Atypical sexual behavior is intriguing to many people, yet the empirical research on paraphilia and fetishism is relatively lacking. Nonetheless, clinicians are often called on to intervene in such cases, particularly when the paraphilia involves nonconsenting partners. This review article is structured around a brief historical overview of the diagnostic classification of atypical sexual behavior in the United States, descriptions of the types of atypical sexual behavior that receive clinical attention, an overview of the models that have been proposed to explain the development of atypical sexual behavior, and finally a summary of the most common treatments for these problems.
American Psychiatric Association. (1952). Diagnostic and statistical manual of mental disorders. Washington, DC: Author.
2.
American Psychiatric Association. (1968). Diagnostic and statistical manual of mental disorders (2nd ed.). Washington, DC: Author.
3.
American Psychiatric Association. (1980). Diagnostic and statistical manual of mental disorders (3rd ed.). Washington, DC: Author.
4.
American Psychiatric Association. (1987). Diagnostic and statistical manual of mental disorders (3rd ed. rev.). Washington, DC: Author.
5.
American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC: Author.
6.
Cohen, L. J., & Galynker, I. I. (2002). Clinical features of pedophilia and implications for treatment. Journal of Psychiatric Practice, 8, 276-289.
7.
Cooper, A. (Ed.) (2002). Sex and the Internet: A guidebook for clinicians. New York: Brunner-Routledge.
8.
Faludi, S. (1995, October 30). The money shot. The New Yorker, pp. 64-87.
9.
Freund, K., & Blanchard, R. (1986). The concept of courtship disorder. Journal of Sex & Marital Therapy, 12, 79-92.
10.
Gijs, L., & Gooren, L. (1996). Hormonal and psychopharmacological interventions in the treatment of paraphilias: An update. Journal of Sex Research, 33, 273-290.
11.
Hall, G. C. N. (2000). Fetishism. In A. Kazdin (Ed.), Encyclopedia of psychology (Vol. 3, pp. 364-365). Washington, DC: American Psychological Association.
12.
Janssen, E., Vorst, H., Finn, P., & Bancroft, J. (2002). The Sexual Inhibition (SIS) and Sexual Excitation (SES) Scales: II. Predicting psychophysiological response patterns. Journal of Sex Research, 39, 127-132.
13.
Kaplan, L. (1991). Female perversions: The temptations of Emma Bovary. New York: Doubleday.
14.
Krueger, R. B., & Kaplan, M. S. (2002). Behavioral and psychopharmacological treatment of the paraphilic and hypersexual disorders. Journal of Psychiatric Practice, 8, 21-32.
15.
McCormack, J., Hudson, S. M., & Ward, T. (2002). Sexual offenders’ perceptions of their early interpersonal relationships: An attachment perspective. Journal of Sex Research, 39, 85-93.
16.
McDougall, J. (1992). Plea for a measure of abnormality. New York: Brunner/Mazel.
17.
Miletski, H. (2002). Understanding bestiality & zoophilia. Bethesda, MD: East-West.
18.
Money, J. (1980). Love and love sickness: The science of sex, gender difference, and pair bonding. Baltimore, MD: Johns Hopkins University Press.
19.
Money, J. (1984). Paraphilias: Phenomenology and classification. American Journal of Psychotherapy, 38, 164-179.
20.
Moser, C. (2001). Paraphilia: A critique of a confused concept. In P. J. Kleinplatz (Ed.), New directions in sex therapy: Innovations and alternatives (pp. 91-108). Philadelphia: Taylor & Francis.
21.
Munroe, R. L., & Gauvain, M. (2001). Why the paraphilias? Domesticating strange sex. Cross-Cultural Research, 35, 44-64.
22.
Okami, P. (2002). Causes and consequences of a career in sex research. In M. W. Wiederman & B. E. Whitley (Eds.), Handbook for conducting research on human sexuality (pp. 505-512). Mahwah, NJ: Lawrence Erlbaum Associates.
23.
Rosler, A., & Witztum, E. (2000). Pharmacotherapy of paraphilias in the next millennium. Behavioral Science and the Law, 18, 43-56.
24.
Stekel, W. (1924). Sexual aberrations: The phenomenon of fetishism in relation to sex (2 vols.). New York: Liveright.
25.
Steele, V. (1996). Fetish: Fashion, sex, & power. New York: Oxford University Press.
26.
Wincze, J. P. (2000). Assessment and treatment of atypical sexual behavior. In S. R. Leiblum & R. C. Rosen (Eds.), Principles and practice of sex therapy (3rd ed.). New York: Guilford.
