Category Archives: Sex addiction

The highs of cries: Another look at dacryphilia

In a previous blog I examined the sexual paraphilia dacryphilia. Dr. Anil Aggrawal in his book Forensic and Medico-legal Aspects of Sexual Crimes and Unususal Sexual Practices defines as “arousal from seeing tears in the eyes of a partner”. In my previous article I widened the definition of dacryphilia to include (i) sexual arousal from someone displaying strong emotion and/or (ii) sexual arousal from the emotional release that accompanies crying (i.e., an ‘emotional catharsis’). Dr. Aggrawal’s definition implies that sadism may form an inherent part of dacryphilia and implicitly indicates the potential presence of dacryphilic masochism in the recipient of sadistic dacryphilic activity. My widened definition suggested that dacryphilia could represent an extension of normative human behaviour towards crying (i.e., an extension of the desire to give attention to and comfort a crier).

Based on anecdotal data collected from online dacryphilia forums, my previous blog speculated that two distinct types may exist within the dacryphilic community: those with sadistic dacryphilic interests and those with voyeuristic dacryphilic interests. As such, dacryphilia creates a number of potential dichotomies: (i) sadomasochistic dacryphilic interests versus emotional dacryphilic interests; (ii) sadistic dacryphilic interests versus masochistic dacryphilic interests; and (iii) individuals who actively engage in dacryphilia versus individuals who passively engage in dacryphilia.

The potential contrast between sadomasochistic and emotional dacryphilic interests is of particular interest, as both of these interests occupy differing and almost opposing aspects of human sexual experience. Likewise, the potential existence of sadistic vs. masochistic, and active vs. passive interests within dacryphilia suggest that it is a non-normative sexual interest with enough variety for an interesting dataset and analysis. Furthermore, the possibility that dacryphilia represents an extension of normative human behaviour towards crying and tears raises the question of why some individuals might find sexual arousal in crying and tears. Thus, on the whole, there are a number of prospective research avenues that are implied within the limited literature on dacryphilia, but as I mentioned in my previous article there had been no empirical research into the area.

However, my research colleague Richard Greenhill and I recently published a qualitative paper on dacryphilia in the International Journal of Sexual Health. Our study comprised online interviews with eight dacryphiles (six females and two males; aged 20 to 50 years; five from the US with the others from the UK, Romania, and Belgium) and proposed a new typology of dacryphilia based on the interviews (and as far as we are aware is the first ever published study of the topic). Our participants were recruited via recruitment posts on one specific dacryphilia forum (i.e., CryingLovers), one general fetish forum (i.e., FetLife) and one BDSM forum (i.e., The data were analysed using thematic analysis.

The three main thematic areas of dacryphilia we identified were: (i) compassion; (ii) dominance/submission; and (iii) curled-lips. Half of the participants (n = 4, all female) expressed their dacryphilia primarily through compassion, meaning that they enjoyed or were aroused by the compassion of comforting a crier. Four sub-themes were identified as characteristic of compassionate interests within dacryphilia: (i) dacryphilia as comforting; (ii) negative feelings towards sadomasochistic dacryphilia; (iii) dacryphilia as a natural role and/or duty; and (iv) subversion of societal and/or gender norms. For many of these participants (n = 3), the idea of dacryphilia as a comforting action from themselves to the crier forms an important part of their dacryphilic identity.

Three of the other participants (two submissive females and one dominant male) expressed their dacryphilia primarily through dominance/submission, meaning that they were aroused by either causing tears in a consenting submissive individual or being made to cry by a consenting dominant individual. Although this type of dacryphilia is often characterized as sadomasochistic by those with compassionate interests, dominant/submissive was deemed a more appropriate description, as participants in this group identified more with dominance/submission than sadomasochism. Two sub-themes were identified as characteristic of dominant/submissive interests within dacryphilia: (i) emotional and physical pain; and (ii) tears and crying as a secondary component of dominance/submission. All of those with dominant/submissive interests (n = 3) enjoyed both emotional and physical pain. 

The remaining participant (male) did not express an interest consistent with either compassion or dominance/submission. Instead, he expressed his dacryphilia primarily through an interest in curled-lips, meaning that he was aroused specifically by the curling of the lip during crying. Two sub-themes were identified as characteristic of this individual’s interest in curled-lips: (i) attraction to lips during crying; and (ii) rarity of this dacryphilic interest.

Our study not only suggested three initial areas of interest within dacryphilia, but the data we collected implied that dacryphilia may comprise a continuum of interests that can differ from each other, but which are all connected by an overarching enjoyment or arousal from tears and crying. Our study aimed to discover the different interests within dacryphilia and explore the range of dacryphilic experience. This was successfully achieved through the implementation of a set of online interviews that focussed attention on three initial possible interests within dacryphilia and assisted in reaching a sensitive and predominantly American population. Without the use of online recruitment and data collection, it is unlikely that we would have been able to carry out our study.

However, our sample size was small and may not reflect the experiences of other individuals with dacryphilic preferences and may display gender and cultural bias. A larger sample size may have led to the construction of further interests, as the interests outlined in the present study only relate to the eight participants who were interviewed. However, the fact we identified three different types of dacryphile in a sample of only eight people suggests that there are definite sub-types of dacryphilia. In particular, there appears to be a distinct difference between those who experience sexual arousal from compassionate interests and those who experience sexual arousal from dominant/submissive interests. Based on the sample in the present study, there appears to be a gender bias towards women and a cultural bias towards Americans. However, this may be a result of the limited nature of the small sample size and, as such, any extrapolation should be treated with caution.

Dr Mark Griffiths, Professor of Gambling Studies, International Gaming Research Unit, Nottingham Trent University, Nottingham, UK

Additional input: Richard Greenhill

Further reading

Aggrawal, Anil (2009). Forensic and Medico-legal Aspects of Sexual Crimes and Unususal Sexual Practices. Boca Raton: CRC Press.

Greenhill, R. & Griffiths, M.D. (2014). The use of online asynchronous interviews in the study of paraphilias. SAGE Research Methods Cases. Located at:

Greenhill, R. & Griffiths, M.D. (2015). Compassion, dominance/submission, and curled lips: A thematic analysis of dacryphilic experience. International Journal of Sexual Health, in press.

Griffiths, M. D. (2012). The use of online methodologies in studying paraphilias – A review. Journal of Behavioral Addictions, 1, 143-150.

Holmes, S.T. & Holmes, R.M. (2002). Sex Crimes: Patterns and Behavior. Thousand Oaks: Sage.

Milner, J. S. Dopke, C. A. & Crouch, J.L. (2008). Paraphilia not otherwise specified: Psychopathology and Theory. In Laws, D.R. & O’Donohue, W.T. (Eds.), Sexual Deviance: Theory, Assessment and Treatment (pp. 384-418). New York: Guildford Press.

Monroe, W. (2012). Fetish of the week: Dacryphilia. February 23. Located at:

Scorolli, C., Ghirlanda, S., Enquist, M., Zattoni, S. & Jannini, E. A. (2007). Relative prevalence of different fetishes. International Journal of Impotence Research, 19, 432-437.

Wikipedia (2012). Dacryphilia. Located at:

Williams, D. J. (2006). Different (painful!) strokes for different folks: A general overview of sexual sadomasochism (SM) and its diversity. Sexual Addiction and Compulsivity, 13, 333-346.

Naming desire: A personal look at my new job title

Back in 2002, I was incredibly proud when I became one of the youngest full Professors in the UK when I was bestowed the title of Professor of Gambling Studies based on my research contribitions to the gambling studies field. Anyone that has followed my career over the last decade (or this blog over the last four years) will no doubt have realised that my research interests and expertise include a lot more than gambling.

Although I still publish a lot of papers on gambling (12 to 17 papers per calendar year; see Appendix 1 below) I have carried out more and more research into non-gambling addictions and over the last six years (2010-2015) my refereed journal outputs on gambling have only constituted one-third of all my refereed journal outputs (32%) (see Appendix 1 and Figure 1).

Screen Shot 2015-10-31 at 13.15.27

The overwhelming majority of my published refereed papers since January 2010 (n=246; 88%) concern behavioural addictions (i.e., gambling addiction, videogame addiction, internet addiction, work addiction, sex addiction, exercise addiction, shopping addiction, dancing addiction, etc.). If gambling addiction is removed from these papers, this still leaves 56% of all my papers during the 2010-2015 period concerning other behavioural addictions (n=158). The remainder of my refereed journal papers (34 papers; 12%) mainly concern the topic of mindfulness carried out with my colleagues Edo Shonin and William Van Gordon. Even my three books in the 2010-2105 timeframe have been on three totally separate topics (i.e., problem gambling, internet addiction and mindfulness). Of my 71 book chapters in this 2010-2015 period, 22 have been on gambling addiction, 41 have been on other behavioural addictions, and 8 have concerned other topics (see Figure 2). In the ‘Further reading’ section below is some of the papers that I have published this year and even a quick glance will highlight that gambling papers are in the minority.

It is also worth noting that I am one of the most highly cited academics in the UK (soemthig else that I am very proud of) and a quick look at my Google Scholar citations profile (currently over 24,500 citations as of October 31, 2015) that of my top ten most highly cited papers, only one is on gambling adiction and the other nine concern my papers on videogame addiction and internet addiction.

Basically, my job title didn’t reflect what I was actually doing on the research front. And this is the very argument I put to my employer (Nottingham Trent University) a number of weeks ago. As far as I am aware, I am the first professor at NTU to ever ask for my title to be changed but last week I was informed by my line manager that the university was convinced by the case I put forward and from now on I will be Professor of Behavioural Addiction.

This new title change has pleased me greatly and of course subsumes the vast majority of the research that I am doing (including my research into gambling addiction). I don’t think I will ever stop carrying out research in the gambling field but my new job title will stop me feeling guilty about working in non-gambling areas. It may also stop some of few abusive emails I get regarding my blogs (saying in very colourful language that I should stop writing about other behavioural addictions and sexual paraphilias and “write about what I get paid to do”). Firstly, I would point out to these individuals that I don’t get paid to write my personal blog and even if I did, I write all my blogs in my spare time.

