Paraphilic infantilism

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Paraphilic infantilism, also known as adult baby or Adult Boy/Girl+ as the more inclusiveversion [1] (or "AB", for short), is a form of ageplay that involves role-playing a regression to an infant-like state. [2] [3] 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 (by themselves and others) as "adult babies", or "ABs".

Contents

Behaviors vary, but may include things such as wearing childish clothes, wearing and using diapers, cuddling with stuffed animals, drinking from a bottle or sucking on a pacifier, [1] [3] [4] and (when done with others) engaging in gentle, nostalgic and nurturing experiences, [5] [6] baby talk, or BDSM power dynamics involving masochism, coercion, punishment or humiliation. [5]

Paraphilic infantilism is often associated with diaper fetishism, a separate but related activity in which people derive pleasure or ecstasy from themselves or others wearing or using diapers, but without necessarily involving any form of ageplay. [7] People with a diaper fetish are often informally called "diaper lovers", or "DLs". In practice, however, these strict labels do not always reflect the true diversity of expression. As such, when considered together, paraphilic infantilism and diaper fetishism form a spectrum of behaviors that are often colloquially referred to under the umbrella term "adult baby/diaper lover", the more inclusive version is Adult Boy/Girl+ Diaper Lover, or "AB/DL" (also written "ABDL"). [8] [9] [10]

Like other sexual fetishes (paraphilias), there is no single recognized psychological origin for paraphilic infantilism and very little research has been done on the subject as of yet. A variety of theories have been proposed for fetish development in general, including unique lovemaps, imprinting or altered erotic targets, though there no scientific consensus has emerged. Though it varies from person to person, paraphilic infantilism may sometimes be linked to masochism, urolagnia, garment fetishes or other consensual kinks.

Characteristics and practices

Paraphilic infantilists (usually colloquially called "adult babies" or "ABs") are people who derive sexual pleasure and/or emotional comfort from imagining themselves as, and pretending to be, children. [4] [11] It is a specific form of ageplay and, more broadly, sexual role-play, that can be practiced alone or with consenting adult partners. As a paraphilia (a fetish or kink), paraphilic infantilism may represent an atypical sexual interest but is not usually associated with any psychological disorder or poor mental health, and adult baby play can be considered a conscious and valid act of sexual expression. [12] In addition, some people participate in adult baby play purely for the positive feeling and emotional comfort associated with childhood and being cared for; to what degree (if at all) eroticism plays a role depends heavily on the participants and context.

Whether performed solo or with others, one large part of paraphilic infantilism can be dressing in childish clothes (diapers, onesies, bodysuits, overalls or shortalls, rompers, plastic pants, and other clothing with cute patterns, bright colors and child-like design elements) and adorning oneself with childish accessories (pacifiers, baby bottles, stuffed animals, toys, stickers or temporary tattoos, nursery-style furniture, etc.) along with other behaviors such as eating while sitting in a highchair, sleeping in a crib, or swinging in a swing. As such, depending on the person it may or may not be associated with a variety of garment and object fetishes, like diaper fetishism. [13] [14]

Another large part of adult baby expression can be behaving like a child or engaging in childish activities. This may include crawling or sitting on the floor and playing with toys or games, [14] drawing in coloring books, consuming food or drinks associated with childhood (juiceboxes, chicken nuggets, gummy candies, etc.), breastfeeding, using ("wetting" or "messing") diapers or other clothes and being changed, [3] [11] [14] reading or watching children's entertainment, taking naps or cuddling (with partners or stuffed toys), engaging in baby talk, etc. [14] [4] [11]

Relationship dynamics

When engaging in paraphilic infantilism with partners, various dynamics are possible and participants may take up a variety of different roles, including one or more participants acting as "littles" (adult age players), while others may function as "caregivers" (or "CGs") or "switches" (people whose role may change during or between scenes). This relatively common dynamic is generally referred to as "caregiver/little", or "CG/L".

