Multiplex versus multiple taxonomy of paraphilia: case example.
Several different paraphilias are presently diagnosed in some individuals whereas a more parsimonious taxonomy would be that of one multiplex paraphilia. A multiplex paraphilia may be expressed by variations of content at different times in an individual's life or in different situations. The present case example shows the unfolding of a multiplex paraphilia over a lifetime. At age 7 the subject was dressed in public as a girl wearing a diaper as a humiliation for bed-wetting. This experience had 3 paraphilic components that were separately manifested at different times in his life: fetishistic transvestism, pedophilic incest, and infantilism. A multiplex paraphilia taxonomy may lead to improved identification of etiology, prognosis, and treatment of paraphilia.
Lehne
Gregory K
GK
Department of Psychiatry and Behavioral Sciences, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA. gregory.lehne@verizon.net
Money
John
J
D000328:Adult; D006801:Humans; D008297:Male; D010262:Paraphilic Disorders / Q000145:classification* / Q000523:psychology*; D010287:Parent-Child Relations; D012742:Sex Offenses / Q000523:psychology; D014190:Transvestism / Q000523:psychology*