If you’ve read this far, then thank you. I promise normal service will be resumed in my next blog when it will be about something other than myself.

Appendix 1: Summary statistics of my refereed journal papers (January 1, 2010 to October 20, 2015)

  • 2010: Gambling papers (n=17); Behavioural addiction papers (n=19); Other papers (n=1)
  • 2011: Gambling papers (n=15); Behavioural addiction papers (n=15); Other papers (n=2)
  • 2012: Gambling papers (n=10); Behavioural addiction papers (n=28); Other papers (n=3)
  • 2013: Gambling papers (n=12); Behavioural addiction papers (n=23); Other papers (n=4)
  • 2014: Gambling papers (n=13); Behavioural addiction papers (n=33); Other papers (n=13)
  • 2015: Gambling papers (n=13); Behavioural addiction papers (n=27); Other papers (n=7)
  • In press: Gambling papers (n=8); Behavioural addiction papers (n=13); Other papers (n=4)


Dr. Mark Griffiths, Professor of Behavioural Addiction, International Gaming Research Unit, Nottingham Trent University, Nottingham, UK

Further reading (some recent papers)

Andreassen, C.S., Griffiths, M.D., Pallesen, S., Bilder, R.M., Torsheim, T. Aboujaoude, E.N. (2015). The Bergen Shopping Addiction Scale: Reliability and validity of a brief screening test. Frontiers in Psychology, 6:1374. doi: 10.3389/fpsyg.2015.01374.

Atroszko, P.A., Andreassen, C.S., Griffiths, M.D. & Pallesen, S. (2015). Study addiction – A new area of psychological study: Conceptualization, assessment, and preliminary empirical findings. Journal of Behavioral Addictions, 4, 75–84.

Auer, M. & Griffiths, M.D. (2015). Testing normative and self-appraisal feedback in an online slot-machine pop-up message in a real-world setting. Frontiers in Psychology, 6, 339. doi: 10.3389/fpsyg.2015.00339.

Auer, M. & Griffiths, M.D. (2015). The use of personalized behavioral feedback for problematic online gamblers: An empirical study. Frontiers in Psychology, 6, 1406. doi: 10.3389/fpsyg.2015.01406.

Billieux, J., Maurage, P., Lopez-Fernandez, O., Kuss, D.J. & Griffiths, M.D. (2015). Can disordered mobile phone use be considered a behavioral addiction? An update on current evidence and a comprehensive model for future research. Current Addiction Reports, 2, 154-162.

Canale, N. Santinello, M. & Griffiths, M.D. (2015). Validation of the Reasons for Gambling Questionnaire (RGQ) in a British population survey. Addictive Behaviors, 45, 276-280.

Canale, N., Vieno, A., Griffiths, M.D., Rubaltelli, E., Santinello, M. (2015). Trait urgency and gambling problems in young people: the role of decision-making processes. Addictive Behaviors, 46, 39-44.

Canale, N., Vieno, A., Griffiths, M.D., Rubaltelli, E., Santinello, M. (2015). How do impulsivity traits influence problem gambling through gambling motives? The role of perceived gambling risk/benefits. Psychology of Addictive Behaviors, 29, 813–823.

Cleghorn, J. & Griffiths, M.D. (2015). Why do gamers buy ‘virtual assets’? An insight in to the psychology behind purchase behaviour. Digital Education Review, 27, 98-117.

Dhuffar, M. & Griffiths, M.D. (2015). A systematic review of online sex addiction and clinical treatments using CONSORT evaluation. Current Addiction Reports, 2, 163-174.

Dhuffar, M. & Pontes, H.M. & Griffiths, M.D. (2015). Dysphoric mood states and consequences of sexual behaviours as predictors of hypersexual behaviours in university students: An exploratory study. Journal of Behavioural Addictions, 4, 181–188.

Foster, A.C., Shorter, G.W. & Griffiths, M.D. (2015). Muscle Dysmorphia: Could it be classified as an Addiction to Body Image? Journal of Behavioral Addictions, 4, 1-5.

Greenhill, R. & Griffiths, M.D. (2015). Compassion, dominance/submission, and curled lips: A thematic analysis of dacryphilic experience. International Journal of Sexual Health, 27, 337-350.

Griffiths, M.D. (2015). Problematic technology use during adolescence: Why don’t teenagers seek treatment? Education and Health, 33, 6-9.

Griffiths, M.D., Urbán, R., Demetrovics, Z., Lichtenstein, M.B., de la Vega, R., Kun, B., Ruiz-Barquín, R., Youngman, J. & Szabo, A. (2015). A cross-cultural re-evaluation of the Exercise Addiction Inventory (EAI) in five countries. Sports Medicine Open, 1:5.

Hanss, D., Mentzoni, R.A., Griffiths, M.D., & Pallesen, S. (2015). The impact of gambling advertising: Problem gamblers report stronger impacts on involvement, knowledge, and awareness than recreational gamblers. Psychology of Addictive Behaviors, 29, 483-491.

Hussain, Z., Williams, G. & Griffiths, M.D. (2015). An exploratory study of the association between online gaming addiction and enjoyment motivations for playing massively multiplayer online role-playing games. Computers in Human Behavior, 50, 221–230.

Karanika-Murray, M., Pontes, H.M., Griffiths, M.D. & Biron, C. (2015). Sickness presenteeism determines job satisfaction via affective-motivational states. Social Science and Medicine, 139, 100-106.

Király, O., Griffiths, M.D. & Demetrovics Z. (2015). Internet gaming disorder and the DSM-5: Conceptualization, debates, and controversies, Current Addiction Reports, 2, 254–262.

Király, O., Urbán, R., Griffiths, M.D., Ágoston, C., Nagygyörgy, K., Kökönyei, G. & Demetrovics, Z. (2015). Psychiatric symptoms and problematic online gaming: The mediating effect of gaming motivation. Journal of Medical Internet Research, 17(4) :e88.

Maraz, A., Eisinger, A., Hende, Urbán, R., Paksi, B., Kun, B., Kökönyei, G., Griffiths, M.D. & Demetrovics, Z. (2015). Measuring compulsive buying behaviour: Psychometric validity of three different scales and prevalence in the general population and in shopping centres. Psychiatry Research, 225, 326–334.

Maraz, A., Király, O., Urbán, R., Griffiths, M.D., Demetrovics, Z. (2015). Why do you dance? Development of the Dance Motivation Inventory (DMI). PLoS ONE, 10(3): e0122866. doi:10.1371/ journal.pone.0122866

Maraz, A., Urbán, R., Griffiths, M.D. & Demetrovics Z. (2015). An empirical investigation of dance addiction. PloS ONE, 10(5): e0125988. doi:10.1371/journal.pone.0125988.

Ortiz de Gortari, A.B. & Griffiths, M.D. (2015). Game Transfer Phenomena and its associated factors: An exploratory empirical online survey study. Computers in Human Behavior, 51, 195-202.

Ortiz de Gortari, A.B., Pontes, H.M. & Griffiths, M.D. (2015). The Game Transfer Phenomena Scale: An instrument for investigating the non-volitional effects of video game playing. Cyberpsychology, Behavior and Social Networking, 18, 588-594.

Pontes, H. & Griffiths, M.D. (2015). Measuring DSM-5 Internet Gaming Disorder: Development and validation of a short psychometric scale. Computers in Human Behavior, 45, 137-143.

Pontes, H.M., Kuss, D.J. & Griffiths, M.D. (2015). The clinical psychology of Internet addiction: A review of its conceptualization, prevalence, neuronal processes, and implications for treatment. Neuroscience and Neuroeconomics, 4, 11-23.

Pontes, H.M., Szabo, A. & Griffiths, M.D. (2015). The impact of Internet-based specific activities on the perceptions of Internet Addiction, Quality of Life, and excessive usage: A cross-sectional study. Addictive Behaviors Reports, 1, 19-25.

Quinones, C. & Mark D. Griffiths (2015). Addiction to work: recommendations for assessment. Journal of Psychosocial Nursing and Mental Health Services, 10, 48-59.

Shonin, E., Van Gordon W., Compare, A., Zangeneh, M. & Griffiths M.D. (2015). Buddhist-derived loving-kindness and compassion meditation for the treatment of psychopathology: A systematic review. Mindfulness, 6, 1161–1180.

Szabo, A., Griffiths, M.D., de La Vega Marcos, R., Mervo, B. & Demetrovics, Z. (2015). Methodological and conceptual limitations in exercise addiction research. Yale Journal of Biology and Medicine, 86, 303-308.

Van Gordon W., Shonin, E., Griffiths M.D. & Singh, N. (2015). There is only one mindfulness: Why science and Buddhism need to work together. Mindfulness, 6, 49-56.

Step toe and fun: Another look at trampling fetishism

“I’m a guy and I LOVE being walked on by women wearing high heels. It doesn’t hurt. Is this normal to have women step on my guy parts with high heels?” (Question posted on a Yahoo! website).

In a previous blog I briefly looked at ‘trampling fetishism’. According to a relatively new Wikipedia entry on the behaviour:

“Trampling refers to the sexual activity that involves being trampled underfoot by another person or persons. Trampling is common enough to support a sub-genre of trampling pornography. Because trampling can be used to produce pain, the trampling fetish for some adherents is closely linked to sadomasochistic fetishism. A similar fetish is to imagine themselves as being tiny under another’s feet, or being normal size, but being trampled by a giant person. This is known as ‘giant/giantess fetishism’ or macrophilia. It is not the same as trampling. The most common form of trampling is done by a male or female walking on a male or female submissive and is usually done barefooted, in socks, nylons, or shoes. The trampler will predominantly walk, jump and stomp on the person’s back, chest, stomach, genitalia, face and in some rare instances, the neck”.

If you type ‘trampling fetish’ into Google, lots of YouTube video clips appear instantly. Video clips of trampling have been present on the internet since 1997 courtesy of an number of infamous American tramples such as ‘Daddo’ ‘Kingfish’ and ‘LAF’. If you’re not into the visual side, you can read various forms of trampling fan fiction such as the stories at the Trample and Crushing website.

