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Sexual fetishism

Sexual fetishism
Classification and external resources
Specialty psychiatry
ICD-10 F65
ICD-9-CM 302.81
MeSH D005329
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Sexual fetishism or erotic fetishism is a sexual fixation on a nonliving object or nongenital 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 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.Sexual arousal from a particular body part can be further classified as partialism.

While medical definitions restrict the term sexual fetishism to objects or body parts,fetish can also refer to sexual interest in specific activities in common discourse.

In common parlance, the word fetish is used to refer to any sexually arousing stimuli, not all of which meet the medical criteria for fetishism. This broader usage of fetish covers parts or features of the body (including obesity and body modifications), objects, situations and activities (such as smoking or BDSM).Paraphilias such as urophilia, necrophilia and coprophilia have been described as fetishes.

Originally, most medical sources defined fetishism as a sexual interest in non-living objects, body parts or secretions. The publication of the DSM-III in 1980 changed that by excluding arousal from body parts in its diagnostic criteria for fetishism. In 1987, a revised edition of the DSM-III (DSM-III-R) introduced a new diagnosis for body part arousal, called partialism. The DSM-IV retained this distinction.Martin Kafka argued that partialism should be merged into fetishism because of overlap between the two conditions, and the DSM-5 subsequently did so in 2013. The ICD-10 definition is still limited to non-living objects.

The word fetish derives from the French fétiche, which comes from the Portuguese feitiço ("spell"), which in turn derives from the Latin facticius (“artificial”) and facere ("to make"). A fetish is an object believed to have supernatural powers, or in particular, a man-made object that has power over others. Essentially, fetishism is the attribution of inherent value or powers to an object. Fétichisme was first used in an erotic context by Alfred Binet in 1887.


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