DPWs may press disabled partners to put their disabilities to the fore in intimate situations and exhibit them in social ones. It appears that the attraction to disability is undisclosed in a proportion of DPW-disabled relationships. Relationships between DPWs and disabled people tend to be reported as being ordinary, the attraction being sated by the fact of the partner's disability. Nattress (1993) found that 41 percent of a sample of 50 DPWs had, or were in, relationships with disabled partners. The Amelotatist found that 55 percent of a sample of 195 DPWs had dated disabled people, 40 percent had been sexually intimate with disabled partners, and 5 percent had current disabled spouses. Some people with disabilities willingly participate in the fetish subculture, for example, contributing model photos (e.g., Debbie van der Putten). However, objections have also been raised by members of the disability community on the grounds that such fetishes objectify and dehumanize them. Fetishists raise objections to the characterization of their preference as an aberrant pathology. However, it can be noted that the DSM-IV includes this paraphilia within the diagnostic criteria of psychiatric pathology. At its intense wannabe end is an imperative to acquire a disability which may prompt self-harm.Īccording to DPW fetishists, their attraction does not appear to pose dangers to DPWs' partners or third parties. In its middle pretending area is strong desire to reproduce the sensations of disability. At its less-intense devotee end, there is sexualised fascination with the existential aspects of disability and its appearance. The aforesaid has given grounds for the attraction to disability to be represented as the continuum Bruno (1997) termed factitious disability disorder. About a quarter report discovering the paraphilia in puberty and a few in maturity. Those attracted often cherish early memories of a sexuoerotic tragedy (a "first sighting") involving an object of their future attention, often an older member of the opposite sex, as stereotypical in paraphilic etiology. The Amelotatist (see References) found that 75 percent of its sample of 195 were aware of the attraction by age fifteen. Well over half of DPWs have felt this pathological attraction since childhood, as typical in paraphilias. Accordingly, Bruno (1997) considers those affected by versions of the paraphilia under the broad heading of Devotees, Pretenders, and Wannabes (' DPW 's), as used here. Avowed " wannabes" seem to number not more than five percent of the devotee-wannabe population, though Nattress (1996) found 22 percent of his sample of 50 had wanted to become disabled.
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About half of all devotees occasionally pretend (43 percent of Nattress, sample of 50).
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As fetish subculture ĭesires to pretend to be disabled and acquire a disability are extensions of the pathological disorder.
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In the standard psychiatric reference Diagnostic and Statistical Manual of Mental Disorders, text revision (DSM-IV-tr), the fetish falls under the general category of "Sexual and Gender Identity Disorders" and the more specific category of paraphilia, or sexual fetishes this classification is preserved in DSM-5. A decade on, others argue that erotic target location error is at play, classifying the attraction as an identity disorder. Bruno (1997) systematised the attraction as factitious disability disorder.
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Until the 1990s, it tended to be described mostly as acrotomophilia, at the expense of other disabilities, or of the wish by some to pretend or acquire disability.