Category Archives: Sex
I can’t remember exactly how, but one day last year I came across a website called ‘Hands On Her Hips’ which is totally dedicated to pictures of females posing with their hands on their hips. As the website states:
“The mission statement of this blog is very simple. The blog contains picture of women holding their hands on their hips. To me the pose is very feminine, attractive, powerful and confident. The simple gesture of a woman putting her hands on her hips appeals to me and this blog is dedicated to that pose”
However, I soon discovered on doing a little Googling that there appears to be a niche community of ‘hands on hip’ [HoH] fetishists out there. I’m not aware of any academic research on HoH fetishism but there are a number of online references to the practice. According to a short 2009 online article on ‘eight freaky fetishes’ by Grace Murano, she claims that:
“Hands on the Hip is a type of hand partialism, which means the attraction to a specific action performed by the hands. It’s very hard to explain the presence of a fetish site devoted entirely to women posing with their hands on their hips, standing defiantly and angrily in the way so many mothers do when their children misbehave. Somewhere, deep in the psyche of the site’s creator, he desperately wants to find a mother figure who will discipline him with nothing harsher than a time out and denial of television”.
Murano’s brief description appears to somewhat concur with Wikipedia’s brief entry on hand fetishism (that appears to have come from Dr. Ellen McCallum’s 1998 book Object Lessons: How to Do Things With Fetishism). This entry claims that hand fetishism:
“…may include the sexual attraction to a specific area such as the fingers, palm or nails, or the attraction to a specific action performed by the hands; which may otherwise be considered non-sexual – such as washing or drying dishes. This fetish may manifest itself as a desire to experience physical interaction, or as a source of sexual fantasy”.
Another 2009 short online article by Gloria Brame asserts that HoH fetishism is actually an ‘action fetish’ (i.e., an individual who derives sexual arousal not from an object or body part but from an action that someone performs). Brame then goes on to assert that:
“For most, that includes seeing it, but it isn’t just a branch of voyeurism: the fundamental thrill attaches to the action itself, and not just its visual or auditory pleasures. One very broad example would be spankers who get off on the action (of spanking) itself, and not – as is more common among [sadomasochists] – the pain or humiliation or its place in a power dynamic…Some of us know SM players too who are turned on by the actions but not the psychological space…It’s a bit easier to sort out when the action fetish is highly particularized. For example, a fetish for watching a woman in stockings and high heels step on a car’s brakes, or a fetish for seeing a coed in her underwear bouncing on a big balloon There are scores of barely documented action fetishes, so I’m always happy when I see an enthusiast build a blog to his/her own fetish, like this one [Hands on her hips]”
In another list of ‘weird fetishes’ from 2007, Anthony Burch and Frank Movsesian also listed HoH fetish and tried to add in a bit of psychodynamic psychology into the mix. They claimed that HoH fetish sites prove that Sigmund Freud was right. I personally don’t adhere to this viewpoint at all but given the lack of any psychological insight and theorizing, they go as far as to say:
“There’s no other way to explain the presence of a fetish site devoted entirely to women posing with their hands on their hips, standing defiantly and angrily in the way so many mothers do when their children misbehave. Somewhere, deep in the psyche of the site’s creator, he desperately wants to find and have sex with a mother figure who will discipline him with nothing harsher than a Time Out and denial of television. I guess this fetish is for people who aren’t quite into sadomasochistic discipline, but think they might one day be. Bondage training wheels, if you will”.
There are loads of articles and papers on various aspects of non-verbal communication and to be honest (and because it is not my area of expertise) I haven’t got the time to read everything that’s been written about ‘hands on hips’ gestures, but most online sources appear to indicate that the ‘hands on hips’ stance helps give the appearance of being physically bigger and is a non-verbal cue that shows others that we are “ready for action” (i.e., a ‘readiness gesture’) but is sometimes mistaken for unfriendliness. One website claims that the people most likely to be observed in are “workaholics, athletes and productive people” and can demonstrate a show of authority and superiority. Another website article notes that:
“Hands-on-Hips is used by the child arguing with its parent, the athlete waiting for his event to begin, the boxer waiting for the bout to start and males who want to issue a non-verbal challenge to other males who enter their territory. In each instance the person takes the Hands-on-Hips pose and this is a universal gesture used to communicate that a person is ready for assertive action. It lets the person take up more space and has the threat value of the pointed elbows that act as weapons, preventing others from approaching or passing. The arms being half raised show readiness for attack and this is the position taken by cowboys in a gunfight. Even one hand on the hip will send the intended message, particularly when it’s pointed at the intended victim. It’s used everywhere and in the Philippines and Malaysia it carries the even stronger message of anger or outrage…Its basic meaning carries a subtly aggressive attitude everywhere. It has also been called the achiever stance, related to the goal-directed person who is ready to tackle their objectives or is ready to take action on something. Men often use this gesture around women to display an assertive male attitude”
If these observations are true, it would seem to suggest that those who have HoH fetishes may like being/feeling in submissive positions and being sexually dominated (although that’s pure speculation on my part as there is simply no empirical research whatsoever). I honestly can’t see HoH fetishes ever being the subject of serious scientific study as they are unlikely to have any appreciable negative impact in the lives of such people (if such people even exist).
Dr Mark Griffiths, Professor of Gambling Studies, International Gaming Research Unit, Nottingham Trent University, Nottingham, UK
Brame, G. (2009). Action fetishes and hands on hips. July 28. Located at: http://gloriabrame.typepad.com/inside_the_mind_of_gloria/2009/07/hands-on-her-hips.html
Burch, A. & Movsesian, F. (2007). 10 really weird fetishes. Double Viking, November 9. Located at: http://www.doubleviking.com/bullet-points-10-really-weird-fetishes-6984-p.html
McCallum. E.L. (1998.) Object Lessons: How to Do Things With Fetishism. New York: State University of New York Press.
Murano, G. (2009). 8 freakiest fetishes. Oddee, June 18. Located at: http://www.oddee.com/item_96718.aspx
One Saturday night while my family was watching Strictly Come Dancing, I found myself idly Googling looking for inspiration for a new blog. One of the pages I found myself on was Kinkopedia’s ‘Kink of the Week’ website. This particular page made reference to ten “paraphilias you may never heard of”. The list (in alphabetical order and the website’s definition) included bromidrophilia (sexual attraction to body odours and smells), genuphilia (sexual attraction to knees), mechanophilia (sexual attraction to cars), mythophilia (sexual attraction to myths, stories, or gossip), nasophilia (sexual attraction to noses), onomatophilia (sexual attraction to words, or a certain word), rupophilia (sexual attraction to dirt), sitophilia (sexual attraction to food), spectrophilia (sexual attraction to ghosts) and vorarephilia (sexual attraction to eating or be eaten by another).
Regular readers of my blog won’t be surprised to know that I was aware of almost all the paraphilias on the list (in fact I’ve written blogs on most of these). However, the one that jumped out at me (no pun intended) was genuphilia. Given the fact that (i) there is absolutely no scientific research on genuphilia, and (ii) genuphilia does not make an appearance in either Dr. Brenda Love’s Encyclopedia of Unusual Sex Practices or Dr. Anil Aggrawal’s Forensic and Medico-legal Aspects of Sexual Crimes and Unusual Sexual Practices suggests one of two things – either that this particular paraphilia does not really exist, or that it is a relatively newly realized fetish. It’s also another paraphilia where the name appears to have been derived as the opposite of a known phobia (i.e., genuphobia – an irrational fear of knees).
In researching this article, I have to admit that I almost gave up on trying to put a blog together given the lack of material (academic and anecdotal). I read an online article about sexual paraphilias in the new (fifth edition) of the American Psychiatric Association’s Diagnostic and Statistical Manual of Mental Disorders that referred to genuphilia being related to gender but then quickly realized the article was a funny April Fool’s Day spoof (still worth a read though! See ‘Further reading’ below for a link to the article). Over at the Psyche Time-Lapse website, genuphilia made an appearance in their regular ‘Word Of The Day’ column. The writer of the short article noted:
“Getting on your knees is usually a prelude to some sexy fellatio initiation or submissive roleplay. But sexiness isn’t always just coded into the act of falling to your knees; it can be on the knees themselves Genuphilia refers to a special, sexual attraction for knees: knock-kneed, knobby knees, replaced knees, any one of the jumbly joints that allows our legs to move efficiently and helps support body weight. The area right behind the knee can be a sensitive, often-ignored erogenous zone, and light, tantalizing strokes on and around them with your fingers can bring shivers to a partner’s body. And with fall approaching, showing off your knees with a variety of knee socks, boots, and fall-length coats has never been easier!”
As a last resort I went online searching on various forums and discussion groups and only located a handful of self-admitted accounts of people claiming to have a knee fetish:
Extract 1: “I think I must have had something like this for as long as I can remember. When I was aged 12 [years old] I was nearly always in shorts and there was a near neighbour who was a girl of about the same age who had a mix of boys and girls as friends and she liked us to show our legs as she thought it was cute that boys were in shorts and that we boys showed more leg than the girls. As I got older I always thought that boys in school shorts looked cute and was jealous that their uniforms allowed shorts while the school I was at would not allow shorts. I was attracted to my ex-boyfriend when I moved to another school and saw a guy in shorts which showed off his long sexy smooth legs. As he and I saw each other out of school, he encouraged me to shave my legs so that we could rub our bare legs together. I noticed in particular his knees were turning me on and we took it in turns to feel each other’s legs and I concentrated on rubbing his knees with mine. I love to show off my knees as much as possible and when I see both guys and girls showing theirs, I feel very aroused. There is nothing so good as a pair of sexy knees”
Extract 3: “Hairless Inside Knees on gay men are amazing! That we are agreed that is why you are here at the internet’s premier Hairless Inside Knee Gay Fetish Website! Don’t get us wrong we love hairy legs on our gay men. But there is something about the inside of the knee that when it’s hairless sends our pulses racing. Here at THIKFG you’ll find sexual tips to satisfy your hairless inside knee gay partner as well as fantasies and the best photos and videos of the best hairless inside knees around. So sit back and enjoy!”
