Sexual Deviation

Fetishism

• sexual preoccupation and excitement with non-living objects, which take central importance in achieving orgasm
• • to be regarded as deviant, fetishism must be essential for orgasm, and causing problems

Exhibitionism

• sexual pleasure and gratification is derived from exposure of the genitals to a person of the opposite sex
• predominantly male, aged 15-25
• the victim is usually female, and there is often an intention to surprise, shock, or insult – a reaction in the victim heightens the excitement in the perpetrator
• the victim is usually unknown
• often compulsive in nature
• often passive, inadequate men with problems in relationships and low self-esteem
• may show personality disorder of asthenic or inadequate type

Voyeurism

• no sexual contact is attempted, though masturbation may occur during or after
• the voyeur often has fantasies of humiliating or embarrassing the victims with the knowledge that they have been observed
• the victim is usually unaware

Paedophilia

• where the child is an older girl (over 12), the offender is often a young male but is unlikely to be consistently deviant or psychiatrically ill
• for younger children, the adult is likely to be substantially older and more likely to show psychiatric illness such as:

schizophrenia
hypomania
alcoholism
dementia
mental handicap

Sadomasochism

• sexual arousal in response to the infliction of pain, psychological humiliation or ritualized dominance or submission
• sadomasochistic fantasies occur during intercourse or masturbation in both sexes, often in stable relationships
• more common in homosexuals

Polymorphously perverse

• multiple disorders of sexual preference

Other disorders of sexual preference

• obscene telephone calls
• frotteurism
• bestiality:
• low intellect
• restricted social outlets
• access to animals
• anoxophila
• necrophilia