Since writing my previous blog on this topic, I filmed an interview about a trampling fetishist as part of the television program Forbidden (on which I was the resident psychologist). The television program that I participated in followed the story of a man called Frank O’Brien. Frank recalls his fetish developing during early to mid- adolescence. As a 15-year old teenager, he would trick the girls he knew into stepping on him by inventing games that resulted in him being trampled upon. As the show’s production notes reported:

“[Frank would] invent games to race girls to the door of his cubby house and have them wrestle or sit on him in the process. In the backyard pool he’d encourage them to step on him underwater. Ever since he can remember Frank has wanted to get under a girl’s foot…You could say Frank gets a ‘kick’ out of it. And among friends Frank is known simply as ‘Step on Me.’ For Frank, there’s nothing finer than having a woman walk all over him”.

By his early thirties Frank’s trampling fetish began to take up more and more of his time. In his social life he started attending as many sadomasochistic shows that he could and he longed and desired dominant mistresses that would help cater for his trampling fetish. The back-story I received about Frank noted that:

“The mistresses he saw early in life largely turned Frank away from the idea of trampling. They were more prostitutes than professional mistresses with an idea of what he really wanted. Back in those days there was no training for mistresses in trampling and this really has only taken off in Australia since the early 2000s. Now there are mistresses who train specifically in trampling”.

According to Frank, Melbourne is the centre of Australia’s BDSM culture and he introduced the Forbidden film crew to the niche trampling community that exists there. Frank’s favourite club is ‘Provocation’ that hosts a monthly fetish social event.

“But his idea of getting down on the dance floor is a little different to most. When Frank gets down, he literally gets down. He has a special mat that he lies on to make the experience slightly more bearable but comfort is not exactly what Frank is looking for. He’ll bring with him a platform that he’ll set up beside his mat; written across it are the words ‘step up here – girls only’. And that’s exactly what Frank wants. He’ll lie there for hours in the club, enjoying the feeling of women trampling him. Some wear stilettos, some are in platform shoes and others go barefooted – he doesn’t discriminate about what kind of footwear is permitted, but generally sharper and more pointy shoes offer greater satisfaction for [him]”.

Frank describes himself naturally submissive and he now has weekly trampling sessions with ‘Mistress Spanklet’ who is Frank’s long-term friend and a Dom-sub ‘play partner’. Frank describes these weekly sessions as his “drug fix” and something he “couldn’t live without”. Despite having some of his bowel removed (and it being dangerous for him for someone to trample on his stomach), he cannot stop it. He now tries to avoid ‘tummy trampling’ but notes that:

“Trampling can be on any part of the body, including the more sensitive regions of the face, throat and genitalia. [He] enjoys cock and ball trampling on a weekly basis with Spanklet. His face, arms and legs are also prime trampling ground in private and in public”.

In fact, Frank claims that he was responsible for the first ever penis trampling photograph on the internet. In 1999, Frank claimed he took the full weight of a woman in sharp red stilettos twisting as hard as she could on his penis. Frank claims the photograph (taken by the woman’s sexual partner) kick-started “the worldwide cock trampling trend”.

There appears to be little academic research on the topic but anecdotal evidence suggests there is (unsurprisingly) an overlap between trampling fetishes and foot fetishes (podophilia) – on which there is quote a lot of academic research given it appears to be the most prevalent type of fetishism. Obviously Frank’s case is extreme and is heavily interwoven into his life. While there appear to be addictive elements to his behaviour, I don’t believe that Frank’s trampling fetish is an addiction. Bizarre and extreme – yes. Addictive – no. But I’m happy to be proved wrong.

Dr Mark Griffiths, Professor of Gambling Studies, International Gaming Research Unit, Nottingham Trent University, Nottingham, UK

Further reading

Semple, K. (2009). Bartender, make it a stiletto. New York Times, June 10. Located at:

Sexy Tofu (2012). National Fetish Day: Interview with a trampler. January 20. Located at:

Wikipedia (2012). Talk: Crush fetish. Located at:

Wikipedia (2012). Trampling. Located at:

Making an online killing: A brief look at “suicide fetishes” and “addiction” to suicide websites

Back in March 2011, a then 46-year old American ex-nurse William Melchart-Dinkel from Minnesota was convicted of persuading two people he met online to commit suicide. Melchart-Dinkel was accused of having a “suicide fetish” because he got his kicks from frequenting online suicide chat rooms. Posing as a female nurse, he would chat online and feign compassion to depressed individuals and encourage them to commit suicide.

More specifically, a US court found him guilty of aiding the suicides of 18-year old Canadian student Nadia Kajouli (who jumped into a river and drowned), and 32-year old British IT technician Mark Drybrough (who hanged himself). During the trial, Nadia’s mother shared extracts of the online chats that took place between her daughter and Melchart-Dinkel (who was using various aliases including ‘Cami’, ‘Falcon Girl’ and ‘Li Dao’). A Minnesotan Internet crimes task force forensically examined Melchert-Dinkel’s computer and located online chats that he had with the Canadian teenager. The online conversation demonstrated that Melchart-Dinkel had urged Nadia to hang herself (rather than kill herself by drowning) and provided detailed instructions on how to kill themselves:

“If you wanted to do hanging we could have done it together online so it would not have been so scary for you…Most important is the placement of the noose on the neck…knot behind the left ear and rope across the carotid is very important for instant unconsciousness and death…I’m just trying to help you do what is best for you not me”.

Melchart-Dinkel even urged Nadia to kill herself while they were chatting online. A few hours after chatting with Melchart-Dinkel, Nadia emailed her roommate and told her she was going to “brave the weather and go ice skating” (in an effort to make it look like an accident). Nadia jumped into a frozen river (but her body was not found until 11 days after she had jumped in). In Mark’s case, Melchert-Dinkel replied to a question posted online by Mark about how he could hang himself if he didn’t have a high ceiling. Following a long email conversation, Melchert-Dinkel instructed him on what to do and convinced Mark that ‘she’ was suicidal too. Melchert-Dinkel wrote:

“I keep holding on to the hope that things might change. Caught between being suicidal and considering it. Same old story!…I don’t want to waste anyone’s time. If you want someone who’s suicidal, I’m just not there yet…Sorry. I admire your courage. I wish I had it”. 

Mark killed himself a few days later. Mark’s mother Elaine called Melchert-Dinkel her son’s “executioner”. She also told the Daily Mail in the UK:

“Mark had had a nervous breakdown and he was depressed and incredibly susceptible. [Melchert-Dinkel ]was there whispering in his ear every time he logged on. In the last email, [he] claimed to be a nurse, saying he had medical training, and proposed a suicide pact”

With the help of Celia Blay (a youth worker from Wiltshire in the UK), Mark’s mother managed to track Melchert-Dinkel. It was during their own investigation they discovered dozens of people had received similar emails to Mark’s:

“We found out everything about him on Google, including where he lived in Minnesota. He befriended them using a female identity, was very loving and sympathetic, but never suggested an alternative to death, even when they were only teenagers. He’d tell them that he intended to kill himself too, and said they should set up a web camera and he would do the same thing so they could watch each other die over the internet”.

During his testimony, Melchert-Dinkel admitted that he had asked between 15 and 20 people to commit suicide on camera while he watched (although when he was first caught, he said the online chatting must have been his teenage daughters). One report on Melchert-Dinkel’s case noted:

“While he never actually witnessed a suicide, he did believe that at least five of the people he had talked to were successful in taking their own lives. He also entered into around 10 ‘suicide pacts’ where he promised to kill himself simultaneously with the person he had been chatting with…Melchert-Dinkel was admitted to a hospital where he told doctors he had a ‘suicide fetish’ and an addiction to suicide websites”.

Before the trial, the Associated Press had interviewed Professor Jonathan Turley (George Washington University Law School), an expert on doctor-assisted suicide. It was reported that:

“[Professor Turley has] never heard of anyone being prosecuted for encouraging a suicide over the Internet. Typically, people are prosecuted only if they physically help someone end it all – for example, by giving the victim a gun, a noose or drugs. Last month, a Florida man was charged in his wife’s suicide after allegedly tossing several loaded guns onto their bed. Turley said if prosecutors file charges against Melchert-Dinkel, convicting him will be difficult – especially if the defense claims freedom of speech. The law professor said efforts to make it illegal to shout ‘Jump!’ to someone on a bridge have not survived constitutional challenges. ‘What’s the difference between calling for someone to jump off a bridge and e-mailing the same exhortation?’ he said”.

This line of defence was used by Melchert-Dinkel’s legal team. His behaviour was described as “abhorrent” by his own lawyer (Terry Watkins) but argued in court that his client’s actions were protected by the freedom of speech. Watkins said in court that:

“Freedom means you have to allow things to happen that some would find disgusting and completely unacceptable from a community or moral standpoint”.

However, the presiding judge (Thomas Neuville) said that the accused had “imminently incited the victims to commit suicide” and described Melchart-Dinkel’s online written comments as “unprotected speech”. He was sentenced to almost a year in prison (360 days) but was delayed until a ruling from the Supreme Court (SC). Earlier this year, the SC in Minnesota overturned Melchert-Dinkel’s conviction, and ruled that Minnesota’s law prohibiting the “encouraging” of suicide was unconstitutional and (as Professor Turley claimed) violated a person’s freedom of speech. However, the case (as far as I am aware) is still continuing because the original state prosecutors are trying to argue that Melchert-Dinkel “assisted” (rather than “encouraged”) people’s suicides.

My own take on this case is that Melchart-Dinkel committed a criminal act and that his claim to medics that he was addictedto encouraging people to commit suicide was made as a way of absolving responsibility for what he did. There was nothing about his online behaviour to suggest it was in any way addicted (at least not by my own criteria). Also, his own use of the word fetish is inappropriate in this instance. Although he did appear to get some kind of kick from his activity, there was nothing sexual in it. Again, his use of the word ‘fetish’ to describe his behaviour also appears to be another linguistic device to distance himself from taking the blame for his actions.