After consent, rules and play roles are established, the interaction between the little and their partner(s) can take on different forms depending on the desires of the people involved and the nature of the scene. During more nurturing scenes, the little may be cared for or comforted by their caregiver (for example, being cuddled, fed, having their diapers changed, etc.) [4] In this case, the adult baby may want only gentle or comforting treatment, based on the desire to be cared for or to "surrender the responsibilities of adult life". [15] In other types scenes, the presence of BDSM dynamics might involve being talked down to, being denied adult treatment, activities or facilities (for example, toileting restrictions), as well as scolded, spanked or chastised for misbehaving, acting out, having wet or dirtied their diapers, etc. In this latter instance the mode of arousal is at least partially masochistic. [4]

Potential participants may prefer one specific type of scene over others, or they might enjoy taking part in various different types of scenes.

Sexuality

Adult baby play may also involve masturbation [14] [15] or sexual intercourse between consenting adult partners. However, some may choose not to engage in conventional sexual activities (either because it detracts from their ability to role-play being in a baby-like state, or because their interest in paraphilic infantilism is non-sexual and motivated by feelings of comfort or being cared for). [16]

Like many other fetishes, the erotic pleasure derived solely from paraphilic infantilism may partially or completely replace the need for conventional sex in reaching orgasm, though it depends on the individual and their level of sexual interest. [4]

Prevalence

Meaningful information on the incidence or prevalence of any paraphilias is lacking due to the private (and often taboo) nature of such practices. [14] Similarly, it has been observed that adult baby play is often a closeted activity and it is not yet well documented in medical literature. [6] [17]

In one study of AB/DL website participants, 93% of the sample was male (assigned male at birth, excluding transgender individuals). 58% of the men and 34% of the women were heterosexual. Males on average first became interested in AB/DL at age 11, and started practicing it at the age of 13, compared to the ages of 12 and 16 for females, respectively. The most frequent activities were wearing diapers, wetting, and using other baby items. 87% of the men and 91% of the women reported that their AB/DL had not caused any significant problems or distress. [18]

It also reported that 9% of Yahoo groups devoted to fetishes dealt with paraphilic infantilism, which was high in relation to other fetishes. [19] The same study, however, noted that males became interested in paraphilic infantilism earlier than females, at age 11 rather than 12, and also began to act on their interests earlier, at 13 rather than 16. It also found that while most males interested in paraphilic infantilism were primarily heterosexual (58%), most females were primarily bisexual (43%). 34% of women were primarily heterosexual. Although both men and women varied in terms of education, only 66% of men and 39% of women earned more than $25,000 a year. [19]

Because atypical sexual behaviors which do not cause functional impairment, personal distress, danger to others, or have legal implications are generally not considered to be unhealthy or have psychiatric significance, people who practice closeted fetish activities like paraphilic infantilism are often not under the purview of psychiatric awareness and knowledge. [6] Likewise, many people who engage in paraphilias do not consider themselves as suffering from a medical condition and do not feel a need or lasting desire to change their behavior. [6] [16] Individuals who practice paraphilic infantilism may only seek therapy for other unrelated issues or, if discovered by others, be encouraged or coerced to seek treatment pertaining directly to the paraphilia itself. [20] This, however, makes it difficult to know the exact prevalence and distribution of kinks among the general population, thus highlighting the potential of anonymous internet surveys for data collection on the AB/DL community. [17]

Relation to other behaviors

Infantilism is a diffuse phenomenon and different authorities have taken varied approaches to the question of its medical and sexological classification.[ vague ]

With diaper fetishism

Strictly speaking, people with a diaper fetish are aroused by the idea of wearing diapers as an adult, and may not participate in any form of ageplay. [21] Practically speaking, there can be a great deal of variation and overlap between paraphilic infantilists and diaper fetishists, and the term "AB/DL" can be used as a catch-all term which includes a broad spectrum of related kinks and behaviors. [9] As diapers are a commonly used a prop for "adult baby" role-play, diaper fetishism may be considered a potential component of paraphilic infantilism. [10]

Sexologist John Money distinguished between paraphilic infantilism (or autonepiophilia) and paraphilic diaper-wearing, stating that the latter is a paraphilic fetish that manifests as an erotic attraction to an article of clothing while the former is a non-fetishistic paraphilia directed at a change of status in terms of age identity. [22]

With BDSM

In some cases, paraphilic infantilism can involve elements of BDSM. For example, the pseudo-forced used of childish clothing and/or diapers as a way of establishing a power dynamic of dominance and submission, as well as for scenes involving punishment and humiliation.

