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Paraphilic infantilism, also known as autonepiophilia, psychosexual infantilism and adult baby syndrome, is a sexual fetish that involves role-playing a
regression Regression or regressions may refer to: Science * Marine regression, coastal advance due to falling sea level, the opposite of marine transgression * Regression (medicine), a characteristic of diseases to express lighter symptoms or less extent ( ...
to an
infant An infant or baby is the very young offspring of human beings. ''Infant'' (from the Latin word ''infans'', meaning 'unable to speak' or 'speechless') is a formal or specialised synonym for the common term ''baby''. The terms may also be used to ...
-like state. Behaviors may include drinking from a bottle or wearing
diaper A diaper /ˈdaɪpə(r)/ (American and Canadian English) or a nappy ( Australian English, British English, and Hiberno-English) is a type of underwear that allows the wearer to urinate or defecate Defecation (or defaecation) follows dig ...
s (
diaper fetishism Diaper fetishism, nappy fetishism or diaperism, is a type of garment fetish or paraphilic infantilism. A person with a diaper fetish derives pleasure from the diaper and/or use of it. Being forced to wear diapers as a form of humiliation was s ...
). Individuals may engage in gentle and nurturing experiences (an adult who engages only in infantile play is known as an adult baby) or be attracted to
masochistic Sadomasochism ( ) is the giving and receiving of pleasure from acts involving the receipt or infliction of pain or humiliation. Practitioners of sadomasochism may seek sexual pleasure from their acts. While the terms sadist and masochist refe ...
, coercive, punishing or humiliating experiences.
Diaper fetishism Diaper fetishism, nappy fetishism or diaperism, is a type of garment fetish or paraphilic infantilism. A person with a diaper fetish derives pleasure from the diaper and/or use of it. Being forced to wear diapers as a form of humiliation was s ...
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, also spelled ABDL). When wearing diapers, infantilists may urinate and/or defecate in them. There is no recognized
etiology Etiology (pronounced ; alternatively: aetiology or ætiology) is the study of causation or origination. The word is derived from the Greek (''aitiología'') "giving a reason for" (, ''aitía'', "cause"); and ('' -logía''). More completely, e ...
for infantilism and there is little research done on the subject. It has been linked to masochism and a variety of other paraphilias. Although it is commonly confused with pedophilia, the two conditions are distinct and infantilists do not seek children as sexual partners. A variety of causes have been proposed, including altered lovemaps, imprinting gone wrong and errors in erotic targets, though there is no consensus. A variety of organizations exist to discuss infantilism or meet with other practitioners throughout the world.


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 Play'' is an upcoming American thriller film directed by Thomas Vincent, written by Seth Owen, and produced by and starring Kaley Cuoco. Premise A married couple's lives are turned upside down when secrets are revealed about their pasts. ...
infants) and sissy babies (men who tend to wear typically feminine clothing, and use female pronouns). There are also individuals who wear diapers but do not act as infants, either diaper lovers 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 young 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, 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. Some may also simulate lactation with a willing partner. Thereafter the adult baby may be comforted 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 or dirtied their diapers. In this latter instance the mode of arousal is masochistic. Others may desire only 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 is the sexual stimulation of one's own genitals for sexual arousal or other sexual pleasure, usually to the point of orgasm. The stimulation may involve hands, fingers, everyday objects, sex toys such as vibrators, or combinatio ...
and ejaculation 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 (or coitus or copulation) is a sexual activity typically involving the insertion and thrusting of the penis into the vagina for sexual pleasure or reproduction.Sexual intercourse most commonly means penile–vaginal penetrat ...
in reaching orgasm. In one study of AB/DL website participants, 93% of the sample was male (excluding transgender individuals). 58% of the men and 34% of the women were heterosexual. Males on average first became interested in AB/DL at age 11, and started practicing it at the age of 13, compared to the ages of 12 and 16 for females, respectively. The most frequent activities were wearing diapers, wetting, and using other baby items. 87% of the men and 91% of the women reported that their AB/DL had not caused any significant problems or distress.