Dr. Mark Griffiths, Professor of Gambling Studies, International Gaming Research Unit, Nottingham Trent University, Nottingham, UK

Further reading

Associated Press (2011). Nurse William Melchart-Dinkel had ‘suicide fetish’, went online to provoke two people’s deaths: cops. New York Daily News, October 17. Located at:

Caulfield, P. (2011). ‘Suicide fetish’ nurse found guilty of provoking people he found online to kill themselves. Daily News, March 16. Located at:

Firth, N. (2010). Revealed: The suicide voyeur nurse who ‘encouraged people to kill themselves online’. Daily Mail, March 20. Located at:

Guariglia, M. (2014). William Melchert-Dinkel: 5 Fast facts you need to know. Heavy News, March 19. Located at:

Murray, Rheana. (2008). A search for death: How the internet is used as a suicide cookbook. Chrestomathy, 7, 142-156.

Yount, K. (2014). Minnesota Supreme Court turns its back on mentally ill. (i)Pinion, March 27. Located at:

Hoovers and shakers: Another look at vacuum cleaner sex

In a previous blog I briefly looked at the medical literature relating to penile injuries arising from autoerotic interactions from vacuum cleaners. While researching that blog I also came across other literature that had examined vacuum cleaners being used for sexual purposes that I thought I would make another interesting blog. A number of references in the psychological literature make reference to particular types of people using vacuum cleaners as a source of sexual stimulation for masturbatory purposes. For instance, in a 2005 chapter by Lynne Moxon about sexuality and Asperger Syndrome (i.e., an autism spectrum disorder typically characterized by major difficulties in social interaction and non-verbal communication) noted that among Asperger’s sufferers:

“Lack of awareness of the use of the imagination for sexual fantasy can lead to the use of more physical forms of stimulation, such as the vibration of washing machines or public transport, or the use of vacuum cleaner pipes, holes in chair backs, socks, bottles and more unusual items, such as TV remote controls and golf clubs. Females unaware of the use of sex toys have used deodorant cans, scissors, keys and candles”.

In a 2013 study by Dr. Remigiusz Kijak published in the journal Sexuality and Disability, 133 people (mainly older age teenagers with ages ranging from 17 to 25 years) with mild intellectual disability were surveyed about their sexuality and sexual practices. Dr. Kijak reported that:

“During the studies it has also been determined that 7 % of the studied teenagers stimulate themselves in an untypical manner. The teenagers studied admitted to masturbating with tools, certain objects or to masturbating in a way other than a natural one. The study subjects masturbate using grease, food, furniture and even vacuum cleaners. Such masturbation can be determined as dangerous, mainly due to the fact that it fixes a certain, repeatable chain of strange rituals, often impossible to use in a partner relationship, and may result in a pleasure decrease”. 

As noted in my previous blog on the use of vacuum cleaners as a masturbatory aid, most writings on the topic concern penile injuries that have come to the attention of medics when things go wrong. However, there are a couple of case studies in the forensic literature that have featured vacuum cleaners in autoerotic deaths. In 1988, Dr. R.H. Imami and Dr. M. Kemal published a paper in the American Journal of Forensic Medicine and Pathology about a 57-year old white American male with a history of heart disease and chronic pancreatitis. The man was found naked slumped over his vacuum cleaner after a neighbour wondered why the vacuum cleaner had been on continuously for a long time. The man was found leaning against the dining table with his testicles, buttocks and thighs tightly bound with women’s tights. Near the table was a jar of urine, jars of lubricant and a wooden table leg covered in faecal excrement. The man was covered in burns from the vacuum cleaner. No defect was found in the vacuum cleaner. The autopsy revealed that the man had a heart attack while engaged in the autoerotic activity. The wooden table leg had been used in an attempt to stimulate orgasm via anal penetration. His wife had caught him masturbating with the vacuum cleaner before (and they hadn’t had sex for five years). The death was classes as natural rather than accidental.

In 1994, Dr. Clive Cooke, Dr. Gerard Cadden and Dr. Karin Margolius published a paper concerning four “unusual fatalities where death occurred during autoerotic practice”. Three of the four accidental deaths (electrocution, hanging, and courgette inhalation) involved young to middle-aged men. However, it is the fourth case that is of interest here. This involved an elderly man that (like the previous case) had heart disease. The authors reported that:

“The naked body of this 77[-year] old widower was found in the bathroom of his home…Adjacent to the body, and switched on and working, were a vacuum cleaner and a hair dryer. A pair of men’s underpants was impacted in the hose of the vacuum cleaner. Autopsy examination showed the body of an elderly man of normal build. There was no evident injury; in particular there were no apparent marks of electrical injury. Internal examination showed enlargement of the heart with extensive ischemic fibrous scarring of the thickened left ventricular myocardium. Extensive calcified coronary arteriosclerosis was present, with no thrombosis. There was no significant valvular disease. The lungs were mildly congested and there was benign hypertensive nephrosclerosis. Toxicological analysis was unremarkable. The vacuum cleaner and hair dryer, together with the electric circuitry of the house, were assessed by an electrical inspector and cleared of malfunction. The cause of death was therefore believed to be combined arteriosclerotic and hypertensive heart disease. The scene examination suggested the likelihood that the electrical appliances were being used autoerotically”.

In their discussion of this particular case, Cooke and colleagues noted that sudden autoerotic deaths due to a natural disease process (e.g., heart disease) have seldom been reported in the forensic literature. To their knowledge, only two previous case reports had been published prior to their own study – both males who after autopsy:

“…showed significant arteriosclerotic cardiovascular disease. One was the case of a 61 [-year] old man who died whilst bound with chain restraints; a vibrator was nearby [Hazelwood, Dietz & Burgess, 1981]. The second case was of a 57 [-year] old man whose body was found naked alongside a running vacuum cleaner; the testicles, thighs and buttocks were tightly bound with pantyhose [Imami & Kemal, 1988]. Such deaths are probably less frequent than sudden natural death associated with heterosexual or homosexual activity, particularly if with a novel partner [Malik, 1979]”.

Finally, the only other vacuum cleaner-related autoerotic death I located in the forensic literature was a 2005 case study report by Dr. Andrew Hitchcock and Dr. Roger Start in the Journal of Clinical Forensic Medicine. This was actually a case of hypoxyphilia where the device built to cut off the oxygen supply involved a vacuum cleaner. More specifically, the paper reported:

“A case is reported of a 36-year-old man who died following occlusive entrapment within a device for the purpose of hypoxyphilic gratification. The device was constructed in his own home using instructions found on his home computer down-loaded from the Internet. The device comprised a tough plastic cocoon large enough to accommodate an adult human and incorporating a system of plastic piping connected to a household vacuum cleaner for the evacuation of air within the cocoon. The mechanism of death was thought to be traumatic asphyxia after examination of the deceased and re-construction of the apparatus with the body in situ”.

The prevalence of autoerotic acts involving the use of vacuum cleaners is unknown as only those cases that result in serious genital injury and/or death come to the attention of medics and/or forensic scientists. As noted in my previous blog, the number of cases that are being reported is on the decrease but this may be because the topic is less novel than it used to be and may not be seen by journal editors as worthy of publication.

Dr. Mark Griffiths, Professor of Gambling Studies, International Gaming Research Unit, Nottingham Trent University, Nottingham, UK

Further reading

Benson, R. (1985). Vacuum cleaner injury to penis: A common urologic problem? Urology, 25(1), 41-44.

Citron, N.D., & Wade, P.J. (1980). Penile injuries from vacuum cleaners. British Medical Journal, 281(6232), 26.

Cooke, C.T., Cadden, G.A., & Margolius, K.A. (1994). Autoerotic deaths: Four cases. Pathology, 26(3), 276-280.

Hazelwood, R.R., Dietz, P. E., & Burgess, A.W. (1981). The investigation of autoerotic fatalities. Journal of Police Science & Administration, 9, 404-411.

Hitchcock, A., & Start, R.D. (2005). Fatal traumatic asphyxia in a middle-aged man in association with entrapment associated hypoxyphilia. Journal of Clinical Forensic Medicine, 12, 320-325.

Imami, R. H., & Kemal, M. (1988). Vacuum cleaner use in autoerotic death. American Journal of Forensic Medicine and Pathology, 9, 246-248.

Kijak, R. (2013). The sexuality of adults with intellectual disability in Poland. Sexuality and Disability, 31(2), 109-123.

Klintschar, M., Grabuschnigg, P., & Beham, A. (1998). Death from electrocution during autoerotic practice: Case report and review of the literature. American Journal of Forensic Medicine and Pathology, 19, 190-193.

Malik, M. O. (1979). Sudden coronary deaths associated with sexual activity. Journal of Forensic Sciences, 24, 216-220.

Moxon, L. (2005). Diagnosis, disclosure and self-confidence in sexuality and relationships. In D. Murray (Ed.), Coming out Asperger: Diagnosis, Disclosure and Self-Confidence (pp. 214-229). London: Jessica Kingsley Publishers.

Rossi, M., Cascini, F., & Torcigliani, S. (1991). [Penile injuries caused by masturbation with a vacuum cleaner. Description of a case and review of the literature]. Minerva Urologica e Nefrologica, 44(1), 43-45.

Rush hour: Can you be addicted to adrenaline?

(N.B. A shorter version of this article was first published in Hopes & Fears magazine).

