1. Sexual Disorders: Paraphilias and Fetishism Jonathan Ly, California State University of Fullerton, Fullerton, CA Abstract Will be reviewing about sexual disorders that are present in this case of a 32-year-old single male relating to paraphilias and Fetishism. Furthermore, we will see how the current treatments will either help or further induce his mental sexual disorders. Paraphilias Disorders characterized by recurrent and intense sexual urges, fantasies, or behaviors involving nonhuman objects, children, nonconsenting adults, or experiences of suffering or humiliation. It includes fetishism, transvestic fetishism, exhibitionism, voyeurism frotteurism, pedophilia, sexual masochism, and sexual sadism. Fetishism A paraphilia consisting of recurrent and intense sexual urges, fantasies, or behaviors that involve the use of a nonliving object, often to the exclusion of all other stimuli. Introduction A case regarding a 32-year-old, single male who is somewhat sexually attracted by women, but is more attracted by “their panties.” To best way of the patient’s memory, sexual excitement began at about age 7, when he came upon a pornographic magazine and felt stimulated by pictures of partially nude women wearing “panties.” His first ejaculation occurred at 13 via masturbation to fantasies of women wearing panties. He masturbated into his older sister’s panties, which he had stolen without her knowledge, subsequently he stole panties from her friends and from other women he met socially. He found pretexts to “wander” into the bedrooms of women during social occasions, and would quickly rummage through their possessions until he found a pair of panties to his satisfaction. He later used these to masturbate into, and then saved them in a private cache. The pattern of masturbating into women’s underwear had been his preferred method of achieving sexual excitement and orgasm from adolescence until the present consultation. Methods Treatment Behavior therapies: aversion therapy, masturbatory satiation, orgasmic reorientation, and relapse-prevention training. Under aversion therapy we exposed him to a stimulus while simultaneously being subjected to some form of discomfort. By doing this, we hope to condition him to stop this certain disorder. Masturbatory saition is similar to the aversion theory but is force to masturbate to fantasies with concomitant feelings of affection and tenderness. This as well can condition him to stop this disorder. Orgasmic reorientation is a behavior therapy technique for altering classes of stimuli to which people are sexually attracted; individuals are confronted by a conventionally arousing stimulus while experiencing orgasm for another, undesirable reason This chart shows the Sexual Activity of Teenagers by Peer’s Level of Worship Results In our first experiment using the aversion therapy, we exposed him to a stimulus while simultaneously being subjected to some form of discomfort. By doing this, we hope to condition him to stop this certain disorder. During this experiment, we covered his penis with an electric belt that was connected to a 12-Volt battery. Whenever he thought of masturbating or naughty fantasies, we gave him an electric shock. The results were very positive, due to the fact that every time he thought of “panties”, we gave him an electric shock to his penis. This chart shows the amount of electricity that was shocked onto his penis and the results of it. Pie chart showing the percentages of sexual desire for a certain paraphilia This group was a controlled group of about 500 males with paraphilia. Results In our second experiment, we used the Masturbatory saition. We force him to masturbate to fantasies with concomitant feelings rather than into panties. We put him a room and exposed him to videos of pornography. In these scenes, there were only one man and women who are deeply in love with each other. In the end, it was not a success due to the fact that exposing him to this material will only encourage him of fantasizing about panties instead of the feeling of affection and tenderness. In this graph it shows the dramatic decrease of this therapy of masturbatory saition. Results In our last experiment, we treated him with orgasmic reorientation. In this we exposed him his paraphilia, in this case “panties”, and made this individual orgasm to another undesirable reason. In this case we surrounded him with panties and made him masturbate and orgasm to images of animal pornography. In this experiment, we succeeded a little due to the fact of the time factor. If we continue this practice for at least a few years, his paraphilia will be cured. This graph shows the gradual increase of this experiment. Conclusion After doing three experiments to this individual who is suffering from a paraphilia and fetish about masturbating into women’s panties. Out of all three of the experiments, only one had a dramatic affect. This therapy was the Aversion Therapy. I believe that this was a success due to the electric shocks that his penis was given by the electric belt that was connected to the 12V battery. In conclusion, after going through all of these experiments, this individual is now scared of all forms of masturbation and sexual intercourse. In the end, he is now successful being a librarian at a local library.