title: Escalation of a fetish: coprophagia in a nonpsychotic adult of normal intelligence.
abstract: A 47-year-old man is described whose fetish of fecal smearing, coprophilia, escalated to coprophagia in a setting of depression and alcohol abuse. The case is the first described in a nonpsychotic adult of normal intelligence. Treatment focused upon the depression and substance abuse as well as on the psychodynamic issues that fostered his despair and allowed the fetish to evolve into coprophagia.
authors.affiliation: Department of Psychiatry, Fairfax Hospital, Falls Church, VA 22046, USA.
authors.forename: T N
authors.initials: TN
authors.lastname: Wise
authors.forename: R L
authors.initials: RL
authors.lastname: Goldberg
mesh_terms: D017668:Age of Onset; D000437:Alcoholism / Q000628:therapy; D003866:Depressive Disorder / Q000150:complications / Q000628:therapy; D005329:Fetishism, Psychiatric; D064106:Human Coprophagia / Q000150:complications / Q000523:psychology* / Q000628:therapy; D006801:Humans; D008297:Male; D008875:Middle Aged; D011613:Psychotherapy