Conceptualising addiction has been a matter of great debate for decades. For many people the concept of addiction involves the taking of drugs. However, there is now a growing movement that views a number of behaviors as potentially addictive including those that do not involve the ingestion of a drug. These include behaviors diverse as gambling, eating, sex, exercise, videogame playing, love, shopping, Internet use, social networking, and work. The term ‘adrenaline junkies’ has now passed into popular usage and usually refers to potentially dangerous activities such as bungee jumping, sky diving, BASE jumping, etc. My own view is that any activity that features continuous rewards (i.e., constant reinforcement) could be potentially addictive. I have argued in many of my papers that all addictions – irrespective of whether they are chemical or behavioral – comprise six components (i.e., salience, mood modification, tolerance, withdrawal, conflict and relapse). More specifically:

  • Salience – This occurs when the activity becomes the single most important activity in the person’s life and dominates their thinking (preoccupations and cognitive distortions), feelings (cravings) and behavior (deterioration of socialized behavior). For instance, even if the person is not actually engaged in the activity they will be constantly thinking about the next time that they will be (i.e., a total preoccupation with the activity).
  • Mood modification – This refers to the subjective experiences that people report as a consequence of engaging in the activity and can be seen as a coping strategy (i.e., they experience an arousing ‘buzz’ or a ‘high’ or paradoxically a tranquilizing feel of ‘escape’ or ‘numbing’).
  • Tolerance – This is the process whereby increasing amounts of the activity are required to achieve the former mood modifying effects. This basically means that for someone engaged in the activity, they gradually build up the amount of the time they spend engaging in the activity every day.
  • Withdrawal symptoms – These are the unpleasant feeling states and/or physical effects (e.g., the shakes, moodiness, irritability, etc.) that occur when the person is unable to engage in the activity.
  • Conflict – This refers to the conflicts between the person and those around them (interpersonal conflict), conflicts with other activities (e.g., work, social life, hobbies and interests) or from within the individual (e.g., intra-psychic conflict and/or subjective feelings of loss of control) that are concerned with spending too much time engaging in the activity.
  • Relapse – This is the tendency for repeated reversions to earlier patterns of excessive engagement in the activity to recur, and for even the most extreme patterns typical of the height of excessive engagement in the activity to be quickly restored after periods of control.

In short, if any ‘adrenaline junkies’ fulfilled all my six criteria I would class them as an addict. However, I have come across very few adrenaline junkies that endorse all of my six criteria. My position is that it is theoretically possible for individuals to become addicted to adrenaline producing activities but in reality, very few actually are.

Addiction is an incredibly complex behavior and always result from an interaction and interplay between many factors including the person’s biological and/or genetic predisposition, their psychological constitution (personality factors, unconscious motivations, attitudes, expectations, beliefs, etc.), their social environment (i.e. situational characteristics such as accessibility and availability of the activity, the advertising of the activity) and the nature of the activity itself (i.e. structural characteristics such as the size of the stake or jackpot in gambling). This ‘global’ view of addiction highlights the interconnected processes and integration between individual differences (i.e. personal vulnerability factors), situational characteristics, structural characteristics, and the resulting addictive behavior. In respect to ‘adrenaline addicts’ the most important factors are likely to be the individual’s personality and the potential of the reinforcing nature of the activity to produce mood modifying experiences.

Dr. Mark Griffiths, Professor of Gambling Studies, International Gaming Research Unit, Nottingham Trent University, Nottingham, UK

Further reading

Berczik, K., Griffiths, M.D., Szabó, A., Kurimay, T., Urban, R. & Demetrovics, Z. (2014). Exercise addiction. In K. Rosenberg & L. Feder (Eds.), Behavioral Addictions: Criteria, Evidence and Treatment (pp.317-342). New York: Elsevier.

Demetrovics, Z. & Griffiths, M.D. (2012). Behavioral addictions: Past, present and future. Journal of Behavioral Addictions, 1, 1-2.

Griffiths, M.D. (1996). Behavioural addictions: An issue for everybody? Journal of Workplace Learning, 8(3), 19-25.

Griffiths, M.D. (2009). Gambling addictions. In A. Browne-Miller (Ed.), The Praeger International Collection on Addictions: Behavioral Addictions from Concept to Compulsion (pp. 235-257). Westport, CT: Praeger.

Griffiths, M.D. (2010). Addicted to sex? Psychology Review, 16(1), 27-29

Griffiths, M.D. (2011). Behavioural addiction: The case for a biopsychosocial approach. Transgressive Culture, 1(1), 7-28.

Griffiths, M.D. (2011). Workaholism: A 21st century addiction. The Psychologist: Bulletin of the British Psychological Society, 24, 740-744.

Griffiths, M.D., Kuss, D.J. & Demetrovics, Z. (2014). Social networking addiction: An overview of preliminary findings. In K. Rosenberg & L. Feder (Eds.), Behavioral Addictions: Criteria, Evidence and Treatment (pp.119-141). New York: Elsevier.

Griffiths, M.D. (2005). A ‘components’ model of addiction within a biopsychosocial framework. Journal of Substance Use, 10, 191-197.

Király, O., Nagygyörgy, K., Griffiths, M.D. & Demetrovics, Z. (2014). Problematic online gaming. In K. Rosenberg & L. Feder (Eds.), Behavioral Addictions: Criteria, Evidence and Treatment (pp.61-95). New York: Elsevier.

Kuss, D.J., Griffiths, M.D., Karila, L. & Billieux, J. (2014).  Internet addiction: A systematic review of epidemiological research for the last decade. Current Pharmaceutical Design, 20, 4026-4052.

Sussman, S., Lisha, N. & Griffiths, M.D. (2011). Prevalence of the addictions: A problem of the majority or the minority? Evaluation and the Health Professions, 34, 3-56.

Getting a leg up: A brief look at pantyhose fetishism

“As far as I can remember I have been easily aroused by women wearing pantyhose. At the age of about 14 or 15 [years] I started wearing pantyhose and masturbating with them. At the time I was ashamed to tell my girlfriend at the time about it. I continued this up until about 19 or 20, when I finally had a girlfriend who I told about my fetish. I thought that by sharing this with my significant other at the time that it would help but it did not. I would just want it more and more. Now I am in a long-term relationship with a woman that I love. I have told her about my fetish and how I masturbate with her pantyhose and she said that she did not have a problem with it. She wears pantyhose for me rather frequently because she knows that I really like them…My obsession has really intensified to the point that I am doing more to achieve a stronger orgasm…I really feel like my fetish is out of control. In general my fetish for pantyhose has lead me to do immoral things that I would not do unless pantyhose are involved” (Letter sent to Dr. Marie Hartwell-Walker)

For the benefit of my non-UK readers, here in the UK, ‘pantyhose fetishism’ is more commonly known as ‘tights fetishism’ (and is very similar to ‘stocking fetishism’, the commonality being the fact they are both clothing items worn on the legs that are often made of nylon and that have a silky veneer). The few online articles concerning pantyhose fetishism make similar claims although empirical evidence for such claims are generally lacking. For instance, the articles claim that pantyhose fetishism is (i) commonplace and (ii) usually first begins in childhood and/or early adolescence (after seeing pantyhose being worn by a significant person in the fetishist’s life such as their mother, sister, aunt, grandmother, family friend, neighbour and/or teacher).

One of the best studies published in a 2007 issue of the International Journal of Impotence Research by Dr G. Scorolli and his colleagues on the relative prevalence of different fetishes using online fetish forum data did not report the specific existence of pantyhose fetishism at all, although around 12% had fetishes concerning something associated with the body such as legs (which could have included pantyhouse). However, if you type ‘pantyhose fetishism’ into Google lots of dedicated pornographic photography and video sites can be found on the first few pages.

According to Wikipedia men may have a preference for pantyhose because unlike stocking, pantyhose has direct contact with female genitalia. An article on the Kinkly website claims individuals with a pantyhose fetish most commonly become sexually aroused by wearing pantyhose, watching other people wear (or undress wearing) pantyhose, or both. The Wikipedia article is a little more detailed and claims that the fetish manifests in one or more of the following ways (and which I have repeated verbatim):

  • “Tearing or cutting holes in pantyhose to modify the garment or gain access to the wearer’s body.
  • Wearing of pantyhose by either or both partners during sexual activity.
  • A male wearing pantyhose alone or in front of others who may praise or humiliate him.
  • Using pantyhose as bondage restraints.
  • Interacting with pantyhose in any other way or form during sexual activity.
  • Simply observing/admiring and experiencing heightened arousal/interest of females or males who are wearing pantyhose.
  • Viewing material from store catalogues to pornography of models and actors wearing pantyhose.
  • A man or woman in pantyhose encasement”.

As far as I am aware, only one paper solely devoted to pantyhose fetishism has ever been published in the psychological literature. This was a 1997 paper written from a psychodynamic perspective by Dr. L.M. Lothstein in the journal Gender and Psychoanalysis. In her paper, Lothstein describes this unique fetish” using clinical vignettes of gender dysphoric men (i.e., transgendered males). The paper claims the pantyhose served a number of different functions (such as the repairing of psychic structure, and an expression and defence against underlying aggression). More specifically, Lothstein refers to pantyhose as a functional ‘magic skin’ or ‘second skin’ in repairing a defective ego and acting as a transitional object to allay annihilation and separation anxiety.

The Wikipedia and Kinkly articles claim that there are many sub-types of pantyhose fetish and that such fetishes often co-occur with other fetishes and sexual paraphilias such as shoe fetishes, transvestism, sadomasochism, and schoolgirl fetishes. For instance, the Wikipedia article notes that pantyhose fetishism can include:

  • A focus on certain areas of the body while wearing pantyhose, [such as] feet, a variation of the very common foot fetishism.
  • Wearing pantyhose with other specific garments, e.g. shoes, boots, or skirts, uniforms that usually include pantyhose (girl at work, secretary, flight stewardess, policewoman, Hooters waitress, girl next door etc.)
  • Certain styles e.g. sheer-to-waist, opaque, patterned or specific deniers, certain brands or shades.
  • Simply admiring women who wear pantyhose (a mild form of voyeurism).
  • Finding the wearing of them to be a primarily sensual comforting experience, rather than sexual.
  • The act of purchasing pantyhose, especially when aided by a female assistant, can also generate a degree of arousal”.

One of the problems with the Wikipedia article as that it is included in the entry on underwear fetishism and the section concerning pantyhose fetishes specifically notes that the section “does not cite any references or sources”. It then goes on to claim:

“The pantyhose covered foot can be extremely arousing to men who often find satisfaction in just looking at or more in that of rubbing, sucking/licking, and massage of the penis with the nylon clad feet. Others find arousal in sniffing the sour and pungent smell of soles made by excessive sweat when in pantyhose. Foot-jobs can be very intense and stimulating and covering a woman in pantyhose in semen is a common fantasy with some men. Pantyhose fetish can also be linked to that of the women dressing as the schoolgirl where stockings, knee high socks and pantyhose can be worn with a short skirt”.

