The article investigates the psychological basis of fetishism and its clinical implications for understanding sexual disorders.
Fetishism remains one of the most debated constructs in sexual psychology. This article explores its psychological roots — from Freudian substitution theory to classical conditioning — and examines the critical distinction between fetishistic interest and fetishistic disorder. Contemporary clinical frameworks, including DSM-5 and ICD-11, locate pathology not in the content of arousal but in the presence of significant distress or interpersonal impairment. Without suffering, there is no disorder — only a different erotic vocabulary.
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Francesco Mappa (2024) studied this question.
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