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Shoe fetishes mental illness

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ASSESSMENT AND TREATMENT OF FOOT–SHOE FETISH DISPLAYED BY A MAN WITH AUTISM - Fetishes: There's more to them than leather and kinky boots

#1 Shoe fetishes mental illness

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Shoe fetishes mental illness

Results of a functional analysis indicated that a man diagnosed with autism engaged in bizarre sexual behavior in the presence of women wearing sandals. Several treatments proved to be ineffective or impractical.

Fetishism is characterized by recurrent and intense sexual urges or behaviors that involve inanimate objects and are accompanied by stress or functional impairment American Psychiatric Association [APA], Assessment of sexual arousal and sexually deviant behavior involves identification of the topography of the response and the conditions under which it occurs Barlow,which often is accomplished through verbal report or measures of penile circumference in the presence of representational stimuli e.

The present study extends that research by examining the actual behavior that comprised a sexual fetish in the presence of the actual stimuli and designing the least intrusive and effective intervention. Alex was a year-old man who had been diagnosed with autism and who engaged in very little expressive language. He was able to follow three- to four-step instructions. He had a year history of inappropriate sexual masturbatory behavior ISB that consisted of dropping to a prone position near another person's feet and gyrating his pelvis on the floor.

This behavior resulted in Alex being excluded from most community outings e. Descriptive observations and staff report suggested that this behavior was maintained by automatic reinforcement i. Functional analysis and treatment sessions were conducted in a relatively empty room 3. The room contained a table and chairs and was equipped with a one-way observation window.

Generalization sessions were conducted in a work area, cafeteria, and outside courtyard at the facility under conditions typical of those locations. Trained observers used handheld computers to collect data on ISB during continuous s intervals. During functional analysis sessions, ISB was scored when Alex moved his pelvis back and forth while he lay on the floor, and data were summarized as the percentage of intervals during which responding occurred. A different measure was used during the treatment evaluation because the intervention involved interrupting the response when it was initiated, which prevented occurrence of the full target response.

Observers' records were compared on an interval-by-interval basis, and agreements were scored for intervals in which both observers scored either the occurrence or nonoccurrence of behavior.

We conducted two functional analyses in which antecedents footwear and gender were manipulated while consequences were held constant no social consequences were delivered.

During Functional Analysis 1, we presented four conditions four times each in a multielement design. During each condition, the same woman entered the room and walked around but did not provide any attention. The footwear conditions included the woman in a sandals, b tennis shoes, c high heels, and d flat shoes. Functional Analysis 2 was conducted to isolate further the stimulus characteristics that occasioned the target behavior.

Five conditions were conducted four times each in a multielement design. Three were similar to those in the first functional analysis with an additional manipulation of gender in one condition: In the fourth condition, d a pair of women's sandals was placed on the floor no person was present ; the fifth condition e was an alone control no footwear or person was present.

Two interventions that proved to be either ineffective or impractical for long term implementation were evaluated following the functional analysis and prior to the treatments described in this paper. First, we attempted to transfer stimulus control from the woman in sandals to pictures of women in sandals by using a pairing procedure; however, no transfer of control was observed after 50 pairing sessions.

Second, we found that continuous access to snacks, leisure items, attention, and a video of a woman in sandals eliminated the behavior; however, the intervention was impractical for Balloon fetish enthusiasts implementation.

Therefore, two interventions that were more practical were compared to baseline in a multielement design. Baseline sessions were identical to the woman in sandals condition of the functional analyses.

The protector was assumed to minimize sensory stimulation produced by gyrating his pelvis on the floor. When Alex initiated the target response, a female therapist followed him and gently pulled on the straps and walked him to the corner of the room. If he attempted to move away or drop to the floor, the therapist gently pulled up on the backpack straps. After a 1-min time-out period had passed, Alex again was allowed to walk around the Adult baby diaper fetish breast feeding. Fading entailed eliminating first one strap, then the other.

When both straps were eliminated, the therapist responded to attempts to drop to the floor by pulling up on a small loop at the top of the backpack. After both straps were eliminated, generalization sessions were conducted in the work area, cafeteria, and outside courtyard in the presence of four different women wearing sandals.

Figure 1 top shows the mean percentage of intervals of ISB during both functional analyses. During Functional Analysis 1, Fetish campground wisconsin exhibited ISB in every session of the woman in sandals condition but never in any other condition. During Functional Analysis 2, Alex exhibited ISB in every session in which a woman was wearing sandals and to a lesser degree when she was barefoot. He never engaged in the behavior in other conditions man in sandals, sandals only, alone.

These results indicated that Alex's ISB was occasioned by a visible female foot, especially in sandals, and that it persisted in the absence of social consequences. Figure 1 bottom shows the latency to the first occurrence of ISB during baseline and treatment conditions.

During all baseline sessions, Alex engaged in ISB almost immediately when the woman entered the room. In the first treatment condition sensory extinctionlatency to ISB initially increased but subsequently decreased to baseline levels. The ineffectiveness of this treatment may have been due to increases in the force in which he gyrated while wearing the athletic protector, possibly resulting in access to sensory reinforcement.

Problem behavior recurred during the first session with no straps on the backpack but did not recur during subsequent sessions. This study illustrates an Shoe fetishes mental illness of functional analysis methodology to ISB by measuring the actual response of interest in the presence of actual rather than representational stimuli. Results indicated that Alex engaged in ISB in the presence of a stimulus combination that involved both people the woman and inanimate objects the sandals.

Although the behavior did not strictly meet the APA definition of a fetish, which limits fetish behavior to inanimate stimuli, our assessment data indicated that sandals played a prominent role in the occurrence of problem behavior. Information derived from the functional analysis was used to design a series of interventions to decrease the behavior by eliminating or reducing the reinforcement it produced. Transfer of stimulus control, noncontingent reinforcement, and sensory extinction were found to be ineffective or impractical.

Evidence of maintenance and generalization was observed when the backpack was modified, and sessions were conducted in the presence of other women wearing sandals in other environments, indicating that the backpack may have served as an inhibitory stimulus in whose presence attempts to engage in inappropriate behavior did not result in reinforcement.

Although we were unable to collect observational data in uncontrolled community environments, Alex's longstanding restriction from involvement in community activities was rescinded, and no incident reports involving inappropriate masturbatory behavior in the community were filed through the end of a Free medical fetish webcam story follow-up period.

There were several limitations of the current study. First, the functional analysis focused only on antecedent influences; however, the finding that Alex's ISB reliably occurred in the absence of social consequences supported our assumption that the behavior was maintained by automatic reinforcement.

It is possible, however, that ISB Fetish webcam girl site was maintained by social reinforcement. Second, we did not provide reinforcers for appropriate nonmasturbatory behavior, nor did we explicitly teach Alex to engage in a more appropriate masturbatory behavior or to restrict masturbation to a more acceptable context.

Alex was reported to engage in conventional masturbatory behavior in his bedroom; thus, acquisition of alternative behavior was not a concern in this study. Finally, we did not conduct any direct observational follow-up; however, record review suggested a socially important outcome of successful community access. Nevertheless, we believe that the methods used here illustrate a needed extension of functional analysis methodology by placing emphasis on direct and systematic observation of ISB under relevant stimulus conditions.

As such, they may be instructive to researchers attempting to study or treat similar disorders. This research was supported in part by a grant from the Florida Department of Children and Families. National Center for Biotechnology InformationU. Journal of Applied Behavior Analysis. J Appl Behav Anal. Linda LeBlanc, Action Editor. Address correspondence to Claudia L. Received Oct 2; Accepted Apr Male nipple fetish pics. This article has been cited by other articles in PMC.

Abstract Results of a functional analysis indicated that a man diagnosed with autism engaged in bizarre sexual behavior in the presence of women wearing sandals. Response Measurement and Interobserver Agreement Trained observers used handheld computers to collect data on ISB during continuous s intervals. Functional Analysis We conducted two functional analyses in which antecedents footwear and gender were manipulated while consequences were held constant no social consequences were delivered.

Treatment Evaluation Two interventions that proved to be either ineffective or impractical for long term implementation were evaluated following the functional analysis and prior to the treatments described in this paper. Open in a separate window. Acknowledgments This research was supported in part by a grant from the Florida Department of Children and Families.