The same article also lists a number of reasons why females wear pantyhose and then claims that these reasons as to why women wear pantyhose provides possible reasons for the allure of pantyhose fetishism:

  • They remove the appearance of blemishes, making the legs ‘perfect’.
  • The reflectiveness of the material, coupled with the way they appear less transparent at the edges, often gives legs more contrast and definition, as though lit by dramatic lighting. This accentuates the curves of the legs, making them less ‘flat’, and can also make legs appear slimmer (with dark pantyhose).
  • They often have a silky texture which is pleasing to both the wearer and her partner.
  • They enhance the pleasure (and anticipation) associated with the removal of a woman’s clothes. Not only serving as an additional item to be removed; they allow the exciting moment of exposure to be drawn out much longer than other clothing items, as the pantyhose are slowly pulled down the legs. In addition to this, they do not actually hide what they cover.
  • The slipperiness and smoothness of sheer pantyhose and stockings also makes women’s low cut court shoes slip off more easily. This vulnerability is often sexually attractive, and can often result in the women engaging in shoe dangling or shoe play which is also appealing to shoe and foot fetishists”.

Although I mentioned above I only knew of one academic paper on pantyhose fetishism, there are a few academic writings that have mentioned it in passing. For instance, in a 1979 issue of the Journal of Applied Behavioral Analysis, Dr. W.L. Marshall reported the treatment of two male paedophiles with satiation therapy, one of who was also a pantyhose fetishist (but no detail was given on this aspect of their sexual behaviour except he was also a shoe fetishist). A paper by Dr. L.F. Lowenstein in a 2002 issue of Sexuality and Disability claimed that pantyhose fetishism was “very common” but the only evidence given for this was a reference to Lothstein’s paper (which contained no information on the prevalence of the fetish). Finally, in a 2008 book chapter on themes of sadomasochism self-expression by Dr. Charles Moser and Dr. Peggy Kleinplatz, they used the example of pantyhose to define and explain what fetishes are:

A fetish is characterized by sexual arousal to an inanimate object…Individuals who enjoy SM accessories often describe their interests as fetishes. They find wearing or touching the preferred articles highly arousing. The articles themselves are rarely arousing, but if they are worn by a partner, it heightens the partner’s attractiveness and heightens the eroticism of the sex. For example, pantyhose can be a fetish object, but brand new pairs, never worn, rarely become a focus of erotic interest. The same pantyhose worn by the participant or a partner can elicit a strong erotic response. Similarly an article of clothing that reminds the person of a partner or a specific erotic interlude can become a fetish object”.

Again, this simply confirms that pantyhose fetishes exist (or theoretically exist) but there is no information on incidence, prevalence, or their psychosocial impact. I did come across one online account written by someone who confesses to being a pantyhose fetishist on the Act Sensuous blog site, and which I found a lot more enlightening that anything academic that I have read on the topic:

I had tried several times before, but during my research to find scientific facts…I wanted to learn where pantyhose rank on a list of the most prevalent fetishes, but I couldn’t find credible material that could be documented.  I did find one thing I expected – that the foot fetish is still No. 1, apparently, the most common.  Suffice it to say that pantyhose are high up there somewhere. And, thankfully, pantyhose and foot fetishes seem to go hand-in-hand, or make that foot-in-hand…Obviously, there’s more to a pantyhose fetish than [what is on Wikipedia]…To me, pantyhose always have been about three things: the way they look, the way they feel to the touch, and the very concept of them in the first place. Maybe it’s just that they are designed to enhance the beauty of everything they cover. To me, there’s a profound dichotomy about pantyhose, which I find very exciting. Pantyhose possess enormous power, yet, by design, they are extremely delicate and feminine, causing an irresistible vulnerability for the wearer. This is never more evident than in the way the nylon fabric moves to the touch on a woman’s legs and feet. It’s almost as if she has a second, delicate, delicious skin. It’s as if the pantyhose are a living, breathing intimate part of the wearer. You can physically manipulate that lifeforce, and you have to be careful not to hurt it. Once on, any item of clothing a person wears, sort of disappears. You stop feeling it on your body. And even though you can touch the pantyhose on yourself, it isn’t the same as feeling them on someone else. Want your lover to feel what you feel when you caress her legs in pantyhose? All it takes is to move that delicate nylon fabric over her skin. The sensation is incredible for both parties”.

Maybe we will never know how common pantyhose fetish is but there appears to be a lot of anecdotal evidence that it exists, is male-dominated, and that there is some crossover with other more (empirically) established fetishes (such as foot fetishes).

Dr. Mark Griffiths, Professor of Gambling Studies, International Gaming Research Unit, Nottingham Trent University, Nottingham, UK

Further reading

The Act Sensuous Blog (2010). What drives our pantyhose fetish? April 11. Located at:

Kinkly (2015). Pantyhose fetish. Located at:

Lothstein, L.M. (1997). Pantyhose fetishism and self cohesion: A Paraphilic Solution? Gender and Psychoanalysis, 2(1), 103-121.

Lowenstein, L.F. (2002). Fetishes and their associated behaviour. Sexuality and Disability, 20, 135-147.

Moser, C., & Kleinplatz, P.J. (2007). Themes of SM expression. In D. Langbridge, & Meg Barker (Eds.), Safe, sane and consensual: Contemporary perspectives on SM (pp.35-54). Hampshire, UK: MacMillan.

Scorolli, C., Ghirlanda, S., Enquist, M., Zattoni, S. & Jannini, E.A. (2007). Relative prevalence of different fetishes. International Journal of Impotence Research, 19, 432-437.

Wikipedia (2015). Underwear fetishism. Located at:

Cured meets: Treating addictive behaviours

Addiction is a highly prevalent problem within today’s society and there is a lot of time and many spent in trying to prevent and treat the behaviour. There has also been a move towards getting addicts motivated to want to change their behaviour. The most influential model worldwide is probably the ‘stages of change’ model by Dr. James Prochaska and Dr, Carlo Di Clemente that identifies an individual’s ‘readiness for change’ and tries to get a person to a position where they are highly motivated to change their behaviour. The individual stages of this model are:

  • Precontemplation – This is where the person unaware of the consequences of his or her own behaviour and no change in behaviour is foreseeable.
  • Contemplation – This is where the person aware problem exists and is contemplating change.
  • Preparation – This is where the person has decided to change in the near future (e.g., New Year resolution).
  • Action – This is where the person effects change (e.g., gets rid of all association items related to the behaviour).
  • Maintenance – This is where the person consolidates behaviour change over time.
  • Relapse – This where the person reverts to a former behaviour pattern (e.g., contemplation, preparation).

People can stay in one stage for a long time and it is also possible for unassisted change such “maturing out” or “spontaneous remission”. Various techniques can be used to help people prepare for readiness include motivational techniques, behavioural self-training, skills training, stress management training, anger management training, relaxation training, aerobic exercise, relapse prevention, and lifestyle modification. The goal of treatment can be either abstinence or simply to cut down.

The intervention and treatment options for the treatment of addiction include, but are not limited to counselling/psychotherapies, behavioural therapies, cognitive-behavioural therapies, self-help therapies, pharmacotherapies, residential therapies, minimal interventions and combinations of these (i.e., multi-modal treatment packages). The most important of these are outlined below.

Pharmacotherapy: Pharmacological interventions basically consist of addicts being given a drug to help overcome their addiction. These are mainly given to those people with chemical addictions (e.g., nicotine, alcohol, heroin, etc.) but are increasingly being used for those with behavioural addictions (e.g., gambling, sex, work, exercise, etc.). For instance, some drugs produce an unpleasant reaction when used in combination with the drug of dependence, replacing the positive effects of the drug of dependence with a negative reaction. For instance, alcoholics are sometimes prescribed disulfiram (more commonly known as Antabuse), that when combined with alcohol may produce nausea and vomiting. Other common therapies include methadone and the use of opioid antagonists (such as nalaxone or naltrexene) for heroin addiction. The methadone prevents withdrawal symptoms, block the effects of heroin use, and decreases craving. The main criticism of all these treatments is that although the symptoms may be being treated, the underlying reasons for the addictions may be being ignored. On a more pragmatic level, what happens when the drug is taken away? Often, the addicts return to their addiction if this is the only method of treatment used.

Behavioural therapy: Behavioural therapies are based on the view that addiction is a learned maladaptive behaviour and can therefore be ‘unlearned’. These have mainly been based on the classical conditioning paradigm and include aversion therapy, in vivo desensitisation, imaginal desensitisation, systematic desensitisation, relaxation therapy, covert sensitisation, and satiation therapy. All of these therapies focus on cue exposure, and relapse triggers (like the sight and smell of alcohol/drugs, walking through a neighbourhood where casinos are abundant, pay day, arguments, pressure, etc.). The theory is that through repeated exposure to ‘relapse triggers’ in the absence of the addiction, the addict learns to stay addiction free in high-risk situations. It could be argued that if the addiction is caused by some underlying psychological problem, (rather than a learned maladaptive behaviour), then behavioural therapy would at best only eliminate the behaviour but not the problem. This therefore means that the addictive behaviour may well have been curtailed but the problem is still there so the person will perhaps engage in a different addictive behaviour instead.

Cognitive-behavioural therapy: A more recent development in the treatment of addictive behaviours is the use of cognitive-behavioural therapies (CBT). There are many different CBT approaches that have been used in the treatment of addictive behaviours including rational emotive therapy, motivational interviewing, and relapse prevention. The techniques assume that addiction is a means of coping with difficult situations, dysphoric mood, and peer pressure. Treatment aims to help addicts recognise high-risk situations and either avoid or cope with them without use of the addictive behaviour. In relapse prevention, the therapist helps to identify situations that present a risk for relapse (both intrapersonal and interpersonal). Relapse prevention provides the addict with techniques to learn how to cope with temptation (positive self statements, decision review, and distraction activities), coupled with the use of covert modelling (i.e., practicing coping skills in one’s imagination). It also provides skills for coping with lapses (by redefining what is happening), and utilizes graded practice (a desensitization technique where addicts encounter real life situations slowly). Overall, CBT approaches are better researched than the other psychological methods in addiction but are probably no more effective (Luty, 2003).