Prevalence

Meaningful information on the incidence or prevalence 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'' and ''in the closet'' are metaphors for lesbian, gay, bisexual and transgender and other (LGBTQ+) people who have not disclosed their sexual orientation or gender identity and aspects thereof, including sexual identity and human ...
activity and it is not well documented in the medical literature. One study reported that 9% of Yahoo groups devoted to "fetishes" dealt with paraphilic infantilism, which was high in relation to other fetishes. 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 occurrence among individuals with paraphilias. Individuals with paraphilic infantilism may seek therapy only 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. One study regarding members of the ABDL online community, however, noted that males became interested in paraphilic infantilism earlier than females, at age 11 rather than 12, and also began to act on their interests earlier, at 13 rather than 16. The same study found that while most males interested in paraphilic infantilism were primarily heterosexual (58%), most females were primarily bisexual (43%). 34% of women were primarily heterosexual. Although both men and women varied in terms of education, only 66% of men and 39% of women earned more than $25,000 a year.


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. The term "psychosexual infantilism" was used in Sigmund Freud's theory of psychosexual development to refer to individuals who had not matured through its hypothetical stages into
heterosexuality Heterosexuality is romantic attraction, sexual attraction or sexual behavior between people of the opposite sex or gender. As a sexual orientation, heterosexuality is "an enduring pattern of emotional, romantic, and/or sexual attractions" to ...
.
Psychologist A psychologist is a professional who practices psychology and studies mental states, perceptual, cognitive, emotional, and social processes and behavior. Their work often involves the experimentation, observation, and interpretation of how indi ...
Wilhelm Stekel used "psychosexual infantilism" as a category similar to paraphilia, including paraphilic infantilism and other paraphilias and sexual orientations.


Masochism

The ''
Diagnostic and Statistical Manual of Mental Disorders The ''Diagnostic and Statistical Manual of Mental Disorders'' (DSM; latest edition: DSM-5-TR, published in March 2022) is a publication by the American Psychiatric Association (APA) for the classification of mental disorders using a common langua ...
'' (''DSM'') states that along with other behaviors, sexual masochists "...may have a desire to be treated as a helpless infant and clothed in diapers ('infantilism')" and this association is repeated by others. Masochism appears to be particularly important for female infantilists. Psychologists D. Richard Laws and
William O'Donohue William T. "Bill" O'Donohue (born August 18, 1957) is an American psychologist who focuses on human sexuality, especially child sexual abuse.Begley, Sharon (March 19, 2001). What Is a Pedophile? Not all of them are child abusers, and they often beli ...
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 ot otherwise specifiedis warranted." Sexologist John Money, in his book '' Lovemaps'' describes paraphilic infantilism as a possible "...adjunctive to masochistic discipline and humiliation." Sexologist William B. Arndt considers paraphilic infantilism to combine forms of fetishism, transvestism and masochism. Wilhelm Stekel considered sado-masochistic practices to be variant behavior arising from psychosexual infantilism. A potential connection between paraphilic infantilism and sadomasochism has been noted in the Polish publication, Przegląd Seksuologiczny. Research results within the publication indicated that 28% of those paraphilic infantilists surveyed reported an interest in BDSM.


Pedophilia

Confusing infantilism with pedophilia is a common misunderstanding but infantilism involves role-playing exclusively with other adults; infantilism is not related to pedophilia, or any form of child sexual abuse. Sexologist
Gloria Brame Gloria Brame (born August 20, 1955) is an American sexologist, writer and sex therapist based in Athens, Georgia. She is a member of the American College of Sexologists, and clinical sexologist. Her sex therapy practice specializes in consensual ...
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 used the term "nepiophilia" to describe attraction to diaper-wearing babies. He described infantilism as "autonepiophilia," in which the individual desires to be and to impersonate a baby and does not desire an infant as a sexual partner. In 1993, sexologists Ray Blanchard and
Kurt Freund Kurt Freund (17 January 1914 – 23 October 1996) was a Czech-Canadian physician and sexologist best known for developing the penile plethysmograph (a measurement of sexual arousal in males), research studies in pedophilia, and for the "courtsh ...
published and discussed a series of
case studies A case study is an in-depth, detailed examination of a particular case (or cases) within a real-world context. For example, case studies in medicine may focus on an individual patient or ailment; case studies in business might cover a particular fi ...
involving infantilists and noted a distinction between them and pedophiles. While pedophiles were attracted to children (and objects related to childhood) due to the desire for a child sexual partner, infantilists imagined themselves as children and adopted the objects of childhood or infancy to increase the power difference between themselves and their preferred sexual partners of adult women, with whom they acted out masochistic fantasies.


