Fetishism, Transvestic Fetishism, Pedophilia, Exhibitionism, Sexual Sadism, and Masochism - Case Study Example

Fetishism Therapist: Why don’t you tell me why you’ve come here today? Client: Well, it seems that I have an obsession with women’s thigh-high stockings. Therapist: Explain what you mean by ‘obsession’. Client: I cannot get sexually aroused unless my wife wears thigh-high stockings. I do not know why I cannot get aroused when she doesn’t wear them, but it has become a bit of a problem in my relationship with my wife. I don’t want to lose my wife, but I don’t know how to fix this problem. Therapist: How long have thigh-highs been required for you to achieve sexual arousal? Client: I have not been able to become sexually aroused without thigh-high stockings for at least nine months now. However, even before that I would always ask my wife to wear them during intercourse. Even before I met my wife I would have fantasies about thigh-high stockings. I even had a few pairs that I would hold or rub while I masturbated. Therapist: So, even before thigh-highs were required for you to achieve sexual arousal you still preferred them? Client: Yes, very much so. Therapist: Can you remember the first time that thigh-highs got you sexually aroused? Client: About ten years ago when I was eighteen years old, my girlfriend at the time wore black thigh-high stockings during intercourse on one particular occasion. She never wore them again, and I never asked her to, but I often fantasized about that occasion. Therapist: So you believe that this ‘obsession’ with thigh-high stockings started ten years ago? Client: Yes, I think so. My preference for them has definitely increased over time, but I think it started at that time. I have requested that nearly every sexual partner, since that girlfriend, wear thigh-highs. And, as I mentioned before, it has grown from a desire to a need. Transvestic Fetishism Therapist: Why don’t you tell me why you’ve come here today? Client: For awhile now, I have been dressing in women’s clothing. Therapist: Do you feel that you are more of a woman than a man? Client: Not at all. I am married to a wonderful woman, and am proud of my masculinity. It just makes me feel good to dress like a woman. Therapist: You say that it makes you feel good to dress like a woman. Explain in more detail how you feel when you dress in women’s clothing. Client: Most of the time, dressing in women’s clothing is sexually arousing to me. At the same time, wearing women’s clothes can also make me feel calm. If I know that I have a stressful day ahead of me, cross-dressing can often calm my nerves. For example, if I have a presentation to give at work, I often wear women’s panties under my suit and tie. Therapist: How long have you been dressing in women’s clothing? Client: In high school, over twenty years ago, I used to wear my girlfriends undergarments every once in awhile. Usually only around the house, but a few times I wore them when we went out to the movies or something. Therapist: And how did that make you feel? Client: It was exciting. And very arousing. It made me feel sexy. Therapist: And have you been dressing in women’s clothing ever since? Client: For the most part. Until I met my wife, I only ever dressed in full women’s outfits on my own. It took awhile for me to feel comfortable enough to do so, but I now also wear women’s clothing in front of her. But never in public. I will only ever wear women’s undergarments in public, since they are completely hidden and no one’s the wiser. Therapist: So you don’t want other people to know that you dress in women’s clothing? Client: No! I think that would be the ultimate humiliation. Occasionally, when I am wearing women’s panties in public I will get very paranoid that those around me somehow know that I wearing them. This has caused a bit of a problem, because as I said before, I sometimes wear women’s clothing to feel calm, while at the same time wearing women’s clothing can cause anxiety. I don’t know what I would do if my secret ever got out at the office. Pedophilia Therapist: Why don’t you tell me why you’ve come here today? Client: I have been greatly disturbed by my attraction to young girls. I know that it is wrong but I can’t help it. Therapist: How young are these girls you are attracted to? Client: About ten years old. Therapist: Have you acted on this attraction? Client: No, I haven’t, but I’m afraid that I might. The desire is so strong at times. I don’t know what to do. Therapist: Are you attracted to a particular girl or just young girls in general? Client: No, I am not attracted to a particular girl. Young girls in general are attractive to me. Therapist: Are you attracted to any young family members? Client: No, not at all! That’s incest! I could never think about my nieces in such a way! Therapist: Are you attracted to women over eighteen as well? Client: No, I’m not. Not anymore. It seems that my fantasies are filled with young girls. Therapist: Do you remember when you first noticed that you were attracted to young girls? Client: About a year ago I came