Identifying specific erotic deviations by audiotaped descriptions. Diagnostic and statistical manual of mental disorders 4th ed. The treatment of sexual deviation: Towards a comprehensive behavioral approach. Innovative treatment methods in psychopathology. A mechanical strain gauge for recording penile circumference change. Assessment of deviant arousal in adult male sex offenders with developmental disabilities.

Sensory extinction and sensory reinforcement principles for programming multiple adaptive behavior change. Movement suppression time-out for undesirable behavior in psychotic and severely developmentally delayed children.

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#2 Sock in mouth fetish

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Sock in mouth fetish

A gag is a device sometimes worn during sexual bondage and BDSM roleplay. Gags are usually associated with roleplays involving bondage, but that is not necessarily the case. The person who wears the gag is regarded as the submissive partner, while the other is regarded as the dominant one.

People may wear gags for a variety of reasons. Some people derive erotic pleasure from a gag, either in a submissive or dominant role. When combined with other physical restraints, the wearing of a gag can increase the wearer's sense of helplessness and anxiety level within a BDSM scene by rendering them unable to speak during sexual activity, which some people enjoy. For some people, gags have connotations of punishment and control, and thus can be used as a form of humiliation.

To some, wearing a gag without restraints is still an act of humiliation, as is an open mouth gag. Some fetishists are sexually aroused by the sound gagged people make when they try to speak, or by seeing a person drool uncontrollably. The type of gag used depends on the tastes of the parties and the type of roleplay scene, what is available at the time, and safety considerations. Some gags are designed to fill the mouth, while others are designed to provide access to the mouth by forcing the mouth open.

Gags may be classified as over-the-mouth type, mouth stuffing type or mouth opening type. When a person is sexually aroused by gags, it may be considered a paraphilia. One specific gag paraphilia relates to video depictions in which the captor gags the damsel in distress to stop her screaming for help.

Some people are sexually aroused by such imagery, even if there is no nudity or sexual act present, or even if the victim is only gagged but not restrained in any way. Gagging anybody is very risky, as it involves a substantial risk of asphyxia if the subject's nose Feet fetish dating blocked while wearing a gag.

Vomiting and choking also pose a risk, since they further block the airway. A gagged subject should never be left alone. In practice, no gag is effective enough to silence someone completely without inhibiting breathing. Most gags that prevent the subject from making intelligible speech still permit loud, inarticulate noises to call for help. Thus, a pattern of noises, such as three grunts in rapid succession, is sometimes used as a safeword by BDSM players.

It is also common to use an additional non-verbal safety mechanism, such as a solid object held in the hand that can be released by the gagged person to signal distress. A ball gag is usually a rubber or silicone sphere with a strap passing through its diameter. The most common diameter is 1. The ball is strapped into the mouth Men cleaning fetish the teeth, with the straps going around the head to secure it in place.

They are used as a sign of control by the dominant. The wearer can still be heard, but it renders their speech completely unintelligible, distorts their facial features, and causes drooling if the wearer attempts to talk. A wiffle gag is a simple ball gag that replaces the standard solid rubber ball with a light plastic ball similar to the one used for the game of floorball. It is generally safer due to the constant airflow. A bit gag is styled like the bit used in a bridle for a horse, and much of its sexual appeal stems from fetishistic symbolism in pony play.

It consists of a bar that is held in place in the wearer's mouth by straps or other devices. Unlike the metal bit that is most common in horse bridles, the bar of a bit gag is usually a soft rubber cylinder.

Occasionally, reins are attached. Because of the possibility of injury to the lips, the bit gag is not suitable for rough play. A butterfly gag is a wing-shaped gag that is usually inflatable by means of a rubber bulb. The central part fits behind the teeth to fill up the mouth, while the wings go between the teeth and the lips. The gag inflates in the shape of a butterfly. A more Farting fetish movies variant of the over-the-mouth gag is called the cleave gag.

Instead of being tied over the person's mouth, the scarf or cloth is pulled between his or her teeth. While such a gag of thin material is not very effective, a thick scarf can be used to hold his or her mouth open. Cleave gags are difficult to remove as they are between the teeth, not over the mouth. When it is applied properly, the gagged person's speech is muffled, but not completely silenced.

