Category Archives: Sex addiction

From the university of perversity: An A to Z of non-researched sexual paraphilias (Part 4)

Today’s blog is the fourth part in my review of little researched (and in most cases non-researched) sexual paraphilias and strange sexual behaviours. (You can read Part 1 here, Part 2 here, and Part 3 here). I’ve tried to locate information on all of these alleged sexual behaviours listed below and in some cases have found nothing more than a definition (some of which were in Dr. Anil Aggrawal’s book Forensic and Medico-legal Aspects of Sexual Crimes and Unusual Sexual Practices and/or Dr. Brenda Love’s Encyclopedia of Unusual Sex Practices).

  • Astraphilia: This behaviour refers to the sexual attraction toward thunder and lightening, although is sometimes defined as sexual attraction to lightening only. (In a previous blog, I noted that brontophilia is often defined as being sexually attracted to thunder and lightening).
  • Bastinado: This behaviour (also known as Falanga) is a form of foot beating where the soles of a person’s bare feet are beaten continually with such implements as leather/rubber straps, bats, canes, rods, electric cords, truncheons, etc. According to Michael Samadhi’s Joy of Kink website, “the documented history of bastinado goes back more than 1000 years, and it’s been employed by repressive regimes like the Nazi’s and the Khmer Rouge”.
  • Climacophilia: This behaviour refers to individuals that get sexually aroused from falling down the stairs. There hasn’t been a wide body of research conducted on people affected with this particular sexual preference and/or fetish. This particular paraphilia got lots of press coverage when the psychologist Dr. Jesse Bering published his 2014 book Perv: The Sexual Deviant In All Of Us that mentioned 46 different paraphilias, many of which were described as outside of the statistical norm”.
  • Defecaloesiophilia: This behaviour refers to individuals that are sexual aroused by painful bowel movements (the word derived from its phobia opposite ‘defecaloesiophobia’). I’ve never found anyone online admitting to having such a paraphilia although there certainly appears to be those with haemorrhoid fetishes as I outlined in one of my previous blogs.
  • Erythrophilia: This behaviour (sometimes referred to as erytophilia and ereuthophilia) refers to being sexually aroused by the colour red (but some definitions say it is also to red lights and even blushing (i.e., red faced individuals). Although I’ve come across a few individuals online that admit to having a blushing fetish I’ve yet to find anyone admitted to being sexually aroused specifically by the colour red.
  • Francophilia: This behaviour refers to those who derive sexual arousal towards France or French culture. Anecdotally I know of women who claim to be sexually aroused to the French accent and I mentioned a few examples in my blog on xenophilia (sexual arousal from foreigners) but whether this paraphilia genuinely exists is debateable.
  • Gomphipothic: According to the Right Diagnosis website, gomphipothic refers to being sexually aroused by the sight of teeth. (This appears to be another name for odontophilia that I covered in a previous blog).
  • Hephephilia: This behaviour refers to individuals who have a compulsion to steal specific items related to their fetish such as retifists (shoe fetishists) who steal items of footwear (for example) from shoe shops or innocent victims at the beach. An article on the Toeslayer website recalls an infamous case from 1979 in Japan involving the “shoe thief of Tokyo”. Over three-and-a-half years (before he was finally caught), he accosted women, stole their shoes, and then ran off. When arrested, the police found 127 pairs of women’s shoes at his home.
  • Ichthyophilia: This behaviour refers to those who derive sexual arousal from fish. I have never seen any case study in the academic literature although in previous blogs I did outline cases of humans having sex with other water creatures (cephalopods like octopus and squid) and there are certainly zoophilic films where fish have been used as a masturbatory aid. (There are of course the infamous stories about the band Led Zeppelin, groupies, and fish tales that you can Google for yourselves – just type in ‘Led Zeppelin’ and ‘red snapper’ or ‘mud shark’).
  • Japanophilia: This behaviour refers to those who derive adoexual arousal towards Japan or Japanese culture. Some of my readers have accused me of having Japanophilia given the number of blogs I have written about Japanese sexuality and fetishes (but I can assure you I haven’t).
  • Kinbaku-bi: This behaviour refers to a Japanese type of bondage and has the literal meaning of ‘tight binding’. According to the Wikipedia entry on Japanese bondage, Kinbaku-bi “involves tying up the bottom [the receiver] using simple yet visually intricate patterns, usually with several pieces of thin rope…In Japanese, this natural-fibre rope is known as ‘asanawa’; the Japanese vocabulary does not make a distinction between hemp and jute. The allusion is to the use of hemp rope for restraining prisoners, as a symbol of power, in the same way that stocks or manacles are used in a Western BDSM context. The word ‘shibari’ came into common use in the West at some point in the 1990s to describe the bondage art Kinbaku”.
  • Lockiophilia: This behaviour refers to sexual arousal derived from childbirth (and is named after its opposite phobia – lockiophobia). In a previous blog I did look at childbirth fetishism which you can read here.
  • Metrophilia: This behaviour refers to sexual arousal derived from poetry. I don’t doubt that some poetry (like music) can contribute to sexual arousal (and that there is fetish-based and other erotic poetry) but I know of no actual case (anecdotal or otherwise). Prove me wrong and I will happily write about it.
  • Normophilia: This was a term coined by the sexologist Professor John Money and refers those only sexually aroused by acts considered normal by their religion or society (and excellently critiqued by Dr. Lisa Downing in a 2010 issue of Psychology and Sexuality).
  • Ochlophilia: This behaviour refers to sexual arousal derived from crowds or mobs. I’m not aware this exists as a standalone fetish but frotteurs (those who derive sexual arousal from rubbing up against people) love crowded places as a way of engaging in their preferred sexual behaviour).
  • Phalloorchoalgolagnia: According to Dr. Anil Aggrawal’s book Forensic and Medico-legal Aspects of Sexual Crimes and Unusual Sexual Practices, this behaviour refers to sexual arousal by the experiencing of painful stimuli being administered to the male genitals (of which a sub-type would include tamakeri that I examined in a previous blog). It is related to ‘cock and ball torture which the Wikipedia entry (based on Darren Langdridge and Meg Barker’s 2008 book Safe, Sane, and Consensual: Contemporary Perspectives on Sadomasocism) notes “may involve directly painful activities, such as wax play, genital spanking, squeezing, ball-busting, genital flogging, urethral play, tickle torture, erotic electrostimulation, or even kicking. The recipient of such activities may receive direct physical pleasure via masochism, or emotional pleasure through knowledge that the play is pleasing to a sadistic dominant. The practice carries significant health risks”.
  • Queefing fetishism: A little bit of a cheat here as I’ve covered queefing fetishes (sexual arousal from vaginal flatulence) in some detail in a previous blog but there are so few potentially paraphilic behaviours beginning with the letter ‘Q’. (If you feel I’m short-changing you, read my previous article here).
  • Rhytiphilia: This is where individuals derive sexual arousal from facial wrinkles. This would appear to be related to gerontophilia (sexual arousal to people who are much older than the individuals themselves). I doubted whether this fetish actually exists but I have came across individuals that claim to have such fetishes (such as here and here).
  • Stygiophilia: According to Dr. Anil Aggrawal, stygiophilia refers to sexual pleasure from the thought of going to hell. It’s also the name of a novel on the topic by Nathan Tyree.
  • Teleiophilia: This neologism was coined by the sexologist Dr. Ray Blanchard and refers to sexual interest in adults. As the Wikipedia entry on Blanchard notes: “Unlike the terms referring to sexual interest in other age groups, such as paedophilia (sexual interest in prepubescent children), teleiophilia is not considered a paraphilia. The term was formalized in order to forestall neologisms, such as ‘adultophilia’ or ‘normophilia’ that were occasionally used, but had no precise definition. The term is used primarily by professional sexologists in the scientific literature”.
  • Urethral fetishism: In previous blogs I have examined urethral sex play in its many forms and with its own lexicon (so if you want to read about it in more detail, read more here).
  • Venatophilia: In an online article about cartoon quicksand fetishes, there was mention of a fetish group called ‘Giant Video Game Girls’ and they appear to have coined the term ‘venatophilia’ from the Latin venatus, meaning ‘game’ and describes sexual attraction to or fascination with video game characters. Personally I find this strange as most paraphilias derive from Greek (rather than Latin) names. This paraphilia (if it exists) is arguably a sub-type of toonophilia (sexual attraction to cartoon characters) that I examined in a previous blog.
  • Wolf-play: In previous blogs I have examined the Furry Fandom (individuals that dress up as animals that engage in both sexual and non-sexual interaction) and various fetish pet play behaviours such as pony play. Wolf-play is just another variant of pet-play.
  • Xyrophilia: This behaviour refers to those individuals who derive sexual arousal from razors (and again has a name derived from its opposite condition – xyrophobia). However, there are online forums for razor fetishists and there may be crossover with those that have blood fetishes (which I’ve looked at in various previous blogs).
  • “Yaoi fetishism: According to an online article about kinks and fetishes on the Your Tango website, “Yaoi is a type of anime, manga, or fan fiction that originated in Japan which centers on male-on-male sexuality”. The article notes the term ‘Yaoi’ comes from the Japanese phrase “Yama nashi, Ochi nashi, Imi nashi” (and translates to “no climax, no meaning, no point”). An article on the Kinkly website claims that “Yaoi is typically created by women and aimed at women although it has some male fans. It should not be confused with ‘Bara’ which is aimed at a gay male audience”.
  • Zentai fetishism: Again, according to the online article on the Your Tango website, zentai fetishism involves individuals that “like to wear, be covered in, bound by and otherwise enjoy lycra full-body suits”.  An article in Fortune magazine notes that the ‘zentai’ is derived from the Japanese words zenshin taitsu that translates as “full body tights”. The same article claims that zentai suits tend to be more fetishistic whereas “morphsuits” are “for more mainstream cosplay fun and are likely to show up at football games, ComicCon, or frat parties”.

