Well, hello. Hello. Welcome back to another episode of Diagnosting a Killer, the mental breakdown.
That sounded so weird. What? Because we usually go, hello. So when coming in and whispering, like, hello.
Well, we both just got it in right there. Hello. Guys, this is fucking happening. This is the last episode before the con.
It can't even contain it. I'm so excited. Like, it's ridiculous. I'm just like, I just want to mingle with people.
I just want to, like, rub elbows, you know? I'm really excited to meet other podcasts. This is a huge networking opportunity for us.
Yeah. And of course, I'm really excited to meet Lainey. I want to meet Lainey in person. I just, like I said, I want to be in a room full of like, minded people that enjoy the same content.
Thank you. Yes. Because I feel like every other person I talk to in my daily life is like, yeah, okay, we get it. You host a fucking podcast.
Like, I don't want to talk about it, but the listeners get it. You get it. Yeah. Every one of the fucking mess will get it. I know. I love people really like, I'm just not into true crime.
And I'm like, I guess you're just not my kind of person. Yeah, honestly. No, we love our friends that aren't into true crime. It's true.
But if they're not into true crime, sometimes they're into psychology and that's fun. There you go. We can always have something to talk about.
And if they're not into true crime and psychology, they probably like to drink alcohol. That's true. And then we do that really well. Listen to us.
Yeah. Well, again, welcome back to another episode, guys. Before we get started, do you want to shout out our handles? And then I have a couple things to say and then I'm going to get into this mental breakdown.
Sure. You can check us out at diagnosingkiller.com. There you can find links to resources and merch. You can also get those last minute tickets in for the true crime paranormal podcast festival happening this Friday, Friday,
Saturday and Sunday. They actually just released the Saturday only tickets. So the $65 a piece. Unfortunately, you can't use our discount code on that, but $65 a piece.
Way better than 160 that they were having originally. For sure. And everybody will be ready and set up by Saturday. That's going to be the biggest day for sure.
So that'll be the 25th of August through the 27th of August this weekend in Austin at the Double Tree. Yeah, I think so. The website has all the information that you need.
I was when you said the dates, I was like shaking and looking at the calendar. I was like, what is it? What is it? So close.
You can check us out on social media anywhere at diagnosingkiller.com other than an X, which is other than an X. Other than X, which is at killer diagnosis.
Check out our Patreon. Check out our, we have a PayPal. If you just want to do a one time contribution or something.
Yeah, a little dony on there instead of becoming a full time Patreon member. However, that Patreon membership does on the tier two and tier three include an exclusive bonus episode.
Yes. Brought to you by yours truly on Tuesday. So I'm excited. That's going to be really exciting. So Tuesday after the con, the 29th is when that's going to release.
And are we going to tell them right now who you're doing? We're going to talk about it after the episode. So you got to wait.
Or you can be a cheater and just fast forward to the end of the episode.
You could fast forward, but then you would miss my amazing sultry voice explaining this disorders that we're talking about. This disorders, these disorders.
Yeah. Okay. Well, I'm excited.
Yes, I'm really excited as well. And thank you guys in advance for all the support. We're really excited to meet you guys.
I guarantee we have some listeners that we don't even know that are coming. So I'm really excited to meet some people that we don't know.
And you guys probably know a lot about us, but we're really excited to know a lot about you.
We're also going to have a book for requests. If you are going, we're going to just bring your requests with you in your mind so that you can write it down in our book.
Yeah. And we'll feature the page or something.
Yes. Speaking of requests, this episode is a request.
Double request.
It is a request. I think I said that on the last episode.
But this episode was requested by another than Lady You're Scaring Us, the women of.
Oh.
And they wanted me to, not me, us to break down fetishistic disorders.
Okay.
So we're talking about fetishes. We're talking about some pretty gnarly things.
I will just say a quick content warning. This is obviously going to have pedophilia in here.
So there are fetishes that have to do with children, things that maybe make some people uncomfortable, maybe some traumatic discussions that we might have.
Right.
And also there is some outdated language because I'm getting most of my info from the DSM-5.
Okay.
So just to let everyone know, this is all verbatim from the DSM-5, but just a quick content warning on that.
Are you ready?
I'm, yeah.
Okay. So the true term is paraffillic disorders, as we're going to be talking about.
So paraffillic disorders are recurrent, intense, sexually arousing fantasies, urges, or behaviors that are distressing or disabling and that involve inanimate objects, children or non-consenting adults, or suffering or humiliation of the person or a partner with the potential to cause harm.
Okay. So this is not like, I'm into feet.
Or I'm into like, BDSM.
It's like way bigger than that.
Okay.
Yeah. Okay.
So there's eight different types of paraffillic disorders.
So we will go through those now.
So the first one we're going to be talking about is by itself, fetishistic disorder.
So the group term is paraffillic disorders, fetishistic disorders, its own thing.
Okay.
So the diagnostic criteria, A, over a period of at least six months, recurrent and intense sexual arousal from either the use of non-living objects or a highly specific focus on non-genital body parts as manifested by fantasies, urges, or behaviors.
Okay.