Extract 4: “I haven’t explained what my happy page is about yet. Knee Fetishes!…I know you guys are thinking. THIS IS WEIRD! But [you] know what? It is weird. It’s the next big thing. Haven’t you heard? Pretty soon everyone will be having knee, elbow and ankle fetishes…So I would just like to take this moment to tell all you people, look around. There are many knees. Some are ugly, some are beautiful, some are hairy, some are lumpy, some are squishy. Just enjoy yourself. Stop and look at the knees”
Presuming these extracts are genuine (and I have no reason to suspect they’re not), a few tentative conclusions can be drawn (even from such a few extracts). Firstly, based on these accounts, knee fetishes (and genuphilia paraphilias) genuinely exist. (I would also argue that the existence of dedicated websites such as The Knee Pit Gallery also suggest there is an audience and niche market for sexualized knee enthusiasts). Secondly, it appears that both men and women may have this fetish/paraphilia. Thirdly, it appears that genuphilia may occur within different sexual orientations (i.e., heterosexual and homosexual). Fourthly, it appears that genuphilia may overlap with other more established sexual paraphilias (such as hand, leg and foot fetishes [podophilia]). Finally, it would appear that childhood experiences may be critical in explaining the etiology of gunuphilia. The most detailed extract appears to suggest that the sexual liking for knees may be explained by conditioning processes (i.e., classical conditioning). I seriously doubt we’ll see academic research on genuphilia any time soon but that doesn’t mean it’s not a genuine sexual fetish/paraphilia.
Dr Mark Griffiths, Professor of Gambling Studies, International Gaming Research Unit, Nottingham Trent University, Nottingham, UK
Aggrawal A. (2009). Forensic and Medico-legal Aspects of Sexual Crimes and Unusual Sexual Practices. Boca Raton: CRC Press.
American Psychiatric Association (2013) Diagnostic and Statistical Manual of Mental Disorders (Fifth Edition). Washington, D.C.: American Psychiatric Association.
Love, B. (2001). Encyclopedia of Unusual Sex Practices. London: Greenwich Editions.
Molay, J. (2011). Crossdreamers, April 1. Located at: http://www.crossdreamers.com/2011/04/paraphiliphilia-makes-it-into-dsm-5.html
In a previous blog I briefly looked at plushophilia. In his 2009 book Forensic and Medico-legal Aspects of Sexual Crimes and Unusual Sexual Practices, Dr. Anil Aggrawal defines plushophilia as a “sexual attraction to stuffed toys or people in animal costume, such as theme park characters”. However, as I also noted in my previous blog, other online sources simply define plushophilia as a sexual paraphilia involving stuffed animals. Sexual and pornographic activities involving animal anthropomorphism (including plushophilia), is known among the plushophile community as ‘yiffing’. Plushophiles are often referred to as plushies, although as I noted in a previous blog on the Furry Fandom, the term can also refer to stuffed animal enthusiasts who have no sexual interest at all (i.e., people who just love cuddly toys).
Regular readers of my blog will know that in 2014, I was the resident psychologist on 12-episode television series called Forbidden made for the Discovery Channel. One of the stories that the series reported on concerned Dr. Peter Banki, a plushophile who appeared in the ‘Odd Man Out’ episode. Before I was interviewed for the story, I had to research the story and was also given some production notes as background material.
According to the material I was provided with, Banki has a PhD in German Philosophy and is a member of the Philosophy Research Initiative at the University of Western Sydney (In Australia), where he lectured and tutored in the School of Humanities and Languages. He is also the founder and host of ‘Schwelle’, a non-profit-organization that offers unusual and experimental workshops promoting a ‘different intellectual and sexual culture.’ He is also the curator of ‘Xplore’, an annual sex education event. He lives with his girlfriend and is currently living off profits from the festival and taking Shibari Rope classes at home in Bondi (Shibari is a form of Japanese rope bondage). His hobbies were listed as including cross-dressing, sex education, and reading. The production notes also informed me that:
“Peter Banki has lectured to hundreds of university students. He’s a fully-grown eloquent and intelligent man but he also plays with stuffed toys. In fact Peter sees himself as an advocate for plush play enthusiasts or ‘plushies’ as they’re called. What most would interpret as childish nonsense, Peter sees as a form of self-expression and a creative outlet. With 40 odd animals in his collection, each with their own invented character, profession and history, Peter has created his own fantasy world. His plushies are very important, ‘My close friends all know about it, some of them I even involve in playtime with the animals. But generally I only share this world with people I trust.’ He’s not completely secret about his pastime though. He’s given theatrical performances creating voices and characters for stuffed toys to demonstrate to audiences what plush play is all about”.
Dr. Banki claimed he had been obsessed with plushies ever since he was a child when he would get his parents to talk to his toys.
“It’s something I’ve always done. I once tried to give it up to keep a girlfriend but I couldn’t do it. I got too depressed”.
Instead of trying to repress his urges Dr. Banki embraces it. He regularly sleeps with the toys. Although Dr. Banki is heterosexual he admitted that he’s not a typical man.
“Being a man I think implies being an adult and strong and responsible. When I play with the plushy animals I think I’m like a little boy.”
The programme presented Dr. Banki as what the production notes described as a “quirky dichotomy”. On one hand, he’s a cultured academic, an adult who lectures and curates festivals. On the other, he’s a naughty child that plays with cuddly toys. Banki has created a fantasy world, something that he cultivated from his vivid imagination. Sometimes his behaviour involves erotic role-playing games. It’s the polarity that the documentary wanted to capture (something that Dr. Banki liked the idea of).
On screen, Peter is filmed sitting in his lounge watching television, and relaxing. He casually mentions that there’s no fun when it’s all work and no play, that he enjoys a little downtime with his ‘friends’. The camera then pulls out to a wider screenshot and reveals his furry plush toy friends sitting either side of him on the couch and on the floor. Peter introduces each and every plush toy friend and describes each toy’s back-story. He explained that some of his plush toys are in monogamous relationships, some are in naughty adulterous relationships, and that others are polyamorous. The production notes highlighted that:
“We see how his plush toy relationships manifest into the day-to day. He plays with them on the couch, on the floor of the lounge room, in the laundry, at the dining table, on his balcony/yard and baths them. We see a series of moments where the plush toys are passive participants: he prepares lunch, they’re watching; he works at his desk, they’re watching; he hangs his washing on the line, they’re watching from all the way the balcony. Peter even enjoys the odd social outing with his toys. We see him playing hide and seek in the park, pushing them on the swings”.
Dr. Banki also enjoys playing with other plushie enthusiasts. The documentary filmed other plushies playing with their stuffed animals during Banki’s Plush toy workshop at the Xplore Festival. Bankie also showed the programme makers the ‘Plush Toy Animal Collective’ Facebook page and described their various outings such as dinners and speed dating nights. One of his toys (‘Bunny Junior’, described as an old style Marxist) even has his very own Facebook page featuring photos of his Shibari rope therapy.
Banki was also filmed on his way to buy a new plush toy to add to his collection. He put three of his animal ‘friends’ into the back of his car and put on their seatbelts. He then goes to a restaurant and has dinner with all his plush toys at the table with him. The notes I was given provide a useful case summary:
“Dr Peter Banki has always played with Plush Animals. He used to ask his parents to talk to them and they would invent stories. He carried this play onto adulthood. They were always played with in a more intimate environment with people in the bedroom. Now Peter shares his play with the public and with friends. They go to restaurants, they go to parties. The Plush animals have names, some speak German, some speak French, Junior the rabbit, for instance, is an old style Marxist labor leader. As Peter grew older, the animals developed sexual relationships: some are straight, some are homosexual and some like to be spanked. For Peter, it’s a way of saying things that can’t be expressed otherwise. After simulating sexual play, Peter says he feels really exposed, but in a good way”.
Given the lack of research into plushophilia, case studies such as Dr. Banki give us an insight to the life of a plushophile. We don’t know how representative Dr. Banki is of other plushophiles but at least his story is out there.
Dr Mark Griffiths, Professor of Gambling Studies, International Gaming Research Unit, Nottingham Trent University, Nottingham, UK
Aggrawal A. (2009). Forensic and Medico-legal Aspects of Sexual Crimes and Unusual Sexual Practices. Boca Raton: CRC Press.
FoxWolfie Galen’s Plushie Page (2012). Definitions. Located at: http://www.velocity.net/~galen/furrydef.html
Gerbasi, K. C., Paolone, N., Higner, J., Scaletta, L. L., Bernstein, P. L., Conway, S., & Privitera, A. (2008). Furries from A to Z (anthropomorphism to zoomorphism). Society & Animals, 16(3), 197-222.