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.

Bering, J. (2014). Perv: The Sexual Deviant In All Of Us. London: Doubleday.

Downing, L. (2010). John Money’s ‘Normophilia’: diagnosing sexual normality in late-twentieth-century Anglo-American sexology. Psychology and Sexuality, 1(3), 275-287.

Gates, K. (2000). Deviant Desires: Incredibly Strange Sex. New York: RE/Search Publications.

Langdridge, D. & Barker, M. (2008). Safe, Sane, and Consensual: Contemporary Perspectives on Sadomasocism. London: Palgrave Macmillan.

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

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.

Serrano, R.H. (2004). Parafilias. Revista Venezolana de Urologia, 50, 64-69.

Shaffer, L. & Penn, J. (2006). A comprehensive paraphilia classification system. In E.W. Hickey (Ed.), Sex crimes and paraphilia. New Jersey: Pearson Prentice Hall.

Write World (2013). Philias. Located at: http://writeworld.tumblr.com/philiaquirks

“Every breath you take”: A brief look at love obsessions in popular music

“You are an obsession/I cannot sleep/I am your possession/Unopened at your feet
/There’s no balance/No equality/Be still I will not accept defeat/I will have you/Yes, I will have you/I will find a way and I will have you/Like a butterfly/A wild butterfly/I will collect you and capture you” (Lyrics to the song ‘Obsession’ by Animotion)

Like the word ‘addiction’, one thing we can say about the word ‘obsession’ that there is no absolute agreed definition. Dictionary definitions of obsession refer to an obsession as:

  • “…an idea or thought that continually preoccupies or intrudes on a person’s mind” or “a state in which someone thinks about someone or something constantly or frequently especially in a way that is not normal” (Oxford Dictionary).
  • “…unable to stop thinking about something; too interested in or worried about something” (Cambridge Dictionary)
  • http://dictionary.cambridge.org/dictionary/english/obsessed
  • “…a state in which someone thinks about someone or something constantly or frequently especially in a way that is not normal” (Merriam-Webster Dictionary)
  • “…an emotional state in which someone or something is so important to you that you are always thinking about them, in a way that seems extreme to other people” (Macmillan Dictionary).

More medical definitions (such as Dorland’s Medical Dictionary) describe obsession as a recurrent, persistent thought, image, or impulse that is unwanted and distressing (ego-dystonic) and comes involuntarily to mind despite attempts to ignore or suppress it”. Given all these overlapping but differing definitions, it can be concluded that obsession means slightly different things to different people. In the latest (fifth) edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), an obsession must be distressing to be classed as a disorder. (And that’s why my obsession with music is not problematic).

I deliberately mentioned my self-confessed obsession with music because this article is a (somewhat self-admittedly) frivolous look at obsession in song lyrics. The first song I remember listening to called ‘Obsession’ was in 1981 by Scottish band Scars (from one of my all-time favourite LPs Author! Author!), quickly followed by Siouxsie and the Banshees’ song ‘Obsession’ on their 1982 LP A Kiss In The Dreamhouse (which reached No.11 in the UK albums chart). Arguably the most famous song entitled ‘Obsession’ was 1984’s top five hit by the US band Animotion (which was actually a cover version as the original was released by Holly Knight and Michael Des Barres) and later covered by The Sugababes and Karen O (lead singer of Yeah Yeah Yeahs, and the theme song to the US TV mini-series Flesh and Bone). Many artists have recorded songs simply called ‘Obsession’ including Tich, Tinie Tempah, Future Cut, The Subways, Jake Quickenden, Jesus Culture, and Blue Eyed Christ (amongst others).

Almost all songs with the title of ‘Obsession’ have been about being obsessed (or obsessively in love) with another person and are probably not that far removed from songs about love addiction (such as Roxy Music’s ‘Love Is The Drug’, Robert Palmer’s ‘Addicted To Love’, and Nine Inch Nail’s ‘The Perfect Drug’). Not all obsessional songs have the word ‘obsession’ in their title and probably the most famous songs about being obsessed with someone are ‘Every Breath You Take’ (The Police) and ‘Stan’ (Eminem; in fact the word ‘Stan’ is now sometimes used as a term for overly-obsessive fans of someone or something). As the Wikipedia entry on ‘Every Breath You Take’ notes:

Sting wrote the song in 1982 in the aftermath of his separation from [actress] Frances Tomelty and the beginning of his relationship with [actress, film producer and director] Trudy Styler. The split was controversial…The lyrics are the words of a possessive lover who is watching ‘every breath you take; every move you make’. [Sting said he] ‘woke up in the middle of the night with that line in my head, sat down at the piano and had written it in half an hour…It sounds like a comforting love song. I didn’t realize at the time how sinister it is. I think I was thinking of Big Brother surveillance and control…[Sting] insists [the song is] about the obsession with a lost lover, and the jealousy and surveillance that follow”.

Sting’s experience of writing from what you know and feel is a staple motivation for many songwriters (and probably no different from academics like myself – I tend to write about what I know about). An article in the New York Post by Kirsten Fleming (‘When rockers are stalkers: ‘Love songs’ that cross into obsession‘) features a top ten list of ‘obsessional love’ songs (although I think very few of them are. Much better is the list of ‘greatest stalking songs’ put together by The Scientist on the Rate Your Music website). However, I do think the song-writing process can border on the obsessional and I think the Canadian-American singer-songwriter Alanis Morissette has a realistic (and perhaps representative) take on her song-writing as she noted in an online article:

“For me, what writes songs is passion. So if I’m passionately angry about something or if I’m passionately in love with something or if I’m passionately addicted to something or if I’m passionately curious or scared, this is what creates worlds in art. I think love and anger are two of the most gorgeous life forces, with love being the only one that is bottomless. All of these different feelings that I’ve been running away from my whole life, the only one that has remained bottomless and endless is love. All other emotions seem to ebb and flow and move through once they get my attention long enough to really feel, but love is the one that remains limitless”.

In this interview extract, Morissette uses the word “addicted” in an arguably positive way and echoes a quote I used in a previous blog from Dr. Isaac Marks who said that “life is a series of addictions and without them we die”. Morissette (in a different interview) was also quoted as saying:

“My top addictions are really recovering from love addictions, which is a tough withdrawal that I’ve also written records in the midst of. Probably the worst withdrawal I’ve experienced. Food addiction, which I’ve been struggling with since I was 14, and work addiction it’s the respectable addiction in the west, but it’s actually an addiction to busy-ness and the fear of stopping and being still, and all that would come up from that. Those three are my top ones, and I’ve dabbled in all the other ones but none of them have grasped hold of me like the first one did”.

The band that I think have lyrically explored obsessive love more than any other is Depeche Mode. I’ve followed them from before their first hit right up until the present day. I’ve included their songs on almost every mix tape I’ve made for any girlfriend I’ve had over the last 35 years. Their main songwriter, Martin Gore, explores the dark side of love better than any lyricist I can think of. Whereas Adam Ant wins the prize for the most songs about different types of fetishes and paraphilias, Martin Gore is the lyrical king of obsessive love (although he does occasionally wander into more paraphilic kinds of love such as the sado-masochisticMaster and Servant’. Here are just a few selected lyrics that I hope help argue my case:

  • Extract 1: “Dark obsession in the name of love/This addiction that we’re both part of/
Leads us deeper into mystery/
Keeps us craving endlessly/Strange compulsions/That I can’t control/Pure possession of my heart and soul
/I must live with this reality/I am you and you are me” (‘I Am You’ from Exciter, 2001)
  • Extract 2: I want somebody who cares for me passionately/With every thought and with every breath/Someone who’ll help me see things in a different light/All the things I detest I will almost like” (‘Somebody’ from Some Great Reward, 1984)
  • Extract 3: “Well I’m down on my knees again/And I pray to the only one/Who has the strength to bear the pain/To forgive all the things that I’ve done/Oh girl, lead me into your darkness/When this world is trying it’s hardest
/To leave me unimpressed/
Just one caress from you and I’m blessed” (‘One Caress’ from Songs Of Faith And Devotion, 1993).
  • Extract 4: “Taking hold of the hem of your dress/
Cleanliness only comes in small doses/
Bodily whole but my head’s in a mess/Do you know obsession that borders psychosis?/It’s a sad disease/Creeping through my mind/Causing disabilities/Of the strangest kind/Getting lost in the folds of your skirt/There’s a price that I pay for my mission/Body in heaven and a mind full of dirt/How I suffer the sweetest condition” (‘The Sweetest Condition’ from Exciter, 2001)
  • Extract 5: “It’s only when I lose myself with someone else/That I find myself/I find myself/Something beautiful is happening inside for me/Something sensual, it’s full of fire and mystery/I feel hypnotized, I feel paralized/I have found heaven/Did I need to sell my soul/For pleasure like this?/Did I have to lose control/To treasure your kiss?/Did I need to place my heart/In the palm of your hand?/Before I could even start/To understand” (‘Only When I Lose Myself’ from The Singles, 86-98)
  • Extract 6: “I want you now/
Tomorrow won’t do/
There’s a yearning inside/And it’s showing through/Reach out your hands/And accept my love/We’ve waited for too long/Enough is enough/I want you now” (‘I Want You Now’ from Music For The Masses, 1987)
  • Extract 7: “Don’t say you’re happy/Out there without me/I know you can’t be
/’Because it’s no good/I’m going to take my time/I have all the time in the world
/To make you mine/It is written in the stars above” (‘It’s No Good’ from Ultra, 1997)
  • Extract 8: “Wisdom of ages/Rush over me/Heighten my senses/Enlighten me/Lead me on, eternally/And the spirit of love/Is rising within me/Talking to you now/Telling you clearly/The fire still burns” (‘Insight’ from Ultra, 1997).

