The sexual acts of fetishists are characteristically depersonalized and objectified, with the focus being exclusively on the fetish. Non-fetishists may at various times become aroused by a particular body part or an object and make it a part of their sexual interaction with another person, but they do not fixate on it.
In general, the fetishist can only become sexually aroused and orgasmic when the fetish is being used. In other instances, a response may occur without the fetish, but at a diminished level. When the fetish object is not present, the fetishist fantasizes about it.
The diagnostic criteria for fetishism includes:
- Repeatedly for a period of at least six months, the patient has recurrent, intense sexually arousing fantasies, urges or behaviors involving nonliving objects (such as female undergarments and shoes).
- The fantasies, sexual urges or behaviors cause significant distress or impair social, occupational or personal functioning.
- The fetish objects are not articles of clothing used in cross-dressing as in transvestite fetishism and are not designed for tactile genital stimulation such as a vibrator.
Other features of fetishism include: