Fetishistic disorder

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Kiran Singh, M.D. [2]

Synonyms and keywords: Erotic fetishism; sexual fetishism

Overview

Fetishistic disorder is the sexual arousal a person from a physical object, or from a specific situation causing significant social or functional distress.

Differential Diagnosis

• Fetishistic behavior without fetishistic disorder
• other paraphilic disorders
• Sexual masochism disorder
• Transvestic disorder

Diagnostic Criteria

DSM-V Diagnostic Criteria for Fetishistic Disorder

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A. Over a period of 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. AND B. The fantasies, sexual urges, or behaviors cause clinically significant distress or impairment in social, occupational, or other important areas of functioning. AND C. The fetish objects 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 (e.g., vibrator). AND Specify: Body part(s) Nonliving object(s) Other Specify if: In a controlled environment: This specifier is primarily applicable to individuals living in institutional or other settings where opportunities to engage in fetishistic behaviors are restricted. In full remission: There has been no distress or impairment in social, occupational,or other areas of functioning for at least 5 years while in an uncontrolled environment.

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