Infantilism
Encyclopedia
Paraphilic infantilism, also known as autonepiophilia and adult baby syndrome is a sexual fetish that involves role-playing
Role-playing
Role-playing refers to the changing of one's behaviour to assume a role, either unconsciously to fill a social role, or consciously to act out an adopted role...

 a regression
Regression (psychology)
Regression, according to psychoanalyst Sigmund Freud, is a defense mechanism leading to the temporary or long-term reversion of the ego to an earlier stage of development rather than handling unacceptable impulses in a more adult way...

 to an infant
Infant
A newborn or baby is the very young offspring of a human or other mammal. A newborn is an infant who is within hours, days, or up to a few weeks from birth. In medical contexts, newborn or neonate refers to an infant in the first 28 days after birth...

-like state. Behaviors may include drinking from a bottle
Baby bottle
A baby bottle is a bottle with a teat to drink directly from. It is typically used by infants and young children when a mother does not breastfeed, or if someone cannot drink from a cup, for feeding oneself or being fed.In particular it is used to feed infant formula, expressed breast milk or...

 or wearing diaper
Diaper
A nappy or a diaper is a kind of pant that allows one to defecate or urinate on oneself discreetly. When diapers become soiled, they require changing; this process is often performed by a second person such as a parent or caregiver...

s. Individuals may engage in gentle and nurturing experiences (an adult who only engages in infantilistic play is known as an adult baby) or be attracted to masochistic, coercive, punishing or humiliating experiences. Diaper fetishism
Diaper fetishism
Diaper fetishism, nappy fetishism or diaperism, is a sexual fetish in which a person feels a desire to wear or use diapers. This is normally not due to a medical need.Diaper fetishism is independent from pedophilia...

 involves "diaper lovers" wearing diapers for sexual or erotic reasons but may not involve infant-like behavior. Individuals who experience both of these things are referred to as adult baby/diaper lovers (AB/DL). When wearing diapers, infantilists may urinate
Urination
Urination, also known as micturition, voiding, peeing, weeing, pissing, and more rarely, emiction, is the ejection of urine from the urinary bladder through the urethra to the outside of the body. In healthy humans the process of urination is under voluntary control...

 or defecate
Defecation
Defecation is the final act of digestion by which organisms eliminate solid, semisolid or liquid waste material from the digestive tract via the anus. Waves of muscular contraction known as peristalsis in the walls of the colon move fecal matter through the digestive tract towards the rectum...

 in them.

Characteristics and behaviors

The infantilist community is described by one practitioner as made up of two main types - adult babies (adults who role play
Role-playing
Role-playing refers to the changing of one's behaviour to assume a role, either unconsciously to fill a social role, or consciously to act out an adopted role...

 infants) and sissy babies (who role play as infants of the opposite gender). There are also individuals who wear diapers but do not act as infants, either diaper lovers
Diaper fetishism
Diaper fetishism, nappy fetishism or diaperism, is a sexual fetish in which a person feels a desire to wear or use diapers. This is normally not due to a medical need.Diaper fetishism is independent from pedophilia...

 who eroticize diaper wearing, or sadomasochists who use diapers as a way of enforcing dominance and submission. Though the categories are discrete, in practice the behaviors found in each group often overlap. Adult babies roleplaying as a baby or small child for erotic stimulation is considered the signature expression of paraphilic infantilism. This may involve the use of adult-sized diapers and baby clothes or toys and furniture such as a crib to lend reality to the infantilist fantasy
Fantasy
Fantasy is a genre of fiction that commonly uses magic and other supernatural phenomena as a primary element of plot, theme, or setting. Many works within the genre take place in imaginary worlds where magic is common...