The Diagnostic and Statistical Manual of Mental Disorders (DSM) states that along with other behaviors, sexual masochists "...may have a desire to be treated as a helpless infant and clothed in diapers ('infantilism')" [23] and this association is repeated by others. [24] [25] [26] Masochism appears to be particularly important for female infantilists. [18]

Psychologists D. Richard Laws and William O'Donohue state that "Although infantilism is classified as a sexual masochism in the DSM-IV and DSM-IV-TR, it is questionable whether the criteria for sexual masochism are always met. For example, if the infantile role playing does not involve feelings of humiliation and suffering, then the diagnosis of sexual masochism would not be appropriate and a diagnosis of infantilism as a paraphilia [not otherwise specified] is warranted." [27] Sexologist John Money, in his book Lovemaps describes paraphilic infantilism as a possible "...adjunctive to masochistic discipline and humiliation." [28] Sexologist William B. Arndt considers paraphilic infantilism to combine forms of fetishism, transvestism and masochism. [29] Wilhelm Stekel considered sado-masochistic practices to be variant behavior arising from psychosexual infantilism. [30]

A potential connection between paraphilic infantilism and sadomasochism has been noted in the Polish publication, Przegląd Seksuologiczny. Research results within the publication indicated that 28% of those paraphilic infantilists surveyed reported an interest in BDSM. [31]

With cross-dressing

Some adult babies may also engage in cross-dressing by wearing clothes which are stereotypically associated with the opposite gender. This subset of the AB community is typically made up of males dressing in "feminine" styles of clothing. (This specific behavior is often referred to as being a "sissy baby".) [32] People who are attracted to masochistic forms of infantilism may participate in forcible cross-dressing. [9] [33]

With furry fandom

At the intersection of paraphilic infantilism, diaper fetishism and the furry fandom exist the "babyfur" and "diaperfur" subgenres.

Like others in the furry fandom, "babyfurs" and "diaperfurs" enjoy creating and roleplaying as unique and personalized animal characters, but generally with characters that may be considered younger, exhibit anthropomorphic childlike qualities, wear diapers (potentially under and/or over a fursuit), etc.

Versus pedophilia

Paraphilic infantilism is not to be confused or conflated with pedophilia, as "adult babies" (adults who engage in paraphilic infantilism) are only participating in sexual role-play, either by themselves or with consenting adult partners. [29] [34] People with this fetish are not as a rule attracted to children and do not seek them as sexual partners, and paraphilic infantilism is not related to pedophilia or any form of child sexual abuse. [11] Sexologist Gloria Brame states that "...infantilists who recognize and accept their sexuality - and its possible roots in infantile trauma - tend to be acutely protective of real children." [5]

In 1993, sexologists Ray Blanchard and Kurt Freund published and discussed a series of case studies involving paraphilic infantilists [14] and noted a distinction between them and pedophiles. Pedophiles are sexually attracted to children and desire for a child sexual partner. In contrast, paraphilic infantilists merely imagine and role-play themselves as a child (usually by adopting the objects and mannerisms of childhood) to increase the power difference between themselves and their preferred adult sexual partners with whom they acted out masochistic fantasies. [35]

Criminologists Stephen and Ronald Holmes believe that while there is no simple answer to the origins of infantilism, the practices may involve an element of stress reduction similar to that of transvestism. These criminologists state that this paraphilia is not inherently a crime in and of itself, and differ it from child sex abuse. [11]

Psychology

Clinical significance

Like all kinks, paraphilic infantilism can be considered an atypical sexual interest, but that alone is neither problematic nor indicative of poor mental health. Since the mid-2010s, the general psychiatric consensus around paraphilias (fetishes and kinks) as declared in the DSM-5 (2013) and ICD-11 (2019) psychiatric manuals is that "most people with atypical sexual interests do not have a mental disorder". [12]

As part of the intentional depathologization of atypical sexual interests, the medical community has made an effort to draw a clear distinction between safe and healthy expressions of paraphilia and paraphilic disorders. For safe and consensual behaviors like paraphilic infantilism and other forms of adult roleplay to rise to the level of being considered a paraphilic disorder (and thus a potential mental health issue) one must feel significant personal (and not merely socially-imposed) distress around their interests or their effects on one's life. [12] Likewise, people who are happy and comfortable with their kinks are not to be considered mentally unhealthy in any way. [12]

As such, the goal of therapy for the treatment of otherwise safe and consensual paraphilic disorders is typically the management of distress, shame, and other lasting negative feelings around their unique interests.