The detective gagor over-the-mouth gag sometimes abbreviated to OTMis often described in fiction particularly crime serials as preventing the subject from speaking through the use of soft materials such as scarves or bandannas. In practice, it does not silence the subject very effectively. Images of OTM gags, usually applied on women, had been prevalent since the film serials of the early s. For this reason, the OTM gag is associated with the typical damsel in distress.

A bandit gag also known as an over-the-nose or mouth gag covers the mouth as well as the nose, and is commonly used in Japan and on many cartoons. Without stuffing, it is not very effective.

The term forniphilic comes from the word forniphiliawhich is the incorporation of a bound person into furniture or other objects.

The gag becomes a mounting point for a tool or other device which allows a slave to perform a task or service for their master or mistress. When employing the gag, the slave's hands are usually bound behind them so they have no other option than to control the tool with the gag. In order to provide stability and to allow the slave to control the tool, a muzzle gag with a mouthpiece is commonly used as a base for attaching the tool. Gags employing a dildo or vibrator are readily available from online retailers; ashtray gags are also popular, but to a lesser extent.

Other types of forniphilic gags are much more difficult to source. A funnel gag consists of a funnel with a tube leading from its spout into the mouth, usually with straps to hold the tube in. Such a gag is used to force the bound person to drink a fluid.

It is very easy to choke during such forced drinking. People involved with watersports may also find interest in this gag.

A hand over the mouth can be used as a Sock in mouth fetish. When hand gagging someone, a person usually grabs the victim from behind since the victim cannot see this coming. Then, the person firmly places their unfolded hand over the victim's closed mouth. Then they may pull the victim into their body for extra leverage and control. Handgags are common in thrillers [ clarify ] and are often associated with damsel-in-distress phenomena.

A harness gag encircles the head, with straps generally secured by buckles fastened at the back. Head harnesses are most commonly used to provide points of attachments to secure various kinds of gags, such as ball gagsbit gagsmuzzle gags and ring gags ; although they also have other uses, such as providing attachment points for other forms of bondageor may be used simply for their psychological effect.

Head Sock in mouth fetish may also function as a gag by themselves, by restricting the ability to open the mouth, or have a mouth cover as an integral part.

Head harnesses, like many other forms of bondage, also have the effect of creating a sense of objectification and erotic helplessness in the wearer, which can be erotic for the wearer, or for those observing them. Many head harnesses are designed with straps that pass in front of the wearer's eyes, Foot fetish webcam fuck their vision, and further increasing the sense of objectification and erotic subjection.

An inflatable gag is usually a rubber balloon which is inflated by a hand valve. Most inflatable gags will not hold in the gagged person's mouth well, so the gag is usually paired with a ring gag to keep it in place. A knotted gag is a blend of the ball and cleave gags. The scarf either has a knot tied in the middle and placed in the gagged person's mouth or is an over-the-mouth gag OTM placed backward with the knot tied inside the person's mouth.

The knotted gag is able to soak up the saliva that the ball gag does not and can be easily washed for reuse. Knots can Hardcor gay fetish videos doubled or tripled to fit the size of the gagged person's mouth. This is a term for a series of gags over each other; for example, an over-the-mouth gag OTM over a cleave gag. Another piece of cloth could be tied under the gagged person's chin in conjunction with an OTM gag.

Such gags allow unlimited access to the mouth. They stop coherent speech, but do little to silence a person. Incorporating a gag into a neck corset presents a few safety issues: For this reason, most mouth corsets use a simple muzzle gag that merely covers the mouth and does not force anything into the mouth, thus minimising the risk.

Despite not forcing anything into the mouth, mouth corsets are usually very effective in gagging the victim. This is due to the fact that the chin piece prevents the wearer from opening their mouth and dislodging the gag, and the lacing at the back of the corset holds the gag tightly against the mouth, making a very effective seal.

In addition, it compresses the wearer's cheeks. This gag has two mouthguards, similar to those worn by football and hockey players.