, crawling on the floor, and some individuals may urinate or defecate in their diapers. If a partner is willing, adult babies may engage in parent-baby roleplay including being bathed, powdered and changed into diapers by one's partner, before being put to bed with a baby bottle. Thereafter the adult baby may be comforted and pampered by their partner in the role of the parent and their diapers might be changed if wet or dirty. For some infantilists, the ritual might instead involve being scolded, spanked or chastised for having wet dirtied their diapers. In this latter instance the mode of arousal is masochistic. Others may only desire gentle or nurturing treatment, based on the desire to be cared for or to "surrender the responsibilities of adult life". Some infantilists may involve masturbation
Masturbation
Masturbation refers to sexual stimulation of a person's own genitals, usually to the point of orgasm. The stimulation can be performed manually, by use of objects or tools, or by some combination of these methods. Masturbation is a common form of autoeroticism...

 and ejaculation
Ejaculation
Ejaculation is the ejecting of semen from the male reproductory tract, and is usually accompanied by orgasm. It is usually the final stage and natural objective of male sexual stimulation, and an essential component of natural conception. In rare cases ejaculation occurs because of prostatic disease...

 while others may choose not to engage in sex since it is not babylike. The erotic pleasure derived from either of these forms of infantilism may replace the need for sexual intercourse
Sexual intercourse
Sexual intercourse, also known as copulation or coitus, commonly refers to the act in which a male's penis enters a female's vagina for the purposes of sexual pleasure or reproduction. The entities may be of opposite sexes, or they may be hermaphroditic, as is the case with snails...

 in reaching orgasm
Orgasm
Orgasm is the peak of the plateau phase of the sexual response cycle, characterized by an intense sensation of pleasure...

.

According to Eric Hickey, infantilists are commonly male, are on average thirty-eight years of age, in steady employment, normally have an undergraduate level of education or higher and are usually married or in a stable relationship.

Research

Meaningful information on the incidence
Incidence (epidemiology)
Incidence is a measure of the risk of developing some new condition within a specified period of time. Although sometimes loosely expressed simply as the number of new cases during some time period, it is better expressed as a proportion or a rate with a denominator.Incidence proportion is the...

 or prevalence
Prevalence
In epidemiology, the prevalence of a health-related state in a statistical population is defined as the total number of cases of the risk factor in the population at a given time, or the total number of cases in the population, divided by the number of individuals in the population...

 of any of the paraphilias are lacking due to the often clandestine nature of such practices. Similarly, it has been observed that infantilism is a closeted
Closeted
Closeted and in the closet are metaphors used to describe lesbian, gay, bisexual, transgender, queer/questioning and intersex people who have not disclosed their sexual orientation or gender identity and aspects thereof, including sexual identity and sexual behavior.-Background:In late 20th...

 activity and it is not well documented in the medical literature. If exceptional behaviors do not cause functional impairment, personal distress or distress to others, or have legal implications they can escape the purview of psychiatric awareness and knowledge . Additionally, infantilists may not consider themselves as suffering from a medical condition and may not want to change their behavior, a common issue among individuals with paraphilia
Paraphilia
Paraphilia is a biomedical term used to describe sexual arousal to objects, situations, or individuals that are not part of normative stimulation and that may cause distress or serious problems for the paraphiliac or persons associated with him or her...

s. Individuals with paraphilic infantilism may only seek therapy for other issues, or be encouraged or coerced to seek treatment if discovered by others. Given these issues, the potential of anonymous internet surveys for data collection on infantilist communities has been noted.

Relation to other conditions

Infantilism is a diffuse phenomenon and different authorities have taken varied approaches to the question of its medical and sexological classification.

Definitions

The conventional definition of infantilism means the persistence of childlike traits in adults and medically the failure to attain sexual maturity, and "sexual infantilism" is also used medically as a synonym for delayed puberty
Delayed puberty
Puberty is described as delayed puberty with exceptions when an organism has passed the usual age of onset of puberty with no physical or hormonal signs that it is beginning. Puberty may be delayed for several years and still occur normally, in which case it is considered constitutional delay, a...

. The term "psychosexual infantilism" was used in Freud's
Sigmund Freud
Sigmund Freud , born Sigismund Schlomo Freud , was an Austrian neurologist who founded the discipline of psychoanalysis...

 theory of psychosexual development
Psychosexual development
In Freudian psychology, psychosexual development is a central element of the psychoanalytic sexual drive theory, that human beings, from birth, possess an instinctual libido that develops in five stages. Each stage — the oral, the anal, the phallic, the latent, and the genital — is characterized...

 to refer to individuals who had not matured through its hypothetical stages into heterosexuality
Heterosexuality
Heterosexuality is romantic or sexual attraction or behavior between members of the opposite sex or gender. As a sexual orientation, heterosexuality refers to "an enduring pattern of or disposition to experience sexual, affectional, physical or romantic attractions to persons of the opposite sex";...