B, the fantasies, sexual urges, or behaviors cause clinically significant distress or impairment in social, occupational, or other important areas of functioning.
Okay.
And then C, the fetish objects are not limited to articles of clothing used in cross-dressing, as in transvestic disorder, or devices specifically designed for the purpose of tactile genital stimulation, A.E. a vibrator.
Okay.
So A.E. I.E.
A.E. I.O.U.
And example.
A.E. I.O.U. a vibrator.
Oh my god.
So yeah, it's pretty much saying like it's inanimate objects that are not like when people wear clothing of the opposite sex or like a sex toy, essentially.
So it's like Dahmer being obsessed with like people's hearts or lungs.
Yeah, and he like gets off on that?
Yeah.
An inanimate, for sure.
An inanimate, because it's not alive.
Yeah.
And then what was the last one? Oh, it was just a not something that would be used to create arousals.
It's not made for sex.
Yeah, exactly.
So again, we're not going to go through like everything that the DSM5 says, but I will do like kind of onset and then prevalence of stuff, of all these.
Okay.
So development and course, usually paraffilias, as in like the group of disorders, have an onset during puberty, but fetishes can develop prior to adolescence.
Once established, fetishistic disorder tends to have a continuous course that fluctuates in intensity and frequency of urges or behavior.
Interesting.
Yes.
I think Robert Crum, it was an older artist, he would talk about, I think, his fetishization of fetishization, right?
Yeah.
Sounds right.
Of, I think it was like women's heels, but he remembered like when he was three or four years old, and he was more two years old and crawling and grabbing his mom's heels.
And that was always like a thing somewhere.
Yeah, Freud's probably loving that.
Yeah, exactly.
And then lastly about fetishistic disorder, the comorbidity, I'll add pepper this in there as well.
It may occur with other paraffiliic disorders, as well as hypersexuality.
Rarely fetishistic disorder may be associated with neurological conditions.
No, rarely, though.
You're like here are those phenomenons where people hit their heads and they start speaking French and stuff?
Yeah.
Do you think that's possible?
Like you get like a traumatic brain injury and then all of a sudden you have a fetish or like a computer or something?
Yeah.
Maybe.
A computer.
I was just looking at the closest thing to me.
Reminds you of that, I saw that update for that guy that was in love with his car.
Yeah.
Remember that?
He got a new car and he was all like bummed that he had to like sell the other one.
Well, he didn't.
He was like, we broke up.
They didn't break up.
It was in a car accident.
Yeah.
Oh my god, I feel bad now.
Yeah, it's like a death.
Oh no.
Oh, that's so awful.
Isn't that awful?
I feel bad for him.
Yeah.
Then he got a girl car.
And he's like, yeah, this is my new bow.
He doesn't believe in like gendering inanimate objects, which is interesting.
Yeah.
That is interesting.
Are you ready for number two?
Yeah.
Number two.
It's called...
Oh, I thought you were going to say bring it on and then you like cut yourself off, but then I remember you were saying bring it like from Jeopardy Champions.
Yeah, say up the Sam Butchery.
And my favorite, James Holzhauer.
Yeah, I love Andrew He, but I think Amy Snyder is my girl for sure.
Absolutely.
OK, so the next one is called exhibitionistic disorder.
Exhibitionistic.
Yeah, this is kind of long.
Like the word.
So over a period of at least six months, this is the diagnostic criteria.
Recurrent and intense sexual arousal from the exposures of one's genitals to an unsuspecting person as manifested by fantasies, urges, or behaviors.
OK, like a flasher.
So this is, yeah, someone that comes up and they're like wanking it and they want you to see.
Yeah.
Yeah, but like you don't know.
Like in a Walmart parking lot.
Yes.
And then diagnostic criteria would be the individual has acted on these sexual urges with a non-consenting person or the sexual urges or fantasies cause clinically significant distress or impairment in social, occupational, or other important areas of functioning.
Yeah.
So it's like to the point where like you can't hold on a job because you have to just like show someone your genitals and they don't need, you just don't want to see it.
You just have to.
Yeah.
The subtypes for exhibitionistic disorder are based on the age or physical maturity of the non-consenting individuals to whom the individual prefers to expose his or her genitals.
Oh, so it can be like a minor if they're into that.
Yes.
Or like an older person if they're into that.
Absolutely.
The non-consenting individuals could be prepubescent children, adults, or both.
That's disgusting.
So there's subtypes on all of these disorders, but that's like making the distinction between the two.
Even in the last episode I was talking about that couple that was having sex on that Ferris wheel.
And I find that really interesting because I mean is that part of like exhibitionism is like they feel like they're like out in the open so it's like dangerous and so they do it.
I don't know if that was with the intent of showing other people their genitals though.
I think they were just like horny teens.
Yeah.
I don't know.
The guy was creepy.
Yeah, probably so.
Now the prevalence of this one, it's actually unknown.
However, based on exhibitionistic sexual acts in non-clinical or general populations, the highest possible prevalence for exhibitionistic disorder.
Exhibitionist disorder.
Oh my god.
Exhibitionistic disorder.
And the male population is 2% to 4%.
Okay.
That's kind of high.
