Sexual Masochism Disorder with Asphyxiophilia: A Deadly yet Underrecognized Disease
DSM-5 distinguishes between paraphilias and paraphilic disorders. Paraphilias are defined as atypical, yet not necessarily disordered, sexual practices. Paraphilic disorders are instead diseases, which include distress, impairment in functioning, or entail risk of harm one’s self or others. Hence, D...
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| Format: | Article |
| Language: | English |
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Wiley
2016-01-01
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| Series: | Case Reports in Psychiatry |
| Online Access: | http://dx.doi.org/10.1155/2016/5474862 |
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| _version_ | 1832552039210549248 |
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| author | Anna Coluccia Mario Gabbrielli Giacomo Gualtieri Fabio Ferretti Andrea Pozza Andrea Fagiolini |
| author_facet | Anna Coluccia Mario Gabbrielli Giacomo Gualtieri Fabio Ferretti Andrea Pozza Andrea Fagiolini |
| author_sort | Anna Coluccia |
| collection | DOAJ |
| description | DSM-5 distinguishes between paraphilias and paraphilic disorders. Paraphilias are defined as atypical, yet not necessarily disordered, sexual practices. Paraphilic disorders are instead diseases, which include distress, impairment in functioning, or entail risk of harm one’s self or others. Hence, DSM-5 new approach to paraphilias demedicalizes and destigmatizes unusual sexual behaviors, provided they are not distressing or detrimental to self or others. Asphyxiophilia, a dangerous and potentially deadly form of sexual masochism involving sexual arousal by oxygen deprivation, are clearly described as disorders. Although autoerotic asphyxia has been associated with estimated mortality rates ranging from 250 to 1000 deaths per year in the United States, in Italy, knowledge on this condition is very poor. Episodes of death caused by autoerotic asphyxia seem to be underestimated because it often can be confounded with suicide cases, particularly in the Italian context where family members of the victim often try to disguise autoerotic behaviors of the victims. The current paper provides a review on sexual masochism disorder with asphyxiophilia and discusses one specific case as an example to examine those conditions that may or may not influence the likelihood that death from autoerotic asphyxia be erroneously reported as suicide or accidental injury. |
| format | Article |
| id | doaj-art-b673c9c5e63d40faadae6e93217a6ad2 |
| institution | Kabale University |
| issn | 2090-682X 2090-6838 |
| language | English |
| publishDate | 2016-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Psychiatry |
| spelling | doaj-art-b673c9c5e63d40faadae6e93217a6ad22025-02-03T05:59:50ZengWileyCase Reports in Psychiatry2090-682X2090-68382016-01-01201610.1155/2016/54748625474862Sexual Masochism Disorder with Asphyxiophilia: A Deadly yet Underrecognized DiseaseAnna Coluccia0Mario Gabbrielli1Giacomo Gualtieri2Fabio Ferretti3Andrea Pozza4Andrea Fagiolini5Department of Medical Sciences, Surgery and Neurosciences, Santa Maria alle Scotte University Hospital of Siena, Siena, ItalyDepartment of Medical Sciences, Surgery and Neurosciences, Santa Maria alle Scotte University Hospital of Siena, Siena, ItalyDepartment of Medical Sciences, Surgery and Neurosciences, Santa Maria alle Scotte University Hospital of Siena, Siena, ItalyDepartment of Medical Sciences, Surgery and Neurosciences, Santa Maria alle Scotte University Hospital of Siena, Siena, ItalyDepartment of Medical Sciences, Surgery and Neurosciences, Santa Maria alle Scotte University Hospital of Siena, Siena, ItalyDepartment of Molecular Medicine, University of Siena School of Medicine, and Department of Mental Health, University of Siena Medical Center (AOUS), Siena, ItalyDSM-5 distinguishes between paraphilias and paraphilic disorders. Paraphilias are defined as atypical, yet not necessarily disordered, sexual practices. Paraphilic disorders are instead diseases, which include distress, impairment in functioning, or entail risk of harm one’s self or others. Hence, DSM-5 new approach to paraphilias demedicalizes and destigmatizes unusual sexual behaviors, provided they are not distressing or detrimental to self or others. Asphyxiophilia, a dangerous and potentially deadly form of sexual masochism involving sexual arousal by oxygen deprivation, are clearly described as disorders. Although autoerotic asphyxia has been associated with estimated mortality rates ranging from 250 to 1000 deaths per year in the United States, in Italy, knowledge on this condition is very poor. Episodes of death caused by autoerotic asphyxia seem to be underestimated because it often can be confounded with suicide cases, particularly in the Italian context where family members of the victim often try to disguise autoerotic behaviors of the victims. The current paper provides a review on sexual masochism disorder with asphyxiophilia and discusses one specific case as an example to examine those conditions that may or may not influence the likelihood that death from autoerotic asphyxia be erroneously reported as suicide or accidental injury.http://dx.doi.org/10.1155/2016/5474862 |
| spellingShingle | Anna Coluccia Mario Gabbrielli Giacomo Gualtieri Fabio Ferretti Andrea Pozza Andrea Fagiolini Sexual Masochism Disorder with Asphyxiophilia: A Deadly yet Underrecognized Disease Case Reports in Psychiatry |
| title | Sexual Masochism Disorder with Asphyxiophilia: A Deadly yet Underrecognized Disease |
| title_full | Sexual Masochism Disorder with Asphyxiophilia: A Deadly yet Underrecognized Disease |
| title_fullStr | Sexual Masochism Disorder with Asphyxiophilia: A Deadly yet Underrecognized Disease |
| title_full_unstemmed | Sexual Masochism Disorder with Asphyxiophilia: A Deadly yet Underrecognized Disease |
| title_short | Sexual Masochism Disorder with Asphyxiophilia: A Deadly yet Underrecognized Disease |
| title_sort | sexual masochism disorder with asphyxiophilia a deadly yet underrecognized disease |
| url | http://dx.doi.org/10.1155/2016/5474862 |
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