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The Sexually Addicted Couple
Published in Len Sperry, Katherine Helm, Jon Carlson, The Disordered Couple, 2019
While not true for every person with a sex addiction, the counselor should assess for paraphilic interests and behaviors. Multiple studies have confirmed the presence of paraphilic behavior in sexual addicts (Black et al., 1997; Langstrom & Hanson, 2006; Kafka, 2010). A paraphilia can be defined as non-genital sexual desires and behaviors equal to or exceeding interest in genital-focused sexuality (American Psychological Association, 2013). While Black et al. (1997), found the presence of paraphilic behaviors within their sample, this was true for only 3% of their sample. The behaviors reported within this study included exhibitionism, sadism, transvestic fetishism, fetishism, and telephone sex. Contrary to these findings, Langstrom and Hanson (2006) found a strong correlation between sexually addicted men and exhibitionism, voyeurism, masochism, and sadism.
LGBTQIA+ and Co-occurring Disorders
Published in Tricia L. Chandler, Fredrick Dombrowski, Tara G. Matthews, Co-occurring Mental Illness and Substance Use Disorders, 2022
The difficulty conceptualizing gender dysphoria and those having a gender identity outside their assigned sex or outside the binary has been consistent throughout previous versions of the DSM (APA, 1952, 1980, 1990). Identifications such as transvestic fetishism and associations with gender expression and sexuality were prevalent in the DSMs I and II. Changes occurred in the DSM-III as the term ‘transsexualism’ was used as a diagnosis. However, this diagnosis was specifically for those who had a gender identity that was not traditionally associated with their assigned sex at birth and gender identity from childhood. Being placed in the disorders specifically related to childhood invalidated those individuals who experienced a later onset of dysphoria. The changes in the DSM-IV recognized the experiences of both children and adults, officially changing the diagnosis to gender identity disorder, with a specification for children and/or adults (APA, 1990). The use of the word ‘disorder’, however, implied that the individual’s gender identity was wrong as they did not comply with the expectations of the assigned birth sex. Although this term maintained stigma regarding those living with gender dysphoria, it also helped establish the expectations and conditions associated with gender transition and best practices of clinical treatment as identified win the Harry Benjamin International Gender Dysphoria Association Standards of Care now known as the World Professional Association for Transgender Health Standards of Care (WPATH). As ongoing research was conducted on those experiencing gender dysphoria, the WPATH recommendations for transgender treatment became more flexible and specific to the individual (Coleman et al., 2011).
A Brief Report on Fetishism in Romania: An Approach Based on Gender and Sexual Orientation
Published in International Journal of Sexual Health, 2022
Florin Gabriel Berariu, Mihaela Jitaru, Octav Sorin Candel
The research concerning fetishism among gay men, lesbian women, and bisexual individuals is even sparser. Firstly, it is worth noting that homosexuality, although sharing some characteristics with paraphilias is distinct from them (Cantor, 2012). When focusing on men, previous results showed that both gay and bisexual men get involved in foot fetishism and that gay men score higher on having fantasies related to places and objects compared to straight men (Bhugra et al., 2006; Weinberg et al., 1995). Also, same-sex sexual experiences were related to transvestic fetishism (Långström & Zucker, 2005). Nevertheless, for other paraphilic interests, such as sadism and masochism, there are important intersections between bisexual/pansexual/queer identities and the behaviors related to the paraphilias (Sprott & Benoit Hadcock, 2018). Still, we found no study to explore the differences in fetishism between sexual orientations in men and no study to explore fetishism in lesbian, bisexual and queer women.