Klismaphilia
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Klismaphilia (or klysmaphilia), from the Greek words Template:Lang ("enema", from Template:Lang, "deluge, flood") and Template:Lang ("love"), is a paraphilia involving enjoyment of, and sexual arousal from, enemas.<ref>Paraphilias Template:Webarchive from Psychology Today</ref><ref>Template:Cite journal</ref>
History
[edit]The term klismaphilia was coined in 1973 by Joanne Denko, an early investigator in this field, in her article "Klismaphilia: Enema as a Sexual Preference: Report of Two Cases," to describe the activities of some of her patients,<ref name=Agnew_1982>Template:Cite journal</ref> whom she referred to as klismaphiliacs.<ref name="Denko">Template:Cite journal</ref> Klismaphile<ref>Brame et al., Different loving – The World of Sexual Dominance and Submission:489,516</ref> has come into use as a synonym for klismaphiliac.<ref>Template:Cite web</ref>
Manifestation
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Template:Multiple image Klismaphiles might gain pleasure from a large, water distended belly or the feeling of internal pressure. An enema fetish may include the sexual attraction to the equipment, processes, environments, situations, or scenarios,<ref>Brame et al., Different loving – The World of Sexual Dominance and Submission:517</ref> and some may be sexually aroused by the preparations, such as by the feel and smell of a latex rubber or plastic syringe, by the smell of soapsuds enema solution, or by preparing the recipient.<ref name="Agnew, Klismaphilia 2000:75">Agnew, Klismaphilia (2000):75</ref> Often, klismaphiles report discovering these desires after a chance administration of an enema sometime in their childhood, but some do report discovering these feelings later on.<ref name=Agnew_1982/> Klismaphiles can gain satisfaction of enemas through fantasies, by actually receiving or giving one, or through the process of eliminating steps to being administered one (e.g., under the pretense of being constipated).<ref name="Denko"/> Usually, klismaphiles carry out normal lives and successfully engage in this behavior secretly.
An enema can be an auxiliary to, or a substitute for, genital sexual activity.<ref name="Denko"/> Enemas can induce sexual arousal the bulbospongiosus muscle which starts in front of the anus contributes, in women, to clitoral erection and the contractions of orgasm, and in males, to erection, the contractions of orgasm, and ejaculation. Also, sexual sensation results from distention of the rectum as it is filled and dilated which, in women, puts pressure on the back of the vagina, and in men stimulates the prostate and seminal vesicles.<ref name=Agnew_1982/> Furthermore, contractions of muscles throughout the abdomen caused by expulsion of an enema can stimulate, in women, the uterus and vagina, and in men, the prostate, seminal vesicle, and internal penis.<ref>Agnew, Klismaphilia:77</ref>
That some women use enemas while masturbating was documented by Alfred Kinsey in Sexual Behavior in the Human Female: "There were still other masturbatory techniques which were regularly or occasionally employed by some 11 percent of the females in the sample... Douches, streams of running water, vibrators, urethral insertions, enemas, other anal insertions, sado-masochistic activity, and still other methods were occasionally employed, but none of them in any appreciable number of cases."<ref>Template:Citation</ref>
Sadomasochistic activities may incorporate enemas<ref>Brame et al., Different loving – The World of Sexual Dominance and Submission:513,516</ref><ref>Agnew, Klismaphilia (2000):74,77,78,79</ref> for erotic humiliation<ref>Brame et al., Different loving – The World of Sexual Dominance and Submission:515,516,520</ref> or for physical discomfort.<ref>Brame et al., Different loving – The World of Sexual Dominance and Submission:513,517</ref> BDSM punishment scenes can involve administering an enema in a manner that is humiliating and painful<ref name="Agnew, Klismaphilia 2000:75"/> and for producing pain and cramps an extra-large volumes or highly irritating substances can be injected.<ref name=Agnew_1982/> Among the attractions to enema play in BDSM are erotic humiliation, dominance and submission, discipline, psychodrama, power exchange, and so on. An erotic enema allows acting out vulnerability in a primal form.<ref>Brame et al., Different loving – The World of Sexual Dominance and Submission:515-516</ref>
Classification
[edit]The Diagnostic and Statistical Manual of Mental Disorders (DSM-IV-TR) classifies klismaphilia under the diagnosis of "Paraphilias, Not Otherwise Specified". The diagnostic code is 302.9.<ref name="DSM">Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision. Washington, DC, American Psychiatric Association, 2000.</ref> Proactive treatment for klismaphilics is not generally recommended, due to the lack of any significant desire to be "cured".<ref name="Denko"/> Health treatment for klismaphilia thus is typically only focused on ensuring the techniques employed and chemicals used are not harmful to the practitioner.<ref name="Denko"/> Caution should always be maintained on the part of the practitioners experimenting with new techniques and concoctions; in certain cases cramps produced by the chemicals used have led to hospitalizations,<ref name="Denko"/> in other circumstances the effects can even be life-threatening.<ref name="Case report">Template:Cite journal</ref><ref name=Self_Administered_Death>Template:Cite journal</ref>