Erotic asphyxiation

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Erotic asphyxiation (variously called asphyxiophilia, hypoxyphilia or breath control play) is the intentional restriction of oxygen to the brain for the purposes of sexual arousal. With a partner (or alone), the act often involves strangulation. The term autoerotic asphyxiation is used when the act is done by a person to themself. Colloquially, a person engaging in the activity is sometimes called a gasper. [1] Erotic asphyxiation can lead to accidental death due to asphyxia.

Contents

The erotic interest in asphyxiation is classified as a paraphilia in the Diagnostic and Statistical Manual of the American Psychiatric Association.

Physiology

Concerning hallucinogenic states brought about by chronic hypoxia, Dr. E. L. Lloyd notes that they may be similar to the hallucinations experienced by climbers at altitude. He further notes that no such state occurs in hypoxia brought about by sudden aircraft decompression at altitude. These findings suggest to him that they do not arrive purely from a lack of oxygen. Upon examining the studies on hypoxia he found that "abnormalities in the cerebral neurochemistry involving one or more of the interconnected neurotransmitters, dopamine, serotonin, and beta-endorphin had been reported in all the conditions associated with hallucinations." [2]

Practitioners describe a number of physiological responses including "pleasurable sensations/euphoria (81.7%), a head rush (43.8%), feeling like they could not breathe (43.0%), difficulty swallowing (38.9%), unable to speak (37.6%), and watery eyes (37.2%). About 15% had noticed neck bruising and 3% had lost consciousness from being choked." [3]

History

Historically, the practice of autoerotic asphyxiation has been documented since the early 17th century. It was first used as a treatment for erectile dysfunction. The idea for this most likely came from subjects who were executed by hanging. Observers at public hangings noted that male victims developed an erection, sometimes remaining after death (a death erection), and occasionally ejaculated when being hanged. [4]

Practice

Various methods are used to achieve the level of oxygen depletion needed, such as a hanging, suffocation with a plastic bag over the head, self-strangulation such as with a ligature, gas or volatile solvents, chest compression, or some combination of these. [5] Complicated devices (such as hydraulics) are sometimes used to produce the desired effects. [6] The practice can be dangerous even if performed with care and has resulted in a significant number of accidental deaths. Uva (1995) writes "Estimates of the mortality rate of autoerotic asphyxia range from 250 to 1000 deaths per year in the United States." [7] Cases have also been reported in Scandinavia [8] and Germany. [9] [10] Swedish police reported in 1994 that the number of autoerotic asphyxiation fatalities in the Stockholm area (c. 1.7 million inhabitants) were at least five annually, but the number of unrecorded cases was assumed to be high. [11] Autoerotic asphyxiation may often be mistaken for suicide, which is a major cause of death in teenagers. [12]

Women and transgender/nonbinary/gender nonconforming individuals are more likely to have been choked during sex than men, with the mean age of first exposure being 19. [3]

Accidental death (with autoerotic asphyxiation)

Deaths often occur when the loss of consciousness caused by partial asphyxia leads to loss of control over the means of strangulation, resulting in continued asphyxia and death. While often asphyxiophilia is incorporated into sex with a partner, others enjoy this behaviour by themselves, making it potentially more difficult to get out of dangerous situations. [13]

In some fatality cases, the body of the asphyxiophilic individual is discovered naked or with genitalia in hand, with pornographic material or sex toys present, or with evidence of having orgasmed prior to death. [9] Bodies found at the scene of an accidental death often show evidence of other paraphilic activities, [14] such as fetishistic cross-dressing and masochism. [5] In cases involving teenagers at home, families may disturb the scene by "sanitizing" it, removing evidence of paraphilic activity. This can have the consequence of making the death appear to be a deliberate suicide, rather than an accident. [15]

The great majority of known erotic asphyxial deaths are male; among all known cases in Ontario and Alberta from 1974 to 1987, only 1 out of 117 cases was female. [5] Some individual cases of women with erotic asphyxia have been reported. [16] [17] [18] [19] The main age of accidental death is mid-20s, [5] [20] but deaths have been reported in adolescents [21] [22] [23] and in men in their 70s. [9] [20]

Lawyers and insurance companies have brought cases to the attention of clinicians because some life insurance claims are payable in the event of accidental death, but not suicide. [24] [25] [26]

In fiction

The sensational nature of erotic asphyxiation often makes it the subject of urban legends. It has also been mentioned specifically in a number of works of fiction.