The prevalence of exhibitionistic disorder in females is even more uncertain, but generally believed to be much lower than in males.
Yeah.
Now in development and course, adult males with exhibitionistic disorder often report that they first became aware of sexual interests and exposing their genitals to unsuspecting persons during adolescence.
At a somewhat later time than the typical development of normative sexual interests in women or men.
So like older teens if you will.
Yeah.
Instead of like preteen.
Oh I see.
Although there is no minimum age requirement for this diagnosis, it may be difficult to differentiate exhibitionistic behaviors from age appropriate sexual curiosity in adolescents.
That's true.
So it's kind of hard to diagnose.
Yeah.
At least at that age.
Yes.
And then comorbidities are largely based on research with individuals, almost all males convicted for criminal acts involving genital exposure to non-consenting individuals.
Hence these comorbidities might not apply to all individuals who qualify for a diagnosis of exhibitionistic disorder.
Yeah.
Conditions that occur comorbidly with exhibitionistic disorder at high rates include depressive, bipolar, anxiety and substance use disorders, hypersexuality, attention deficit hyperactivity disorder,
other paraphernalic disorders and even antisocial personality disorder.
Yeah.
That makes sense though, the last one.
It's true because you wouldn't be able to say that every person that's been convicted of a crime of exposing genitals is someone with exhibitionismistic disorder.
Yeah, it's a hard word to say.
Instead of like 18 times just now.
Exhibitionistic.
Exhibitionistic disorder because, you know, some person might be drunk at a bar and needs to take a piss on the way home.
Yeah, exactly.
So you can say that that would be the same as someone intentionally exposing themselves with, you know, the intent of sexual arousal.
Yeah, definitely.
Number three.
This one is called froturistic disorder.
Froturistic.
Spell that?
F-R-O-T-T-E-U-R-I-S-T-I-C.
Froturistic.
Froturistic disorder.
Okay.
So diagnostic criteria A, over a period of at least six months for current and intense sexual arousal from touching or rubbing against a non-consenting person as manifested by fantasies, urges, or behaviors.
B, the individual has acted on these sexual urges with a non-consenting person or the sexual urges or fantasies cause clinically significant distress or impairment in social, occupational, or other important areas of functioning.
Okay.
I think they call that sharking.
Sharking?
What is that?
It means when you ejaculate on someone that's unsuspecting.
That's gross.
Sorry, I'm like turning the page in the T-S-E-F-R-O-T-E-G against my shirt and making a bunch of noise.
I didn't mean to say that's gross.
That was a response out of my brain that when I wasn't paying attention to it.
Yeah, I'm pretty sure they call it sharking.
Sharking.
Don't Google it.
I won't.
If you're not a person that wants to know what sharking is.
Just urban dictionary that.
Got it.
Prevalence, fratruistic acts including the uninvited sexual touching of or rubbing against
another individual may occur in up to 30% of adult males in the general population.
30%?
Yes.
Approximately 10% to 14% of adult males seen in outpatient settings for periphoetic disorders
and hypersexuality have a presentation that meets diagnostic criteria for fratruistic disorder.
Hence, whereas the population prevalence of fratruistic disorder is unknown,
it's not likely that it exceeds the rate found in selected clinical settings.
But think about it.
Think about it.
We all know a guy.
I'm sorry.
I'm not trying to be ugly.
I'm really not.
We all know a guy that will take it a little too far, especially when he's drinking.
Yeah.
And dancing or otherwise.
Thank you.
In a club.
It's like we know a guy that can get a little creepy.
Yeah.
Everyone knows one.
Even women can do that.
Women can get creepy all the time when they're drunk.
Oh, God.
So it's not far-fetched to think that it could be 30% of males that have this.
Because they're getting arousal because the person doesn't like it.
And a lot of people have that mindset when they're drunk.
It's true.
Man and women.
I-
And it's gross.
And a lot of really dense populated areas.
I'm sure it's a problem too.
Yeah.
Absolutely.
Because you're like on a subway train or-
Like in New York you just walk past someone.
Walk and pass someone.
Yeah.
Right?
Yeah, exactly.
So it's not far-fetched.
Now, development and course, adult males with froturistic disorder often report first becoming aware of their sexual interest in
surreptitiously touching unsuspecting persons during late adolescence or emerging adulthood.
However, children and adolescents may also touch or rub against unwilling others in the absence of a diagnosis of froturistic disorder.
Although there is no minimum age requirement for the diagnosis,
froturistic disorder can be difficult to differentiate from conduct disorder behavior without sexual motivation in individuals at younger ages.
What is that?
Just like playing grab-ass or something?
Conduct-
Yeah.
I would say-
And it not being sexually oriented?
Yes.
I would also say like-
And I'm not a professional.
I'm not diagnosing anybody or adding my knowledge to the DSM.
Yeah.
I would also say that an exclusion as well would be maybe a child with a developmental disability like autism,
whether they're on an autism spectrum.
Kiddos on the spectrum don't really have those boundaries some of the time.
And they touch private parts without even recognizing what they're doing.
Right.
Or they rub up against someone's area without even knowing that that's inappropriate.
Right.
