some patients have reported temporal lobe electroencephalogram abnormalities and even reported epilepsy, but this is only seen in a few cases and cannot explain all cases. A more clinically relevant explanation is the conditioning theory, which has been suppressed in some ways and is difficult to express, such as being ashamed of being with women or irrational fear of sexual intercourse. An accidental opportunity to associate certain unrelated objects with sexual excitement, forming a conditional reflex, and then repeatedly consolidating to form a fetish.

Examine

an examination

Related inspection

Neurological examination EEG examination

Fetishes are mostly male. They do not achieve sexual gratification through sexual contact, but cause sexual impulses and sexual gratification by contact with articles worn or worn by the opposite sex, or at the same time masturbating to achieve sexual orgasm. Most of these items are items that directly contact the female body surface, such as underwear, underwear, bras, sanitary belts, and the like.

Many fetish patients have a special interest in used items of the opposite sex. Therefore, it is often not obtained by purchasing these items, but by stealing. According to Gopla's research, the object of his own sexual fantasies, as well as the personal care products of the mother and other people who can give him a sense of security, often get the most psychological satisfaction.

The diagnostic criteria for CCMD-2-R related fetishes are:

1 diagnostic criteria for compliance with abnormalities.

2 At least for half a year, recurring use of certain non-living objects to meet strong sexual desires and sexual excitement associations, the object of love is an important source of sexual stimulation or the basic conditions for obtaining sexual satisfaction.

3 has been put into action.

Diagnosis

Differential diagnosis

Differential diagnosis of abnormal hobbies of female items:

1, identification with disguise

People with transvestites also pursue heterosexual clothing, but they are always secretly or openly dressed to cause sexual excitement and sexual gratification, while those with fables who collect heterosexual objects are not wearing or wearing, but are getting caressed and appreciated. Sexual excitement and sexual gratification.

2, identification of the disease

People with transsexuality also like to wear and wear heterosexuals, but the purpose is to make themselves more like the opposite sex and "adapt" to their inner personality rather than to give themselves sexual stimulation, and fables is to seek sexual stimulation.