These are just a few of the ‘obsessional’ lyrics from Depeche Mode’s back catalogue (and there are plenty of other songs I could have featured). I often think that the lyrics in songs or poetry say far more about the human condition than any paper I have published on the topic, and that is why I am (and will continue to be) a music obsessive.

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

Further reading

Dorrell, P. (2005). Is music a drug? 1729.com, July 3. Located at: http://www.1729.com/blog/IsMusicADrug.html

Fleming, K. (2014). When rockers are stalkers: ‘Love songs’ that cross into obsession. New York Post, July 2. Located at: http://nypost.com/2014/07/02/the-10-creepiest-musical-stalkers/

Griffiths, M.D (1999). Adam Ant: Sex and perversion for teenyboppers. Headpress: The Journal of Sex, Death and Religion, 19, 116-119.

Griffiths, M.D. (2012). Music addiction. Record Collector, 406 (October), p.20.

Morrison, E. (2011). Researchers show why music is so addictive. Medhill Reports, January 21. Located at: http://news.medill.northwestern.edu/chicago/news.aspx?id=176870

Salimpoor, V.N., Benovoy, M., Larcher, K. Dagher, A. & Zatorre, R.J. (2011). Anatomically distinct dopamine release during anticipation and experience of peak emotion to music. Nature Neuroscience 14, 257–262.

Smith, J. (1989). Senses and Sensibilities. New York: Wiley.

Don’t worry, bee happy: Another very brief look at melissophilia

In the last two weeks I have been interviewed twice by the British Metro newspaper about different sexual paraphilias. The first interview with Miranda Larbi was on dacryphilia (sexual arousal from crying), a paraphilia on which I’ve already published three papers on and have a fourth in progress, and which the Metro published as ‘There are women who get wet from crying’. The second interview with Yvette Caster was on formicophilia (usually defined as sexual arousal from insects but not strictly accurate as I’ll explain below) and more specifically on melissophilia (sexual arousal from bees, the opposite of melissophobia – a fear of bees and bee stings). I’ve not published academic papers on either formicophilia or melissophilia but have written blogs on both of them, and is the reason I was asked for comment. Much of the information in the Metro’s article came from my blog and was supplemented with quotes from my interview with them. The Metro piece (somewhat ambitiously entitled ‘Everything you’ve ever wanted to know about the sexual fetish for bees’) started by saying:

“We all know about the birds and the bees. But some people take this phrase more literally than others when it comes to what they enjoy in the bedroom. Melissophilia is sexual attraction to bees. Yes, while you’ve been getting red-faced trying to chase those critters away from your picnic, others have been going red-faced in their presence for entirely different reasons…Melissophilia is a specific kind of zoophilia (sexual attraction to animals)…The word comes from the Ancient Greek for ‘honey bee’ and ‘love’. It’s not necessarily a case of falling in love with Barry B Benson from Bee Movie. Apparently some people catch bees with the intention of getting them to sting their genitals. This is because they believe this will increase swelling and hypersensitivity, increasing the intensity and duration of their orgasms”.

Following this introduction, the remainder of the article was entitled ‘What do the experts have to say about it?’ and simply featured the (edited) answers to some of the questions that I was asked by the Metro journalist. As I had been interviewed via asynchronous email (a topic that I have co-incidentally written methodological papers about in relation to studying paraphilia behaviour), I have a complete transcript of the whole interview and thought I’d publish it in full as the Metro only used a small selection of what I’d written (and I don’t like to waste any work that I’ve done).

Why might someone develop melissaphilia? I’ve never come across a true case of melissophilia (i.e., sexual arousal specifically from bees), only men that use bees to increase the size of their penis (so they are unlikely to be true melissophiliacs). There may be some masochists who get sexual pleasure from things that sting (including nettles and insects) but the focus of the arousal is pain (not the bees) so these would not be melissophilia. (And by the way, although formicophilia is often used to describe insect fetishes, technically it only relates to ants and the term entomophilia is more accurate).

At what point might having this fetish become a problem? When it comes to non-normative sex, problems are typically defined by context and culture. If sex is consensual with informed consent, no fetish is problematic. If the person themselves thinks it is a problem then it should be treated as such. With insect fetishes, you could argue that the insects are not giving their informed consent and therefore the fetishes are morally wrong (without necessarily being problematic to the person or the insects).

Have you any idea how common melissaphilia is? If it even exists (and I’m not convinced it is) it would be incredibly rare.

When do people develop fetishes like formicophilia and why? There are only two academic papers examining formicophilia in the psychological literature and I think it was actually the same person being written about in each paper. Many fetishes appear to be as a result of associative pairing (classical conditioning) but formicophilia may be more common in cultures where insects are everywhere and where such individuals use insects as a substitute for sex by using insects to arouse erogenous zones (penis, nipples, etc.). The one case study in the literature involved a Buddhist monk that had never had sex or been exposed to pornography. Here the formicophilia may have been culturally learned by accident.

In your opinion, is it a harmless sexual preference or something fans should try to wean themselves off? It’s harmless if there is no problem and people should only seek help if they themselves feel it is a problem. There’s nothing wrong with non-normative sex if it’s consensual. However, as I said above, there may be a moral issue. There are other insect-based and similar fetishes that I have covered in my blog that you can check out (such as spiders [arachnephilia] and worms [vermiphilia]).

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

Further reading

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

Aggrawal, A. (2011). A new classification of zoophilia. Journal of Forensic and Legal Medicine, 18(2), 73-78.

Biles, J. (2004). I, insect, or Bataille and the crush freaks. Janus Head: Journal of Interdisciplinary Studies in Literature, Continental Philosophy, Phenomenological Psychology and the Arts, 7(1), 115-131.

Dewaraja, R. (1987). Formicophilia, an unusual paraphilia, treated with counseling and behavior therapy. American Journal of Psychotherapy, 41, 593-597.

Dewaraja, R. & Money, J. (1986). Transcultural sexology: Formicophilia, a newly named paraphilia in a young Buddhist male. Journal of Sex and Marital Therapy, 12, 139-145.

Greenhill, R. & Griffiths, M.D. (2014). The use of online asynchronous interviews in the study of paraphilias. SAGE Research Methods Cases. Located at: http://dx.doi.org/10.4135/978144627305013508526

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.

Greenhill, R. & Griffiths, M.D. (2016). Sexual interest as performance, intellect and pathological dilemma: A critical discursive case study of dacryphilia. Psychology and Sexuality, in press.

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

Pearson, G.A. (1991). Insect fetish objects. Cultural Entomology Digest, 4, (November).

Getting to the point: A brief look at injection fetishes

In a previous blog I examined ‘medical fetishism’. One of the sub-types of medical fetishism comprises individuals who derive sexual pleasure and arousal from being the recipients of a medical or clinical procedure (typically some kind of bodily examination). This includes genital and urological examinations (e.g., a gynaecological examination), genital procedures (e.g., fitting a catheter or menstrual cup), rectal procedures (e.g., inserting suppositories, taking a rectal temperature, prostate massage), the application of medical dressings and accessories (e.g., putting on a bandage or nappy, fitting a dental retainer, putting someone’s arm in plaster), and the application and fitting of medical devices (e.g., fitting a splint, orthopaedic cast or brace).

One type of medical fetish that I did not mention was that involving individuals that have ‘injection fetishes’. Obviously this fetish appears to be a very niche sexual behaviour within medical fetishism but there are various online forums and websites that cater for individuals who derive sexual pleasure from the giving or receiving of injections (or watching such acts). For instance, there is a dedicated forum within the Voy.com website where individuals share their injection stories, the Real Injection website (which features stories and clips from films and news stories where injections are administered), the Needing Needles page on Tumblr (which mainly consists of photographic pictures featuring hypodermic needles), The Injection Girls website (which doesn’t appear to be overtly sexual but would be highly arousing for those with an injection fetish), the Fetish Clinic website (featuring lots of medical fetish videos including injections), and even a dedicated Facebook page on the topic.

In researching this article I came across many online accounts (of various degrees of detail) of people claiming to have an injection fetish. I can’t vouch for the veracity of the statements but they appeared genuine to me:

  • Extract 1: “I am an injection fetish person. [I] Iike to watch injection pictures [and] videos particularly a female being the administrator”.
  • Extract 2: “At [the] age of 18 [years] I was hospitalized for a week. I had to [have an] injection every day [from a] nurse…On [the] first two days she told me to lower my pants [to give the] injection. [She] slowly injected the needle in my fatty butt. On [the] third day I told her to [take] down my jeans by herself. First she hesitated, but [did] it. [The] next day she came and [did it without me asking]. She lowered my jeans…[and] gave [me the] injection on [my] butt…She gave me injections and then made me horny by keeping her hand & finger on [where she had injected me. It felt] uncomfortable. but she still smiled. She obviously teased me and on the same day I [returned] home with an injection fetish”.
  • Extract 3: “I ejaculate [and am] more happy if a nice woman dressed in nurse [gives] me an injection…I like very much the preparation protocol before injection…I have [had] this fetish since I received [my] first injection made by a nurse when I was 10 years old…This is a nice fetish. I know that is not very common but I know some people [who] like it, so we are not alone [in having] curious pleasures”.
  • Extract 4: “I have an injection fetish…When I was younger I got a shot from a nurse and after injected she was getting very fresh and touchy with me. I could not turn her down when she said we must go somewhere and get it on…I have never felt so satisfied after she [injected] me. That’s where it started. She was forceful and demanding. The [injection] shot was large and scary. I wasn’t real thrilled about getting it but she said it [was in my] best interest. So I bent over. She swabbed me. I was a bit resistant. She was persuasive in her words…It was hurting. Then while she was injecting that was hurting too. I was squirming and moaning. But I would love for this to happen again someday”
  • Extract 5: “I have an ‘injection fetish’. That means that I get only sexually attracted when thinking about women getting injections in their butt. I also like to have fantasies about myself getting injections in the butt by woman. This fetish is apparently rare, but also not that uncommon…As such, a fetish might not be something bad, but this one prevents me from having orgasm in normal sexual intercourse. The female vagina does not sexually really attract me…It basically destroys any relationship because I cannot have an orgasm or ejaculate during normal sexual intercourse…Has this specific type of medical fetish (or similar ones…suppositories, enemas, gyno) been researched in medical/psychological science? Once I know where this [fetish] is from, I can understand it and I can control it…To me, it appears I had this fetish from day one (of course, that was not the case, but [that is how] it feels)”.