across a pornography website which displayed young girls who were no older than ten. I remember thinking that it was wrong to be watching such a thing, and yet I couldn’t stop. I was becoming very sexually aroused. Since then I have frequented that and other similar websites in an attempt to control the urge that I have for young girls. Therapist: How do you feel after you view those websites? Client: I feel so disgusting afterward. I know that what I’m doing is wrong, I just don’t know how to change it. I hope you can help me. Exhibitionism Therapist: Why don’t you tell me why you’ve come here today? Client: I have gotten into the habit of exposing my penis to strangers and while I know that it’s wrong and that I can get arrested, I just can’t seem to stop. I enjoy it so much. Therapist: How does it make you feel when you expose yourself to strangers? Client: It’s exhilarating. I like to think that my exposing myself is sexually arousing to those who I expose myself to. That thought gets me sexually excited. I also get a thrill out of shocking people. Therapist: So shocking people is sexually arousing to you? Client: Yes, it is. Therapist: Where do you typically expose yourself to people? Client: I most often expose myself when I’m walking by someone on the street. I try to make eye contact with the person beforehand, to make sure that they are looking at me. Therapist: What do you typically do after you expose yourself? Client: I always just keep walking after I expose myself to someone on the street. I don’t want to get arrested, so I try to get away from the person I exposed myself to as quickly as possible. Therapist: Do you remember the first time you exposed yourself? Client: Yes, I do. When I was about sixteen years old, I lived in an apartment building which was right next door to another apartment building. From my bedroom window I could see right into an apartment in the building next door. One night, I noticed that the women in the apartment was looking into my window. I had just gotten out of the shower, and without really thinking, I exposed myself to her. The mixture of the shock on her face and thrill of doing something wrong was extremely arousing. Therapist: So how did you go from exposing yourself to that woman to exposing yourself to random strangers on the street? Client: For awhile after that first time I did not expose myself to anyone else. I just used to replay that one time over and over in my head, and it continued to be very arousing to me. However, thinking about exposing myself was not nearly as arousing as the actual act of exposing myself. So I eventually started exposing myself to strangers on the street. First it would only be once or twice a month, but for the past two years I expose myself at least a few times a week. Voyeurism Therapist: Why don’t you tell me why you’ve come here today? Client: I have become preoccupied with watching the woman who lives next door to me. Therapist: What do you watch her do? Client: I watch her get dressed in the morning and undressed at night. And, on occasion, I watch her have intercourse with her husband. Therapist: Does she know that you are watching her? Client: No, she has no idea. My bedroom window looks into her bedroom window. When I’m watching her I keep the lights off and I sit on the far side of my room. There’s no way she can see me. Therapist: And how do you feel when you’re watching her? Client: Very sexually aroused. It’s exciting to watch someone who doesn’t know that you’re watching them. I often masturbate while watching her. Therapist: Do you currently have any sexual partners? Client: No, I haven’t had a sexual partner for over six months. Sometimes, though, I like to pretend that I have a sexual relationship with the woman that I’m watching, especially when I’m watching her have intercourse with her husband. I like to pretend that I’m him. Therapist: How long have you been watching this woman? Client: Since she moved in next door about a year ago. I noticed when she first moved in that she changes with the light on in her room making it easy to see her from my bedroom. She’s an attractive woman, and as I mentioned before, it’s exciting to watch someone who doesn’t know you’re watching them. I couldn’t take my eyes off of her. For the first few months, if I happened to catch her changing, great, but if not then that was fine too. However, about six months ago I began changing my routine to ensure that I would see her change every morning and night. That means that I have to get up an hour earlier. And, since she typically goes to sleep anywhere between nine o’clock and eleven o’clock, I can sometimes spend up to two hours just waiting to catch a glimpse of this woman. I feel like some kind of stalker or something. Therapist: Do you feel like watching this woman is consuming a large amount of your time? Client: Definitely. But I can’t seem to stop. I hope that you can help me. Frotteurism Therapist: Why don’t you tell me why you’ve come here today? Client: I have gotten into the habit of rubbing against strange women in crowded