Should any pleasure/arousal occur, he must immediately switch back to NORMAL stimuli. During this time, the man will lose his erection will not be aroused and will likely find it painful. Immediately after reaching orgasm, the man switches to his fetish, and continues to masturbate, without stopping, for a time that is unpleasant- I usually start the man with something like 10 or 15 minutes. This procedure involves having the patient (at home, of course) masturbate using normal-non-fetish-stimuli/ fantasy. This is not something I usually use-it is reserved for patients who have what might be called an "extreme" fetish, and are also very well motivated. While I always do the cognitive conditioning procedure with fetish patients, I sometimes also do the "stimulus satiation procedure", which involves changing the patient's masturbation. Source: Pair of Woman's Fetish Boots, Wikipedia Commons In another case, we arrived at the man's daughter saying her boyfriend was now forbidden to date her anymore: "His parents said, 'Come on, his Dad is some kind of a weirdo pervert!' Oh Dad, how could you do this to me?" For example, I had one man who had a shoe fetish think about his children coming home from school in tears, saying how they were being teased about "What a freak your old man is-him and his shoe - (expletive deleted). One thing I have also found often really strongly effective as a negative involves children, if the patient has any. Time thinking about-and saying into the small tape recorder I give the patient-all the things that are now going wrong in his life because of his fetish, and what is likely to happen in the future for him, because of his fetish really does reduce the arousal value of the fetish-and this is something that can't be done in a couple of minutes, on just one day. The "cognitive negative conditioning procedures" involve having the patient spend. The reason for this was that I had a patient confess that he had indeed used all 7 of his ammonia vials this week-but he had broken them out in the parking lot just prior to coming in to see me! Sometimes this has been done with the patient sniffing disgusting aromas or unpleasant chemical agents, but I long ago stopped doing this, and went to the strictly cognitive negative conditioning procedures.
This procedure has been termed "cognitive negative conditioning". have to offer? In the cases I have had good results with, I have used some combination of procedures to reduce the arousal value of the fetishistic practice and, at least as importantly, procedures to make good, open, rewarding sexual activity with a consenting adult available to the patient. Compared to these things, really, what does masturbating while doing something like holding on to a shoe, cross dressing, etc.
That is, talking, kissing, caressing, oral sex, intercourse, etc. I don't see a fetish as similar to sexual orientation- it is something that does reflect "something wrong", and in my own experience, DOES respond to therapy! One issue is that sexual fetishes-paraphilias-typically involve sexual activity with something that does not provide the rewards that sex with another human does. I am italicizing the most objectionable aspects: Below is what the clinician wrote in support of fetish eradication.
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