. Wilhelm Stekel
Wilhelm Stekel
Wilhelm Stekel was an Austrian physician and psychologist, who became one of Sigmund Freud's earliest followers, and was once described as "Freud's most distinguished pupil." According to Ernest Jones, "Stekel may be accorded the honour, together with Freud, of having founded the first...

 used "psychosexual infantilism" as a category similar to paraphilia
Paraphilia
Paraphilia is a biomedical term used to describe sexual arousal to objects, situations, or individuals that are not part of normative stimulation and that may cause distress or serious problems for the paraphiliac or persons associated with him or her...

, including paraphilic infantilism and other paraphilias and sexual orientations.

Masochism

The Diagnostic and Statistical Manual of Mental Disorders
Diagnostic and Statistical Manual of Mental Disorders
The Diagnostic and Statistical Manual of Mental Disorders is published by the American Psychiatric Association and provides a common language and standard criteria for the classification of mental disorders...

(DSM) states that along with other behaviors, sexual maoschists "...may have a desire to be treated as a helpless infant and clothed in diapers ('infantilism')" and this association is repeated by others.

Psychologists D. Richard Laws and William O'Donohue
William O'Donohue
William T. "Bill" O'Donohue is an American psychologist who focuses on human sexuality, especially child sexual abuse. In 2009 O'Donohue was appointed as advisor to the DSM-V Work Group on Sexual and Gender Identity Disorders of the American Psychiatric Association.-Life and career:O'Donohue...

 state that "Although infantilism is classified as a sexual masochism in the DSM-IV and DSM-IV-TR, it is questionable whether the criteria for sexual masochism are always met. For example, if the infantile role playing does not involve feelings of humiliation and suffering, then the diagnosis of sexual masochism would not be appropriate and a diagnosis of infantilism as a paraphilia [not otherwise specified] is warranted." Sexologist
Sexology
Sexology is the scientific study of human sexuality, including human sexual interests, behavior, and function. The term does not generally refer to the non-scientific study of sex, such as political analysis or social criticism....

 John Money
John Money
John William Money was a psychologist, sexologist and author, specializing in research into sexual identity and biology of gender...

, in his book Lovemaps
Lovemap
The concept of a lovemap was originated by John Money to assist a discussion of why people like what they enjoy sexually and erotically. According to Money, it is "a developmental representation or template in the mind and in the brain depicting the idealized lover and the idealized program of...

describes paraphilic infantilism as a possible "...adjunctive to masochistic discipline and humiliation." Sexologist William B. Arndt considers paraphilic infantilism to combine forms of fetishism, tranvestism and masochism. Sexologist Wilhelm Stekel considered sado-masochistic practices to be variant behavior arising from psychosexual infantilism.

Pedophilia

Confusing infantilism with pedophilia
Pedophilia
As a medical diagnosis, pedophilia is defined as a psychiatric disorder in adults or late adolescents typically characterized by a primary or exclusive sexual interest in prepubescent children...

 is a common misunderstanding but infantilism exclusively involves role-playing with other adults and most infantilists are not sexually aroused by infants while some pedophiles are. Sexologist
Sexology
Sexology is the scientific study of human sexuality, including human sexual interests, behavior, and function. The term does not generally refer to the non-scientific study of sex, such as political analysis or social criticism....

 Gloria Brame
Gloria Brame
Gloria Glickstein Brame is a U.S. writer and sex therapist based in Athens, Georgia. A member of the American College of Sexologists, and certified clinical sexologist, Brame earned a PHD and MPH in Human Sexuality from the Institute for Advanced Study of Human Sexuality , and an M.A. in English...

 states that "...infantilists who recognize and accept their sexuality - and its possible roots in infantile trauma - tend to be acutely protective of real children."