Hill, D. (2000). Cuddle time: In the world of plushophiles, not all stuffed animals are created equal. Salon, June 19. Located at: http://www.salon.com/2000/06/19/plushies/
Wiki Fur (2015). Animal totem. Located at: http://en.wikifur.com/wiki/Animal_totem
Wiki Fur (2015). Plushophilia. Located at: http://en.wikifur.com/wiki/Plushophilia
In a previous blog, I examined medical fetishism. While researching that blog I came across a number of sub-forms of medical fetishism including ‘dental braces fetishism’. According to an article on the Nation Master website
“Dental braces fetishism is a form of sexual fetishism where a person is sexually aroused or stimulated by the sight, brushing, or feel of dental braces (particularly silver stainless steel braces, but sometimes retainers and headgear). They can be aroused the most by tongue contact with the braces, or by seeing semen ejaculated onto the dental braces (which is common in some pornography). Many are also aroused simply by the bright silver shine of traditional stainless steel braces. The rubber band colors can also stimulate such a reaction in the person with the fetish. Some are aroused by the sight of a woman’s tongue touching her braces. All of these are fetishes mostly associated with males seeing braces on females. A number of pornographic websites that concentrate on this fetish exist. There are also non-pornographic websites that focus simply on the aesthetic qualities of braces – particularly silver stainless steel braces and retainers. Some of these websites are maintained by adult female orthodontic patients for this express purpose and charge expensive membership fees to those wishing to view these sites. Also, there are pornographic websites devoted to auxiliary devices used with braces – particularly headgear. Supposedly, devotees of these devices are sexual bondage buffs and associate these devices with sexual bondage”.
Given the lack of scientific research on the topic, I can neither confirm nor deny any of the claims made by Nation Master, although there are certainly dedicated online websites that specialize in dental brace pornography (for instance, websites such as Fetish Braces, Beauty and Braces and E-Hotsex – please be warned that these are sexually explicit sites). Most of these sites feature scantily clad and/or naked women with braces that seem to indicate that such sexual penchants and fetishes are male-based. There are also discussions about how having braces affects people’s sex lives on online discussion websites such as the Metal Mouth Forum. There are also various online articles about having sex if you wear braces. For instance, an article entitled ‘Braces in the Bedroom’ on the Arch Wired website (a website dedicated to ‘adults in braces’) noted:
“Having braces doesn’t have to mean the end of certain sexual pleasures. It might mean tweaking your technique…or just plain being more careful. In the words of one enlightened Arch Wired reader, ‘practice makes perfect’. And if you decide to abstain…well, as they say, absence…or maybe in this case abstinence…will make it all the fonder until the braces are off”
Arguably one of the strangest articles I came across in researching this blog was one from May 2011 featured on Redath’s website that examined the sexualized use of orthodontic devices (described by the female author as an “oral fetish”) by people she had met in Second Life. The article claimed that there were four or five people in Second Life who had such an orthodontic fetish and the article included lots of images of various avatars (including the author’s) wearing dental braces in a clearly sexualized way (along with all the prices –in Linden dollars – of the costs of buying virtual dental braces and dental headgear).
I also went in search of online case studies and online self-confessions relating to dental brace fetishes, and the best examples I found was in an online discussion forum in the UK Babe Channels website. Here are some extracted quotes that at least suggest such fetishes exist:
Extract 1: “This is a bit of a strange one but i really think it could work. There’s so many xxx sites that LOVE girls with braces so I figure we should have a babeshow that features a girl with braces on. Like me!!!” (Amanda Max)
Extract 2: “I like braces and I know for a fact another forum member does. I may have posed for them in braces once” (RCTV)
Extract 3: “I LOVE braces, they look sexy on a woman, and braces look sexy even when there’s clothes underneath them. I can see how braces can be sexy, and think I would need to see more of them to find them sexy, but they def[initely] no turn off, and I do know two girls with them on and they are both still sexy and both 18 [years old]. Some girls do look young” (MH92)
Extract 4: “Teeth braces is quite a common fetish – largely aimed at the market who like ‘teen’ (18+) porn/glamour, although in some cases some of the models on the pro sites can look disturbingly young, despite the legal 18+ declarations” (Skateguy)
These extracts do not prove the existence of dental braces fetishism but are suggestive that some people find such devices a sexual turn-on. Given that most dental brace wearers are adolescents, it does raise suggestions of paedophilic undertones (although that’s pure speculation on my part, although Extracts 3 and 4 above also seem to be indicative of the same type of thinking). I can’t see this area of fetishistic interest ever being seriously researched in an academic context (but stranger things have happened).
Aggrawal A. (2009). Forensic and Medico-legal Aspects of Sexual Crimes and Unusual Sexual Practices. Boca Raton: CRC Press.
Archwired (undated). Braces in the bedroom: Will braces affect your sex life? Located at: http://www.archwired.com/BracesandSex.htm
Streetsie (2011). Disability fetish and medical fetish. August 19. Located at: http://www.streetsie.com/disability-fetish-medical-fetish/
Nation Master (2013). Dental braces fetishism. Located at: http://www.nationmaster.com/encyclopedia/Dental-braces-fetishism
Redath (2011). Braces, headgear, facebow and other orthodontic devises. May 16. Located at: http://redath.blogspot.co.uk/2011/05/braces-headgear-facebow-and-other.html?zx=99f4d98c82b2557a
Wikipedia (2013). Medical fetishism. Located at: http://en.wikipedia.org/wiki/Medical_fetishism
In a previous blog I looked at sitophilia, a sexual paraphilia in which individuals have an erotic attraction to (and derive sexual arousal from) food. One of the strangest sitophile stories I have read concerns the case of the ‘Swiss Cheese Pervert’. In the run up to Christmas 2013, a chubby man estimated to be in his 40s was driving around the Mayfair district of Philadelphia (USA) and exposing his genitals to a number of women while seated in his Sedan. However, this was no ordinary case of exhibitionism. As the Fortean Times reported:
“He would then dangle a large slice of Swiss cheese over his penis and offers to pay the women to perform sexual acts on him using the snack. At least two other women received messages on [the] OKCupid [online dating website] they believe were from the same man, describing how being unpopular with women drove him to have sex with cheese. He offered to pay $50 for a woman to pleasure him with a slice. The city’s police suspect 41-year-old Chris Pagano, since he was arrested in 2006 and 2009 for allegedly propositioning women with Swiss cheese on the streets of Norristown, Philadelphia. Pagano claimed that the latest incidents had nothing to do with him – but the picture he used on Facebook was the same as the one on the OKCupid profile message sent to a woman asking her to indulge his cheese craving”.
Pagano’s previous arrests were well documented in the local Philadelphia press and one journalist (Victor Fiorello) has written a number of stories about Pagano’s sexual exploits. In one of his stories he obtained the court documents in relation to the 2006 and 2009 arrests and one extract (with the woman’s name removed to protect her identity) read that:
“[The woman] told police that at approximately 0030 hours she was walking home from a store the male approached her from behind and asked her a question. The male removed a large block of cheese from his pocket and told [the woman] that he would pay her $20 to rub the Swiss cheese on his penis. [The woman] became alarmed and fled on foot toward her residence. The male offered [the woman] more money as she fled the area. [The woman] described the male as white, balding, and weighing over 300 pounds”
Following the late 2013 reports in the local press, one woman (Gabby Chest) telephoned the police saying that she had got an email on the OKCupid website from a “really strange guy” fitting the description of Pagano and who in his message wrote that he was “looking for someone to perform masturbation on him with cheese”. In the online message to Ms. Chest, the man admitted that he had great difficulty in initiating relationships with women because of his weight problem. This (he claimed) led to his cheese fetish and helped him to deal with his sexual urges. The whole message was reprinted on the PhillyMag website and I have reprinted it verbatim as I think it provides a good insight into the behaviour:
“Hello, my name is Chris. I am sure you are seeking a relationship, and I am sort of seeking the same, well sort of. You see I am currently content with my life. I enjoy meeting new people and making friends, but I also enjoy looking for women who are just looking for fun, opportunities, and or sex. I am kind of hoping you may be one of those women, who are open to certain activities of a suggestive nature. I realize talking and or requesting anything sexual with a someone you don’t know can be a turn off for most, but would you be interested in getting to know me, and perhaps being involved in a sexual encounter together? I know it’s a bit much to take in, since you really don’t know me. Still I am open to get to know you at first before anything would happen. I want to be up-front with you and tell you what exactly I am looking for. This way you have an idea of what I am into. You see it’s not sex in the traditional sense, it’s more a fetish. Don’t get me wrong I do enjoy traditional sex, but I grown to prefer this more. This fetish is a Sitophilia type fetish. I will give you a short explanation that lead me to discover why I like this type of fetish.
You see, when I was young and even now I seemed to be judged on my looks and not on my personality. So finding women and starting relationships was harder for me then most. Couple that with a strong sex drive, and you get the picture. So I developed this fetish to help me deal with my sexual urges. I found that women tend to like dairy products, and settled on cheese to represent the girl. Thus I started having sex with cheese. I like to use Swiss cheese and would wrap slices of the cheese around penis, then masturbate. Now tho [sic], after finding several girls to do it for me, I prefer having girls do it for me, instead of myself. Still I suppose I was lucky in finding those women, and our relationships did not last long, since our relationship based more on my fetish and me helping them out money wise. When they became comfortable again, we stayed friends, but they seemed to move on with their lives or I moved on because of the drama that sometimes followed some of them. The other problem I encounter is that women tend to be more freaked out over my fetish, then they would be over other questionable activities that are far more disgusting then mine. I don’t understand why using cheese in the way I use it is so disturbing to women, the ones who have done my fetish for me say it’s quite vanilla compared to so things they have encountered, and say I am quite harmless given my kind personality. So my request is, is there any way you would be willing to strike up an arraignment with me to do my fetish for me, if of course you would be open to this sort of activity?
Lastly if I have offended you, I am sorry as it was not my intention to do so. I just hope my fetish with cheese does not disturb you in any way, sorry if it has. Also when I mention arrangement, please don’t think it just has to be money either, I know you are not a prostitute, in fact I don’t want women like that at all. It can be anything you feel is a fair trade. Please if you could please let me know if you might be interested or not, and what you think of my request, I would appreciate it, thanks”.
