AIIMS Nov 2006 - Pre Clinical MCQ Answer 79

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Autoerotic Asphyxiation: Forensic, Medical, and Social AspectsAnswer: Masochism

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Sexual asphyxia is a paraphilia which is a sub-category of sexual masochism. Also known by terms such as asphyxiophilia, autoerotic asphyxia or Hypoxyphilia, this potentially lethal sexual practice refers to sexual arousal that is produced while reducing the oxygen supply to the brain.

1. The essential feature of sexual masochism is the feeling of sexual arousal or excitement resulting from receiving pain, suffering, or humiliation. The pain, suffering, or humiliation is real and not imagined and can be physical or psychological in nature. A person with a diagnosis of sexual masochism is sometimes called a masochist.

2.Voyeurism is a psychosexual disorder in which a person derives sexual pleasure and gratification from looking at the naked bodies and genital organs or observing the sexual acts of others. The voyeur is usually hidden from view of others. Voyeurism is a form of paraphilia.

3.The essential feature of sexual sadism is a feeling of sexual excitement resulting from administering pain, suffering, or humiliation to another person. The pain, suffering, or humiliation inflicted on the other is real; it is not imagined and may be either physical or psychological in nature. A person with a diagnosis of sexual sadism is sometimes called a sadist. The name of the disorder is derived from the proper name of the Marquis Donatien de Sade (1740-1814), a French aristocrat who became notorious for writing novels around the theme of inflicting pain as a source of sexual pleasure.

4. Fetishism is a form of paraphilia, a disorder that is characterized by recurrent intense sexual urges and sexually arousing fantasies generally involving non-human objects, the suffering or humiliation of oneself or one's partner (not merely simulated), or children or other non-consenting persons. The essential feature of fetishism is recurrent intense sexual urges and sexually arousing fantasies involving specific objects. While any object may become a fetish, the distinguishing feature is its connection with sex or sexual gratification. A diagnosis of fetishism is made only if an individual has acted on these urges, is markedly distressed by them, or if the fetish object is required for gratification.


Category: AIIMS Nov 2006 MCQs

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