The term “paraphilia” describes de sexual arousal as a response to concrete objects or specific situations that can interfere in the person’s capacity to perform reciprocal activities in the sexual and affective area.
Some paraphilias imply the performance of divergent behaviours in that they exclude, harm others and destroy the possibility in the links with one’s partner.
Other paraphilias can be considered harmless from a clinical perspective.
Besides, there is the stigma that society can attribute to people with a paraphilia o series of paraphilias.
From a clinical perspective, they become a problem:
- When they imply some type of suffering…
- When they inhibit considerably the person’s sexual life…
- In sexological counselling, we usually suggest that the person has more than only one practice for their sexual gratification. A repertoire is suggested.
The list of the existing paraphilias is very large. Some of them are very infrequent.
The pathology criteria should consider:
- The place that they take in the person’s sexual activity.
- The degree of interference that the paraphilia can have in the rest of the life of the person.
- Also, if they imply some suffering for the person or others.
Paraphilias should be differentiated from some mere sexual variations, the different ways to get sexual pleasure that can be extremely eccentric or peculiar.
From a sexological point of view are healthy as long as they do not do harm to the person or others. Neither in the case that the paraphilia becomes so exclusive that excludes other type of sexual activity.
However, respect to the individual’s elections should be absolute and in any case, as sexologist we are concerned to support the person, who because of their choices has to face a series of difficult situations and to help them live with their own peculiarities.
Some clinical literature explains that the 8 most common paraphilias are:
As we said before, the list of existing paraphilias is enormous and some, by their nature, have very negative repercussions to the person. That is why the therapy for a paraphilia is not the same for all cases. There are times that the help to the patient or their partner or the couple, is to live with the paraphilia. Other times, the help is for the patient to be more aware of the repercussions of his or her paraphilia.
We have ample experience helping a wide range of patients dealing with paraphilias in a number of situations.