In another online message, it is alleged that he said: “I am lucky I never became a rapist”. This latter admission suggesting that his cheese infatuation was a less palatable alternative to his cheese infatuation. In an email on the OKCupid website, he wrote to another woman and added:
“I tried many different kinds of cheese, like American, Provolone, chez whiz, jack, and cheddar, but settled on Swiss as the best…because of its eye patterns, texture, and the way it feels against my penis. When I was younger I had far more stamina for cheese sex. I was able to wrap and wear a good 1½ pounds of Swiss cheese against my penis, and wear it for hours at a time before I would climax…One last note, I do not like cheese, except for mozzarella, and that is the one cheese I have never used on myself. So no I do not eat the cheese after I am done using it for pleasure, it is discarded. I am always asked that question”.
I found the online message sent to Ms. Chest of great psychological interest. Pagano obviously knew that his preferred sexual behaviour was sitophilia and that he himself conceptualized his own behaviour as fetishistic. He also provided what I believe to be a plausible explanation as to how cheese became a symbolic female substitute for sex. Using cheese in his early masturbatory experiences would almost certainly created an associative pairing between sex and cheese (to the point where cheese on its own may have caused a classically conditioned response resulting in sexual arousal). Pagano’s own realistic assessment of his sexual attractiveness appears to have led to sexual displacement in which cheese represented an outlet for his sexual urges and desires. He was fully aware that his desires would seem strange to most people and that he was prepared to pay for the activity if that helped women participate. From the newspaper reports I read, it would appear that the criminal exhibitionism (i.e., flashing his genitalia at women he approached in his car) was peripheral to his real desire of soliciting women to engage in ‘cheesy’ sex.
Dr. Mark Griffiths, Professor of Gambling Studies, International Gaming Research Unit, Nottingham Trent University, Nottingham, UK
Daily Mail (2014). ‘Swiss Cheese Pervert’ terrorizes Philadelphia asking women to perform sexual acts on him using a slice of fromage. Daily Mail. January 13. Located at: http://www.dailymail.co.uk/news/article-2538687/Swiss-Cheese-Pervert-terrorizing-Philadelphia.html
Fiorello, V. (2014). Is this guy the Swiss Cheese Pervert? PhillyMag, January 11. Located at: www.phillymag.com/news/2014/01/11/norristowns-swiss-cheese-pervert/
Fiorello, V. (2014). Here are mugshots of alleged Swiss Cheese Pervert Chris Pagano. PhillyMag, January 11. Located at: http://www.phillymag.com/news/2014/01/13/mugshots-swiss-cheese-pervert-chris-pagano/
Fortean Times (2014). Please cheese me…Fortean Times, March 1, p.10
Regular readers of my blog will know that when it comes to certain films and television shows (and their accompanying DVD box sets) I can be somewhat obsessive and fanatical (for instance see, my blog on my love of all things concerning Hannibal Lecter). I’m one of those individuals that will watch some films again and again looking for further insight and deeper meanings (such as Memento, The Usual Suspects, Donnie Darko, Inception, Shutter Island, Seven, and The Shining). One of the films I have watched many times is Cameron Crowe’s psychological thriller Vanilla Sky (starring Tom Cruise, Kurt Russell, Cameron Diaz and Penélope Cruz), a remake of the Spanish film Abre los Ojos (Open Your Eyes).
One of the reason I like the film is that it prominently features the concept of lucid dreaming. I’d never heard of lucid dreaming until 1988. I was doing my PhD at the University of Exeter at the time and one of my best friends (Robert Rooksby) was doing his PhD on lucid dreaming. As the Wikipedia entry on lucid dreaming notes:
“A lucid dream is any dream in which one is aware that one is dreaming. In relation to this phenomenon, Greek philosopher Aristotle observed: ‘often when one is asleep, there is something in consciousness which declares that what then presents itself is but a dream’…The person most widely acknowledged as having coined the term is Dutch psychiatrist and writer Frederik (Willem) van Eeden…In a lucid dream, the dreamer has greater chances to exert some degree of control over their participation within the dream or be able to manipulate their imaginary experiences in the dream environment…Lucid dreams can be realistic and vivid. It is shown that there are higher amounts of beta-1 frequency band (13–19 Hz) brain wave activity experienced by lucid dreamers, hence there is an increased amount of activity in the parietal lobes making lucid dreaming a conscious process”.
Much like the films of David Lynch (one of my favourite film directors), Vanilla Sky is a film forces you to think about what is going on and is one of those films that you can come to your own conclusions as to what it all means. As a psychologist, I love films that play with the mind and Vanilla Sky is one of those films, particularly as psychology in the form of dreams, subjective reality, and the unconscious lie at the heart of the film. The director Cameron Crowe added many obscure clues and hidden references throughout the film to help viewers further explain the film and to add more layers. There are dozens of dedicated websites that have compiled lists of theories, messages and/or hidden clues. In the film’s production notes, Crowe later admitted: “We constructed the movie, visually and story-wise, to reveal more and more the closer you look at it. As deep as you want to go with it, my desire was for the movie to meet you there”. That alone is enough of a hook to get me watching repeatedly.
Another aspect of the film that I love is the perfect use of music. Almost every lyric of every song used throughout the movie interweaves seamlessly between the actors, the in-scene narrative, and the developing story line. The songs are expertly chosen. This is no surprise given that Crowe was formerly a music journalist and a contributing editor at Rolling Stone magazine. Like me, Crowe is a huge fan of The Beatles, and referred to the “clues” in Vanilla Sky as his own version of the ‘Paul McCartney is Dead’ rumour that swept the world in 1969 (i.e., the notorious Beatles hoax when fans worldwide became convinced through song lyrics, sonic tricks, and album art that Paul McCartney had died and was replaced by a look-alike). As Crowe commented: “Divorcing it from whether Paul was really dead or not, that was a really great parlour game: searching for clues, the excitement of different layers, some of them chilling, some of them really funny. It was a great model for us [on Vanilla Sky]”. One of the homages to The Beatles in the film concerns their song Revolution 9. The film contains countless references to the number (or time) 9:09 (on Aames’ wristwatch, a child’s shirt, the prison chalkboard, and multiple references to cats who, has myth has it, have nine lives).
I’m assuming that anyone that has read this far has seen the film (but if you haven’t – spoiler alert – some of what I’m about to write will likely reduce the enjoyment of watching the film for the first time). The thrust of the plot is as follows:
“From a prison cell where he has been charged for murder, David Aames (Tom Cruise, in a prosthetic mask, tells his life story to court psychologist Dr. Curtis McCabe (Kurt Russell). In flashback, David [who is acrophobic with an irrational fear of heights] is shown to be the wealthy owner of a large publishing firm in New York City which he inherited from his father, leaving its regular duties to his father’s trusted associates. As David enjoys the bachelor lifestyle, he is introduced to Sofia Serrano (Penélope Cruz) by his best friend and author Brian Shelby [who is writing a book on Aames] at a party. David and Sofia spend a night together talking, and fall in love. When David’s former lover, Julianna “Julie” Gianni (Cameron Diaz) hears of Sofia, she attempts to kill herself and David in a car crash. Julie dies but David survives, his face grotesquely disfigured, leading him to wear a mask to hide the injuries. With no hope to use plastic surgery to repair the damage, David cannot come to grips with the idea of wearing the mask for the rest of his life. One night on a night out with Sofia…David gets hopelessly drunk, and [is left by Sophia] to wallow in the street outside” (Wikipedia entry on Vanilla Sky)
It is generally accepted that everything from this point in the film is a dream (although others say the whole film is a dream). Rather than live out the rest of his life in a disfigured state, Aames has his body cryogenically frozen by a company called Life Extension after attempting suicide. He lives the rest of his life as a lucid dream from the moment he was found on the pavement after his drunken night out (“under the ‘vanilla sky’ from a Monet painting”). However, during cryogenic sleep, the lucid dream goes horribly wrong and starts to incorporate elements from his subconscious. After 150 years in suspended sleep, the company that placed Aames into cryogenic suspension calls in ‘Tech Support’ and Aames is offered a choice to either be reinserted into a corrected lucid dream, or to wake up by taking a leap of faith – literally – from the top of a high roof (that forces him to challenge his fear of heights).
“Conquering his final fear, David jumps off the building, his life flashing before his eyes, and whites out immediately before hitting the ground. A female voice commands him to ‘open your eyes’ (a recurring theme in the movie), and the film ends with David opening his eyes” (Wikipedia entry on Vanilla Sky).
Many different websites examining the film claim there are five interpretations of the film’s ending (and this is supported by Crowe himself). The five interpretations (taken verbatim from the Wikipedia entry on the film) are:
- “Tech support is telling the truth: 150 years have passed since Aames killed himself and subsequent events form a lucid dream.
- The entire film is a dream, evidenced by the sticker on Aames’ car that reads “2/30/01″ (February 30 does not occur in the Gregorian Calendar).
- The events following the crash form a dream that occurs while Aames is in a coma.
- The entire film is the plot of the book that Brian [Shelby, his best friend] is writing.
- The entire film after the crash is a hallucination caused by the drugs that were administered during Aames’ reconstructive surgery”.
(I’m most persuaded by the first interpretation). What I also love about the film is that Crowe added lots of little details that take a few viewings of the film before they are usually spotted. All of these help in both trying to interpret the film, as well as becoming a game where repeated watching becomes more rewarding. For instance:
- In the first scene in which Julianna appears, the tune ringing on her cell phone is Row Row Row Your Boat that features the lyric “life is but a dream”.
