Department of Psychiatry, McLean Hospital, 115 Mill Street, Belmont, MA 02478, USA.
Arch Sex Behav. 2010 Apr;39(2):357-62. doi: 10.1007/s10508-009-9558-7.
The historical definitions of sexual Fetishism are reviewed. Prior to the advent of DSM-III-R (American Psychiatric Association, 1987), Fetishism was typically operationally described as persistent preferential sexual arousal in association with non-living objects, an over-inclusive focus on (typically non-sexual) body parts (e.g., feet, hands) and body secretions. In the DSM-III-R, Partialism, an "exclusive focus on part of the body," was cleaved from Fetishism and added to the Paraphilia Not Otherwise Specified category. The current literature reviewed suggests that Partialism and Fetishism are related, can be co-associated, and are non-exclusive domains of sexual behavior. The author suggests that since the advent and elaboration of the clinical significance criterion (Criterion B) for designating a psychiatric disorder in DSM-IV (American Psychiatric Association, 1994), a diagnostic distinction between Partialism and Fetishism is no longer clinically meaningful or necessary. It is recommended that the diagnostic Criterion A for Fetishism be modified to reflect the reintegration of Partialism and that a fetishistic focus on non-sexual body parts be a specifier of Fetishism.
回顾了性恋物癖的历史定义。在 DSM-III-R（美国精神病学协会，1987 年）出现之前，恋物癖通常被操作性地描述为与非生命物体持续的偏好性唤起相关联，对（通常是非性的）身体部位（如脚、手）和身体分泌物的过度关注。在 DSM-III-R 中，部分主义，即“对身体部分的排他性关注”，从恋物癖中分离出来，并添加到未特别指定的性癖好类别中。目前的文献综述表明，部分主义和恋物癖是相关的，可以共同关联，并且是性行为的非排他性领域。作者建议，自从 DSM-IV（美国精神病学协会，1994 年）中指定精神障碍的临床意义标准（标准 B）出现和阐述以来，部分主义和恋物癖之间的诊断区别不再具有临床意义或必要。建议修改恋物癖的诊断标准 A，以反映部分主义的重新整合，并将对非性身体部位的恋物癖关注作为恋物癖的一个特征。