Etiology

Research on the etiology of paraphilias in general is minimal and as of 2008 had essentially come to a standstill; it is not clear whether the development of paraphilic infantilism shares a common cause with other paraphilias. [36] A 2003 case report by psychiatrists Jennifer Pate and Glen Goddard found little research on the topic. [6]

To date no broad-based scientific studies have been made on the cause, incidence and general impact of paraphilic infantilism on society at large. This may be due to both the rarity of the practice and because few paraphilic infantilists appear to seek professional mental health counseling pertaining directly to the paraphilia. [6] [16] A mental health evaluation of an 80 year old paraphillic infantilist whose paraphilia may have been related to a head injury at the age of six concluded that treatment was unwarranted. [20]

An online survey conducted in 2020 indicated that "adults with interest in ABDL showed the presence of anxious traits and recollections of parental rejection during childhood." [37]

Lovemap theory

Sexologist John Money developed the theory of a lovemap,

"A developmental representation or template in the mind and in the brain depicting the idealized lover and the idealized program of sexual and erotic activity projected in imagery or actually engaged in".

Money thought that the lovemap was normally fully developed by the age of 8, serving as a kind of sexual template through to the end of one's adult life. [38] Money believed all paraphilias were caused by the formation of abnormal lovemaps during the preadolescent years and that such abnormal lovemaps can be formed by any number of contributing factors or stressors during this developmental period. [39]

Imprinting theory

It has been hypothesized that, among other possible causes, sexual templates are established by a process akin to imprinting where lack of availability of female genitals during a critical period of development causes the imprinting mechanism to instead associate with the nearest visual or olfactory approximation. In the case of infantilism, the discipline of the mother or wearing diapers may create associations between pain, humiliation and sexuality. [40]

Similarly, authors Zack Cernovsky and Yves Bureau hypothesize that erotic fixation to diapers may parallel a study conducted by Harry Harlow in which he deprived infant monkeys of their natural mothers and gave them an artificial mother made of wire and another made of cloth; the monkeys were more likely to spend more time with the mothers made of cloth. [41] [42]

Erotic location target error theory

An additional theory is that infantilism is an erotic identity disorder where the erotic fantasy is centered on the self rather than on a sexual partner and results from an erotic targeting location error where the erotic target was children yet becomes inverted. According to this model, proposed by Ray Blanchard and Kurt Freund in 1993, infantilism is a sexual attraction to the idea of the self being a child. [14] However, this theory has also been criticized for being a "slippery slope" which "pathologizes nonstandard sexual expression". [43]

Psychodynamic regression theories

In psychoanalytic theory, Regression (German: Regression) is a defense mechanism involving the reversion of the ego to an earlier stage of psychosexual development, as a reaction to an overwhelming external problem or internal conflict. [44] A study published in 2019 stated a correlation between childhood maltreatment and paraphilic infatilism and related fetishes. The regression theories in the psychodynamic area hypothesise that during sexual activities, individuals may subconsciously regress to an early state of childhood for comfort and pleasure, with some masochistic elements attached to the same. [45]

Other theories

In the limited number of extant medical case reports some clinicians have attempted to explain the behaviors associated with infantilism in terms of obsessive compulsive disorder, [46] as "a concurrent cluster of symptoms found in a variety of psychiatric disorders." [47] Psychiatrist Jay Feierman considers infantilism a form of chronophilia in which the infantilist desires a sexual partner of the same biological age, but their own "sexuoerotic age" does not match his or her own biological age (i.e. the adult infantilist wishes an adult sexual partner who treats them as a baby). [48] A 2011 letter to the editor in the Archives of Sexual Behavior reviewed several case studies and noted a common history of sexual abuse. [7]

History

The first public event for adult babies was "Baby Week", occurring in San Francisco in the early 1990s. Subsequently, the internet became a major forum, with numerous websites offering books, magazines, audio and video tapes and related paraphernalia, as well as a 24-hour hotline. Paraphilic infantilism has appeared as an alternative lifestyle in numerous Western countries including the United States, England, Germany and Australia. [49]

