Exploring PARAPHILIA: sadism, paedophilia, frotteurism and more... 

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A very taboo topic but I wish more people would discuss this

Seeing that Dr Syl has posted a new video always makes my day.

You put a lot of thought into communicating to those not medically trained. I learn so very much from you and I believe it helps to bring understanding and education.

It's important to remember that having any of these disorders is not a crime! Acting on it is. Some of these can even be ok if done with full consent between adults (voyeurisme, exhibitionist, even "non consensual" roleplay) I remember an interview with a psychiatrist on the topic of pedophilia, telling how people would not seek help out of fear of being reported, and those seeking help would often be turned away, especially by private clinics, because the risk for the therapists if something happens and they didn't report the patient is too much to bear.

I think its an important topic. talking about this topics from a psychiatric point of view gives it more perspective.Very interesting. And to many this is very black and white. The fact that it comes strong negative ractions in the comments just shows its importancy(as far as to work away some shame maybe). Good work😊

Super fascinating! Also interesting to hear some of these labelled as "disorders" instead of "addictions". Great video mate!

What should I react to next? Here's a link to my upcoming newsletter (use it to follow for updates on my CBT course!): eepurl.com/iMHJp6

What interests me is the boundary where its a disorder vs a "preference". Obviously some things are inherently criminal but most of them aren't.

I learned all about different paraphilias in my sexual psychology course at university. Pretty interesting stuff!

the interesting thing about the reduction of testosterone being a contributor in recidivism conflicts somewhat with a reasonably high % of mtf trans re-offenders (specifically convicted offenders not just any trans people) who are on hormones that drastically reduce free testosterone I suppose this would suggest a psychological predisposition to committing said offenses as opposed to being biochemically "spurred on" toward a fixated behavior either way I find it an interesting scope to place upon the broader set of information about paraphilic disorders leading to crime

Love Dr Syl and the education he gives us about mental health. But sorry the thumbnail had me 👀.

Great video, thank you Dr Syl!

People with pedophilia themed ocd are some of the lowest risk people in the general public to ever act out sexually against a child… yes people with pedophilia can be obsessive and the med thing sounds plausible. Though the last bit about purely ocd people being “not as high risk” is quite misleading, as they have a revulsion or fear response to the idea rather than attraction. There is never an attraction, only a surplus of worry about the possibility of attraction.

thank you for posting this!

Very interesting topic, Dr. Syl. My minor in college was Psychology.

Interesting timing on this video considering yesterday’s press conference that addressed issues related to the daughter of the accused Long Island serial killer. The attorney for some of his alleged victims has linked the daughter to searches, art, blogs, books etc that depict some of the most violent, sadistic acts imaginable. These acts happen to be almost directly analogous to the exact and very specific types of crimes her father is accused of. It certainly opens up a whole bunch of questions if true

Thanks, I did find that interesting. Thanks for sharing, appreciate it!

This was very intersting. Thank you.

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I loved this video! I really appreciated all of the detail and information conveyed with sensitivity and understanding, Thank you! Can you do a video on the Treatment of Sexual Masochism Disorder?

great video .

It's funny how shy he looks talking about this subject 🤭

Fascinating stuff. I wonder if these ppl with these disorders are actually seeking medicine to stop this behavior. Especially when they’re incarcerated 🤔 more convos are needed with this topic

Would love a more in depth video about this! It SUPER interesting!

Keep up the good work!

Whoo-hoo! All the good stuff! 👍

Hey Dr. Syl. I'm a men with many fetishs and I really appreciate the eay you describe the healthy side of it and the problematic side. BDSM and fetish are often seen as an disorder by other people. They usually think of the hard core BDSM, such as wipping. But there can be many fetishs that people have and dont even know is falls under de fetish espectrum. Liking man with beard for example, is considered fetish just like liking feet. The point you made, and should be reinforced here is that the illness should be view separate from the healthy fetish. Thank you very much to talk about this so professionally and wirhout judgmente like you do.

Great hands!