Unlike the others quoted here, this last extract is from a person also provided further description about himself. He was 39 years of age when he posted his comments and claimed to have developed the fetish in childhood some time between the ages of six to eight years. He claims not to know where the fetish originated, and his only description of his childhood was that he had a father who used to beat him and who wouldn’t let him bring any friends to his house (including girlfriends). Although the accounts here are brief, all five are males, and three of the five extracts mention getting an injection from a nurse at some point on their lives had kick-started their injection fetish and would appear to suggest that associative pairing took place and that their sexual arousal from injections arises as a result of classical conditioning.

It’s also worth mentioning that there are also hard-core pornographic films where injections are central to the ‘plot’ – the 2011 film Lethal Injection being the most infamous example. (I say “infamous” because many newspapers – such as a piece in the Daily Mail – reported that China’s leading state-run news agency Xinhua posted the screen shots from the film on its website under the headline ‘Actual Record of Female Inmate’s Execution – Exposing the World’s Darkest Side’ and claimed it showed a real execution by lethal injection in the United States. In the film itself, a doctor has sex with a woman after she has been given a lethal injection and arguably is more about necrophilia and lust murders than it is about injection fetishes).

Academically, I’m not aware of any research specifically focusing on injection fetishes although a paper by Dr. Allen Bartholomew published back in 1973 in the Australian and New Zealand Journal of Psychiatry alluded to behaviours that have similarities to injection fetishes. Bartholomew was studying the characteristics of intravenous drug users and noted three cases of autohaemofetishism (i.e., deriving sexual pleasure from sight of blood drawn into a syringe during intravenous drug practice, something that I briefly mentioned in a previous blog on vampirism as a sexual paraphilia). He also noted three cases of ‘injection masochism’ in which users were sexually aroused from giving themselves injections. In both of these two features, it was argued by Bartholomew that both of the two features were considered to be brought about by classical conditioning.

More recently, in 2012 issue of the journal Rhizomes in Emerging Knowledge, Dr. Varpu Rantala examined the recurrence of drug injection scenes in contemporary mainstream cinema from a cultural studies perspective. She argued that in cinematic terms:

Injection is a fetish – not only of drug users but a collective one. The injection shots momentarily fix the images of what is thinkable and sayable about intravenous drug use, centering it on an overindulgence in injection and reducing ‘addicted bodies”.

However, the word ‘fetish’ in this context is not being used in any sexual sense. She also makes reference to the portrayal of drug addicts in the work of US writer William Burroughs. Again, this is not used in a sexual sense but she does make some interesting observations about obsession and addiction:

The coolness in Burroughs’s description of a junkie is paradoxically both ice-cold and mobilizing, or attractive, as understood in relation to the attraction image. These images may also be fetishized. Intravenous drug users may develop a fetish for injection, the ‘needle fixation’, an addiction to the injection itself that is often experienced as both repulsive and seductive (Pates et al 2001). But, it seems that “needle fixation” is not only about intravenous drug users: this kind of ambiguous fascination with the injection image as part of late modern mainstream everyday audiovisual culture may even be described a ‘cinematic obsession’: as the ‘hold [of drugs] on the modern imagination [is] seemingly as strong as the hold it has over those addicted to it’ (Boothroyd 2007, 9), ‘it is the ambiguity and duality of the symbolism [of the syringe] that is the source for conflict, and intense pleasurable obsession’ (Fitzgerald 2010, 205). The recurrence of these images in their over-indulgence of sensuous material of extreme explicitness reminds one of the processes of addiction as unwilled repetition of excessive sensual experience: a cinematic addiction…Repetitive, fixed and fetishized, late modern drug injection images are clichés that may ‘penetrate each one of us’ (Deleuze 2005, 212). This may also be about an intense encounter that moves us. In case of the injection shot, they form a place of intensity in a film; an attraction image (Gunning 1990) that reaches towards the viewer and that Williams (1991) has further discussed with respect to porn, horror and melodrama”

Finally, (and staying with films), a few years ago there was an interesting article on the Hannibal Studio Lo website (a site dedicated to critical analysis of all things Hannibal Lecter). Unfortunately, the website is no longer on the internet but one of the contributors to the site made the observation that the author of all the ‘Hannibal Lecter’ books (Thomas Harris) has (in his writing) a fetish for injections, a love-hate relationship for the meaning of getting an injection and its purpose”. The article made references to the many passages in Harris’ books that concern injections but asserts that:

“The most impressive descriptions of injections in the [novel] of ‘Hannibal’ are those given by Dr. Lecter to Clarice Starling. Appearing in Chapter 94 there is a ‘Tiny sting of the finest needle – Starling did not even look down’ and in Chapter 91 there is ‘Day and evening again, the smell of fresh flowers in the house, and once the faint sting of a needle’. The essence of those injections, which would lead her from one life to another and help her cross the final threshold to her transformation. So what do you think is the significance of injections according to the Harris realm? Could it be that one of the ingredients of a dark and profound romance is the intimate enigmatic comfort of Hannibal’s injections? I think it is very interesting to note how Harris’s equation promises that from an ambiguous act that could be considered controlling, true freedom and tranquility are born”.

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

(Note: the original weblink for the article concerning Thomas Harris’ “fetish for injections” was at: http://www.hannibalstudiolo.com/phpBB2/viewtopic.php?t=1095&start=-1&sid=0f25ca4b4c2dca0bd9f85038ae600a03)

Further reading

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

Bartholomew, A. A. (1973). Two features occasionally associated with intravenous drug users: A note. Australian and New Zealand Journal of Psychiatry, 7(3), 206-207.

Bizarre Magazine (2010). Medical fetishism. December 1. Located at: http://www.bizarremag.com/fetish/fetish/10393/medical_fetish.html?xc=1

Boothroyd, D. (2007). Cinematic heroin and narcotic modernity. In Ahrens, R. and Stierstorfer, K. (eds.), Symbolism: An International Annual of Critical Aesthetics (pp. 7-28). New York: AMS Press.

Deleuze, G. (2005a) Cinema 1: The Movement-Image. London: Continuum.

Fitzgerald, J. (2010). Images of the desire for drugs. Health Sociology Review, 12(2), 205-217.

Pates, R.M., McBride, A.J., Ball, N. & Arnold, K (2001). Towards an holistic understanding of injecting drug use: An overview of needle fixation. Addiction Research and Theory, 9, 3-17.

Rantala, V. (2012). Hardcore: Schizoanalysis as audiovisual thinking of cinematic drug injection images. Rhizomes: Cultural Studies in Emerging Knowledge, 24, 1-12

Wikipedia (2012). Medical fetishism. Located at: http://en.wikipedia.org/wiki/Medical_fetishism

Williams, L. (1991). Film bodies: Gender, genre and excess. Film Quarterly, 44(4), 2-13.

Giving someone the hot shoulder: Omosophilia and the naming of a new paraphilia

While researching previous blogs on sexual piggybacking and ‘lift and carry’ fetishism, I noticed that when the words ‘shoulder’ and ‘fetish’ were in the same Google search, I came across a number of discussion sites where people were discussing their fetishes for shoulders. Here are a few of the cases that I came across:

  • Extract 1 (male): “I’ve never been into women wearing make-up, loads of perfume, and all that jazz, but for some reason, seeing the bare shoulders of a woman really makes me excited. Not that I want to have sex with the shoulders, but that they simply look hot, sort of like the way most men view breasts. Is this normal, psychologically?”
  • Extract 2 (male): “I love a woman’s exposed shoulders. I’m very attracted to them, my major turn on. I love how they look [and] how they feel. Talking about their shoulders really turns me on”
  • Extract 3 (male): “I also get turned on by the sight of a woman’s bare shoulders. That is why I love to see women in tank tops, halter tops, sleeveless tops, and off-the-shoulder tops (my favorite)”
  • Extract 4 (male): “Broad shoulders are a pretty common turn on for women anyway”.
  • Extract 5 (male): I’m not into panties, lingerie, or wearing make up, but I’ve always had an attraction to sexy female tops. I have always had a fetish about seeing a woman’s bare shoulders and got off many times fantasizing about them. Not taking it a step further, I’ve always loved wearing female sleeveless blouses and tops. I know they make tank tops for guys, but it’s not the same thrill as wearing a woman’s black, sleeveless, turtleneck jersey. I also enjoy wearing halter tops, tube tops, camies, one-shoulder tanks, and leotards, which I wear openly at the gym. I never feel as liberated as when I’m out in public with my shoulders bare. I’ve never met anyone else who’s into this with whom I could share my fantasy. But I would like to hear from anybody who is, be it man or woman, who may also have this fetish”
  • Extract 6 (male): “I have a fetish of girls sitting on my shoulders…I’ve loved this ever since I can remember…even before I knew what sex was. I have a female friend, and one time me, her, and one of her friends were walking through a field at night, and her friend said she was afraid of getting ticks and asked to sit on my shoulders. I lifted her up, and after awhile she started like bossing me around, telling me where to stand, etc…I enjoyed this. Is this fetish healthy? Sometimes I wonder if I let people push me around in life because of this fetish”
  • Extract 7 (male): I find a sexual partner’s shoulders really arousing, on both men and women. Am I in the minority or is it pretty normal?”
  • Extract 8 (male): This will probably sound strange, but I have a shoulder fetish. A beautiful girl, in a cute pose, with her shoulder exposed, absolutely makes my heart race”

Admittedly, there is little detail in these extracts and I have no way of knowing to what extent any of the extracts I have selected are truthful (although I have no reason to suspect anyone was lying). As there is little detail here, there was almost nothing on how the interest developed apart from Extract 6 where the interest in shoulders was more to do with the act of a female sitting on his shoulders rather than fetishizing the shoulders themselves. Here, the fetish (if it really is a fetish) is more akin to ‘lift and carry’ fetishes with overtones of sexual masochism (i.e., being bossed around by a female and getting a sexual thrill from it).