Psychotherapy: Psychotherapy can include everything from Freudian psychoanalysis and transactional analysis, to more recent innovations like drama therapy, family therapy and minimalist intervention strategies. The therapy can take place as an individual, as a couple, as a family, as a group and is basically viewed as a ‘talking cure’ consisting of regular sessions with a psychotherapist over a period of time. Most psychotherapies view maladaptive behaviour as the symptom of other underlying problems. Psychotherapy often is very eclectic by trying to meet the needs of the individual and helping the addict develop coping strategies. If the problem is resolved, the addiction should disappear. In some ways, this is the therapeutic opposite of pharmacotherapy and behavioural therapy (which treats the symptoms rather than the underlying cause). There has been little evaluation of its effectiveness although most addicts go through at least some form of counselling during the treatment process.

Self-help therapy: The most popular self-help therapy worldwide is the Minnesota Model 12-Step Programme (e.g., Alcoholics Anonymous, Gamblers Anonymous, Narcotics Anonymous, Overeaters Anonymous, Sexaholics Anonymous, etc.). This treatment programme uses a group therapy technique and uses only ex-addicts as helpers. Addicts attending 12-Step groups involves them accepting personal responsibility and views the behaviour as an addiction that cannot be cured but merely arrested. To some it becomes a way of life both spiritually and socially and compared with almost all other treatments it is especially cost-effective (even if other treatments have greater success rates) as the organization makes no financial demands on members or the community. For the therapy to work, the 12-Step Programme asserts that the addict must come to them voluntarily and must really want to stop engaging in their addictive behaviour. Further to this, they are only allowed to join once they have reached “rock bottom”. To date there has been little systematic study of 12-Step groups but drop out rates are very high (typically 80-90%). There are a number of problems preventing evaluation, particularly anonymity, sample bias, and what the criterion for success is. The empirical evidence suggests that self-help support groups’ complement formal treatment options and can support standardized psychosocial interventions.

When examining all the literature on the treatment of addiction, there are a number of key conclusions that can be drawn. These include that: (i) treatment must be readily available, (ii) no single treatment is appropriate for all individuals., (iii) it is better for an addict to be treated than not to be treated, (iv) it does not seem to matter which treatment an addict engages in as no single treatment has been shown to be demonstrably better than any other, (v) a variety of treatments simultaneously appear to be beneficial to the addict, (vi) individual needs of the addict have to be met (i.e., the treatment should be fitted to the addict including being gender-specific and culture-specific), (vi) clients with co-existing addiction disorders should receive services that are integrated, (vii) remaining in treatment for an adequate period of time is critical for treatment effectiveness, (viii) medications are an important element of treatment for many patients, especially when combined with counselling and other behavioural therapies, (ix) recovery from addiction can be a long-term process and frequently requires multiple episodes of treatment, (x) there is a direct association between the length of time spent in treatment and positive outcomes, and (xi) the duration of treatment interventions is determined by individual needs, and there are no pre-set limits to the duration of treatment.

Dr. Mark Griffiths, Professor of Gambling Studies, International Gaming Research Unit, Nottingham Trent University, Nottingham, UK

Further reading

Griffiths, M.D. (1996). Pathological gambling and its treatment. British Journal of Clinical Psychology, 35, 477-479.

Griffiths, M.D. & Dhuffar, M. (2014). Treatment of sexual addiction within the British National Health Service. International Journal of Mental Health and Addiction, 12, 561-571.

Griffiths, M.D. & H.F. MacDonald (1999). Counselling in the treatment of pathological gambling: An overview. British Journal of Guidance and Counselling, 27, 179-190.

Hayer, T. & Griffiths, M.D. (2015). The prevention and treatment of problem gambling in adolescence. In T.P. Gullotta & G. Adams (Eds). Handbook of Adolescent Behavioral Problems: Evidence-based Approaches to Prevention and Treatment (Second Edition) (pp. 539-558). New York: Kluwer.

King, D.L., Delfabbro, P.H., Griffiths, M.D. & Gradisar, M. (2012). Cognitive-behavioural approaches to outpatient treatment of Internet addiction in children and adolescents. Journal of Clinical Psychology, 68, 1185-1195.

Luty, J. (2003). What works in drug addiction? Advances in Psychiatric Treatment, 9, 280–288.

National Institute on Drug Abuse (1999). Principles of drug addiction treatment: A research-based guide. NIDA.

Potenza, M. & Griffiths, M.D. (2004). Prevention efforts and the role of the clinician. In J.E. Grant & M. N. Potenza (Eds.), Pathological Gambling: A Clinical Guide To Treatment (pp. 145-157). Washington DC: American Psychiatric Publishing Inc.

Prochaska, J.O. and DiClemente, C.C. (1984). The transtheoretical approach: Crossing the traditional boundaries of therapy. Melbourne, Florida: Krieger Publishing Company

Rigbye, J. & Griffiths, M.D. (2011). Problem gambling treatment within the British National Health Service. International Journal of Mental Health and Addiction, 9, 276-281.

United Nations Office on Drugs and Crime/World Health Organization (2008). Principles of Drug Dependence Treatment: Discussion paper. UN/WHO.

Write back: A brief look at Oshouji and sexual calligraphy

Anyone that has followed my blogs will know that I have more than a passing interest in Japanese sexual culture. For instance, in previous blogs I have briefly examined various Japanese sexual practices and sex-related topics including Tamakeri (i.e., the masochistic practice of getting sexual pleasure and arousal from being kicked in the testicles), Hentai (i.e., Japanese hardcore Manga cartoon pornography), Shokushu Goukan (i.e., tentacle rape), Nyotaimori (i.e., eating a variety of foods or a whole meal off somebody’s naked body), Omorashi (i.e., deriving sexual pleasure from having a full bladder or a sexual attraction to someone else experiencing the discomfort of a full bladder), and Burusera (i.e., Japanese shops that sell [amongst other things] soiled female undergarments and fetishist school uniforms). There are also some sexually paraphilic behaviours that have their own names within the Japanese sexual culture (such as frotteurism being known as chikan)

While reading an online article on ‘[Ten] sex fetishes you won’t believe exist’ I spotted one on the list that I had not written about before – Oshouji – the other nine being: dendrophilia (sexual arousal from trees), exophilia (sexual attraction for aliens and non-human life forms), objectum sexuality (sexual attraction to inanimate objects), eproctophilia (sexual arousal from flatulence), hybristophilia (sexual arousal from criminals), menophilia (sexual arousal from menstruation), acrotomophilia (sexual arousal from amputees), dacryphilia (sexual arousal from crying), and lactophilia (sexual arousal from breast feeding). In fact, not only had I not written about oshouji in a previous blog but I had never even heard of it before.

Oshouji is a calligraphy fetish (calligraphy being the art of producing decorative handwriting or lettering with a pen or brush). Oshouji specifically involves calligraphy where the decorative writing is done on a person’s (usually naked) body. According to many online websites (that all basically use the same defintion), oshouji is “an ancient tradition and refers to the writing of degrading words in calligraphy on your partner [and is] one of the more artistic fetishes Japan has to offer”. As sex blog writer Coco La More notes: “I am intrigued. Such rich beauty and absolute pleasure. The artistic passion the calligrapher must be feeling. I can just imagine the intense emotion felt by both. I will be adding this one to my list”

According to the Exapamicron website, oshouji dates back to the Edo period of feudal Japan (the Edo period – sometimes referred to as the Tokugawa period – being the period between 1603 and 1868 in the history of Japan). Like other Edo forms of eroticism (such as Shunga, a Japanese term for erotic art) oshouji is considered traditional, rich and decadent. The website also claims that oshouji is “not a fetish in the sense that the painted person becomes aroused by the paint, it’s more about the thrill of degrading someone”.

As far as I am aware there is no academic writing or research on the topic (although there are academics with the surname ‘Oshouji’ which was annoying having to wade through paper after paper to see if there was anything written on the practice). Like me, someone else (Zichao) was researching into this topic and was finding the same things as me online. His research questioned whether the word ‘oshouji’ even existed (although he did admit that the act of sexual calligraphy existed):

“I’m writing a catalogue/book for an exhibition on modern Chinese calligraphy, including references to work by Zhang Qiang…This got me interested in trying to work out the history of writing on girls in Chinese, Japanese [and] Korean culture. On various non-Japanese language sites it’s referred to as ‘oshouji’ and described as something that goes back to Edo times, but these all seem to be cribbing the information from the [Tokyo Damage Report] Hentai Dictionary…Making the idea look even more dubious is the fact that typing おしょうじ, オショウジ or even (last-ditch attempt) お書字 into Japanese Google brings up nothing helpful as far as I can see. This makes me suspect that if there’s a name for the practice it’s something else…Obviously it’s something that people do – not just Zhang Qiang, but also the characters in rape and S&M manga (though in magic marker) and there’s even a film about it [The Pillow Book]. It doesn’t help that I know very little about classical Chinese [and] Japanese porn/erotica. Does the writing-on-girls-fetish have a name and a history, or is it just something that crops up spontaneously now and then?”

Another online Hentai dictionary (the Yuribou Hentai Dictionary) noted that the

“Oshouji ‘calligraphy character’ fetish [is] fairly commonly seen in Domination-submissive play in which the Dominant writes characters on the submissive’s body in order to inflict shame and embarrassment to heighten the submissive role. Commonly seen is the writing of “niku” (“meat”) on the forehead”.

As noted in the extract from Zichao above, the most high profile example of oshouji body calligraphy is the 1996 film The Pillow Book film (directed by Peter Greenaway) in which a Japanese model (Nagiko) “goes in search of pleasure and new cultural experience from various lovers. The film is a rich and artistic melding of dark modern drama with idealised Chinese and Japanese cultural themes and settings, and centres on body painting (Wikipedia entry on The Pillow Book)

Sexual calligraphy has also crept into the world of modern art via the work of Pokras Lampas. Lampras has a background in graffiti and street art. As an online Wide Walls profile piece on him notes:

“Lampas works in various spaces and using different mediums, from canvas and walls to the naked body. To a certain extent, the artist is involved in the art of tattoo, providing council and creating sketches when it comes to calligraphy work. However, the aspect of the artist’s practice which is most interesting, resonates the new possibilities of calligraphy within the world of digital urban art. This notion is part of one of his biggest projects…Recently, the artist became involved in a project called Calligraphy on Girls, which aims to show his calligraphy skills to a wider audience through sessions of body painting and photography. The project is an exploration of the female human form, executed with a particular aesthetics and a unique visual language of the artist”.

