对尿布有情爱偏好的女士

IF 9 Q1 PSYCHIATRY Mental Illness Pub Date : 2016-11-23 DOI:10.4081/mi.2016.6687
Z. Cernovsky, Y. Bureau
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引用次数: 2

摘要

一位20多岁的患者因抑郁症和自杀未遂被转介到我们这里进行心理评估。她提到除非换尿布,否则她是无性高潮的,并强调了她对尿布的性偏好。她的童年是在一个贫穷的家庭中度过的,她的父亲脾气暴躁,身体残疾,靠社会救济生活。考虑到童年时期母亲的剥夺,她对尿布的情爱依恋与哈洛在被剥夺母亲的小猴子身上观察到的对尿布的情感依恋相似。病因假说还应包括行为治疗理论中的回避学习范式。我们的病人不希望改变她的性偏好:在这种情况下,恋物癖不被dsm认为是一种疾病。然而,她需要接受病理性抑郁、自杀意念和低自尊的治疗。
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Lady with Erotic Preference for Diapers
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.
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来源期刊
Mental Illness
Mental Illness PSYCHIATRY-
CiteScore
1.10
自引率
0.00%
发文量
3
审稿时长
10 weeks
期刊介绍:
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