Online sexual diagnosis

He suggests that, in cases where the individual fails to control harmful behavior, they instead be diagnosed with a personality or impulse control disorder.

Goals of treatment can include elimination of criminal activity, reduction in reliance on the fetish for sexual satisfaction, improving relationship skills, or attempting to remove deviant arousal altogether.

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 (foot fetishism), 9% about body fluids, 9% about body size, 7% about hair (hair fetish), and 5% about muscles (muscle worship).

If the fetishist cannot sustain an erection without the fetish object, the therapist might recommend orgasmic reconditioning or covert sensitization to increase arousal to normal stimuli (although the evidence base for these techniques is weak).

In a 2014 study, 26.3% of women and 27.8% of men acknowledged any fantasies about "having sex with a fetish or non-sexual object".

A sexual fetish may be regarded as a non-pathological aid to sexual excitement, or as a mental disorder if it causes significant psychosocial distress for the person or has detrimental effects on important areas of their life.

Originally, most medical sources defined fetishism as a sexual interest in non-living objects, body parts or secretions.Fétichisme was first used in an erotic context by Alfred Binet in 1887.Alfred Binet suspected fetishism was the pathological result of associations.Relationship counselers 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.A fetish is an object believed to have supernatural powers, or in particular, a man-made object that has power over others.

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