When you were talking about the gray area of paraphilia you focused on not harming the other (or self), but I was wondering why you didn’t address consent (with safeguards in place) of people that might engage in such activities? The other thing I was curious about was where does the psychotherapy come in? It seemed the option put forth was a pharmacological one to bring about behavioral cessation; it kind of feels like going for a quick fix for society’s benefit (compliance to norms) versus the hard work of working with a client to bring about change to where they can still experience the totality of being a human. I understand that both can work in conjunction, but stopping after the pharmacological option it seems that the person is determined to be irredeemable (locked in a drug induced prison without the option of rehabilitation). I might have it wrong, I’m sure your original presentation was much more involved, but this was the questions and thoughts I had after watching this video. Thanks of doing it, not everyone is as brave. I’ve learned a lot watching your videos, look forward to the next one.

I'm interested in learning more about this topic.

Is there a GNRH agonist to counter progesterone during the refractory period? Asking for a friend.

my understanding also is for it to be a disorder it must be internal rather than external things causing the distress. In other words, if you yourself are the source of the distress for wearing the opposite sex's clothing. NOT the hatred, ignorance, bigotry piled on such a person for being "different" while hurting nobody. Also...why is it most of these are heaped on men, and very very rarely on women? ( I am more focused on the expression based ones mind you, transvestic fetishism to be precise, which gets heaped on to those that are merely Gender Non Conforming, and male.)

I'd love to hear more about somnophilia, apologies if im getting the terms confused, i dont mean someone who's 'into it', more someone who does "sleepwalking romance". RU-vid autofilters certain words so i have to be vague, but there's people who whilst asleep either touch themselves down there, or touch their bed partner, seemingly in a rather aggressive manner, not just being sleepy and cuddling their partner, they fully are not awake and sometimes will wake up mid coitous very confused. I think its a sleep disorder but something that I'd love to hear more about. It's distressing to both parties and could be a salt possibly.

More! OCD and desire how interesting!

This was a very interesting video! I have never heard of all the different types but most of them. It must be really hard to get people to stop doing these things because I imagine it's partly the same as with people taking drugs. The fact that what they are doing is illegal, makes it all even more rewarding when doing them. I also have hard time believing that if you are a person who enjoy the "more advanced" types, that you would like to have any sexual arousal at all since it can't match that level. I might be completely wrong, please enlighten me if you know.

I just watched the documentary - Harmed by Prescribed Medications: the Untold Story of Pharmaceutical Companies, by the channel ‘Best Documentary’. I wonder if you would be willing to give us your thoughts on it?

Can you please explain fat fetish/feederism/feedism etc. I'm literally bagging you 🙏 I can't find anything good on this topic

I am glad that psychiatry acknowledges the abnormality of these disorders, not normalizing them.

This is a good talk and subject matter which needs to be more openly discussed, but it seems a much more broad subject than this video came down to, which is treatment/medication for people who are a threat to others. I imagine a lot of people, the people who are not a danger to others but that it is affecting their lives need other courses of treatment, hard to believe that medication would be a first choice of treatment for those who fit other categories? Where are the modern techniques in neuro-reprogramming and such? EMDR, breath work/meditation, psychedelic treatment, NLP.

Anti depressants , side effects are individual to an extent One side effects that is permanent lack of sexual interest the opposite of libidinous behaviour. Clever, hormone replacement therapy lowing Testosterone with addition of female hormones 👌 .

Not much discussion around plain old classical conditioning and dopamine rewards. No doubt arousal around dopamine and adrenaline is just as important to consider. What I would call thrill or treat, both produce the same arousal (dopanergic, adrenal) effects it's just the interpretation that determines dread or desire. In some cases what a "normal" person would interpret as a threat, some with people with parafilia would interpret as a thrill. The edgyness and the illegality in some cases seems to add to the thrill whilst for others, and regular folk it produces dread. Dread in others is it self would seem to be what some interpret as exiting and desirable. With regard to SSRI's some of the side effects in relation to poor quality orgasm help along with the affect of reduction in dopanine (reward) function. A reduction in thrill is felt. Given the above there is room of talking treatments and desnsitisation and ruduction in stimulus responce is doable. Habbituation and associations can be reduced and or the interpretaion of the physical effects from the stimulation can be cognatively changed so that what been maladaptively interpreted as desire is interpreted as dread. Where criminal acts occure the legal consequences and punishments do to some extent have that effect. But more need to be done along clinical lines in corrective settings to reduce recidivism.