- At his birthday party, Aames is asked how it’s going to which he responds “Livin’ the dream, baby…livin’ the dream”.
- At the same party, Aames’ best friend Brian Shelby comes into the second apartment wears a t-shirt with the words “fantasy” in sparkly sequins.
- In one of the prison scenes, the word ‘DREAM’ is spelt out backwards on a chalkboard.
- In the prison cell, the book, Memories, Dreams, and Reflections (by Carl Jung) is on the table while Aames is talking to his psychiatrist Dr. McCabe. The book concerns Jung’s personal dreams and how they helped uncover his “shadow” and removed his persona (his ‘mask’). In fact one critique of the film by Carlo Cavagna described the whole film as “overtly Jungian”. More specifically, he asserted that Vanilla Sky is “fundamentally about the relationship between the ego and the unconscious, and practically a primer on the most fundamental concepts found in any Jungian glossary…For Jung, the unconscious includes desires repressed by our education and socialization, but there is more ‘psychic material that lies below the threshold of consciousness’. The unconscious is the foundation on which the conscious mind is based”.
- On Aames’ prison uniform the name tag says “Frozen Guy”.
- His patient number on his Life Extension cryogenic tank says “PL515NT 4R51MS” (which if the numbers are replaced with their corresponding letters of the alphabet, it almost spells “Pleasant Dreams”).
- As Aames is getting his prison photograph taken, the slate spells ‘When did the dream become a nightmare?’ (in simple code).
- Sofia calls Aames a “pleasure delayer” twice in the film (but says it so subtly that it’s hard to hear properly).
- When Aames and Sophia are lying in bed after making love, Sophia asks “Is this is a dream?” and Aames replied “absolutely”.
- At one point in the film, Dr. McCabe tells Aames that he’d had a nightmare the day before. Aames replies that “It’s all a nightmare”.
I said earlier in the article that I thought the songs were perfectly chosen. Many fans of the film have noted that the lyrics repeatedly appear to match the emotion of the scene where it is played. As the Uncool website notes:
“For example, the song that plays over David leaving Sophia’s in the morning is Jeff Buckley’s, ‘Last Goodbye’…that morning was there last one true goodbye. Yes, they see each other after this, but after the car wreck when both of their lives are forever changed. ‘Last Goodbye’ also contains the lyrics: ‘Kiss me, please kiss me, but kiss me out of desire, babe not consolation’ which follows David’s plight rather well (as the next time he sees her is after the accident and he wants her affections but not sympathy for his disfigurement)…Bruce Springsteen’s ‘The River’ album (featured in the closing montage) also has some lyrical significance. One of the best lines from the song ‘The River’ is: “Is a dream a lie if it don’t come true, or is it something worse?” Also, two R.E.M. songs are featured. Don’t forget what R.E.M. stands for. Rapid eye movement. As in a state of sleep. It’s when you dream”.
It doesn’t take a psychologist to work out that I simply love the level of detail that went into making the film. I am not a great fan of psychodynamic (psychoanalytic) interpretation, but in Vanilla Sky, the mask that Aames wore became his ‘persona’ and the term was used by Carl Jung to describe the face that we as individuals present to society and (in some cases) to ourselves. Carlo Cavagna argues that:
“[Aames] attraction to [Sophie] is irresistible because she is his anima, his archetypal dream lover, the personification of the feminine nature in his own unconscious. Jung posited that all men carry an ideal image of woman in their heads and unconsciously project that image onto “the person of the beloved…David’s disfigured face, which he sometimes hides with his mask, represents his shadow. For Jung, the shadow is the inferior part of the personality, the sum of all personal and collective psychic elements that, because of their incompatibility with the chosen conscious attitude, are denied expression in life and therefore coalesce into a relatively autonomous “splinter personality” in the unconscious. Despite the negative connotations of the word ‘shadow’, Jung meant it to encompass all those qualities that are suppressed, both positive and negative. ‘The shadow personifies everything that the subject refuses to acknowledge about himself and yet is always thrusting itself upon him directly or indirectly’… [Aames] reality is subjective, and his shadow is breaking through into consciousness. This is the source of the film’s main conflict. In discussing dream therapy and the difficulty of processing and assimilating the unconscious, Jung wrote that several negative outcomes are possible – eccentricity, infantilism, paranoia, schizophrenia, or regression (the restoration of the persona). The revelation and assimilation of David’s unconscious is essentially the story of Vanilla Sky”.
Although there are many critics who hated the film, I love it on many different levels (including the underlying psychology).
Cavagna, C. (2001, December). Vanilla Sky. Located at: http://www.aboutfilm.com/movies/v/vanillasky.htm
Jung, C.G. (1961). Memories, Dreams, Reflections. New York: Vantage.
Kummer, R. (2010). “What is happiness to you?” Vanilla Sky (2001) Film Analysis. Located at: http://rkummer.hubpages.com/hub/What-is-happiness-to-you-Vanilla-Sky-2001-Film-Analysis
Rooksby, R. and Terwee, Sybe J.S. (1990). Freud, van Eeden and lucid dreaming. Lucidity Letter, 9(2), 18–28. Located at: http://www.sawka.com/spiritwatch/freudvan.htm
Turner, R. (2014). Vanilla Sky movie review: Beyond lucid dreams. Located at: http://www.world-of-lucid-dreaming.com/vanilla-sky-review.html
The Uncool (2015). Vanilla Sky secrets. Located at: http://www.theuncool.com/films/vanilla-sky/vanilla-sky-secrets
Wikipedia (2015). Vanilla Sky. Located at: https://en.wikipedia.org/?title=Vanilla_Sky
“I love the idea of being wheeled in my bed along the hospital corridors before bursting through the swing doors of the Anaesthetic Room. The lady anaethetist then smiles and tells me that she has decided to put me to sleep with the Gas. ‘NO! Not the Gas!’ The lady then insists by saying that it is her treat and that she has been looking forward to this moment! She smiles as she lowers the black rubbery mask and whispers, ‘Now just relax. IT’S TIME! Breathe in the Gas nice and deep. I look forward to seeing you struggle to keep your eyes open; but very soon you will succumb to the lovely Gas and you will have to close your eyes! Sleep well!’ She leans closer to me and laughs as I take deep breaths of the lovely Gas!!” (Participant at Sleep Peeps website).
In a previous blog, I examined medical fetishism that refers to an umbrella group of related sexual fetishes in which individuals derive sexual pleasure and arousal from medical and/or clinical practices and procedures (e.g., undergoing a rectal examination or urethral swab, having temperature taken), objects (e.g., stethoscope, hypodermic needle), situations (e.g., waiting to see a nurse), and environments (e.g., being in a hospital waiting room). One form of medical fetishism is anaesthesia fetishism in which individuals derive sexual pleasure and arousal from either administering and/or receiving some kind of anaesthetic such as chloroform, ether, butane, etc. As an entry in Wikipedia notes:
“This may include the sexual attraction to the equipment, processes, substances, effects, environments or situations. Sexual arousal from the desire to administer anesthesia, or the sexual desire for oneself to be anaesthetized are two forms in which an individual may exist as an arbiter of the fetish. Older-style anesthesia masks of black rubber, still in occasional use today, are one of the more common elements fetishized, and have earned the nickname Black Beauty by many fetishists…The Internet has enabled people with this relatively rare paraphilia to discuss the subject and exchange anesthesia-related multimedia”.
Back in 1999, I had my first ever article published on sexually paraphilic behaviour in the magazine Bizarre. It was an article on autoerotic deaths and it featured the cases of ten people who had died in strange sexual circumstances. One of the cases I featured was originally published in a 1988 issue of the American Journal of Forensic Medicine and Pathology (by Dr. J.J. McLennan and colleagues). The case involved a single 59-year old white US male antiques dealer. The man was found dead in his locked apartment. He was seated in front of a dental anaesthetic machine with the anaesthetic face-mask over his face. He was sucking on a rubber teat similar (but much bigger) than a baby’s feeding bottle. There were other anaesthetic machines around the apartment as well as a lot of sexual literature (magazines, photographs, paintings, manuscripts all concerned with his elaborate fetish some of which included photographs of himself in these situations). He was wearing a rubber type apron, three woolen cardigans, a woman’s blouse and two pairs of women’s trousers and a pair of women’s bloomers. This appeared to be a genuine case of anaesthesiophilia. (A similar case was also reported in 1988 the same journal by Dr. S. Leadbeatter. Here, the method of induction of cerebral hypoxia was inhalation of nitrous oxide [i.e., ‘laughing gas’] from a dental anesthetic machine).
In the same article I featured the case of a single 32-year old white US male computer programmer that was published in a 1983 issue of Medicine, Science and the Law (by Dr. S.M. Cordner). Here, the man was found dead in bed with cassette recorder next to him and covered in dry semen stains. He was wearing headphones which playing “snorting” horse sounds. There was also a can of aerosol propellant. At the end of the bed was a large painting of a male strapped to the hind legs of a horse who was being anally penetrating by the horse. The horse was ridden by a leather-clad woman. He was also wearing some kind if homemade masturbatory device. His death was recorded as cardio-respiratory failure consistent with aerosol propellant abuse (death by misadventure).