All of the extracts were from males (presumably heterosexual apart from Extract 5 who may be bisexual and/or a transvestite based on the small amount of information provided). Although I could reasonably conclude that shoulder fetishes are primarily male-based, I did deliberately include the comment made by a male in Extract 4 who pointed out that women often remark on the sexiness and attractiveness of men that have broad shoulders. This observation made the implied point that it is almost the norm for some women to find men’s shoulders a sexual turn-on but may be rare for men to comment on the attractiveness of women’s shoulders. Basically, when women talk about the attractiveness of men’s shoulders it is normalized whereas when men talk about the attractiveness of women’s shoulders it is fetishized.

As far as I am aware, not only is there no academic or clinical research on the topic of shoulder fetishes, but there aren’t even any articles (this I believe is the first ever article on the topic). There was nothing between ‘shaving’ and ‘showers’ in Dr. Brenda Love’s Encyclopedia of Unusual Sex Practices and nothing in Dr. Anil Aggrawal’s Forensic and Medico-legal Aspects of Sexual Crimes and Unusual Sexual Practices. Shoulders weren’t even mentioned in the list of fetishized body parts in Dr. C. Scorolli and colleagues’ excellent paper on the prevalence of fetishes in their 2007 paper in the International Journal of Impotence Research (a study I have cited countless times in relation to my blogs on other sexualized body parts). Given the complete lack of scientific study relating to shoulder fetishes I have decided to name a new paraphilia based on traditional nosology using the Greek words for ‘shoulder’ (omos) and ‘love’ (philia) – thus this ‘new’ paraphilia is called omosophilia (not to be confused with ‘osmophilia’ – where individuals derive sexual pleasure from certain smells and odours).

Dr Mark Griffiths, Professor of Behavioural Addiction, 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.

Gates, K. (2000). Deviant desires: Incredibly strange sex. New York: Juno Books.

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

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.

Lust discussed: A brief overview of our recent papers on sex addiction

Following my recent blogs where I outlined some of the papers that my colleagues and I have published on mindfulness, Internet addiction, gaming addiction, youth gambling, exercise addiction, and shopping addiction, here is a round-up of recent papers that my colleagues and I have published on sex addiction.

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.

  • At present, the prevalence of rates of sexual addiction in the UK is unknown. This study investigated what treatment services were available within British Mental Health Trusts (MHTs) that are currently provided for those who experience compulsive and/or addictive sexual behaviours within the National Health Service (NHS) system. In March and April 2013, a total of 58 letters were sent by email to all Mental Health Trusts in the UK requesting information about (i) sexual addiction services and (ii) past 5-year treatment of sexual addiction. The request for information was sent to all MHTs under the Freedom of Information Act (2001). Results showed that 53 of the 58 MHTs (91 %) did not provide any service (specialist or otherwise) for treating those with problematic sexual behaviours. Based on the responses provided, only five MHTs reported having had treated sexual addiction as a disorder that took primacy over the past 5 years. There was also some evidence to suggest that the NHS may potentially treat sexual addiction as a secondary disorder that is intrinsic and/or co-morbid to the initial referral made by the GP. In light of these findings, implications for the treatment of sex addiction in a British context are discussed.

Dhuffar, M. & Griffiths, M.D. (2014). Understanding the role of shame and its consequences in female hypersexual behaviours: A pilot study. Journal of Behavioural Addictions, 3, 231–237.

  • Background and aims: Hypersexuality and sexual addiction among females is a little understudied phenomenon. Shame is thought to be intrinsic to hypersexual behaviours, especially in women. Therefore, the aim of this study was to understand both hypersexual behaviours and consequences of hypersexual behaviours and their respective contributions to shame in a British sample of females (n = 102). Methods: Data were collected online via Survey Monkey. Results: Results showed the Sexual Behaviour History (SBH) and the Hypersexual Disorder Questionnaire (HDQ) had significant positive correlation with scores on the Shame Inventory. The results indicated that hypersexual behaviours were able to predict a small percentage of the variability in shame once sexual orientation (heterosexual vs. non-heterosexual) and religious beliefs (belief vs. no belief) were controlled for. Results also showed there was no evidence that religious affiliation and/or religious beliefs had an influence on the levels of hypersexuality and consequences of sexual behaviours as predictors of shame. Conclusions: While women in the UK are rapidly shifting to a feminist way of thinking with or without technology, hypersexual disorder may often be misdiagnosed and misunderstood because of the lack of understanding and how it is conceptualised. The implications of these findings are discussed.

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.

  • Researchers have suggested that the advances of the Internet over the past two decades have gradually eliminated traditional offline methods of obtaining sexual material. Additionally, research on cybersex and/or online sex addictions has increased alongside the development of online technology. The present study extended the findings from Griffiths’ (2012) systematic empirical review of online sex addiction by additionally investigating empirical studies that implemented and/or documented clinical treatments for online sex addiction in adults. A total of nine studies were identified and then each underwent a CONSORT evaluation. The main findings of the present review provide some evidence to suggest that some treatments (both psychological and/or pharmacological) provide positive outcomes among those experiencing difficulties with online sex addiction. Similar to Griffiths’ original review, this study recommends that further research is warranted to establish the efficacy of empirically driven treatments for online sex addiction.

Dhuffar, M. & Griffiths, M.D. (2015). Understanding conceptualisations of female sex addiction and recovery using Interpretative Phenomenological Analysis. Psychology Research, 5, 585-603.

  • Relatively little research has been carried out into female sex addiction. There is even less regarding understandings of lived experiences of sex addiction among females. Consequently, the purpose of the present study was to examine the experiences of female sex addiction (from onset to recovery). This was done by investigating the experiences and conceptualisations of three women who self-reported as having had a historical problem with sex addiction. An interpretative phenomenological analysis (IPA) methodology was applied in the current research process in which three female participants shared their journey through the onset, progression, and recovery of sex addiction. The IPA produced five superordinate themes that accounted for the varying degrees of sexual addiction among a British sample of females: (1) “Focus on self as a sex addict”; (2) “Uncontrollable desire”; (3) “Undesirable feelings”; (4) “Derision”; and (5) “Self help, treatment and recovery”. The implications of these findings towards the understanding and the need for the implementation of treatment are discussed.

Dhuffar, M., Pontes, H.M. & Griffiths, M.D. (2015). The role of negative mood states and consequences of hypersexual behaviours in predicting hypersexuality among university students. Journal of Behavioural Addictions, 4, 181–188.

  • The issue of whether hypersexual behaviours exist among university students is controversial because many of these individuals engage in sexual exploration during their time at university. To date, little is known about the correlates of hypersexual behaviours among university students in the UK. Therefore, the aims of this exploratory study were two-fold. Firstly, to explore and establish the correlates of hypersexual behaviours, and secondly, to investigate whether hypersexuality among university students can be predicted by variables relating to negative mood states (i.e., emotional dysregulation, loneliness, shame, and life satisfaction) and consequences of hypersexual behaviour.

Van Gordon, W., Shonin, E., & Griffiths, M.D. (2016). Meditation Awareness Training for the treatment of sex addiction: A case study. Journal of Behavioral Addictions, in press.

  • Sex addiction is a disorder that can have serious adverse functional consequences. Treatment effectiveness research for sex addiction is currently underdeveloped, and interventions are generally based on guidelines for treating other behavioural (as well as chemical) addictions. Consequently, there is a need to clinically evaluate tailored treatments that target the specific symptoms of sex addiction. It has been proposed that second-generation mindfulness-based interventions (SG-MBIs) may be an appropriate treatment for sex addiction because in addition to helping individuals increase perceptual distance from craving for desired objects and experiences, some SG-MBIs specifically contain meditations intended to undermine attachment to sex and/or the human body. To date, no study exploring the utility of mindfulness for treating sex addiction has been conducted. This paper presents an in-depth clinical case study of a male individual suffering from sex addiction that underwent treatment utilising an SG-MBI known as Meditation Awareness Training (MAT). Following completion of MAT, the participant demonstrated clinically significant improvements regarding the addictive sexual behaviour, as well less depression and psychological distress. The MAT intervention also led to improvements in sleep quality, job satisfaction, and non-attachment to self and experiences. Salutary outcomes were maintained at six-month follow-up. The current study extends the literature exploring the applications of mindfulness for treating behavioural addiction, and findings of this case study indicate that further clinical investigation into the role of mindfulness for treating sex addiction is warranted.

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

Further reading

Griffiths, M.D. (2000). Excessive internet use: Implications for sexual behavior. CyberPsychology and Behavior, 3, 537-552.

Griffiths, M.D. (2001). Addicted to love: The psychology of sex addiction. Psychology Review, 8, 20-23.

Griffiths, M.D. (2001). Sex on the internet: Observations and implications for sex addiction. Journal of Sex Research, 38, 333-342.

Griffiths, M.D. (2004). Sex addiction on the Internet. Janus Head: Journal of Interdisciplinary Studies in Literature, Continental Philosophy, Phenomenological Psychology and the Arts, 7(2), 188-217.