The organization "Diaper Pail Friends" was established in San Francisco, growing to approximately 3,000 members in 1995 through magazine articles, books, talk shows and the Internet. The organization was studied in 1995 by a group of sexologists, though the results were not published. [50] In 2001, the New York organization "Still in Diapers" was founded for diaper fetishists. [9] In 2008, the Diaper Pail Friends had expanded to a national organization and claimed a membership of 15,000. [11]

In 2016, Tykables opened the first wholly dedicated paraphilic infantilism physical retail store in Mount Prospect, Illinois, with controversy from the local community. [51] The store owner believes it helps to break the stigma about the community. [52]

Historical terminology and definitions

The original definition of "infantilism" meant the persistence of childlike traits in adults and, medically, the failure of an adult to attain sexual maturity. [53] While "sexual infantilism" has also been used medically as a synonym for delayed puberty. [2] [54]

Similarly, the term "psychosexual infantilism" was first used in Sigmund Freud's theory of psychosexual development to refer to individuals who had not matured through his hypothesized stages. [14]

Psychologist Wilhelm Stekel later used the term "psychosexual infantilism" as a category (similar to how paraphilia is used today), which would have included paraphilic infantilism [16] and other fetishes, as well as sexual orientations. [55]

Sexologist John Money initially coined the term "nepiophilia" to describe attraction to diaper-wearing babies. "Nepon" is Greek for infant. [56] [57] In 1984, Money coined another different term, "autonepiophilia" [58] to describe "diaperism" (diaper fetishism) or the desire of an individual to themselves "become" or act as a baby, without having any attraction to actual infants. [59] [60]

In 2003, Dr. Jennifer Pate and Dr. Glen Gabbard, coined the term "adult baby syndrome" (inspired by an episode of the fictional medical television drama ER) to describe an extreme case of infantilism, [6] which would have been on the level of what is currently considered a "paraphilic disorder" as defined by the DSM-5.

Today, the term "paraphilic infantilism" can be considered a clinical term for the fetish, while the more common term "adult baby" is used colloquially. Another term, "AB/DL" (also written "ABDL"), is often used as a broad, non-specific, and inclusive shorthand for the wider community of people who engage in "adult baby" play, diaper play, or various other associated interests, both sexual and platonic in nature. The exact origins of the nicknames "adult baby" and "AB/DL" are difficult to determine, but there is evidence to suggest that these names have been in kink community for decades.[ citation needed ]

See also

Notes

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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, although the definition of what makes a sexual interest normal or atypical remains controversial.

<span class="mw-page-title-main">Urolagnia</span> Paraphilia associated with urine or urination

Urolagnia is a paraphilia in which sexual excitement is associated with the sight or thought of urine or urination. The term has origins in the Greek language. Golden shower is slang for the practice of urinating on another person for sexual pleasure, while watersports is the more inclusive term. However, Urophilia is not exclusively associated with sexual excitement.

Ageplay or age play is a form of roleplaying in which an individual acts or treats another as if they are a different age. Ageplay is roleplaying between adults, and involves consent from all parties. Ageplay is not necessarily sexual, but can be. Portraying any age can be the goal of ageplay, from babies to a child to the elderly. Usually this involves someone pretending to be younger than they actually are, but more rarely can involve assuming an older role.

<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 body part. The object of interest is called the fetish; the person who has a fetish 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">Sadomasochism</span> Sexual practice

Sadism and masochism, known collectively as sadomasochism or S&M, is the derivation of pleasure from acts of respectively inflicting or receiving pain or humiliation. The term is named after the Marquis de Sade, a French author known for his violent and libertine works and lifestyle, and Leopold von Sacher-Masoch, an Austrian author who described masochistic tendencies in his works. Though sadomasochistic behaviours and desires do not necessarily need to be linked to sex, sadomasochism is also a definitive feature of consensual BDSM relationships.