See also

Related Research Articles

<span class="mw-page-title-main">Paraphilia</span> Atypical sexual attraction

A paraphilia is an experience of recurring or intense sexual arousal to atypical objects, places, situations, fantasies, behaviors, or individuals. It has also been defined as a sexual interest in anything other than a legally consenting human partner. Paraphilias are contrasted with normophilic ("normal") sexual interests, though the definition of what makes a sexual interest normal or atypical remains controversial.

<span class="mw-page-title-main">Asphyxia</span> Severely deficient supply of oxygen

Asphyxia or asphyxiation is a condition of deficient supply of oxygen to the body which arises from abnormal breathing. Asphyxia causes generalized hypoxia, which affects all the tissues and organs, some more rapidly than others. There are many circumstances that can induce asphyxia, all of which are characterized by the inability of a person to acquire sufficient oxygen through breathing for an extended period of time. Asphyxia can cause coma or death.

<span class="mw-page-title-main">Sexual fetishism</span> Sexual arousal a person receives from an object or situation

Sexual fetishism or erotic fetishism is a sexual fixation on a nonliving object or body part. The object of interest is called the fetish; the person who has a fetish for that object is a fetishist. A sexual fetish may be regarded as a mental disorder if it causes significant psychosocial distress for the person or has detrimental effects on important areas of their life. Sexual arousal from a particular body part can be further classified as partialism.

<span class="mw-page-title-main">Positional asphyxia</span> Inability to breathe due to body position or posture

Positional asphyxia, also known as postural asphyxia, is a form of asphyxia which occurs when someone's position prevents the person from breathing adequately. People may die from positional asphyxia accidentally, when the mouth and nose are blocked, or where the chest may be unable to fully expand.

Autoerotic fatalities are accidental deaths that occur during sexual self-stimulation when an apparatus, device or prop that is being employed to enhance pleasure causes the death. Researchers only apply the term to unintentional deaths resulting from solitary sexual activity, not suicide or acts with a partner. The incidence of autoerotic fatalities in Western countries is around 0.5 per million inhabitants each year.

<span class="mw-page-title-main">Sexual fantasy</span> Class of mental image or pattern of thought

A sexual fantasy or erotic fantasy is an autoerotic mental image or pattern of thought that stirs a person's sexuality and can create or enhance sexual arousal. A sexual fantasy can be created by the person's imagination or memory, and may be triggered autonomously or by external stimulation such as erotic literature or pornography, a physical object, or sexual attraction to another person. Anything that may give rise to sexual arousal may also produce a sexual fantasy, and sexual arousal may in turn give rise to fantasies.

Hebephilia is the strong, persistent sexual interest by adults in pubescent children who are in early adolescence, typically ages 11–14 and showing Tanner stages 2 to 3 of physical development. It differs from pedophilia, and from ephebophilia. While individuals with a sexual preference for adults may have some sexual interest in pubescent-aged individuals, researchers and clinical diagnoses have proposed that hebephilia is characterized by a sexual preference for pubescent rather than adult partners.

<span class="mw-page-title-main">Strangling</span> Compression of the neck that may lead to unconsciousness or death

Strangling or strangulation is compression of the neck that may lead to unconsciousness or death by causing an increasingly hypoxic state in the brain by restricting the flow of oxygen through the trachea. Fatal strangulation typically occurs in cases of violence, accidents, and is one of two main ways that hanging causes death.

<span class="mw-page-title-main">Petechia</span> Small red or purple blemish on the skin, eyes, etc. due to rupture of capillaries

A petechia is a small red or purple spot that can appear on the skin, conjunctiva, retina, and mucous membranes which is caused by haemorrhage of capillaries. The word is derived from Italian petecchia 'freckle', of obscure origin. It refers to one of the three descriptive types of hematoma differentiated by size, the other two being ecchymosis and purpura. The term is typically used in the plural (petechiae), since a single petechia is seldom noticed or significant.