So I think that that would also be an exclusion.
And I'm sure it says it in here somewhere.
Yeah.
But yeah, I just wanted to pepper in my knowledge in there.
Complete side note.
I already told Koel this, but I wanted to share it with you all.
I have a co-worker, I guess no longer a co-worker as her last day today.
And right before she left, she told me that I was one of the smartest people she's ever known.
And I was like, oh my God.
So nice.
I literally was like, that is the biggest compliment I think I've ever gotten from a colleague.
That is so nice.
Like I've never heard, no one's ever said that to me, that like matters.
Like their professional opinion.
Right.
And it made me very happy.
And Alex, if you're listening, thank you very much for saying that.
That was really nice.
But I was telling Koel and my mom through tears because I was so happy.
It was really nice.
I was like, you know, I was doubting myself all week this week because of the festival.
I was like, what if people don't like our content?
What if people don't like what we have to say?
What if they don't think we're educated enough?
And that just got rid of all of those fears.
So the point of the story is if you think something is great about someone, tell them.
And just be nice to yourself as well.
Because I was kind of kicking myself.
I'm like, oh my God, like all I focus on are my failures.
But I never focus on like the good things that are happening in my life,
unless it's like a big event happening.
Right.
So anyway, just wanted to throw that in there as well.
Yeah.
I mean, it is true though.
I feel like there's not enough complimenting someone being tossed around.
And I'm not saying I'll be a weirdo, but you know, it's nice.
I had told a story after that about somebody that I used to work with.
And they didn't think that I liked them.
And I was like, well, you know what?
I kind of didn't.
But I've grown to really respect that person and love that person and understand that person.
And it took me a hot minute.
But I really wanted to get to know them.
And when I did, I loved what I found.
And I just, I had to tell them, this is what I love about you.
You're a no-nonsense person.
And I really appreciate that, you know?
I'm definitely someone that really goes out of my way to make others feel good about themselves.
Like I will go to some random person at the bar and tell them that I love their top.
Sometimes I don't love their top, but I know that it makes them feel great.
Okay, Regina, sure.
No, I'm serious.
And I'm not, okay, does that sound bad?
No, it does, really.
It does, really.
But I mean, the top's not, I'm like, let me rephrase.
I wouldn't wear the top, but they're fucking rocking it.
And I'll tell them that, you know?
Yeah, for sure.
Like, that's a fucking great top.
You look amazing.
I hope it's a great night.
Of course, this would be nice to people.
Anyway, Fracturistic Disorder.
Comorbidity of that.
Okay.
So known comorbidities are largely based on research with males suspected of or convicted
for criminal acts involving sexually motivated touching of or rubbing against non-consenting
individuals.
Hence, these comorbidities might not apply to other individuals with a diagnosis.
Diagnosis, excuse me, based on subjective distress over their sexual interest.
Conditions that occur comorbidly with Fracturistic Disorder include hypersexuality and other
paraphilic disorders, particularly exhibitionistic disorder and voyeuristic Jesus Christ disorder.
Conduct disorder, antisocial personality disorder, depressive disorders, bipolar
disorders, anxiety disorders, and substance use disorders also co-occur.
So this is a lot of comorbidities.
There is a lot.
Potential differential diagnosis for Fracturistic Disorders sometimes occur also as comorbid
disorders.
Therefore, it is generally necessary to evaluate the evidence for Fracturistic Disorder and
possible comorbid conditions as separate questions.
Yeah.
Makes sense.
With 30% of the population, or you know, of men at least, then that's a big blanket there.
Yeah.
So yeah.
There's gotta be something else.
Like, go on, maybe.
Yeah.
No wonder there's a lot of comorbidities.
Yeah, absolutely.
Number four.
Number three.
We knew it was coming.
Pedophilic Disorder.
Okay.
So the diagnostic criteria for Pedophilic Disorder.
I'm glad you put it in the middle so that we have a before and a palate cleanser.
Yeah, this is just alphabetical order.
So.
Oh, okay, I'm sorry.
Didn't do that on purpose.
Well, I'm glad it's in the middle.
A. Over a period of at least six months, recurrent and intense sexually arousing fantasies,
sexual urges, or behaviors involving sexual activity with their prepubescent child or
children, generally 13 years or younger, B, the individual has acted on these sexual urges,
or the sexual urges or fantasies cause marked distress or interpersonal difficulty,
and C, the individual is at least 16 years and at least five years older than the child
or children and criterion A.
Wow.
There's also a note in here that says, do not include an individual in late adolescence
involved in an ongoing sexual relationship with a 12 or 13 year old.
Wait, what?
So it's like, if you're like 16 or like 17 and you're dating like a 12 or 13 year old,
like it's cool.
Well, it's a long term though.
So like, you know, if a young person is like 11 and they're like 14, you know what I mean?
That's like a bit of an age gap there, but technically they're consenting,
not consent, because they can't give consent, but they're, it's a mutual thing, you know?
So by the time this person's 16 and they're still 13, then.
Yeah, exactly.
That's how it would mean.
Yeah.
Because it did say long term.
Yeah.
Prevalence.
The population prevalence of pedophilic disorder is unknown.