<span class="mw-page-title-main">National Coalition for Sexual Freedom</span> Organization

The National Coalition for Sexual Freedom (NCSF) is an American sex-positive advocacy and educational organization founded in 1997. NCSF has over one hundred coalition partners, and over sixty supporting members. NCSF advocates on behalf of adults involved in alternative lifestyles with respect to sexuality and relationship composition, specifically for tolerance and non-discrimination of those so identified, as well as education for adults involved in such lifestyles. The organization's main office is in Baltimore, Maryland.

<span class="mw-page-title-main">Outline of BDSM</span> Erotic practices involving domination and sadomasochism

BDSM is a variety of erotic practices involving dominance and submission, roleplaying, restraint, and other interpersonal dynamics. Given the wide range of practices, some of which may be engaged in by people who do not consider themselves as practicing BDSM, inclusion in the BDSM community or subculture is usually dependent on self-identification and shared experience. Interest in BDSM can range from one-time experimentation to a lifestyle.

Chronophilia are forms of romantic preferences and/or sexual attractions limited to individuals of particular age ranges. Some such attractions, specifically those towards prepubescents and those towards the elderly, constitute types of paraphilia. The term was coined by John Money and has not been widely adopted by sexologists, who instead use terms that refer to the specific age range in question. An arguable historical precursor was Richard von Krafft-Ebing's concept of "age fetishism". Importantly, chronophilia are technically not determined by age itself, but by human sexual maturity stages, such as body type, secondary sexual characteristics and other visible features, particularly as measured by the stages of the Tanner scale.

Psychosexual disorder is a sexual problem that is psychological, rather than physiological in origin. "Psychosexual disorder" was a term used in Freudian psychology. The term "psychosexual disorder" has been used by the TAF for homosexuality as a reason to ban the LGBT people from military service.

<span class="mw-page-title-main">Breast fetishism</span> Sexual interest focused on female breasts

As a paraphilia, breast fetishism is a sexual interest that focuses exclusively on the female breasts, and is a type of partialism. The term breast fetishism is also used in the non-paraphilic sense, to refer to cultural attention to female breasts and the sexuality they represent.

The lovemap is a concept originated by sexologist John Money in his discussions of how people develop their sexual preferences. Money defined it as "a developmental representation or template in the mind and in the brain depicting the idealized lover and the idealized program of sexual and erotic activity projected in imagery or actually engaged in with that lover."

In human sexuality, kinkiness is the use of sexual practices, concepts or fantasies that are not conventional. The term derives from the idea of a "bend" in one's sexual behaviour, to contrast such behaviour with "straight" or "vanilla" sexual mores and proclivities. It is thus a colloquial term for non-normative sexual behaviour. The term "kink" has been claimed by some who practice sexual fetishism as a term or synonym for their practices, indicating a range of sexual and sexualistic practices from playful to sexual objectification and certain paraphilias. In the 21st century the term "kink", along with expressions like BDSM, leather and fetish, has become more commonly used than the term paraphilia. Some universities also feature student organizations focused on kinks, within the context of wider LGBTQ concerns.

Attraction to disability is a sexualised interest in the appearance, sensation and experience of disability. It may extend from normal human sexuality into a type of sexual fetishism. Sexologically, the pathological end of the attraction tends to be classified as a paraphilia. Other researchers have approached it as a form of identity disorder. The most common interests are towards amputations, prosthesis, and crutches. As a sexual fetish, attraction to disability is known as devotism, and those with the fetish are known as devotees.

<i>Omorashi</i> Bladder incontinence fetishism

Omorashi, sometimes abbreviated as simply "omo", is a form of fetish subculture first categorized and predominately recognized in Japan, in which a person experiences arousal from the idea or feeling of having a full bladder and potentially wetting themselves, or from witnessing another person in that situation.

<span class="mw-page-title-main">Clothing fetish</span> Sexual fetish relating to particular type of clothing

Clothing fetishism or garment fetishism is a sexual fetish that revolves around a fixation upon a particular article or type of clothing, a particular fashion or uniform, or a person dressed in such a style.

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.

Diaper fetishism, or nappy fetishism, is a type of garment fetish in which a person derives pleasure from themselves or partners wearing or using a diaper. Diaper fetishism can be performed on its own or incorporated into other various kinks. These kinks may include paraphilic infantilism, omorashi, and BDSM. When combined with paraphilic infantilism, the fetish is often called adult baby/diaper lover or AB/DL for short.

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 to 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.

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Further reading