Although this case wasn’t technically anaesthesiophilia, it did involve self-administration of a chemical agent to modify the sensations of masturbation. However, in a 2009 book chapter on ‘adult sexual offences’ by Dr. Deborah Rogers (in the book Clinical Forensic Medicine), she seems to suggest that the case I have just described would be classed as anaesthesiophilia as she defines such a paraphilia as it involves the person using a volatile substance (e.g., chloroform, ether, butane) as a source of sexual arousal. She also points out the commonalities between anaesthesiophilia, hypoxyphilia (sexual arousal and pleasure from oxygen deprivation), and electrophilia (sexual arousal and pleasure from electricity and electric stimuli). More specifically she notes:
“Some sexual variations involve inherently life-threatening practices. These include autoerotic asphyxia (using strangulation, hanging, gagging, plastic bag asphyxia, inverted suspension), electrophilia and anaesthesiophilia. When accidental deaths do occur in these circumstances associated paraphernalia may be present at the scene, such as evidence of transvestism, bondage, pornographic material or mirrors. Family members or friends who discover the body in these situations may, in an attempt to preserve the reputation of the deceased, remove certain articles. In doing so they may create a scene erroneously considered a suicide or homicide. When the truth is divulged sympathetic explanations are necessary for reassurance that these deaths are usually accidental”.
Many of the same points were made by Dr. Stephen Hucker writing in a 2011 issue of the Archives of Sexual Behavior. Hucker compared electrophilia and hypoxyphilia and electrophilia with anaesthesiophilia. He also stated that all these behaviours have potential “to result in a well-recognized mode of accidental death” and come “under the general rubric of sexual masochism”.
Using Dr. Rogers’ wider definition of anaesthesiophilia indicates that the practice – while rare – is well known in the forensic literature where a number of autoerotic deaths have been reported as arising from the sexual use of volatile substances. One of the first such deaths reported in the literature dates back to a 1933 German report (by Dr. F. Schwarz). He recounted the case of a man who had used a complex system of valves, tubes, and balloons to get sexually aroused from nitrous oxide (stolen from his dad’s medical practice).
Another lethal German case from 1997 was reported by Dr. M. Rothschild and Dr. V. Schneider. Again, the source of sexual arousal was nitrous oxide (this time dispensed from cream dispenser cartridges via a homemade system of anesthetic tubes, plastic bags, and an anesthetic face mask. A paper by Dr. D. Breitmeier and colleagues in a 2002 issue of the Journal of Legal Medicine reported an autoerotic death of a man due to a bizarre combination of asphyxia by suffocation and intoxication with (the drug) ketamine that was self-administered by an intravenous catheter.
Dr. R.W. Byard and his colleagues also reported an unusual autoerotic death in a 2000 issue of the Journal of Clinical Forensic Medicine. They reported the case of a 38-year-old man who was “found dead in bed dressed in female clothing with a mouth gag, handcuffs and bindings around the genitals and limbs”. A gas mask respirator was also covering the mouth and nose and death was attributed to a combination of chloroform toxicity and upper-airway obstruction. Another autoerotic death involving chloroform was reported by Dr. Peter Singer and Dr. Graham Jones in a 2006 issue of the Journal of Analytical Toxicology.
“He was found lying on the floor of his apartment, prone on a piece of foam and a towel. His eyes were bound with a towel, his lower face and nose were almost entirely covered with duct tape surrounding a rubber hose in his mouth. The other end of the hose was loosely sitting inside an open bottle which was in a box beside him. He was bound-up by an intricate system of ropes, handles, and rods, ending with a noose around his neck”
Clearly, much of what we know about anaesthesiophilia appears to be based on case reports where the use of an anaesthetizing agent during the sexual act has gone horribly wrong. Most of the deaths occurred because the person appears to have been on their own and was presumably a masturbatory act. Engaging in the act where more than one person is present significantly reduces the chances of anything unwanted happening for the anaesthesiophile.
Breitmeier D., Passie, T., Mansouri, F., Albrecht, K, Kleemann, W.J. (2002) Autoerotic accident associated with self-applied ketamine. Journal of Legal Medicine, 116, 113-116.
Bungardt, N. & L. Pötsch, (2003). [Report on a methemoglobinemia associated death]. Archiv fur Kriminologie, 212, 176-183.
Byard, R.W., Kostakis, C., Pigou, P.E. & Gilbert, J.D. (2000). Volatile substance use in sexual asphyxia. Journal of Clinical Forensic Medicine, 7, 26-28.
Cordner, S.M. (1983). An unusual case of sudden death associated with masturbation. Medicine, Science and Law, 23, 54-56.
Griffiths, M.D. (1999). Dying for it: Autoerotic deaths Bizarre, 24, 62-65.
Hucker, S. (2011). Hypoxyphilia. Archives of Sexual Behavior, 40, 1323-1326.
Leadbeatter, S., (1988). Dental anesthetic death: An unusual autoerotic episode. American Journal of Forensic Medicine and Pathology, 9, 60-63.
McLennan, J.J., Sekula-Perlman, A., Lippstone, M.B. & Callery, R.T. (1998). Propane-associated autoerotic fatalities. American Journal of Forensic Medicine and Pathology, 19, 381-386.
Musshoff, F., Padosch, S.A., Kroener, L.A, et al., (2006). Accidental autoerotic death by volatile substance abuse or nonsexually motivated accidents? American Journal of Forensic Medicine and Pathology, 27, 188-192.
Rogers, D.J. (2009). Adult sexual offences. In McLay, W.D.S. (Ed.). Clinical Forensic Medicine (3rd Edition, pp. 137-154). Cambridge: Cambridge University Press.
Rothschild, M.A. & Schneider, V. (1997). Uber zwei autoerotische Unf T Lachgasnarkose und Thoraxkompression. Archiv fur Kriminologie, 200, 65-72.
Schwarz, F. (1933). T Lachgasvergiftung bei Selbstnarkose. Archiv fur Kriminologie, 93, 215-217.
Singer, P.P. & Jones, G.R. (2006). An unusual autoerotic fatality associated with chloroform inhalation. Journal of Analytical Toxicology, 30, 216-218.
Stemberga, V., Bralić, M., Bosnar, A. & Coklo M. (2007). Propane-associated autoerotic asphyxiation: accident or suicide? Collegium Antropologicum, 31, 625-627.
Thibault R, Spencer JD, Bishop JW, Hibler NS (1984) An unusual autoerotic death: asphyxia with an abdominal ligature. Journal of Forensic Science, 29, 679-684.
Wikipedia (2012). Medical fetishism. Located at: http://en.wikipedia.org/wiki/Medical_fetishism
In previous blogs I have examined various (admittedly extreme) aspects of dancing including people that are sexually aroused by dancing (choreophilia), dancing as a form of frottuerism, people that are addicted to dancing (in this case, the Argentine tango), and people who have developed medical complaints as a result of dancing (‘breaker’s neck’ caused by break dancing). However, over the last few months I have been a co-author on two dance-related research papers with my research colleagues in Hungary (led by Aniko Maraz). The first one (published in the journal PLoS ONE) was about the development and psychometric validation of the ‘Dancing Motives Inventory’ (DMI). The second one (also published in PLoS ONE) was a study of dance addiction (and which I will describe in more detail below).
I’m sure many of you reading this will think that dancing is a somewhat trivial area to be carrying out scientific research. However, research has shown that dancing can have substantial benefits for physical and mental health such as decreased depression and anxiety, and increased physical and psychological wellbeing. After we developed the DMI, we realised that very little known about the psychological underpinnings of excessive dancing, and whether in extreme cases, dancing could be classed as an addictive behaviour. Given the lack of empirical research in dance addiction, we conceptualized dance addiction to be akin to exercise addiction. For example, a study published in the journal Perceptual and Motor Skills led by Dr. Edgar Pierce reported that dancers scored higher on the Exercise Addiction Scale compared to endurance and non-endurance athletes. Added to this, both exercise and dancing require stamina and physical fitness, and for this reason, dance is often classified as a form of exercise.
Over the last 20 years I have published many papers on exercise addiction (see ‘Further reading’ below) so there is no reason why dance addiction couldn’t theoretically exist (in fact, it could be argued that dance addiction – if it exists – is a sub-type of exercise addiction). There are also a handful of studies that have examined excessive dancing and whether it can be addictive to a small minority. A study by Edgar Pierce and Myra Daleng (again in Perceptual and Motor Skills) conducted a study with 10 elite ballet dancers and found that dancers rated thinner bodies as ideal and significantly more desirable than their actual body image despite being in the ‘ideal’ BMI range. The study also found that dancers often continue to dance despite discomfort, “because of the embedded subculture in dance that embraces injury, pain, and tolerance”. In a more recent study in the Journal of Behavioral Addictions (and which I reported at length in a previous blog), Dr. Remi Targhetta and colleagues assessed addiction to the Argentine tango. They found that almost half of their participants (45%) met the DSM-IV criteria of abuse, although a substantially lower prevalence rate (7%) was found when using more conservative criteria.
In our recently published study, we proposed that excessive social dancing would be associated with detriments to mental health. More specifically, we aimed to (i) identify subgroups of dancers regarding addiction tendencies, (ii) explore which factors account for the elevated risk of dance addiction, and (iii) explore the motivations underlying excessive dancing.
Our sample included 447 salsa and ballroom dancers (32% male and 68% female, with an average age of 33 years) who danced recreationally at least once a week. To assess ‘dance addiction’ we created the ‘Dance Addiction Inventory’ modified from the Exercise Addiction Inventory (that I co-developed back in 2004) in which we simply replaced the word ‘exercise’ with the word ‘dance’. We also assessed the dancers’ general mental health, borderline personality disorder, eating disorder symptoms, and dance motives.
As far as we are aware, our study is the first to explore the psychopathology and motivation behind dance addiction. Based on my criteria of addiction, five distinct types of dancers were identified. Only two of these types danced excessively. About one-quarter of our sample reported high values on all criteria of addiction but they reported no conflict with the social environment. However, 11% of dancers (and what we termed the ‘high risk’ group) scored high on all addiction symptoms and experienced conflict in their life as a consequence of their excessive dancing.