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

Griffiths, M.D. (2012). Internet sex addiction: A review of empirical research. Addiction Research and Theory, 20, 111-124.

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

Griffiths, M.D. & Dhuffar, M. (2014). Collecting behavioural addiction treatment data using Freedom of Information requests. SAGE Research Methods Cases. Located at: DOI: http://dx.doi.org/10.4135/978144627305014533925

Sole love: A brief look at shoe fetishism

To me, shoes (and the psychology of them) have always been a trivial topic. However, maybe I just haven’t got my finger on the pulse (or should that be my foot on the pedal?) Here are a few quotes that I came across while researching this blog:

  • “Shoes are totems of Disembodied Lust. They are candy for the eyes, poetry for the feet, icing on your soul. They stand for everything you’ve ever wanted: glamour, success, a rapier like wit, a date with the Sex God of your choice…They seem to have the magic power to make you into someone else, someone without skin problems, someone without thin hair, someone without a horsy laugh. And they do” (Mimi Pond, in her 1985 book Shoes Never Lie).
  • “Almost every woman is not only conscious of her feet, but sex conscious about them” (Andre Perugia, shoe designer).
  • “Shoes are seen by most of those studied as revealing age, sex, and personality and as creating moods and capturing memories. For adolescents, shoes are a key signifier of their identities, and the shoes they desire often conflict what their parents regard as appropriate. Shoes appear as a key vehicle through which adolescents and young adults work out issues of identity, individualism, conformity, lifestyle, gender, sexuality, ethnicity, and personality” (Dr. Russell Belk in a 2003 issue of Advances in Consumer Research).

According to Dr. Russell Belk (who has written lots of great papers on the psychology of collecting that I have referred to in a number of my previous blogs), the average woman in the USA owns over 30 pairs of shoes. Citing from William Rossi’s 1976 book The Sex Life of the Foot and Shoe, Belk also claimed that 80% of shoes are bought for purposes of sexual attraction. He also noted that:

“Shoes figure prominently in stories and fairytales, including Cinderella (a highly sexualized tale in it’s more original versions), Puss ‘n’ Boots, Seven League Boots, The Wizard of Oz, The Red Shoes, and The Old Woman Who Lived In A Shoe, as well a more contemporary tales. Shoes and our desire for them are the objects of art, satire, museum exhibitions, [and] films. And they are the objects of a growing number of histories, catalogs, essays, and tributes…As all of this attention suggests, what we wear on our feet is far from a matter of indifference or utilitarianism” (Please note that I removed all the academic references and just cited the text).

These selective quotes all seem to point to the special place that shoes seem to hold in some people’s lives, and that there can be a sexualized element to them. For a small minority of people, shoes can become a sexual fetish either on its own or overlapping with other sexual praphilias including clothing fetishes, foot fetishism (podophilia), pedal pumping, transvestite fetishism, sexual sadism, and sexual masochism. Obviously it is the restrictive types of clothing that are most associated with sadomasochistic activity. This includes very high heel shoes (which make it difficult to walk) and which I examined in a previous blog on altocalciphilia (a sexual paraphilia specifically related to high-heeled shoes). As Valerie Steele noted in her 1996 book Fetish, Fashion, Sex and Power, the shoe (like the corset), was one of the first items of clothing to be treated as a fetish.

In a previous blog on sexual fetishism more generally, I wrote about a study led by Dr G. Scorolli on the relative prevalence of different fetishes using online fetish forum data. It was estimated (very conservatively in the authors’ opinion), that their sample size comprised at least 5,000 fetishists (but was likely to be a lot more). Their results showed that there were 44,722 members of online fetish forums with a fetishistic and/or paraphilic sexual interest in feet (47% of all ‘body part’ fetishists that they encountered). Among those people preferring objects related to body parts, footwear (shoes, boots, etc.) was the second most preferred (26,739 online fetish forum members; 32% of all objects related to body parts) just behind objects wore on the legs and/or buttocks (33%).

A Master’s thesis by Ash Sancaktar explored the “many paradoxes inherent in shoes in collecting, consuming, fashioning, representing, and wearing them”. The thesis also examined the significance of shoes in a number of different disciplines i.e., history, fashion, sociology, psychology and dance) as well as sexuality (with a large part of one chapter devoted to shoe fetishism). The chapter noted:

Foot fetishism has been a powerful sub-division of sex since shoes were first created. Many scholars accept feet were used as convenient metaphors for the genitalia. Keen, perhaps, to downplay emphasis on the generative process, the belief set of many pagan religions, the ancient Hebrews took the foot and made it a gender icon. According to Brame, the definition of foot fetishism is a pronounced sexual interest in the lower limb or anything that covers portions of them. The allure normally attributed to erogenous zones is literally translocated downward and the fetishist response to the foot is the same as a conventional person’s arousal at seeing genitals. (Brame & Jacobs 1996). Freud considered foot binding as a form of fetishism…Foot fetishists tend to keep their inclination concealed for fear of social ridicule or other apprehensions. Published research indicates fetishists have poorly developed social skills, are quite isolated in their lives and have a diminished capacity for establishing intimacy. Rossi (1990) reported the majority of male fetishists were married, living perfectly conventional lives with their spouse, who in turn was fully aware of partner’s behaviours and preferences”.

Unsurprisingly, Sancaktar asserts that shoe fetishists are similar to foot fetishists but their stimulus (the shoe) becomes the total focus for arousal (rather than the foot within it). He cites Freud and says that he considered the shoe as symbolically representing female genitalia and that the foot symbolically represented a male phallus and when the foot entered the shoe, the union was symbolically complete. (Annoyingly, Freud doesn’t appear in the references so I am unsure which of Freud’s works is being referred to). Quoting from Valerie Steele’s book, he also notes that “The naked foot itself is not as erotically appealing, the shoe raises up the foot and gives it mystery and allure so it’s not just a piece of meat”. He then goes on to say that:

“According to [Steele], since the 1880s, high heeled shoes have been almost entirely associated with femininity with the exception of cowboy boots. Retifists usually collect women’s shoes and have exquisite taste for elegant style. Their preference covers the seven basic shoe styles described by Rossi (1993) and materials such as leather and furs often influence their choice. Retifists will personalize their collection by giving names to their favourite shoes. Freud was convinced all women were clothes fetishist, and believed clothes were worn to provocatively shield the erotic body. Most authorities now acknowledge there is a difference between foot and shoe fetishism and someone who innocently collects shoes…There are degrees of fetishes, according to Steele. Using the example of high heeled shoes, she said that most people are level one or two, finding them appealing. Her example of level three was a French writer who followed women in Paris wearing high heeled shoes. She gave for an example of level four, Marla Maples’ ex-publicist, who was found guilty of stealing Maples’ shoes. ‘He denied being a fetishist, but admitted that he had a sexual relationship with Marla’s shoes’, Steele said”.

Sancaktar uses the work of McDowell (and more specifically his 1989 book Shoes, Fashion and Fantasy) and briefly explores the alleged aphrodisiac qualities of some shoewear including the use of tight lacing:

“Tight lacing excites desire not just because it has a constraining effect but also because it carries the promise of release. This is why stays have always been such a powerful aphrodisiac. Both the tying and untying can have a strong sexual charge – a fact that shoe makers have been aware of for a very long time [McDowell, 1989]”.

Sancaktar also talks about the rise of mules and why they are considered the most seductive shoes and a rival for the traditional sexiest footwear (i.e., the stiletto):

“There are so many kinds of fetish shoes over a long period of time. Mules were originally simple, flat, backless slippers. Originally it evolved as a form of footwear for the boudoir, worn by the most fashionable of ladies and the most exclusive of courtesans. In the Rococo period mules were popular also for men and they had the romantic connotations. By the eighteenth century they had evolved into backless shoes on high heels. Today mules, which are known also as ‘slides’ are believed to be among the most seductive of all shoes, because they leave the foot half undressed. Fetish mules stand tall with the stiletto heel, and are decorate with an unexpected pattern. It is worn by women who don’t entirely realize what they say, historically and presently, to admirers yet know they look sexy”.

As with many other fetishes that I have covered in my blog, there is little empirical research on shoe fetishism. I know of no research that has pathologized the behavior and as such is unlikely to be the focus of scientific and/or clinical enquiry.

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

Further reading

Belk, R. W. (2003). Shoes and self. Advances in Consumer Research, 30, 27-33.

Brame, G.G. & Jacobs J. (1996). Different loving: A Complete Exploration of the World of Sexual Dominance and Submission. New York: Villard.

McDowell, C. (1989). Shoes, Fashion and Fantasy. London: Thames and Hudson Ltd.

Pond, Mimi (1985). Shoes Never Lie. New York: Berkley Publishing Group.

Rossi, W.A. (1976). The Sex Life of the Foot and Shoe. Malabar, FL: Krieger Publishing.

Sancaktar, A. (2006). An analysis of shoe within the context of social history of fashion (Doctoral dissertation, İzmir Institute of Technology).

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.

Steele, V, (1996). Fetish, Fashion, Sex and Power. Oxford: Oxford University Press.

Weinberg, M.S., Williams, C.J. & Calhan, C. (1995). “If the shoe fits…” Exploring male homosexual foot fetishism. Journal of Sex Research, 32, 17-27.