One rests on the lower teeth of the wearer while the other is against the top. Again, like sports mouthguardsthese mouthguards can be softened in boiling water to fit to the mouth of the wearer. The mouthguards are attached to a front faceplate, like most plug gags, and straps from the front to the back. A muzzle gag works in a similar way as an over-the-mouth gag, only that they are usually made of leather, are fastened around the head with buckles and straps, and cover the lower part of the face.

It is so called because it resembles a muzzle used on animals, with a flexible pad which straps over the mouth, and sometimes also around the cheeks and chin. Muzzle gags have a strong psychological effect on some people, because of the association of being restrained in a way generally associated with animals.

Restricting movement of the jaw and covering the cheeks can both increase the efficiency of a gag. It is difficult to draw the line between a muzzle gag and a head harness with an attached gag. Muzzle gags are probably one of the oldest gags and illustrations showing muzzle-like gag devices such as scold's bridles have been observed from early colonial times. A muzzle gag may also have an attached posture collar and may also be fitted with an integrated pecker gag.

A pacifieror 'dummy' is by design a gag without any alteration. It can be used to quiet a victim, and even strapped in place to prevent removal. Pacifiers are orthodontic and designed to be placed in the mouth.

They are very comfortable and soft, and remove the violent connotations of a gag. The wearer's mouth is essentially being plugged.

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Shoe fetishes mental illness

Definition

Paraphilias are abnormal sexual behaviors or impulses characterized by intense sexual fantasies and urges that keep coming back. The urges and behaviors may involve unusual objects, activities, or situations that are not usually considered sexually arousing by others.

Often, a paraphilia may be necessary for the person who has it to function sexually, despite the fact it may also be a source of significant distress. Paraphilias can lead to personal, social, and career problems, and a person with a paraphilia may be called "kinky" or "perverted.

Exhibitionism "Flashing" Exhibitionism involves someone exposing his or her genitals to an unsuspecting stranger. The individual with this problem, sometimes called a "flasher," feels a need to surprise, shock, or impress his or her victims. The condition is usually limited to the exposure with no other harmful advances being made. Nevertheless, "indecent exposure" is illegal. Actual sexual contact with the victim is rare. However, the person may masturbate while exposing himself or while fantasizing about exposing himself.

Fetishism People with fetishes have sexual urges associated with non-living objects. The person becomes sexually aroused by wearing or touching the object. For example, the object of a fetish could be an article of clothing, such as underwear, rubber clothing, women's shoes, women's underwear, or lingerie.

The fetish may replace sexual activity with a partner or may be integrated into sexual activity with a willing partner. When the fetish becomes the sole object of sexual desire, sexual relationships often are avoided.

A related disorder, called partialism, involves becoming sexually aroused by a body part, such as the feet, breasts , or buttocks.

Frotteurism With this problem, the focus of the person's sexual urges is on touching or rubbing his or her genitals against the body of a non-consenting, unfamiliar person.

In most cases of frotteurism, a male rubs his genital area against a female, often in a crowded public location. The contact made with the other person is illegal.

Pedophilia People with pedophilia have fantasies, urges, or behaviors that involve illegal sexual activity with a child or children. The children involved are generally 13 years of age or younger. The behavior includes undressing the child, encouraging the child to watch the abuser masturbate, touching or fondling the child's genitals, and forcefully performing sexual acts on the child.

Some pedophiles, known as exclusive pedophiles, are sexually attracted only to children and are not attracted to adults. Some limit their activity to incest, involving only their own children or close relatives.

Others victimize other children. Predatory pedophiles may use force or threaten their victims with what will happen if they disclose the abuse. Health care providers are legally bound to report such abuse of minors. Pedophile activity constitutes rape and is a felony offense punishable by imprisonment.

Sexual Masochism Individuals with this disorder use the act -- real, not simulated -- of being humiliated, beaten, or otherwise made to suffer in order to achieve sexual excitement and climax. These acts may be limited to verbal humiliation, or they may involve being beaten, bound, or otherwise abused.

Masochists may act out their fantasies on themselves by such acts as cutting or piercing their skin or burning themselves. Or they may seek out a partner who enjoys inflicting pain or humiliation on others. Activities with a partner include bondage, spanking, and simulated rape. Sadomasochistic fantasies and activities are not uncommon among consenting adults. In most of these cases, however, the humiliation and abuse are acted out in fantasy.

The participants are aware that the behavior is a "game" and actual pain and injury is avoided. A potentially dangerous, sometimes fatal, masochistic activity is autoerotic partial asphyxiation. With this activity, a person uses ropes, nooses, or plastic bags to induce a state of asphyxia interruption of breathing at the point of orgasm.

This is done to enhance orgasm, but accidental deaths sometimes occur. Sexual Sadism Individuals with this disorder have persistent fantasies in which sexual excitement results from inflicting psychological or physical suffering including humiliation and terror on a sexual partner. This disorder is different from minor acts of aggression in normal sexual activity -- for example, rough sex. In some cases, sexual sadists are able to find willing partners to participate in the sadistic activities.

At its most extreme, sexual sadism involves illegal activities such as rape, torture, and even murder, in which case the death of the victim produces sexual excitement. It should be noted that while rape may be an expression of sexual sadism, the infliction of suffering is not the motive for most rapists, and the victim's pain generally does not increase the rapist's sexual excitement. Rather, rape involves a combination of sex and gaining power over the victim. These individuals need intensive psychiatric treatment and may be jailed for these activities.

Transvestitism Transvestitism, or transvestic fetishism, refers to the practice by heterosexual males of dressing in female clothes to produce or enhance sexual arousal. The sexual arousal usually does not involve a real partner but includes the fantasy that the individual is the female partner as well. Some men wear only one special piece of female clothing, such as underwear, while others fully dress as female, including hair style and make-up.

Cross-dressing as a transvestite is not a problem unless it is necessary for the individual to become sexually aroused or experience sexual climax. Voyeurism "Peeping Tom" This disorder involves achieving sexual arousal by observing an unsuspecting and non-consenting person who is undressing or unclothed or engaged in sexual activity.

This behavior may conclude with masturbation by the voyeur. The voyeur does not seek sexual contact with the person he or she is observing. Other names for this behavior are "peeping" or "peeping Tom.

Most paraphilias are rare and are about 20 times more common among males than among females. However, the reason for this disparity is not clearly understood. While several of these disorders are associated with aggressive behavior, others are not aggressive or harmful. Some paraphilias -- such as pedophilia, exhibitionism, voyeurism, sadism, and frotteurism -- are criminal offenses. Having paraphilic fantasies or behavior, however, does not always mean the person has a mental illness.

The fantasies and behaviors can exist in less severe forms that are not dysfunctional in any way, do not impede the development of healthy relationships , do not harm the individual or others, and do not entail criminal offenses. They may be limited to fantasy during masturbation or intercourse with a partner.

It is not clear what causes paraphilia. Some experts believe it is caused by a childhood trauma, such as sexual abuse. Others suggest that objects or situations can become sexually arousing if they are frequently and repeatedly associated with a pleasurable sexual activity. In most cases, the individual with a paraphilia has difficulty developing personal and sexual relationships with others.

Many paraphilias begin during adolescence and continue into adulthood. The intensity and occurrence of the fantasies associated with paraphilia vary with the individual, but they usually decrease as the person ages.

Most cases of paraphilia are treated with counseling and therapy to help the person modify his or her behavior. Medications may help to decrease the compulsiveness associated with paraphilia and reduce the number of deviant sexual fantasies and behaviors.

In some cases, hormones are prescribed for individuals who experience frequent occurrences of abnormal or dangerous sexual behavior. Many of these medications work by reducing the individual's sex drive. To be most effective, treatment for paraphilia must be provided on a long-term basis. Unwillingness to comply with treatment can hinder its success. It is imperative that people with paraphilias of an illegal nature receive professional help before they harm others or create legal problems for themselves.

What Behaviors Are Considered Paraphilias? Continued Some pedophiles, known as exclusive pedophiles, are sexually attracted only to children and are not attracted to adults. Continued Transvestitism Transvestitism, or transvestic fetishism, refers to the practice by heterosexual males of dressing in female clothes to produce or enhance sexual arousal. Continued How Is Paraphilia Treated? How Successful Is Treatment for Paraphilia? Help for Your Heartburn Therapy at Home?

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