title: Lady with Erotic Preference for Diapers.
abstract: A patient in her 20s was referred to us for psychological assessment due to her depression and suicide attempts. She mentioned being anorgasmic except when diapered and emphasized her erotic preference for diapers. Her childhood included maternal deprivation in an impecunious family headed by an irritable physically disabled father on social assistance. Given the maternal deprivation in childhood, her erotic fixation on diapers parallels the emotional attachment to diapers observed by Harlow in mother deprived infant monkeys. Etiological hypotheses should also include the paradigm of avoidance learning from theories of behavior therapy. Our patient does not wish to change her sexual preference: in such cases, fetishism is not considered as an illness by DSM5. However, she needs to be treated for pathological levels of depression with suicidal ideation and low self-esteem.
authors.affiliation: Department of Psychiatry, University of Western Ontario , London, Canada.
authors.forename: Zack
authors.initials: Z
authors.lastname: Cernovsky
authors.affiliation: Departments of Psychology and Medical Biophysics, University of Western Ontario , London, Canada.
authors.forename: Yves
authors.initials: Y
authors.lastname: Bureau
keywords: Diaper fetish; anorgasmia; avoidant conditioning; repetition compulsion; suicidal ideation