Elevation elation: A brief look at ‘lift and carry’ fetishism

In previous blogs on both muscle worship (i.e., sthenolagnia) and sexual piggybacks, I briefly mentioned that some individuals have ‘lift and carry’ (L&C) fetishes. To my knowledge, there has been no academic research on L&C fetishism but it did make it into the Buzzfeed website’s ‘11 Most Unlikely Sexual Fetishes’ list along with balloon popping, gut flopping, beard rubbing, masking, and pedal pushing. According to an article on L&C fetishism at the Area Orion website:

“The fantasy world of female muscle is no stranger to the odd and weird. Another such addition is Lift and Carry, a fetish where someone is aroused by being lifted and carried away, most often by a woman. She doesn’t need to be a bodybuilder or powerlifter, just strong enough to carry the weight of a full grown man. So what is the turn on with Lift and Carry? To many, it can be harmless fun or even part of foreplay. Some like the helpless feeling of domination by a powerful woman with no control. Others like the difference in size and enjoy the feeling of having the women struggle beneath their weight. There are various types of lifts popular to L&C. Piggy-back rides, shoulder rides, over-the-shoulder carries, pony & donkey rides and Fireman’s carry are just a few. These obviously depend on the strength of the woman and weight of the man to pull off successfully…Many men are embarrassed to have this fetish, feeling the gender role reversal makes them appear weak. Fortunate for them, there are websites, videos, stories, forums and even porn for Lift and Carry where fans can live out there fantasies in private”.

A short article about L&C at the Nation Master website makes a number of claims. It asserts that the fetish is popular, harmless, used by some as a form of sexual foreplay, and is engaged in by both genders and (implicitly) by all sexual orientations. More specifically:

“Lift & Carry is an interest wherein a person may receive sexual stimulation by either being carried around by another person or carrying one yourself. Several forms exist: Male/Male, Female/Female, Female/Male and Male/Female. Especially Female/Male and Female/Female…Some are aroused by the fact that they feel dominated because another person carries them and they have no control. In this case, the person usually likes the one who is carrying them to be strong and muscular. Others enjoy the feeling of having a person struggle to carry them and enjoy feeling the person under them having a hard time. Still others may enjoy the surprise of a smaller, lighter girl who suddenly lifts another off his or her feet”.

L&C fetishism may also have psychological and behavioural overlaps with anasteemaphilia (i.e., a sexual paraphilia in which individuals derive sexual arousal from those who are much taller or shorter than themselves – here, it is the large difference in height that is the primary source of sexual arousal). This is because the Nation Master article claims:

“The people who have this fetish are usually interested in the height and weight differences between the person carrying and the person being carried, and often prefer to see a small person carry a big person, but there are also some who prefer the opposite situations. There are several sites catering to most tastes of Lift & Carry and also [pornographic] pay sites serving customers who have this fetish”.

The article also claims that L&C fetishism is “somewhat related” to ponyplay fetishism (that I examined in a previous blog) where people get sexually aroused from dressing up like horses and engaging in horse-like activity. Although this has some face validity, this is the only article that I have seen mention the link between L&C fetishism and ponyplay. In researching this blog I visited lots of online forum and discussion sites where various individuals discussed their love of this activity or how they wanted to stop liking the activity and be ‘normal’, or from women who have partners that are into it. Here are a few selected extracts:

  • Extract 1: “This fetish has been bothering me forever and I just want to be the normal guy I am. I heard that it might be because I am submissive, but I don’t want to be like that at all, I just want to be a man. Any tips from anybody?”
  • Extract 2: “I have strong fetish of lift and carry and I want to heal it. How can I do that?”
  • Extract 3: I am the caring and compassionate kinda guy. I admit that I enjoy both carrying girls (all different kinds of ways) and being carried by girls (again in any kinda way). I find that either way arouses me…I just like them to be regular, feminine-figured women. I discovered this when one day I was playing around with my then [girlfriend], and I held her around my waist as we kissed – I had a huge rush. For some strange reason, she decided she wanted to reverse it, and she held me around her waist as we kissed. I had an even bigger rush!! Is there anyone else out there with similar desires?”
  • Extract 4: My boyfriend recently told me that he has what is referred to as a lift/carry fetish. Specifically, he fantasizes about me giving him piggy-back rides. I would love to be able to satisfy his desires; he tends to be pretty reserved and undemanding, so I was ECSTATIC that he was able to tell me about this. But our size difference makes the idea a little terrifying (me: 5’5″, 160lb; him: 6’2″, 200lb)”
  • Extract 5: “I’d like to know if this one has a name…several men have contacted me online because I’m tall, all wanting to know if I could pick them up and carry them around like they were a toddler…I’ve also been hit on by men with a thing about being shrunken to a few inches tall and carried around…In my travels about the [internet] I’ve stumbled across entire sites devoted to the Lift-And-Carry fetish (which doesn’t seem to have a snazzy name). I don’t quite understand it myself – it seems to be a subset of guys who get off on giant women”.
  • Extract 6: “I have a lift and carry fetish and I would really love a woman to carry me(especially the piggyback rides)”
  • Extract 7: “I’ve long been fascinated with lift & carry, but honestly, it all depends. I’m really not at all into guys lifting other guys. I mean, I’m a straight male for starters, but beyond that? My fave thing is seeing women strong enough to lift and carry other women or men. My ex-wife was awesome in that respect. She was *really* strong with a thick build. She weighed a lot more than people ever guessed (around 200lbs at 5’6″ when people usually guessed at least 50lbs. less). So it was always amusing when a guy (or a couple times, even a female friend) would try to pick her up”

The activity (while niche) appears to have a large online following with discussions on sex and fetish forums, and seemingly masses of pornographic L&C videos. There also appears to be a market for men buying the services of strong women and bodybuilders that supplement there income with those that desire to be lifted and carried. As the Area Orion article on L&C fetishes reported the case of the ‘Lift Goddess’:

“Lift Goddess is one such professional, a Lift and Carry dominatrix who can lift a 250 lb man while wearing stilettos. She is a naturally strong athlete, former Las Vegas Showgirl and classically trained dancer. A one-hour session runs $400 plus a $100 booking fee. She describes the experience as ‘You will be lifted born upon the wings of my superior strength. I may carry you in my arms like a child. And you will wonder… am I your Protector, or are you my prey?’”

As I have noted in other blogs on strange fetishistic behaviour, it never ceases to amaze me what arouses people sexually. A couple of people in the extracts above claim they have this fetish but do not want it (suggesting they want their fetish to be ‘treated’) but I doubt whether L&C fetishism will ever be the subject of empirical research.

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.

Area Orion (2011). Lift and carry. October 19. Located at: http://areaorion.blogspot.co.uk/2011/10/lift-and-carry.html

Klein, A.M. (1993). Little Big Men: Bodybuilding Subculture and Gender Construction. Albany: State University of New York Press.

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

Nation Master (2013). Lift and carry. Located at: http://www.nationmaster.com/encyclopedia/Lift-and-Carry

Richardson, N. (2008): Flex-rated! Female bodybuilding: feminist resistance or erotic spectacle? Journal of Gender Studies, 17, 289-301

Sex and the University (2008). Sthenolagnia: Muscle fetishism. Located at: http://sexandtheuniversity.wordpress.com/2008/05/28/sthenolagnia-muscle-fetishism/

Wikipedia (2012). Muscle worship. Located at: http://en.wikipedia.org/wiki/Muscle_worship

Myth world: Addictive personality does not exist

(Please note: This article is a slightly expanded and original version of an article that was first published in The Conversation).

“Life is a series of addictions and without them we die”. This is my favourite quote in the academic addiction literature and was made back in 1990 in the British Journal of Addiction by Professor Isaac Marks. This deliberately provocative and controversial statement was made to stimulate debate about whether excessive and potentially problematic activities such as gambling, sex and work can really be classed as genuine addictive behaviours. Many of us might say to ourselves that we are ‘addicted’ to tea or coffee, our work, or know others who we might describe as having addictions watching the television or using pornography. But is this really true?

The issue all comes down to how addiction is defined in the first place as many of us in the field disagree on what the core components of addiction are. Many would argue that the word ‘addiction’ or ‘addictive’ is used so much in everyday circumstances that word has become meaningless. For instance, saying that a book is an ‘addictive read’ or that a specific television series is ‘addictive viewing’ renders the word useless in a clinical setting. Here the word ‘addictive’ is arguably used in a positive way and as such it devalues the real meaning of the word.

The question I get asked most – particularly by the broadcast media – is what is the difference between a healthy excessive enthusiasm and an addiction and my response is simple – a healthy excessive enthusiasm adds to life whereas an addiction takes away from it. I also believe that to be classed as an addiction, any such behaviour should comprise a number of key components including overriding preoccupation with the behaviour, conflict with other activities and relationships, withdrawal symptoms when unable to engage in the activity, an increase in the behaviour over time (tolerance), and use of the behaviour to alter mood state. Other consequences such as feeling out of control with the behaviour and cravings for the behaviour are often present. If all these signs and symptoms are present I would call the behaviour a true addiction. However, that hasn’t stopped others accusing me of ‘watering down’ the concept of addiction.

A few years ago, Dr. Steve Sussman, Nadra Lisha and I published a large and comprehensive review in the journal Evaluation and the Health Professions examining the co-relationship between eleven different potentially addictive behaviours reported in the academic literature (smoking tobacco, drinking alcohol, taking illicit drugs, eating, gambling, internet use, love, sex, exercise, work, and shopping). We examined the data from 83 large-scale studies and reported an overall 12-month prevalence of an addiction among U.S. adults varies from 15% to 61%. We also reported it plausible that 47% of the U.S. adult population suffers from maladaptive signs of an addictive disorder over a 12-month period, and that it may be useful to think of addictions as due to problems of lifestyle as well as to person-level factors. In short – and with many caveats – our paper argued that at any one time almost half the US population are addicted to one or more behaviours.

There is a lot of scientific literature showing that having one addiction increases the propensity to have other co-occurring addictions. For instance, in my own research I have come across alcoholic pathological gamblers and we can all probably think of individuals that we might describe as caffeine-addicted workaholics. It is also very common for individuals that give up one addiction to replace it with another (which we psychologists call ‘reciprocity’). This is easily understandable as when an individual gives up one addiction it leaves a large hole in the waking lives (often referred to as the ‘void’) and often the only activities that can fill the void and give similar experiences are other potentially addictive behaviours. This has led many people to describe such people as having an ‘addictive personality’.