Our study also found that dance addiction was associated with mild psychopathology, especially with elevated number of eating disorder symptoms and (to a lesser extent) borderline personality traits (something which has also been found in research examining exercise addiction). Perhaps unsurprisingly, escapism (and to a lesser extent mood enhancement) was an especially strong indicator of dance addiction. I say ‘unsurprisingly’ because escapism has already been much reported in other types of behavioural addiction such as gambling and video gaming (including a lot of my own research). Here, escapism as a motivational factor refers to dancing in order to avoid feeling empty or as a mechanism to deal with everyday problems. Based on our findings, we believe that to a minority of individuals appear to be addicted to dancing and that it may be being used be a maladaptive coping mechanism.
Based on what we know in the exercise addiction literature, we proposed that future studies should also assess whether eating disorder is primary or secondary to dance addiction (i.e., whether the purpose of excessive dancing is weight-control and/or the motivation to perform leads to disturbances in eating patterns). I should also point out that although we found that distress was correlated with dance addiction, the association disappeared when other measures were added to the regression model. This may indicate that distress is not directly associated with problematic dancing and that it may arise from other problematic factors such as having an eating disorder.
Given the lack of research in the field, other studies are needed to confirm or refute the findings of our study. Given that dancing is a social activity, social conflicts may not arise when the person has only fellow dancers as partners or friends – therefore, the risky behaviour may remain somewhat hidden. Another question that could be examined is whether there is any difference between amateur and professional dancers in terms of addiction tendency (although among professional dancers there may be a debate about whether their behaviour is dancing addiction or ‘workaholism’). Also, we don’t know whether our findings can be extended to other dance genres (as we only surveyed ballroom and salsa dancers)
I would just like to end by saying that dancing is very clearly a healthy activity for the majority of individuals. However, our study does seem to suggest that excessive dancing may have problematic and/or harmful effects for a small minority. Although we couldn’t establish causality, dance addiction appears to have the potential to be associated with mild psychopathology.
Dr. Mark Griffiths, Professor of Gambling Studies, International Gaming Research Unit, Nottingham Trent University, Nottingham, UK
Additional input: Aniko Maraz, Róbert Urbán and Zsolt Demetrovics.
Allegre, B., Souville, M., Therme, P. & Griffiths, M.D. (2006). Definitions and measures of exercise dependence, Addiction Research and Theory,14, 631-646
Berczik, K., Szabó, A., Griffiths, M.D., Kurimay, T., Kun, B. & Demetrovics, Z. (2012). Exercise addiction: symptoms, diagnosis, epidemiology, and etiology. Substance Use and Misuse, 47, 403-417.
Berczik, K., Szabó, A., Griffiths, M.D., Kurimay, T., Kun, B. & Demetrovics, Z. (2012). Exercise addiction: symptoms, diagnosis, epidemiology, and etiology. Substance Use and Misuse, 47, 403-417.
Griffiths, M.D., Szabo, A. & Terry, A. (2005). The Exercise Addiction Inventory: A quick and easy screening tool for health practitioners. British Journal of Sports Medicine, 39, 30-31.
Griffiths, M.D., Urbán, R., Demetrovics, Z., Lichtenstein, M.B., de la Vega, R., Kun, B., Ruiz-Barquín, R., Youngman, J. & Szabo, A. (2015). A cross-cultural re-evaluation of the Exercise Addiction Inventory (EAI) in five countries. Sports Medicine Open, 1:5.
Kurimay, T., Griffiths, M.D., Berczik, K., & Demetrovics, Z. (2013). Exercise addiction: The dark side of sports and exercise. In Baron, D., Reardon, C. & Baron, S.H., Contemporary Issues in Sports Psychiatry: A Global Perspective (pp.33-43). Chichester: Wiley.
Maraz, A., Király, O., Urbán, R., Griffiths, M.D., Demetrovics, Z. (2015). Why do you dance? Development of the Dance Motivation Inventory (DMI). PLoS ONE, 10(3): e0122866. doi:10.1371/ journal.pone.0122866
Maraz, A., Urbán, R., Griffiths, M.D. & Demetrovics Z. (2015). An empirical investigation of dance addiction. PloS ONE, 10(5): e0125988. doi:10.1371/journal.pone.0125988.
Pierce, E.F. & Daleng, M.L. (1998) Distortion of body image among elite female dancers. Perceptual and Motor Skills, 87, 769-770.
Pierce, E.F., Daleng, M.L. & McGowan, R.W. (1993) Scores on exercise dependence among dancers. Perceptual and Motor Skills, 76, 531-535.
Ramirez, B., Masella, P.A., Fiscina, B., Lala, V.R., & Edwards, M. D. (1984). Breaker’s neck. Journal of the American Medical Association, 252(24), 3366-3367.
Targhetta, R., Nalpas, B. & Perney, P. (2013). Argentine tango: Another behavioral addiction? Journal of Behavioral Addictions, 2, 179-186.
“My boyfriend keeps asking me to kick him in his balls as hard as I can, and he says he’s ‘into it’. I love my boyfriend and I will do anything that makes him happy. He would do the same for me too, but is this normal?”
I came across this opening quote will doing some research on sexual masochism for a previous blog. I thought nothing of it at the time (except thinking it was a fairly painful way to get your sexual kicks – no pun untended). However, I have since come across a few online articles all noting that this specific type of masochistic practice is known as Tamakeri in Japanese culture. The first time I came across it was in a 2010 online article called ‘Ten Fetishes and Paraphilias’ (all of which – bar one – I have examined in previous blogs). The (unnamed) author of the article wrote that:
“The name [Tamakeri] translates from the Japanese as ‘Ball kicking’, and that tells you all you need to know, really. It’s a paraphilia, and also a genre of pornography involving women abusing men by their testicles, marketed to masochistic men excited by the prospect”.
A number of online sites confirm that Tamakeri is the practice of men receiving kicks in the testicles for sexual pleasure (such as the Kicked In The Groin website), and also appears in Japanese films (such as the horror film Horny House of Horror). The practice os also referred to in two more books I have. Dr. Anil Aggrawal in his 2009 book Forensic and Medico-legal Aspects of Sexual Crimes and Unusual Sexual Practices described Tamakeri as “arousal when a female kicks a man in the testicles; a variant of masochism, prevalent in Japan”. In the 2007 book on The Miscellany of Sex, Francesca Twinn also describes Tamakeri as “another Japanese contribution to sexual culture: the desire to watch a woman kick a man in the testicles, which has a healthy porn industry to cater to it”.
However, some of the information surrounding the practice is of dubious provenance. A number of different sites (such as the Uncyclopedia entry on Tamakeri) claim that the practice is best defined by “Prof. Erika Nagai” in her book “Pleasures of Castration (ISBN-666-13-1337-455-0)”. However, I have failed to locate the book on any database and the only academic writing I have found with that title was a book chapter (‘The Pleasures of Castration: the Postoperative Status of Hijras, Jankhas, and Academics’) by Professor Lawrence Cohen published in the 1995 book Sexual Nature, Sexual Culture (edited by Paul Abramson and Steven Pinkerton). There is indeed a woman called Erika Nagai who does appear to have engaged in the practice of Tamakeri but as a performer (such as her videos at the Female Dom website) rather than author (unless she has written in her capacity as an ‘adult film actress’). One online encyclopedia reported that:
“[Erika Nagai] is very known for her works under the japanese AV company SOD (Soft on Demand); where most of them feature her as an aggressive karate martial artist performer, catfighting versus fellow colleagues Ayukawa and Miyama Chiharu or using her abilities and brute force against male performers”
The following (crude and non-academic) passage on the practice of Tamakeri allegedly comes from Nagai’s book but may well be pure fiction given I have no proof that the book exists:
“Tamakeri comes from [Japan]…and is considered a rare treat by much of Japanese society. The fun pastime usually involves one clothed female and one nude male, with the female trying to inflict painful pleasure on her male counterpart by squashing his testicles. This can be simply done by kicking his bare nutsack (as forcefully as possible) while giggling (loudly, if possible). She must be sure to strike both of his babymakers, so that his balls are mashed equally flat…Some couples try to employ objects like a hammer, baseball bat or an anvil and – after some real experience – even a 16th century style piano. Beginners are advised to stick to their feet, knees and fists until the male target has his nuts thoroughly toughened up. It is preferable that the testicles be clean shaven, so that the impact against them can be seen more clearly, as well as the degree of swelling after they have been mashed a few times in succession”.
There is also a more interesting article on Tamakeri at the Japan For The Uninvited website. This confirms that the practice exists and that it is “a peculiarly Japanese form of BDSM” involving women kicking naked men in the testicles. The article claims that Tamakeri has come to the fore in Japanese pornography in recent years. It also notes that:
“Apparently, a clean, hearty ‘Slap!’ of impact is very important. Astonishingly, most of the ball kicking sessions are followed by sex, which means Tamakeri actors need the superhuman ability to stay hard while their member takes a bruising. It would be refreshing to think that Japanese women were driving demand for Tamakeri videos, revelling in the idea of dominating and humiliating their men. Sadly, the main customers for this kind of thing seem to be masochistic young men. Indeed, it has been much easier for pornographers to find willing kickees than kickers. The films are certainly masochistic from the man’s point-of-view, but not really submissive. The focus is still control over women, in this case ordering a girl to hurt them precisely where they choose. In this way, Tamakeri videos give men an unusual sense of power”.