The choking game, or fainting game is the act of intentionally cutting off oxygen to the brain with the goal of inducing temporary loss of consciousness and euphoria. A related internet challenge, the blackout challenge, encourages the use of the choking game online.

<span class="mw-page-title-main">Autoeroticism</span> Sexual activity involving one person

Autoeroticism is sexual activity involving only one participant. It is the practice of sexually stimulating oneself. As an extension of masturbation, it contains several activities done by oneself to fulfill sexual desires.

Paraphilic infantilism, also known as adult baby, is a form of ageplay that involves role-playing a regression to an infant-like state. Like other forms of adult play, depending on the context and desires of the people involved paraphilic infantilism may be expressed as a non-sexual fetish, kink, or simply as a comforting platonic activity. People who practice adult baby play are often colloquially referred to as "adult babies", or "ABs".

Inert gas asphyxiation is a form of asphyxiation which results from breathing a physiologically inert gas in the absence of oxygen, or a low amount of oxygen, rather than atmospheric air. Examples of physiologically inert gases, which have caused accidental or deliberate death by this mechanism, are argon, helium, nitrogen and methane. The term "physiologically inert" is used to indicate a gas which has no toxic or anesthetic properties and does not act upon the heart or hemoglobin. Instead, the gas acts as a simple diluent to reduce the oxygen concentration in inspired gas and blood to dangerously low levels, thereby eventually depriving cells in the body of oxygen.

An asphyxiant gas, also known as a simple asphyxiant, is a nontoxic or minimally toxic gas which reduces or displaces the normal oxygen concentration in breathing air. Breathing of oxygen-depleted air can lead to death by asphyxiation (suffocation). Because asphyxiant gases are relatively inert and odorless, their presence in high concentration may not be noticed, except in the case of carbon dioxide (hypercapnia).

Aquaphilia is a form of sexual fetishism that involves images of people swimming or posing underwater, and sexual activity in or under water.

Courtship disorder is a theoretical construct in sexology developed by Kurt Freund in which a certain set of paraphilias are seen as specific instances of anomalous courtship instincts in humans. The specific paraphilias are biastophilia, exhibitionism, frotteurism, telephone scatologia, and voyeurism. According to the courtship disorder hypothesis, there is a species-typical courtship process in humans consisting of four phases, and anomalies in different phases result in one of these paraphilic sexual interests. According to the theory, instead of being independent paraphilias, these sexual interests are individual symptoms of a single underlying disorder.

A suicide bag, also known as an exit bag or hood, is part of a euthanasia device consisting of a large plastic bag with a drawcord used to die by suicide through inert gas asphyxiation. It is usually used in conjunction with a flow of an inert gas that is lighter or less dense than air, like helium or nitrogen. Continuing to breathe expels carbon dioxide and this prevents the panic, sense of suffocation and struggling before unconsciousness, known as the hypercapnic alarm response caused by the presence of high carbon dioxide concentrations in the blood. This method also makes the direct cause of death difficult to trace if the bag and gas canister are removed before the death is investigated. While asphyxiation by helium can be detected at autopsy, there is currently no test that can detect asphyxiation by nitrogen. For this reason, nitrogen is commonly the preferred choice for people who do not want the cause of death established.

Erotic target location error (ETLE) is a hypothesized dimension for paraphilias, defined by having a sexual preference or strong sexual interest in features that are somewhere other than on one's sexual partners. When one's sexual arousal is based on imagining oneself in another physical form the erotic target is said to be one's self, or erotic target identity inversion (ETII).

According to some classification systems, Sexual masochism disorder is the condition of experiencing recurring and intense sexual arousal in response to enduring moderate or extreme pain, suffering, or humiliation. The Diagnostic and Statistical Manual (DSM-5) of the American Psychiatric Association indicates that a person may have a masochistic sexual interest but that the diagnosis of sexual masochism disorder would only apply to individuals who also report psychosocial difficulties because of it.

References

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Further reading