A potentially dangerous, sometimes fatal, masochistic activity is autoerotic partial asphyxiation. The children involved are generally 13 years of age or younger. These individuals need intensive psychiatric treatment and may be jailed for these activities. In some cases, hormones are prescribed for individuals who experience frequent occurrences of abnormal or dangerous sexual behavior. 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. Others suggest that objects or situations can become sexually arousing if they are frequently and repeatedly associated with a pleasurable sexual activity.
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. In some cases, sexual sadists are able to find willing partners to participate in the sadistic activities. Others victimize other children. The intensity and occurrence of the fantasies associated with paraphilia vary with the individual, but they usually decrease as the person ages. Some experts believe it is caused by a childhood trauma, such as sexual abuse. Most cases of paraphilia are treated with counseling and therapy to help the person modify his or her behavior. Continued Some pedophiles, known as exclusive pedophiles, are sexually attracted only to children and are not attracted to adults. How Successful Is Treatment for Paraphilia? 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. Other names for this behavior are "peeping" or "peeping Tom. Paraphilias are abnormal sexual behaviors or impulses characterized by intense sexual fantasies and urges that keep coming back. The participants are aware that the behavior is a "game" and actual pain and injury is avoided. This behavior may conclude with masturbation by the voyeur. When the fetish becomes the sole object of sexual desire, sexual relationships often are avoided. Sadomasochistic fantasies and activities are not uncommon among consenting adults. The person becomes sexually aroused by wearing or touching the object. In most cases of frotteurism, a male rubs his genital area against a female, often in a crowded public location. To be most effective, treatment for paraphilia must be provided on a long-term basis. Unwillingness to comply with treatment can hinder its success. The condition is usually limited to the exposure with no other harmful advances being made. The fetish may replace sexual activity with a partner or may be integrated into sexual activity with a willing partner. Others suggest that objects or situations can become sexually arousing if they are frequently and repeatedly associated with a pleasurable sexual activity. Cross-dressing as a transvestite is not a problem unless it is necessary for the individual to become sexually aroused or experience sexual climax. Many of these medications work by reducing the individual's sex drive.
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