The highest possible prevalence for pedophilic disorder in the male population is
approximately 3 to 5%.
I thought it was higher, honestly.
I'll be honest.
Well, they did say it's unknown, but I do feel like it's higher too.
But it says the highest possible is 3 to 5%.
Yeah.
I feel like it could be higher.
I feel like, yeah, I feel like it could be higher too.
Yeah.
But you know, I feel like there's, if you have to meet all three of those criteria though,
because there might be people that have sexual fantasies of children and that,
fortunately, look at child porn, but haven't committed an act.
Yeah, that's true.
You know?
Not that it makes it any better.
No, it definitely doesn't.
It's gross, but, you know.
Of course, the population of pedophilic disorder in females is even more uncertain,
but it's likely a small fraction of the prevalence in males.
That's what they say.
Adult males with pedophilic disorder may indicate that they became aware of strong
or preferential sexual interests in children around the time of puberty.
The same timeframe in which males who later prefer physically mature partners
became aware of their sexual interests in women or men, which is interesting.
So it's the partner that usually recognizes it, or can recognize it?
No.
It's sorry.
The same age range that like, so the same age range of males where they realize that they're
into children is the same age range of males that realize that they're into older people.
Oh, okay.
It's around the same age that they recognize that.
So there has to be something with the brain development, I guess,
because that's when you recognize like,
what you're attracted to.
Yeah.
What I say preference, like it's so casual, like no, don't fucking do that, that's gross.
Okay.
Like it's a like,
like it's a lifestyle choice.
Yeah, I think like it's a choice.
Attempting to diagnose pedophilic disorder at the age in which it first manifests is
problematic because of the difficulty during adolescent development and differentiating it
from age appropriate sexual interest in peers or from sexual curiosity.
Hence,
criterian C requires for a diagnosis of a minimum age years of 16 and at least five years older
than the child or children and criterion A. Pedophilia per se appears to be a lifelong condition.
Pedophilic disorder, however, necessarily includes other elements that may change over time with
or without treatment, subjective distress, psychological impairment, or the propensity
to act out sexually with children or both.
Therefore, the course of pedophilic disorder may fluctuate, increase or decrease with age.
Which I thought was kind of interesting.
Yeah.
Because what it's saying here is that pedophilia and pedophilic disorder are two different things.
Like pedophilia is like lifelong, like terminal.
Yeah.
And then pedophilic disorder is like,
you might be able to be like changed like mindset wise.
Yeah.
But like also like they're both horrible.
Like don't do that to children.
Well, I mean, I guess this is such a hard topic.
It is.
First of all.
But I feel that
that's much like any other disorder.
You can treat it.
Is it going to be there forever?
But you can know what to avoid.
Triggers and stuff.
Therapy and stuff like that.
And just lastly for comorbidity.
Psychiatric comorbidity of pedophilic disorder includes substance use disorders,
depressive, bipolar and anxiety disorders,
anti-social personality disorder, and other paraphilic disorders.
However, findings on comorbid, excuse me, comorbid disorders are largely among individuals convicted for sexual offenses involving children.
It may not be generalizable to other individuals with pedophilic disorder.
So that's all I have to say about that one.
So it slams a lot, talk clothes until Monday.
This one is called sexual masochism disorder.
That I'd not have seen before.
I've seen it before.
It's called sexual masochism disorder.
The diagnostic criteria for this is A, over a period of at least six months, recurrent and intense sexual arousal from the act of being humiliated, beaten, bound, or otherwise made to suffer as manifested by fantasies, urges, or behaviors.
It just sounds like BDSM.
B, the fantasies, sexual urges, or behaviors cause clinically significant distress or impairment in social occupational and other important areas of functioning.
That's the difference.
It's like, I can't go to work because I'm bound up, right?
Yeah.
It's like, I'm going to miss my job because I'm bound.
Prevalence.
I'm a little tied up at the moment.
Prevalence.
The population prevalence of sexual masochism disorder is unknown.
In Australia, it has been estimated that 2.2% of males and 1.3% of females have been involved in bondage and discipline, sadomasochism, or dominance and submission in the past 12 months.
There's way more than that.
That's just one study.
Community individuals with paraffilias have reported a mean age at onset for masochism of 19.3 years, although earlier ages, including puberty and childhood, have also been reported for the onset of masochistic fantasies.
That's interesting. I feel like that's pretty young.
19, I think, yeah.
But then again, I think that, and this is me making a generalization. I don't know about this.
I think that people that get introduced to that world are introduced by someone much older and more experienced.
And that sounds like an age that you would start experimenting, where you would realize, like, oh, maybe I'm into this. I need to talk to someone more experienced, or whatever.
You have the wherewithal to seek that out.
We did seek at the same time.
That's funny. I feel like we do that a lot.
All the time.
And then lastly for that one, comorbidities with sexual masochism disorder are largely based on individuals in treatment.
Disorders that occur comorbidly with sexual masochism disorder typically include other paraphernalic disorders such as transvestic fetishism.
It's kind of hard to say.
Transvestic fetishism.
Yes. And we'll get into that one as well.
Number six.
