Often, a paraphilia may be necessary for the person who has it to function sexually, despite the fact it may also be a source of significant distress. To be most effective, treatment for paraphilia must be provided on a long-term basis. The behavior includes undressing the child, encouraging the child to watch the abuser masturbate, touching or fondling the child's genitals, and forcefully performing sexual acts on the child. For example, the object of a fetish could be an article of clothing, such as underwear, rubber clothing, women's shoes, women's underwear, or lingerie. The participants are aware that the behavior is a "game" and actual pain and injury is avoided.
Continued Transvestitism Transvestitism, or transvestic fetishism, refers to the practice by heterosexual males of dressing in female clothes to produce or enhance sexual arousal. The person becomes sexually aroused by wearing or touching the object. They may be limited to fantasy during masturbation or intercourse with a partner. Pedophilia People with pedophilia have fantasies, urges, or behaviors that involve illegal sexual activity with a child or children. Others victimize other children. The fetish may replace sexual activity with a partner or may be integrated into sexual activity with a willing partner. How Successful Is Treatment for Paraphilia? The behavior includes undressing the child, encouraging the child to watch the abuser masturbate, touching or fondling the child's genitals, and forcefully performing sexual acts on the child. Other names for this behavior are "peeping" or "peeping Tom. It is imperative that people with paraphilias of an illegal nature receive professional help before they harm others or create legal problems for themselves. Masochists may act out their fantasies on themselves by such acts as cutting or piercing their skin or burning themselves. 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. This disorder is different from minor acts of aggression in normal sexual activity -- for example, rough sex. Most paraphilias are rare and are about 20 times more common among males than among females. Some paraphilias -- such as pedophilia, exhibitionism, voyeurism, sadism, and frotteurism -- are criminal offenses. In some cases, sexual sadists are able to find willing partners to participate in the sadistic activities. Pedophile activity constitutes rape and is a felony offense punishable by imprisonment. The participants are aware that the behavior is a "game" and actual pain and injury is avoided. Some men wear only one special piece of female clothing, such as underwear, while others fully dress as female, including hair style and make-up. Paraphilias can lead to personal, social, and career problems, and a person with a paraphilia may be called "kinky" or "perverted. Activities with a partner include bondage, spanking, and simulated rape. In most of these cases, however, the humiliation and abuse are acted out in fantasy. Rather, rape involves a combination of sex and gaining power over the victim. Many paraphilias begin during adolescence and continue into adulthood. The intensity and occurrence of the fantasies associated with paraphilia vary with the individual, but they usually decrease as the person ages.
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