places. Therapist: Please explain what you mean by rubbing against strangers. Client: I rub my penis against women. Usually against their buttocks. Therapist: Where do you typically do this? Client: I always do it in crowded places so that I can easily escape identification. My favorite place to do this is on the crowded subway around six o’clock when everyone is coming home from work. Therapist: Do you ever touch these strangers with your hands? Client: Occasionally I will touch a woman’s buttocks with my hands, however usually I just rub against them. Therapist: How long have you engaged in this behavior? Client: I think it started in high school, although in the past two years it has become something that I do nearly every day. Therapist: Has the behavior changed since high school? Client: A bit, I guess. In high school I used to rub against this girl that I had a bit of a crush on. I didn’t start rubbing against strangers until more recently. Therapist: How does it make you feel when you engage in this behavior? Client: It’s sexually arousing, while at the same time it’s very anxiety provoking. Therapist: Why anxiety provoking? Client: I am afraid of being identified and arrested. But, despite this fear, I can’t help but continue to do it. I know that I need to stop sometime soon or I’ll eventually get caught. I hope you can help me. Sexual Masochism Therapist: Why don’t you tell me why you’ve come here today? Client: I am afraid that I am going to cause serious injury to myself. Therapist: Please explain why you think this way. Client: I have gotten in the habit of having my sexual partners beat me during intercourse. It has gotten to the point where I cannot become sexually aroused or reach orgasm unless I am being beaten. Therapist: So you cannot become sexually aroused unless you are being beaten? Client: No, I cannot. Therapist: When did you first engage in this behavior? Client: I used to ask my first girlfriend, and the first person I had intercourse with, to slap me in the face during intercourse. I found it arousing and exciting. Slowly overtime I realized that I was asking to be slapped more often and harder than before. Then, slowly slaps were replaced with close-fisted punches. On a few occasion when a partner couldn’t hit me hard enough I asked them to hit me with any hard object that happened to be nearby. Therapist: How long has this behavior been required for you to achieve arousal and reach orgasm? Client: For over six months now I have needed to be beaten in order to reach orgasm, and for about nine months now I have needed to be beaten in order to achieve arousal. Therapist: Have you been seriously injured while engaging in this behavior? Client: I frequently receive minor injuries such as black eyes and bloody lips, however I’ve noticed that I require these beatings to increase in intensity after a period of time, or else I can’t reach orgasm or achieve arousal. What worked last month is now not severe enough. I feel that sooner or later I am going to get seriously injured or worse. It’s only a matter of time. I hope that you can help me. Sexual Sadism Therapist: Why don’t you tell me why you’ve come here today? Client: I have been bothered by uncontrollable urges to strangle my partners during sexual intercourse. Therapist: Have you ever strangled a partner during intercourse? Client: In the past I have been with partners who have allowed me to strangle them. I have even been with some women who liked being strangled during intercourse. My current girlfriend has told me that she’s uncomfortable with the idea of being strangled and will not let me do it. I always take care not to take it too far. I don’t want to kill anyone. However, I am aware that a mistake could easily be made in such a situation and I could end up doing something I regret. Therapist: How does it make you feel when you engage in this behavior? Client: Strangling my partners is extremely arousing. Even thinking about times that I had strangled a partner can make me sexually aroused. Therapist: Do you remember when you first felt this urge to strangle your sexual partners? Client: It actually started about six years ago when I had a sexual partner who enjoyed being strangled. I had never heard of such a thing before and definitely had never considered it. But when I did it I found that it was incredibly arousing. I started to seek out other women who enjoyed being strangled, but they are not so easy to come by. Therapist: How does it make you feel when you can’t engage in the behavior, such as with your current girlfriend? Client: It’s frustrating. I understand why she doesn’t want me to do it, but I’m often so preoccupied in controlling the urge to strangle her that I don’t completely enjoy myself during intercourse. Therapist: So you feel that you and your girlfriend cannot have a healthy sexual relationship because of these urges that you have? Client: Exactly. I love my girlfriend, and I don’t want to lose her, but I know I need to do something about these urges that I have or I don’t think our relationship will survive. Read More