This one is called sexual sanism disorder.
And we've had cases where we've talked about people that may have had this before in the past.
I feel like masochism and sadism are, like, hand in hand because just terminology-wise, like, generalizations that people might make or use.
So I'm interested in the difference.
So I'll just really quickly, in Leibn's term, tell you the difference. I think masochism is when it's on yourself and sadism is when it's on another person.
Oh, okay. So, like, you enjoy humiliation or you enjoy humiliating someone else?
Yes, exactly. And again, that's just for these diagnoses, not, like, in general terms.
So again, sexual sanism disorder, diagnostic criteria.
A, over a period of at least six months, recurrent and intense sexual arousal from the physical or psychological suffering of another person as manifested by fantasies, urges, or behaviors.
Maybe the individual has acted on these sexual urges with a non-consenting person, or the sexual urges or fantasies cause clinically significant distress or impairment in social, occupational, or other important areas of functioning.
That's the last line for all of them.
So it's like a...
Turn the page.
They're not expecting to be, they're not consenting to BDSM, essentially.
Prevalence, the population prevalence of sexual sanism disorder is unknown and is largely based on individuals and forensic settings. Depending on the criteria for sexual sanism, prevalence varies widely, from 2% to 30%.
Among civilly committed sexual offenders in the United States, less than 10% have sexual sanism.
Among individuals who have committed sexually motivated homicides, rates of sexual sanism disorder range from 37% to 75%.
That's dense.
Individuals with sexual sanism and forensic samples are almost exclusively male, but a representative sample of the population in Australia reported that 2.2% of men and 1.3% of women said they had been involved in bondage and discipline, sadomasochism, or dominance and submission in the previous year.
That's that same study for the other one.
Information on the development and course of sexual sanism disorder is extremely limited. One study reported that females became aware of their sadomasochistic intrusion disorder.
One study reported that the main of age at onset, same thing 19.3 years from then, was that the male of age at onset, same thing 19.3 years from then.
I find that interesting though because just because that many people have admitted that they participated in it, doesn't mean that it goes so far to where they are.
It diminishes their quality of life.
It just curbs the disorder.
That's why they're saying the study suggests that this may be.
We don't have set evidence of this actually happening.
And then comorbidities are largely based on individuals convicted for criminal acts involving sadistic acts against non-consenting victims.
Hence, these comorbidities might not apply to all individuals who never engage in sadistic activity with a non-consenting victim, but who qualify for a diagnosis of sexual sadism disorder based on subjective distress over their sexual interest.
Yeah. Also, consent is a big thing here too.
Because that's the thing is like, if you're victimizing someone, that's part of the disorder, right?
If you're manipulating someone into believing that this is okay, or they're safe, or they're not, then that's part of the disorder versus two consenting adults.
Yeah, absolutely.
And then comorbidity just includes other paraphernalic disorders with this one.
Number seven is transvestic disorder. Now, you might have heard me say this earlier when I was reading content from another disorder.
So, transvestic disorder diagnostic criteria. A, over a period of at least six months, recurrent and intense sexual arousal from cross-dressing as manifested by fantasies, urges, or behaviors.
And B, the fantasies, sexual urges, or behaviors cause clinically significant distress or impairment in these areas of functioning that we talked about.
So, if you're not equating what it means to be transgender and all that stuff, it is the sexual arousal of dressing as the opposite sex.
Yes, absolutely. The prevalence of transvestic disorder is unknown. Transvestic disorder is rare in males and extremely rare in females.
Fewer than 3% of males report ever having been sexually aroused by dressing in women's attire. The percentage of individuals who have cross-dressed with sexual arousal more than once or a few times in their lifetime would even be lower.
The majority of males with transvestic disorder identify as heterosexual, although some individuals have occasional sexual interaction with other males, especially when they are cross-dressed.
Okay. So, yeah. But you said the majority of people with this disorder are heterosexual males.
Yes.
And sometimes will engage in sex or otherwise as when they're dressed in women's clothing.
Yes. And because of the sexual arousal.
Yes. And I think it's interesting that it's not something that's really common to be repeated. They say that a lot of people that are diagnosed only did it once, but they are still able to be diagnosed based on their criteria.
I see.
They didn't meet the criteria.
I see.
And then there's not really much information about like development course. I'm just going to go into comorbidity.
So, the comorbidity is often found in association with other periphyllias. The most frequently co-occurring periphyllias are fetishism and masochism.
One particularly dangerous form of masochism, autoerotic asphyxia is associated with transvestism and a substantial portion of fatal cases.
Interesting.
Yes.
So, that is definitely something that I would not have even considered.
Yeah. So, I thought that less little bit of information was interesting. Something I didn't know for sure.
You said that the onset doesn't really have like a specific onset. Do you think that's because it's like exposure? Exposure to that kind of a thing and then you try it once and then you kind of enjoyed it?
Yeah. I think that, honestly, there might just not be enough information because it's so rare for people. I mean, it must be hard for people to admit that, especially because most of them are heterosexual males.
That's true.
They probably have a hard time collecting data on that.
Interesting.
And lastly, number eight is called voyeuristic disorder.