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
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, as "a concurrent cluster of symptoms found in a variety of psychiatric disorders."
Psychiatrist A psychiatrist is a physician who specializes in psychiatry, the branch of medicine devoted to the diagnosis, prevention, study, and treatment of mental disorders. Psychiatrists are physicians and evaluate patients to determine whether their sy ...
Jay Feierman considers infantilism a form of
chronophilia The term chronophilia was used by psychologist John Money to describe a form of paraphilia in which an individual experiences sexual attraction limited to individuals of particular age ranges. The term has not been widely adopted by sexologists, w ...
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 letter to the editor in the '' Archives of Sexual Behavior'' reviewed several case studies and noted a common history of sexual abuse.


Diaper fetishism

Individuals with
diaper fetishism Diaper fetishism, nappy fetishism or diaperism, is a type of garment fetish or paraphilic infantilism. A person with a diaper fetish derives pleasure from the diaper and/or use of it. Being forced to wear diapers as a form of humiliation was s ...
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 is the act of wearing clothes usually worn by a different gender. From as early as pre-modern history, cross-dressing has been practiced in order to disguise, comfort, entertain, and self-express oneself. Cross-dressing has play ...
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 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. Research on the
etiology Etiology (pronounced ; alternatively: aetiology or ætiology) is the study of causation or origination. The word is derived from the Greek (''aitiología'') "giving a reason for" (, ''aitía'', "cause"); and ('' -logía''). More completely, e ...
of paraphilias in general is minimal and as of 2008 had essentially come to a standstill; it is not clear whether the development of infantilism shares a common cause with other paraphilias. Criminologists Stephen and Ronald Holmes believe that while there is no simple answer to the origins of infantilism, the practices may involve an element of
stress reduction Stress management is a wide spectrum of techniques and psychotherapies aimed at controlling a person's level of stress, especially chronic stress, usually for the purpose of and for the motive of improving everyday functioning. Stress produces num ...
similar to that of transvestism.


Lovemap theory

John Money developed the theory of a lovemap,
"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 thought that the lovemap was normally fully developed by the age of 8, serving as a kind of sexual template through to the end of one's adult life. 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 where lack of availability of female genitals during a critical period of development causes the imprinting mechanism to instead associate with the nearest visual or
olfactory The sense of smell, or olfaction, is the special sense through which smells (or odors) are perceived. The sense of smell has many functions, including detecting desirable foods, hazards, and pheromones, and plays a role in taste. In humans, it ...
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

An additional theory is that infantilism is an erotic identity disorder where the erotic fantasy is centered 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, proposed by Ray Blanchard and Kurt Freund in 1993, infantilism is a sexual attraction to the idea of the self being a child.


History

The first public event for adult babies was "Baby Week", occurring in San Francisco in the early 1990s. Subsequently the internet became a major forum, with numerous websites offering books, magazines, audio and video tapes and related
paraphernalia Paraphernalia most commonly refers to a group of apparatus, equipment, or furnishing used for a particular activity. For example, an avid sports fan may cover their walls with football and/or basketball paraphernalia. Historical legal term In l ...
, as well as a 24-hour hotline. Paraphilic infantilism has appeared as an
alternative lifestyle An alternative lifestyle is a lifestyle perceived to be outside the norm for a given culture. The phrase "alternative lifestyle" is often used pejoratively. Description of a related set of activities as alternative is a defining aspect of certain ...
in numerous Western countries including the United States, England, Germany and
Australia Australia, officially the Commonwealth of Australia, is a Sovereign state, sovereign country comprising the mainland of the Australia (continent), Australian continent, the island of Tasmania, and numerous List of islands of Australia, sma ...
. 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
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organization "Still in Diapers" was founded for diaper fetishists. In 2008, the Diaper Pail Friends had expanded to a national organization and claimed a membership of 15,000. In 2016
Tykables
opened the first wholly dedicated paraphilic infantilism physical retail store in Mount Prospect, Illinois, with controversy from the local community. The store owner believes it helps to break the stigma about the community.


See also

* BDSM *
Erotic lactation Erotic lactation is sexual arousal by breastfeeding on a woman's breast. Depending on the context, the practice can also be referred to as adult suckling, adult nursing, and adult breastfeeding. Practitioners sometimes refer to themselves as being ...
* Ageplay


Notes


References

* *


Further reading

* {{DEFAULTSORT:Paraphilic Infantilism Paraphilias Sexual fetishism Sexuality and age fr:Autonepiophilie