While there are many pre-disposing factors for addictive behaviour including genetic factors and psychological personality traits such as high neuroticism (anxious, unhappy, prone to negative emotions) and low conscientiousness (impulsive, careless, disorganised), I would argue that ‘addictive personality’ is a complete myth. Even though there is good scientific evidence that most people with addictions are highly neurotic, neuroticism in itself is not predictive of addiction (for instance, there are individuals who are highly neurotic but are not addicted to anything so neuroticism is not predictive of addiction). In short, there is no good evidence that there is a specific personality trait (or set of traits) that is predictive of addiction and addiction alone.

Doing something habitually or excessively does not necessarily make it problematic. While there are many behaviours such as drinking too much caffeine or watching too much television that could theoretically be described as addictive behaviours, they are more likely to be habitual behaviours that are important in an individual’s life but actually cause little or no problems. As such, these behaviours should not be described as an addiction unless the behaviour causes significant psychological and/or physiological effects in their day-to-day lives.

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

Further reading

Andreassen, C.S., Griffiths, M.D., Gjertsen, S.R., Krossbakken, E., Kvan, S., & Ståle Pallesen, S. (2013). The relationships between behavioral addictions and the five-factor model of personality. Journal of Behavioral Addictions, 2, 90-99.

Goodman, A. (2008). Neurobiology of addiction: An integrative review. Biochemical Pharmacology, 75(1), 266-322.

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

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

Griffiths, M.D. (2010). The role of context in online gaming excess and addiction: Some case study evidence. International Journal of Mental Health and Addiction, 8, 119-125.

Griffiths, M.D. & Larkin, M. (2004). Conceptualizing addiction: The case for a ‘complex systems’ account. Addiction Research and Theory, 12, 99-102.

Kerr, J. S. (1996). Two myths of addiction: the addictive personality and the issue of free choice. Human Psychopharmacology: Clinical and Experimental, 11(S1), S9-S13.

Kotov, R., Gamez, W., Schmidt, F., & Watson, D. (2010). Linking “big” personality traits to anxiety, depressive, and substance use disorders: A meta-analysis. Psychological Bulletin, 136(5), 768-821.

Larkin, M., Wood, R.T.A. & Griffiths, M.D. (2006). Towards addiction as relationship. Addiction Research and Theory, 14, 207-215.

Marks, I. (1990). Behaviour (non-chemical) addictions. British Journal of Addiction, 85, 1389-1394.

Nakken, C. (2009). The addictive personality: Understanding the addictive process and compulsive behavior. Hazelden, Minnesota: Hazelden Publishing.

Nathan, P. E. (1988). The addictive personality is the behavior of the addict. Journal of Consulting and Clinical Psychology, 56(2), 183-188.

Totally bananas for an apple source: A brief look at fruit fetishism

In a previous blog I briefly examined sitophilia, a sexual paraphilia in which the individual has an erotic attraction to (and derives sexual arousal from) food. In that blog I noted that there has long been an association between eating and sexual behaviour on many different levels. More specifically, I noted:

“Eating and sex are both basic human needs and sometimes interact more directly. Many would also agree that eating (in and of itself) can be a sensual activity. There are also some foods that are considered to be aphrodisiacs. For example, foodstuffs such as oysters and chocolate are considered to have aphrodisiac properties (even if there is a lack of empirical evidence). The important factor is that if people believe the food in question has such arousing properties then there is likely to be some kind of a placebo effect”.

One (arguable) sub-type of sitophilia relates to those individuals that have fruit fetishes and/or specifically use fruit as part of their day-to-day sexual activity. Fruit fetishism also has overlapping behavioural and psychological characteristics with other fetishes that I have written about previously including ‘wet and messy’ fetishism and Nyotaimori (i.e., eating a variety of foods or a whole meal off somebody’s naked body). Almost every article about fruit fetishes on the Internet mentions the fact that some types of fruit (most noticeably bananas) can be used as a dildo substitute for both men and women (and used both anally and vaginally). For instance, the Wikipedia entry on ‘food play’ notes:

“Certain fruits (e.g., bananas), vegetables (e.g., cucumbers and zucchinis) and processed meat (e.g., sausages and hot dogs), if used safely, may be fetish objects because they have a phallic shape, and can be substitutes for dildos, useful for vaginal or anal penetration. Other foods are so constituted that they can be sexually penetrated by a male…Francesco Morackini, an Austrian designer and artist, designed and created the first home Dildo Maker. It allows phallic food to be sculpted into an even more phallic shape for easier insertion…Other fruits are so constituted that they can be sexually penetrated by a male, if an appropriate hole is drilled in them. In the novel Portnoy’s Complaint by Philip Roth, the main character, Alexander Portnoy, masturbates using a cored-out apple”.

There are numerous references to sexual experiences involving fruit in popular culture. The most infamous is the scene in 9½ Weeks where John Gray (played by Mickey Rourke) feeds food erotically to his blindfolded lover Elizabeth McGraw (played by Kim Basinger) during foreplay. Sex with fruit is discussed in the 1991 Jim Jarmusch film Night On Earth. In the scene set in Rome, the taxicab driver Gino (played by Roberto Benigni) confesses to his passenger who happens to be a priest (played by Paolo Bonacelli) of having had sex with a pumpkin as a child (and before you all email me at once, pumpkins are fruits not vegetables). In the film, Gino confesses:

“I lived in the country, where there weren’t many women, and though you’re still a kid, inside you feel a man’s feeling, and there was no way to relieve this feeling. So the idea, not mine but a real intelligent friend of mine’s, of relieving ourselves with, to make love with…how do I say this? With pumpkins. Pumpkins. Warm, soft, damp, with seeds inside, so round – and we would – toom ta toom – help me find the words, Father – we relieved ourselves with these pumpkins”.

As you can probably guess, there is almost nothing in the academic literature on fruit fetishism. In a small article on ‘phallic fruit fetish’ in the online Urban Dictionary by Daniel Gonzales, he wrote that:

“[Phallic fruit fetish is a ‘disorder’ popularized by gay Quaker performing artist Peterson Toscano in his play ‘Time In The Homo No Mo Halfway House’ about his time spent as a patient in a Christian residential program to ‘cure’ gay people. Another resident in the program suffered from Phallic Fruit Fetish (or PFF) and had a persistent desire to commit sexual acts with phallic shaped fruits. The problem was alleviated when all phallic shaped fruits were removed from the facility. Rev. Smid ordered all bananas removed from the house upon learning of a patient’s phallic fruit fetish”.

Academically there are well over 100 papers and chapters on the topic of rectal foreign bodies and the list of objects and items that have been removed by doctors is almost as long as the number of papers. Many of these report the removal of fruit stuck in rectums (bananas and apples). Other papers report cucumbers as rectal foreign bodies (but reported as vegetables, but like pumpkins are actually fruits). My previous blog on rectal foreign bodies also provided a long list of items that had been medically removed from the rectum including drink containers (e.g., glass bottles, plastic bottles, peanut butter jars, glass tumblers), sporting items (e.g., baseballs, tennis balls), household and kitchen objects (e.g., candles, light bulbs, broomstick handle, spatulas, mortar pestle), sex toys (e.g., vibrators, dildos), and improvised objects (e.g., a sand-filled bicycle inner tubing, plastic fist and forearm, shoehorn, axe handles, aluminium money tube, whip handles, soldering irons, glass tubes, and frozen pigs tails). In a 2010 review by Dr. Joel Goldberg and Dr. Scott Steele published in Surgical Clinics of North America, the authors noted:

“Smooth objects, such as bottles, fruits and vegetables, dildos, and vibrators, cannot always be grasped, and caution should be taken to ensure that they are not broken inside the patient. In the cases of fruits and vegetables, however, either grasping or breaking apart the object is a well-described technique that aids in the removal of the foreign body”.

Breaking up the fruit appears to be an obvious method for retrieving rectal foreign bodies but a 2014 paper by Dr. Abbas Aras and colleagues in the journal Surgical Techniques Development claimed they had a new method outlined on their paper ‘A new and simple extraction technique for rectal foreign bodies: removing by cutting into small pieces’. They wrote about the case of a radish being stuck inside the rectum of a 53-year old male. They reported:

“The purposes of insertion and types of foreign bodies in rectum show great variation. Rectal foreign bodies need to be removed without giving damage to intestinal wall and this should be done in the easiest possible way. We have reported a new and a simple technique. It is easy to apply and safe. A patient was admitted to our clinic with a rectal foreign body (radish) which was successfully removed by cutting it into small pieces. We conclude that different kinds of rectal foreign bodies, especially fruit and vegetables, can be removed by this technique”.

Fruit fetishism and/or engaging in sexual practices with fruit are probably more widespread than might be initially imagined and there appears to be few problems from a psychological perspective. However, as the medical literature has frequently reported, help is sought when fruit is used in sexual practices (most commonly masturbation) and gets stuck inside a person’s rectal passage.

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

Further reading

Aras, A., Karabulut, M., Kones, O., Temizgonul, K. B., & Alis, H. (2014). A new and simple extraction technique for rectal foreign bodies: removing by cutting into small pieces. Surgical Techniques Development, 4(1), 6-7.

Barone, J. E., Sohn, N., & Nealon Jr, T. F. (1976). Perforations and foreign bodies of the rectum: report of 28 cases. Annals of Surgery, 184(5), 601-604.

Goldberg, J. E., & Steele, S. R. (2010). Rectal foreign bodies. Surgical Clinics of North America, 90(1), 173-184.

Memon, J. M., Memon, N. A., Solangi, R. A., & Khatri, M. K. (2004). Rectal foreign bodies. Gomal Journal of Medical Sciences, 6(1), 1-3.

Wikipedia (2015). Food play. Located at: http://en.wikipedia.org/wiki/Food_play