John Money states that diaper fetishists may be sexually attracted to diaper-wearing babies, a condition he calls nepiophilia, but describes infantilism as autonepiophilia in which the individual desires to be and impersonate a baby and does not desire an infant as a sexual partner.

Other conditions

In the limited number of extant medical case reports some clinicians have attempted to explain the behaviors associated with infantilism in terms of obsessive compulsive disorder, as "a concurrent cluster of symptoms found in a variety of psychiatric disorders", or as a form of autoeroticism
Autoeroticism
Autoeroticism is the practice of stimulating oneself sexually. The term was popularized toward the end of the 19th century by British sexologist Havelock Ellis, who defined autoeroticism as "the phenomena of spontaneous sexual emotion generated in the absence of an external stimulus proceeding,...

 analogous to Blanchard's
Ray Blanchard
Ray Milton Blanchard is an American-Canadian sexologist, best known for his research studies on pedophilia, gender dysphoria, and sexual orientation. He has also published research studies on phallometry and several paraphilias, including transvestism and autoerotic asphyxia.-Education and...

 concept of autogynaephilia as applied in certain cases of gender identity disorder
Gender identity disorder
Gender identity disorder is the formal diagnosis used by psychologists and physicians to describe persons who experience significant gender dysphoria . It describes the symptoms related to transsexualism, as well as less severe manifestations of gender dysphoria...

. Psychiatrist
Psychiatry
Psychiatry is the medical specialty devoted to the study and treatment of mental disorders. These mental disorders include various affective, behavioural, cognitive and perceptual abnormalities...

 Jay Feierman considers infantilism a form of chronophilia
Chronophilia
The term chronophilia was used by John Money that he defined as a form of paraphilia in which an individual experiences sexual attraction limited to individuals of particular age ranges...

 in which the infantilist desires a sexual partner of the same biological age, but their own "sexuoerotic age" does not match his or her own biological age (i.e. the adult infantilist wishes an adult sexual partner who treats them as a baby). A 2011 review of several case studies noted a common history of sexual abuse.

Diaper fetishism

Individuals with diaper fetishism
Diaper fetishism
Diaper fetishism, nappy fetishism or diaperism, is a sexual fetish in which a person feels a desire to wear or use diapers. This is normally not due to a medical need.Diaper fetishism is independent from pedophilia...

 typically do not imagine themselves as babies. Rather, they more often see themselves as adults who are drawn to wearing diapers.

John Money distinguishes between infantilism or autonepiophilia and paraphilic diaper-wearing, stating that the latter is a paraphilic fetish that manifests as an erotic attraction to an article of clothing while the former is a non-fetishistic paraphilia directed at a change of status in terms of age identity.

Cross-dressing

Infantilists, usually male, may also engage in cross-dressing
Cross-dressing
Cross-dressing is the wearing of clothing and other accoutrement commonly associated with a gender within a particular society that is seen as different than the one usually presented by the dresser...

 and wear clothes stereotypically associated with young girls. This type of behavior is referred to as being a "sissy baby". Masochistic infantilists may wish to be forcibly cross-dressed.

Causes

To date no broad-based scientific studies have been made on the cause, incidence and general impact of paraphilic infantilism on society at large. This may be due to both the relative rarity of the condition and because few paraphilic infantilists appear to seek professional mental health counseling, and that even fewer appear to require any type of pro-active mental health intervention. A 2002 case report by psychiatrists
Psychiatry
Psychiatry is the medical specialty devoted to the study and treatment of mental disorders. These mental disorders include various affective, behavioural, cognitive and perceptual abnormalities...

 Jennifer Pate and Glen Goddard found little research on the topic, and they suggested the DSM lacked a category that captured their patient's disorder.

Lovemap theory

According to sexologist John Money
John Money
John William Money was a psychologist, sexologist and author, specializing in research into sexual identity and biology of gender...

, normally by the age of 8, the human mind will have fully developed its lovemap
Lovemap
The concept of a lovemap was originated by John Money to assist a discussion of why people like what they enjoy sexually and erotically. According to Money, it is "a developmental representation or template in the mind and in the brain depicting the idealized lover and the idealized program of...

