Copromania: Understanding a Rare Paraphilia Involving Feces
Definition
Copromania is a paraphilia characterized by intense sexual arousal from feces (own or others'). It involves recurrent fantasies, urges, or behaviors (touching, smearing, ingestion) causing distress or impairment.
Potential Contributing Factors
- Neurobiological/genetic vulnerabilities
- Early trauma, abuse, or neglect
- Conditioning or associative learning
- Cultural/environmental influences
Treatment
- Cognitive-behavioral therapy (CBT) to modify thoughts/behaviors.
- SSRIs to reduce compulsive sexual urges.
- Treatment of comorbid conditions (OCD, mood disorders).
Seeking Help
Specialized sexual behavior therapists or psychiatrists can provide confidential, non-judgmental care. Early intervention improves outcomes.
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