Citation

Cernovsky Z, Bureau Y. Ment. Illn. 2016; 8(2): 30-32.

Copyright

(Copyright © 2016, PAGEPress Publications)

DOI

10.4081/mi.2016.6687

PMID

unavailable

Abstract

A patient in her 20s was referred to us for psychological assessment due to her depression and suicide attempts. She mentioned being anorgasmic except when diapered and emphasized her erotic preference for diapers. Her childhood included maternal deprivation in an impecunious family headed by an irritable physically disabled father on social assistance. Given the maternal deprivation in childhood, her erotic fixation on diapers parallels the emotional attachment to diapers observed by Harlow in mother deprived infant monkeys. Etiological hypotheses should also include the paradigm of avoidance learning from theories of behavior therapy. Our patient does not wish to change her sexual preference: in such cases, fetishism is not considered as an illness by DSM5. However, she needs to be treated for pathological levels of depression with suicidal ideation and low self-esteem. © Z. Cernovsky, and Y. Bureau, 2016.

Language: en

Keywords

adult; human; domestic violence; female; case report; psychotherapy; depression; Suicidal ideation; bullying; suicide attempt; social adaptation; psychologic assessment; sleep disorder; personality test; peer group; self esteem; erotism; anorgasmia; emotional deprivation; neuropsychological test; psychosocial withdrawal; Article; academic failure; young adult; maternal deprivation; Canadian; DSM-5; Pittsburgh Sleep Quality Index; Anorgasmia; Avoidant conditioning; diaper; Diaper fetish; diaper fetishism; Repetition compulsion; sexual fetishism