TY  - JOUR
PY  - 2016//
TI  - Sexual masochism disorder with asphyxiophilia: a deadly yet underrecognized disease
JO  - Case reports in psychiatry
A1  - Coluccia, Anna
A1  - Gabbrielli, Mario
A1  - Gualtieri, Giacomo
A1  - Ferretti, Fabio
A1  - Pozza, Andrea
A1  - Fagiolini, Andrea
SP  - e5474862
EP  - e5474862
VL  - 2016
IS  - 
N2  - DSM-5 distinguishes between paraphilias and paraphilic disorders. Paraphilias are defined as atypical, yet not necessarily disordered, sexual practices. Paraphilic disorders are instead diseases, which include distress, impairment in functioning, or entail risk of harm one's self or others. Hence, DSM-5 new approach to paraphilias demedicalizes and destigmatizes unusual sexual behaviors, provided they are not distressing or detrimental to self or others. Asphyxiophilia, a dangerous and potentially deadly form of sexual masochism involving sexual arousal by oxygen deprivation, are clearly described as disorders. Although autoerotic asphyxia has been associated with estimated mortality rates ranging from 250 to 1000 deaths per year in the United States, in Italy, knowledge on this condition is very poor. Episodes of death caused by autoerotic asphyxia seem to be underestimated because it often can be confounded with suicide cases, particularly in the Italian context where family members of the victim often try to disguise autoerotic behaviors of the victims. The current paper provides a review on sexual masochism disorder with asphyxiophilia and discusses one specific case as an example to examine those conditions that may or may not influence the likelihood that death from autoerotic asphyxia be erroneously reported as suicide or accidental injury.<p />  <p>Language: en</p>
LA  - en
SN  - 2090-682X
UR  - http://dx.doi.org/10.1155/2016/5474862
ID  - ref1
ER  -