Oh.
So, a voyeuristic disorder. Do you?
I don't know. I'd like to joke that I do.
Okay, let's see. Diagnostic criteria. Over a period of at least six months, recurrent and intense sexual arousal from observing an unsuspecting person who is naked in the process of disrobing or engaging in the sexual activity as manifested by urges, fantasies or behaviors.
I take that back. No, I take it back.
It reminds me of Gerard Schaefer when he was wanking it to Lee that was undressing.
Well, yeah, Richard Rormier used to do that. And I think there's a documentary on Netflix that's called voyeur or vacancy or something like that.
And it's about a guy who ran a motel and had like, he would crawl in the air vents and watch people while they were into the hotel.
Privacy is important, people.
Our hotel, like, I scour hotel rooms.
Oh yeah, I always check the...
I always check the bathrooms.
I always check the metal, or the smoke detector. I always check the...
The smoke detector?
The air vent. I always look in the air vent.
The morning door or whatever it's called.
If there's like a strange hole in a wall, I look in there.
Absolutely.
Yeah.
Criteria B, the individual has acted on these sexual urges with a non-consenting person, or the sexual urges or fantasies cause clinically significant distress or impairment in social, occupational or other important areas of functioning.
And then criteria C, the individual experiencing the arousal and or acting on the urges is at least 18 years of age.
Okay.
So, I thought that was interesting that you have to be 18 to be diagnosed with this.
Otherwise, 17 and 364 days, you're not a creep.
You're just a child.
Yeah.
So, there's no one need better.
Voyeuristic acts are the most common of potentially law-breaking sexual behaviors.
The population prevalence of voyeuristic disorder is unknown.
However, based on voyeuristic sexual acts and non-clinical samples, the highest possible lifetime prevalence for voyeuristic disorder is approximately 12% in males and 4% in females.
Oh wow.
I thought that was pretty interesting.
This is pretty high, especially for females.
I feel gross that I said that at the beginning of this.
Like, well, I just said I don't.
Please don't come, like, coming down the street with torches and pitchforks.
Oh my gosh.
Adult males with voyeuristic disorder often become first aware of their sexual interest in secretly watching, unspecting persons during adolescence.
However, the minimum major requirement, like we said, is 18 years because there is substantial difficulty in differentiating it from age-appropriate puberty-related sexual curiosity and activity.
You know, yeah, I was thinking about that too.
We did talk about Richard Girmieres, and although we understand that Richard Girmieres is the night stalker, he was like 11, 12 years old.
And there's always that age-old scene in a lot of coming-of-age movies where boys are hanging out in a tree with binoculars and things like that.
Yeah, absolutely.
It's like something about Mary too.
He wasn't actually doing it, but they thought he was like creeping on her, getting dressed in the mirror.
Well, that was in a window though.
Yeah.
I guess it's still voyeurism.
It would be voyeurism if he was watching her without her knowledge.
But she wasn't.
He was looking at the bird.
But, I'm just saying, it's kind of the same thing.
I mean, that's how Marty McFly would have never been conceived, because Chris Van Glover was up in that tree in the Back to the Future, and he was supposed to get hit by the car and fall in love with the mom.
But instead, Marty pushed him out of the way.
Follow us for more spoilers.
Spoiler alert.
So the co-morbidity.
Conditions that occur co-morbidly with voyeuristic disorder include hypersexuality and other paraphylic disorders, particularly exhibitionistic disorder, depressive bipolar anxiety and substance use disorders, ADHD and conduct disorder, and antisocial personality disorder, also frequent co-morbid conditions.
Goodness.
I know.
There's a lot going on with that one.
Yeah.
So those are the eight paraphylic disorders.
But I'm sure people are wondering, like, where does sex addiction come into all this?
Yeah.
Because sex addiction is a real thing that everyone has heard of, I'm sure, and people talk about a lot, especially celebrities.
Yeah.
So I just want to touch on that really quick.
And then I do have some celebrities as well that have come out in the open about this.
I'm not like creeping on people and making it a big thing.
I don't want to hear about David Dukovny.
I don't think he's on here.
Oh, he's not on here.
So I don't think.
I wrote the fucking list.
It's not.
I don't think he's on here.
So sexual addiction is an intense focus on sexual fantasies, urges, or activities that can't be controlled and cause distress or harm your health, relationships, career, or other aspects of your life.
Although sex addiction is the commonly used term, healthcare professionals will refer to this disorder as either compulsive sexual behavior, problematic sexual behavior, hypersexuality, hypersexuality disorder, sexual compulsivity, or sexual impulsivity.
Okay.
There's a lot of different types.
Sure.
I've probably done a whole mental breakdown on all the different types of that.
Hypersexuality seems to affect anywhere from 3 to 10% of the US population and it is more common in males than in females.
The average age for seeking help for sex addiction is 37.
And many of the individuals that suffer with sex addiction, about 88%, have a history of other mental health conditions such as mood disorders, anxiety, a history of suicide attempts, personality disorders, OCD, and other addictive disorders.
Wow.
There's a lot more going on than just sexual addiction.
Do you think 37?
Because you've sowed all your wild oats and you're like, I have this is still a problem.