, which will serve as a kind of sexual template through to the end of one's adult life. This lovemap is "a developmental representation or template in the mind and in the brain depicting the idealized lover and the idealized program of sexual and erotic activity projected in imagery or actually engaged in". Money believed all paraphilias were caused by the formation of abnormal lovemaps during the preadolescent years and that such abnormal lovemaps can be formed by any number of contributing factors or stressors during this developmental period. Money also coined the term "autonepiophilia" meaning a "diaperism" or diaper fetishism in 1984 to describe the condition. Nepon is Greek for infant.

Imprinting

It has been hypothesized that, among other possible causes, sexual templates are established by a process akin to imprinting
Imprinting (psychology)
Imprinting is the term used in psychology and ethology to describe any kind of phase-sensitive learning that is rapid and apparently independent of the consequences of behavior...

 where lack of availability of female genitals during a critical period of development causes the imprinting mechanism to instead associate with the nearest visual
Vision
Vision or visions may refer to:* Visual perception, interpreting what is seen* Visual system, the sensory mechanism of eyesight* Vision , inspirational experiences* Hallucination, vivid conscious perception in the absence of a stimulus...

 or olfactory
Olfaction
Olfaction is the sense of smell. This sense is mediated by specialized sensory cells of the nasal cavity of vertebrates, and, by analogy, sensory cells of the antennae of invertebrates...

 approximation. In the case of infantilism, the discipline of the mother or wearing diapers may create associations between pain, humiliation and sexuality.

Erotic location target error

Another theory is that infantilism is an erotic identity disorder where the erotic fantasy is centred on the self rather than on a sexual partner and results from an erotic targeting location error where the erotic target was children yet becomes inverted. According to this model infantilism is an autoerotic form of paedophilia.

History

The first public event for adult babies was "Baby Week", occurring in San Francisco in the early 1990's. Subsequently the internet became a major forum, with numerous websites offering books, magazines, audio and video tapes and related paraphernalia
Paraphernalia
In modern usage, the word paraphernalia most commonly refers to apparatus, equipment, or furnishing used in or necessary for a particular activity as in, "Beth is such an avid sports fan that her walls are covered with baseball paraphernalia"....

, as well as a 24-hour hotline. Paraphilic infantilism has appeared as an alternative lifestyle
Alternative lifestyle
An alternative lifestyle is a lifestyle generally perceived to be outside the cultural norm. Usually, but not always, it implies an affinity or identification within some matching subculture...

 in numerous Western
Western culture
Western culture, sometimes equated with Western civilization or European civilization, refers to cultures of European origin and is used very broadly to refer to a heritage of social norms, ethical values, traditional customs, religious beliefs, political systems, and specific artifacts and...

 countries including the United States
United States
The United States of America is a federal constitutional republic comprising fifty states and a federal district...

, England
England
England is a country that is part of the United Kingdom. It shares land borders with Scotland to the north and Wales to the west; the Irish Sea is to the north west, the Celtic Sea to the south west, with the North Sea to the east and the English Channel to the south separating it from continental...

, Germany
Germany
Germany , officially the Federal Republic of Germany , is a federal parliamentary republic in Europe. The country consists of 16 states while the capital and largest city is Berlin. Germany covers an area of 357,021 km2 and has a largely temperate seasonal climate...

 and Australia
Australia
Australia , officially the Commonwealth of Australia, is a country in the Southern Hemisphere comprising the mainland of the Australian continent, the island of Tasmania, and numerous smaller islands in the Indian and Pacific Oceans. It is the world's sixth-largest country by total area...

. The organization "Diaper Pail Friends" was established in San Francisco, growing to approximately 3,000 members in 1995 through magazine articles, books, talk shows and the internet. The organization was studied in 1995 by a group of sexologists, though the results were not published. In 2001 the New York
New York
New York is a state in the Northeastern region of the United States. It is the nation's third most populous state. New York is bordered by New Jersey and Pennsylvania to the south, and by Connecticut, Massachusetts and Vermont to the east...

organization "Still in Diapers" was founded for diaper fetishists.
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