7:27 that was close there 😬 Just joking. Love your videos 😄

Most mental illnesses are existential.

Anyone who used reddit back in the early days, you saw... a lot of this. 😅

Are necrophilia and bestiality also paraphilias

Do women get these problems? I have seen many cases of female teachers abusing teenaged boys. Is there a treatment for this population

I don't understand why the exhibitionist/flashers are so disturbing to people. Is everyone so completely ashamed of the human body that they can't handle it in all it's glory? While I have no interest in doing it, I wouldn't care if I was the "victim" of it, regardless of age and gender, so long as they kept their hands to themselves. I think people are just raised to be ashamed of themselves, even though we're all the same, over-all. I wouldn't want it happening every few minutes, but I could really use a good laugh at least once a week out of the absurdity of the situation.

Human sexuality is messy. Remeber that college course.😂

are we gonna be kink shamed ? 🥺😂

You seem very uncomfortable talking about this subject, possibly some of these topics are a bit close to the bone personally? Don't worry Doc...you're only human too!

I read it as PARAPHERNALIA. LoL

Two thoughts, I've always been fascinated by the open acceptance of various paraphilias in adult stores in Japan (much of which would be refused classification in Australia). Secondly, how on earth would we describe those who feature in the Pain Olympics series of videos? Humans are fascinating and terrifying 😂

I was glad to discover the video, yet have to highlight how bias it is. The term ‘paraphilia’ was first coined in 1903 by Friedrich Salomon Krauss and later used by Wilhelm Stekel in the 1920s. All classifications of the vlcurrent video refer to those outdated works that never include social and cultural development and obviously lack modern historical and cultural inclusion. Today, the inclusion of certain activities as paraphilias has been debated and viewed as controversial, which is not mentioned in the video. Obviously the old school approach pathologizes sexual activities that could be considered a lifestyle choice between consenting adults are presented in the video as "illness" and there was no clear distinction of illegal and absolutely normal sexual behavior that often comes down to whether the behavior causes distress or harm to oneself or others. Author of the video lacks presentation of a clear diagnostic boundaries which may pathologize consensual sexual activities. Moreover it was quiet rude and unprofessional to laugh on some of those classifications such a as fetishes where author narrows down a fetish to "shoe and sock" and mocks on it. Also, the author of the video ignores any references to cultural and historical aspects, which is an important point about the cultural significance of certain practices within LGBTQ subcultures, such as cruising, and how they may be misunderstood or misclassified. Cruising has historical roots in the LGBTQ community as a means of connecting with others in a society that was often hostile and restrictive. It’s a practice that emerged out of necessity and has become part of the culture and has nothing or little to do with voyaging, yet again authors approach can be quiet misleading. ( Fun fact, this channel and "doctor" never spoke in 3 years about LGBTQIA+ people) Those old school classifications and most importantly "medication" advice are controversial and harmful . You shall prepare way better and look wider to the subject when deciding to be "original" .

Like i have family who work in clinics for psychiatric patients and it has nothing to do with neuroscience (my aunts and uncles are psychartrists)

You totally skipped women.

Second!!!

Paraphilias aren't inherently sexual disorders. It's horribly stigmatizing to say paraphilias are disorders.

Why are there always only social supports in place for the predator and not the survivors of these kinds of people? Also what kinds of therapy helps? Because talk therapy isn't useful nor is EMDR. If you're always feeling like you're going to get revictimized you can't ever rest its like you're frozen in the danger state

If you really cared about these patient's care you would let these people have more autonomy and freedom over the care they received from these "hospitals" honestly the public system is trash and i will always use personal connections and private health care over what is free

No one likes to visit a psychartrists office place in the first place it gives off "drug dependent" zones of unpleasant vibes

Depression has been a thing you don't talk about in public unless it's someone you really trust and come on if you're paying someone to trust you it gives off inauthenticity to your audience of people kind of like Selena's "gossip session of confession" the reason these are private things is because the real truth is grotesque or ugly and not good to talk about

I dont really know why you need to air these things out on the internet when these are such sensitive personal things that are just not normal day to day things "normal" people think about

Great video about an interesting and important topic. 👍🩷