Like I can't settle down.
I need to get help.
Yeah.
I can't.
Not that you have to settle down.
I'm not saying that you have to get married.
I'm not saying you have to have a long term relationship.
But it might be a realization when a lot of people around you are doing it.
Are doing it and you're not able to get to work on time because you stayed up way too late last night because of whatever.
Yeah.
Exactly.
And you're seeking out connections with people maybe you shouldn't be.
Yeah.
Absolutely.
So I do have some celebrities.
It's just a couple.
But I wanted to throw this in there.
So the first one that we have is Jada Pinkett Smith.
Oh, I didn't know that.
Pinkett Smith.
Sorry.
I said it right, but my nose did this weird thing.
Jada Pinkett Smith.
Yes.
So she stated that she was addicted to sex when she was younger but forced herself to quit cold turkey by confronting the real reasons for her behavior.
Yeah.
These are all just really small snippets that I don't have on her.
Sure.
The next one is Lamar Odom.
Okay.
I don't know that is Kourtney Kardashian's ex-husband and the father of her child, her two children, excuse me.
He stated about his addiction, quote, I am a sex addict.
That sick sin was hard for me to hide.
I had a problem, end quote.
He stated that sex would trigger his drug use as well and he is now recovering from both.
Yeah.
He's been doing really well too and his mom just passed too.
Yeah, I know.
It's really sad.
Kanye West, which is not like funny ha-ha but like kind of ironic because he was also married to a Kardashian.
Yeah.
He stated, quote, like for me, Playboy was my gateway into full-on pornography addiction.
My dad had a Playboy left out at age five and it's affected almost every choice I made for the rest of my life.
From age five till now, having to kick the habit and it just presents itself in the open like it's okay.
And I stand up and say, no, it's not okay.
It's like that was such a script out of a rock star's life.
My mom had passed a year before and I said some people drown themselves in drugs and I drowned myself in my addiction, sex, end quote.
At age five, that is...
That's heavy.
Like he saw a soft corn, soft porn, soft corn, soft corn.
Soft corn.
And it like triggered this like, yeah, disorder, like essentially later in life.
Yeah.
The next one is Colin Farrell.
He commented that he had a reputation that gave him the nickname the Lusty Leprechaun.
Oh my, no.
Don't.
He would enter rehab shortly after filming a sex tape and after leaving rehab, Colin stated that having sex sober was quote terrifying.
End quote.
Wow.
So it was like a big deal.
That is like a big corn but anything then.
Yeah, for sure.
Russell Brand is also on here.
He claimed that sex was quote recreational, unquote, for him, end quote.
And his consistent acts actually landed him the title of quote, Shagger of the Year, end quote, in the UK.
Wow.
And he also claimed that at its worst, he would have sex with 10 women in a day.
He is now in recovery as well.
Yeah.
And he also struggled with substance use as well.
And lastly is Rob Lowe.
Rob Lowe.
Rob Lowe would come clean.
Rob Lowe.
He would come clean about his drug addiction in 2011 and he had also filmed a sex tape that had surfaced around the same time.
Wow.
He stated that after this was in the open, he entered treatment to help him and he credits his wife, Cheryl, for helping him as well.
He's been sober for 25 years.
Yeah.
Do you know what I saw recently is sober, I think celebrated their 19th or 20th year was Bradley Cooper.
Wow, good for him.
He's been sober for a long time.
Dang, and he played in a Star is Born, like, that he played in alcoholic.
Well, even in like the hangover, you know, like, he's not that where he's playing like a party dude, you know.
Yeah.
Dang, good for him.
I know, right?
I know that.
What Hot American Summer, I love that movie.
I had seen it.
I'm thinking like, what Hot American Summer is probably 20 years old, 25 years old.
That's why he was drinking then, which is interesting or, you know, or whatever his addiction is.
I can't speak for his, for his, why his sobriety is his sobriety.
Yeah, for sure.
Yeah, I thought that was really interesting.
That is interesting.
Well, yeah, that's my mental breakdown.
It was good.
So I wanted to just bring that up.
And obviously it was a requested mental breakdown, but I remember I was mentioning to you like a long time ago, I think we had maybe tossed around the idea of doing this.
Yeah.
That's all you, you're like, I don't think I could.
I'm not, I'm not the go to.
It almost sounded like you were going to say I'm the go to like, finished gal.
Yeah.
I want you to tell me what you know first.
Wow, that is so far from the truth.
But okay, thanks.
I'm not embarrassed.
Anyway, this was a requested case, which is why I was like, when I saw it, I was like, okay, I'll just go ahead and do it.
I hope you guys enjoyed this content.
With the exception of us laughing and making jokes, like this is very serious.
Like these are very real disorders.
So we appreciate you guys understanding that sometimes we make jokes and we laugh because we're uncomfortable.
But these are very real disorders and our goal is to educate people on them as well.
Of course.
And I felt like I learned a lot, honestly.
Yeah, no, absolutely.
I learned a lot doing the research.
So very nice.
Even though I'm educated.
Yeah.
Okay, we're going away now.
All right.
Love you.
Bye.