Whether Lampas’ work can be called an example of oshouji is debatable because it doesn’t appear to involve the use of degrading words (in fact there are few words at all as far as I can see). Oshouji (if it really exists) appears to be a much less prevalent activity than some of the other Japanese sexual practices I have written about although in the absence of any research papers on most forms of Japanese sexual subculture no-one can be really sure how widespread any of these activities are.

Dr Mark Griffiths, Professor of Gambling Studies, International Gaming Research Unit, Nottingham Trent University, Nottingham, UK

Further reading

Aggrawal A. (2009). Forensic and Medico-legal Aspects of Sexual Crimes and Unusual Sexual Practices. Boca Raton: CRC Press.

Tokyo Damage Report (2009). Hentai dictionary. February 27. Located at:

Wide Walls (2014). Calligraphy on girls, February 1. Located at:

Wikipedia (2015). Shunga. Located at:

Yuribou Hentai Dictionary (2008). Welcome to the Yuribou Hentai Dictionary! July 11. Located at:

Packed punch: A very brief look at “gastergastrizophilia”

One of the weirdest sounding sexual paraphilias that I have come across is gastergastrizophilia in which individuals allegedly derive sexual pleasure and arousal from bellypunching. I use the word ‘allegedly’ as I have never seen this sexual paraphilia listed in any reputable academic source (and it certainly does not appear in either Dr. Anil Aggrawal’s Forensic and Medico-legal Aspects of Sexual Crimes and Unusual Sexual Practices or Dr. Brenda Love’s Encyclopedia of Unusual Sex Practices). The lengthiest article on that I have come across on gastergastrizophilia is on the Full Wiki website. The article claims that:

“Bellypunchers, as they are known, derive erotic and/or aesthetic pleasure from the sight of and sensation associated with a woman physically struck in the stomach usually with a bare fist. The specifics associated with this paraphilia vary considerably, sometimes with the woman possessing a toned and muscular stomach, other with the woman possessing a soft and even chubby stomach. Often fetishists desire her to receive blows to the lower stomach specifically; other times, to the upper stomach. Often the woman is struck by other women, but many times the fetishists will fantasize about doing the beating themselves. With the rise of the internet, a wide variety of websites and online groups have risen which house related fiction, photos, stories, and videos, the latter either custom-made or copied from a variety of films and videos. The male-to-male variety of the fetish is frequently called gutpunching, or abspunching”

The fact that someone has written about sexual bellypunching in no way proves that the behaviour exists. In a previous blog I examined a hoax paraphilia called emysphilia (sexual arousal from turtles). In researching that blog, I came to the conclusion that the paraphilia simply didn’t exist as there was no evidence of any kind except the originally published article (plus the fact that the author later admitted it was a hoax). Sexual bellypunching as a fetish or paraphilia is something that I do not think can easily be so dismissed. I managed to collect a few first-hand accounts of sexual bellypunching (such as those at the online at the Dark Fetish website). For instance:

  • Extract 1: “[I am a] masochist [and] let people thump me in my belly. Although it hurts (and it hurts like hell sometimes) the pain does give me an erotic buzz. BUT (and this is the other side of the coin) I do get to punch other women and that also gives me a buzz – it turns me on.
  • Extract 2: “There is a difference between a ‘friendly’ (I use the word advisedly) punch up between two women (which might even end in sex) and a really heated contest where there maybe some prize, physical or emotional. Then it’s a pure pain contest… just to see which woman can take the most pain in her guts. In such contests there is a moment when having delivered a punch, I watch my opponent’s face crease in agony, watch her fight the pain, watch her desperately trying to keep her hands from going to her belly… hear her panting for breath as she tries to control the agony in her guts. Oh so delicious…it’s a real turn-on for me. The downside is that I have to take and absorb the punishment too. [However], that turns me on too!!”
  • Extract 3: My ex-boyfriend loved being punched in the belly. We both went to couples therapy and [this is] how the psychologist explained it to me…The physical flow-on effect of bellypunching is peptic reflux, which triggers the brain to release a sudden adrenalin rush to cope with the shock of (temporarily) depriving the brain of oxygen. This adrenalin rush can be experienced as sexual arousal for those with a fetish complex for feeling ‘subverted’ or ‘abused’”

Based on the research I did for this blog, it would appear that there used to be a Wikipedia entry on sexual bellypunching but it was removed back in 2006. Some people claimed that the information provided in the original webpage was unable to be verified, and that it might even have been made up by the person who created the original Wikipedia entry. As one person noted in the Wikipedia discussion, the original author of the bellypunching article had:

“…added a bunch of links, but they consist of Yahoo! groups, personal websites, and a couple [of] porn sites which themselves are non-notable. None of these are reliable sources, none of them help with the fact that this article still violates Wikipedia’s verifiability. Unverifiable content can’t stay on Wikipedia, no matter how much some people might like said content”.

Comments were also made along the lines that Wikipedia does not need to have a separate page for every single obscure fetish. Personally, I don’t see this as an argument for not having a Wikipedia entry. However, the original author of the page countered by saying:

It’s not about liking (or in your case, disliking) [the bellpunching] entry, but about showing diligence in mapping out within Wikipedia all these various concepts that exist in the world. Some concepts are better cited than others, it’s true. However that doesn’t mean that some things, which are perhaps more ephemeral, or which came into their own with the rise of the internet, can’t be listed…I suggest that if one can prove that a lot of people are involved in a concept, and that this concept exists as such, then the concept must surely merit some inclusion, even if that inclusion is limited only to what one can source…I have shown that thousands of people have taken it upon themselves to join public groups around this [bellypunching] fetish; and found any number of websites, most which have been around for years, creating a sort of community…It would be a mistake to make an article called bellypunching videos on the basis of the fact of such videos existing, because that would ignore the evident existence of the concept of the fetish”.

I have to admit that having done my own search on the internet, I can certainly vouch for the fact that there are hundreds of sexual bellypunching videos available online (e.g., websites such as Belly Punching Fetish, Heroine Movies, and Teen Bellypunch – please be warned that these are sexually explicit sites), and there are online discussion groups that discuss bellypunching as a sexual preference and/or sexual fetish. Personally, I think there’s enough to suggest that the activity exists and that there is no reason why a separate Wikipedia page should not exist. The fact that sexual bellypunching videos are for sale online suggests there is a market for it. I also came across some Japanese anime that featured sexual bellypunching (along with anecdotal evidence that bellypunching is part of Japanese sexual culture). However, I am the first to admit that such videos might appeal to sadists and masochists who are simply sexually turned on by the giving or receiving of pain (rather than being sexually aroused by bellypunching per se. The author of the original Wikipedia entry on sexual bellypunching then goes on to say:

“If [someone] starts a blog on any obscure fetish, it can’t be included [on Wikipedia]; but if 30 or 40 different organizations and people start websites, both personal websites and business websites, combined with free public groups that require membership (membership to which groups as I’ve stated reaches the thousands) I suggest that a certain minimum has been reached to make it a bona fide concept that some people hold…If you really believe that only things that show up in journals are worthy of existence in Wikipedia, I think Wikipedia will be much the poorer for it. It seems unreasonable to ignore the existence of something that is obvious and evident, from the links I’ve found (which were incidentally only a small percentage)”.

My guess is that the original article on sexual bellypunching was removed because the evidence base did not fulfil Wikipedia’s minimum evidence threshold. As the Wikipedia page on verifiability points out:

“Posts to bulletin boards, Usenet, and wikis, or messages left on blogs, should not be used as primary or secondary sources. This is in part because we have no way of knowing who has written or posted them, and in part because there is no editorial oversight or third-party fact-checking…The threshold for inclusion in Wikipedia is verifiability, not truth”.

Another contributor to the debate on whether sexual bellypunching should have its own Wikipedia entry shares my own view on this topic and stated:

Our inability to find gastergastrizophilia on the net neither proves nor disproves anything – detailed texts on sexual paraphilia aren’t left around laying open on the net, and a mild amount of Googling for ‘erotic punching’, ‘belly punishment’ or ‘rough body play”’… will show that the practice is neither ‘unlikely’ nor even uncommon. Some of it is obviously sex play with a consenting partner; some is not so consensual, and there is a shaded continuum…Even in this supposedly liberated age, nobody has any real numbers, in part because the participants themselves don’t know where the line actually divides consent and abuse. I think it’s an important topic, and a research failure isn’t a good reason to have no article in this instance”

The one thing that is made up is the name given to describe the love of sexual bellypunching (‘gastergastrizophilia’). The author if the original Wikipedia article (who goes by the pseudonym ‘Brokerthebank’) wrote that:

“I made up the word gastergastrizophilia, since I’ve studied classical languages a lot (in this case Greek) and it seemed like the appropriate move to put this article in the list of sexual paraphilias on such a page. Maybe I should have not done that; in any case bellypunching still is a known term”.

However, as regular readers of my blog will know, I too have coined the names of at least three sexual paraphilias (porciniphilia – sexual arousal from pigs, epiplophilia, sexual arousal from furniture, and glossophilia – sexual arousal from tongues) so I can’t really complain if someone also created the name of a sexual paraphilia based on their own anecdotal observations.

Dr Mark Griffiths, Professor of Gambling Studies, International Gaming Research Unit, Nottingham Trent University, Nottingham, UK

Further reading

Aggrawal A. (2009). Forensic and Medico-legal Aspects of Sexual Crimes and Unusual Sexual Practices. Boca Raton: CRC Press.

The Full Wiki (2013). Bellypunching. Located at:

Love, B. (2001). Encyclopedia of Unusual Sex Practices. London: Greenwich Editions.


Get every new post delivered to your Inbox.

Join 2,180 other followers