The Wikipedia entry on Tamakeri claims that it is the sexual fetish of testicular abuse but also claims that it can involve more than just kicking men in their testicles for sexual pleasure. Other ways that give rise to male sexual pleasure include testicles being punched, twisted, grabbed and kneed. The article also makes a number of claims that do not seem to have any empirical support (just a single reference to a September 2002 newspaper article in the Mainichi Daily News entitled ‘New adult videos deal a blow to manhood’). For instance:
“Though the genre appeals primarily to men, it does have some female following in Japan and elsewhere. Female performers generally are young, out-of-work models or actresses who appear in these videos only occasionally. Male performers are often masochists who apply to work in the videos. A manga series in Shonen Jump depicted a story about a Japanese karate girl who has gift in fighting. One tamakeri scene shows her challenge a male Muay Thai champion to fight in a street fight. The girl beats the Thai fighter easily and humiliates him by removing his boxing shorts to squeeze his private parts until he passes out”.
As you guess from this (very) brief overview, I didn’t manage to locate a single academic paper on the topic of Tamakeri (not even a passing reference) so I can only conclude that although the practice exists, it would appear to be relatively rare.
A-Proper-Blog (2010). Ten fetishes and paraphilias. November 19. Located at: http://a-proper-blog.blogspot.co.uk/2010/11/ten-fetishes-and-paraphilias.html
Twinn, F. (2007). The Miscellany of Sex: Tantalizing Travels Through Love, Lust and Libido. London: Arcturus.
Uncyclopedia (2012). Tamakeri. Located at: http://uncyclopedia.wikia.com/wiki/Tamakeri
Urban Dictionary (2012). Tamakeri. Located at: http://www.urbandictionary.com/define.php?term=Tamakeri
Wikipedia (2012). Tamakeri. Located at: http://en.wikipedia.org/wiki/Tamakeri
“A body of an adult female of about 25 years old was found dead in a naked condition in a reserved forest area in South Delhi in June, 2006 by police. There was information to [the] police via public call as 2-3 people had killed one lady after [having] sex [with her] and [then running] away. Further enquiry, revealed that they all had consumed alcohol along with the lady. They also had sexual intercourse with her using condom…Following the quarrel they killed her by hitting her head with a heavy stone. After killing her, they also tried to destroy her identity by burning her face with wooden stick and twigs and her clothes. One of them also introduced a wine bottle inside [her] vagina. There were multiple postmortem injuries in particular pattern over left side lower part of chest, abdomen and inguinal regions including upper part of left thigh. All [the] accused were subsequently arrested by the police”.
This shocking account of a brutal murder was the opening paragraph in a paper by Dr. B.L. Chaudhary and his colleagues in a 2007 issue of the Journal of Indian Academy of Forensic Medicine (JIAFM). Although an increasingly common theme in television and film homicides, post-mortem mutilation of a dead person’s body by perpetrators is arguably much rarer than the incidence in fictionalized drama. The JIAFM paper noted that the majority of such cases typically involve body “dismemberment for the purpose of disposing or hiding a body or of preventing identification”.
A national study carried out in Sweden by Dr. Jovan Rajs and colleagues in the Journal of Forensic Sciences found that only 22 deaths over a 30-year period (1961-1990) had been criminally mutilated and/or dismembered. These were then classified into one of three types: (i) defensive, (ii) offensive (i.e., lust murder) and (iii) necromanic mutilation. They reported that the perpetrators of the defensive and aggressive post-mortem mutilation were typically “disorganized” (i.e., alcoholics, drug abusers, mentally disordered) whereas the lust murderers were typically “organized” with a long history of violent crimes. The JIAFM paper summarized the findings of Raus and colleagues:
“The characteristics of the mutilations were diverse. In cases of murder committed in association with sexual deviation, wounding is usually limited to the breasts and sexual organs. Corpse mutilation can also be of a symbolic nature as in cases of mafia murders (revenge punishment) and then it is associated with torturing the victim and with the motive of destruction of identify of victim”.
In the case of the female victim reported by Chaudhary and colleagues, they reported that it was the victim’s head, face, and chest that were burned, destroyed, and mutilated post-mortem. They speculated that this was done to either (i) to prevent identification of the victim, (ii) to make it difficult to determine the cause of death, or (iii) as an act of depersonalization as it is often seen “when the murder is disorganized and has a close relation to his victim or offensive mutilation as general act of frustration”. Why the men had inserted a foreign object into the woman’s vagina was less clear. The authors speculated that it may have been because of (i) frustration of a non-performing sexual partner because of heavy intoxication, (ii) an extortion demand by victim, (iii) blackmail by the victim, or (iv) psychopathic tendencies of the perpetrators can carried out for sadistic pleasure. However, they also added that:
“In this case as there was alleged history of consensual sexual activity which could be or could not be as body had injuries so it could be non-consensual activity also. Apparently there was no smell in the [gastric] contents but samples were sent for alcohol screening/concentration estimation. In [the medical] literature, various materials and objects like chilly powder, corrosives, metal or wooden sticks are introduced into genitalia as a part of punishment for unfaithfulness or infidelity. Males suffering from depression due to erectile dysfunctions, premature ejaculation and impotency may indulge in extreme frustration cases. In this psychological profiling of the accused can also be helpful in knowing for such abnormal instincts. At times, provocative words by female partner about their malehood could trigger such impulsive murder and mutilation”
Post-mortem mutilation while extreme can sometimes border on the almost unbelievable. For instance, Dr. J. Kunz and Dr. A. Gross published a paper in a 2001 issue of the American Journal of Forensic and Medical Pathology which as Ronseal would claim “does exactly what it says on the tin” as it was entitled “Victim’s scalp on the killer’s head: An unusual case of criminal postmortem mutilation”. The paper reported that:
“After killing his father, the son decapitated his body and dissected the scalp free, forming a mask of the father’s head and neck. The young man wore the scalp-mask over his own head to imitate the father. The motive of the murder was revenge, and the postmortem mutilation was the realization of the perpetrator’s fantasies, symbolically representing a penalty for the reprehensible past life of his father”.
Another extreme case of postmortem mutilation following murder was reported by Dr. Tomasz Konopka and his colleagues in a 2006 issue of the Journal of Forensic Medicine and Pathology. In this instance, a Polish man cut up the corpse and dismembered the body into 850 fragments. He “employed various tools to divide the body into fragments and subsequently boiled the pieces to reduce their volume”. This reduced the body volume by 30kg. The murderer then placed all the body fragments into two large pots in a space under his stairwell and then plastered over the wall to hide the body. Another paper by Dr. Konopka and colleagues in a 2007 issue of Legal Medicine examined 23 cases of dismembered bodies in the 1968-2005 period at the Cracow Department of Forensic Medicine. Of these, 17 were cases of defensive mutilation, three were offensive mutilation and two were dismemberment (decapitation, and direct cause of death). One case remained unclassified where the murderer dissected free skin from the whole torso. They concluded that:
“Apart from rare cases of necrophilia, the victim of dismemberment is always a victim of homicide. Homicides ending with corpse dismemberment are most commonly committed by a person close to, or at least acquainted with the victim and they are performed at the site of homicide, generally in the place inhabited by the victim, the perpetrator or shared by both. Such instances are generally not planned by the perpetrator and rarely serial in character”.
Finally, I came across an interesting 2009 paper by a Finnish team led by Dr. Häkkänen-Nyholm in the Journal of Forensic Sciences. The authors noted that research relating to mutilation of bodies by murderers was “sparse”. They estimated the rate of mutilation of the victim’s body in Finnish homicides. To do this they examined all crime and forensic reports of homicide offenders from 1995–2004 (n = 676). Only 13 murders (2.2%) involved postmortem mutilation. They concluded that:
“Educational and mental health problems in childhood, inpatient mental health contacts, self-destructiveness, and schizophrenia were significantly more frequent in offenders guilty of mutilation. Mutilation bore no significant association with psychopathy or substance abuse. The higher than usual prevalence of developmental difficulties and mental disorder of this subsample of offenders needs to be recognized”.
Chaudhary, B.L., Murty, O.P. & Singh, D. (2007). Foreign objects in genitalia: Homicide with destruction of identity – A case report. Journal of Indian Academy of Forensic Medicine, 29(4), 135-137.
Häkkänen-Nyholm, H., Weizmann‐Henelius, G., Salenius, S., Lindberg, N., & Repo-Tiihonen, E. (2009). Homicides with mutilation of the victim’s body. Journal of Forensic Sciences, 54(4), 933-937.
Hladík, J., Štefan, J., Srch, M., & Pilin, A. (2000). A rare case of evisceration. International Journal of Legal Medicine, 113(2), 107-109.
Konopka, T., Bolechala, F., & Strona, M. (2006). An unusual case of corpse dismemberment. The American Journal of Forensic Medicine and Pathology, 27(2), 163-165.
Konopka, T., Strona, M., Bolechała, F., & Kunz, J. (2007). Corpse dismemberment in the material collected by the Department of Forensic Medicine, Cracow, Poland. Legal Medicine, 9(1), 1-13.
Kunz, J. & Gross, A. (2001). Victim’s scalp on the killer’s head: An unusual case of criminal postmortem mutilation. American Journal of Forensic and Medical Pathology, 22(3), 327-31.
Rajs, J., Lundstrom, M., Broberg, M., Lidberg, L., & Lindquist, O. (1998). Criminal mutilation of the human body in Sweden: A thirty year medico-legal and forensic psychiatric study. Journal of Forensic Sciences, 43(3), 563-80.
Simonsen, J. (1989). A sadistic homicide. The American Journal of Forensic Medicine and Pathology, 10(2), 159-163.
Türk, E. E., Püschel, K., & Tsokos, M. (2004). Features characteristic of homicide in cases of complete decapitation. The American Journal of Forensic Medicine and Pathology, 25(1), 83-86.