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Vignette Vignette
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Historical and Cultural Context Historical and Cultural Context
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Role in Current Diagnostic Systems Role in Current Diagnostic Systems
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Symptomatology Symptomatology
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Prevalence Rate and Associated Features Prevalence Rate and Associated Features
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Theories of Etiology Theories of Etiology
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Assessment Options Assessment Options
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Differential Diagnosis Differential Diagnosis
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Treatment Options for Living Asphyxiophiliacs Treatment Options for Living Asphyxiophiliacs
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Recommendations for Future Work Recommendations for Future Work
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References References
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11 Autoerotic Asphyxia and Asphyxiophilia
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Published:November 2016
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Abstract
Deliberate self-hanging for sexual arousal has been variously termed sexual asphyxia, autoerotic asphyxia, asphyxiophilia, eroticized repetitive hangings, hypoxyphilia, and Kotzwarraism. Regardless of the term used and the safeguards that are often put in place, this widely practiced sexual behavior can be dangerous, and even deadly. In fact, given the secretive nature of this paraphilia, much of the research base derives from the study of fatalities. Our knowledge of what motivates those who asphyxiate themselves to achieve sexual arousal has until recently been dependent upon studying these death scenes, supplemented by the rare descriptions of those who have survived and described the experience. Specific challenges and impediments to treating individuals with this disorder are described.
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