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Age, Transvestism, Bondage, and Concurrent Paraphilic Activities in 117 Fatal Cases of Autoerotic Asphyxia

Published online by Cambridge University Press:  02 January 2018

Ray Blanchard*
Affiliation:
Gender Identity Clinic, Clarke Institute of Psychiatry
Stephen J. Hucker
Affiliation:
Forensic Division, Clarke Institute of Psychiatry, 250 College Street, Toronto, Ontario, Canada M5T 1R8
*
Correspondence

Abstract

Autoerotic asphyxia is the practice of self-inducing cerebral anoxia, usually by hanging, strangulation, or suffocation, during masturbation. This study investigated the relationships between: asphyxiators' ages; two paraphilias commonly accompanying autoerotic asphyxia, bondage and transvestism; and various other types of simultaneous sexual behaviour. Subjects were two concurrent series totalling 117 males aged 10–56 who died accidentally during autoerotic asphyxial activities. Data concerning sexual paraphernalia at the scene of death or among the deceased's effects were extracted from coronors' files using standardised protocols. Anal self-stimulation with dildos, etc., and self-observation with mirrors or cameras were correlated with transvestism. Older asphyxiators were more likely to have been simultaneously engaged in bondage or transvestism, suggesting elaboration of the masturbatory ritual over time. The greatest degree of transvestism was associated with intermediate rather than high levels of bondage, suggesting that response competition from bondage may limit asphyxiators' involvement in a third paraphilia like transvestism.

Type
Papers
Copyright
Copyright © 1991 The Royal College of Psychiatrists 

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References

Abel, G. G., Becker, J. V., Cunningham-Rathner, J., et al (1988) Multiple paraphilic diagnoses among sex offenders. Bulletin of the American Academy of Psychiatry and the Law, 16, 153168.Google ScholarPubMed
Bancroft, J. (1989) Human Sexuality and Its Problems (2nd edn). London: Churchill Livingstone.Google Scholar
Blanchard, R. (1989a) The classification and labeling of non-homosexual gender dysphorias. Archives of Sexual Behavior, 18, 315334.CrossRefGoogle Scholar
Blanchard, R. (1989b) The concept of autogynephilia and the typology of male gender dysphoria. Journal of Nervous and Mental Disease, 177, 616623.CrossRefGoogle ScholarPubMed
Brittain, R. (1968) The sexual asphyxias. In Gradwohl's Legal Medicine (2nd edn) (ed. Camps, F. E.). Baltimore: Williams and Wilkins.Google Scholar
Buhrich, N. & Beaumont, N. (1981) Comparison of transvestism in Australia and America. Archives of Sexual Behavior, 10, 269279.CrossRefGoogle ScholarPubMed
Cesnik, J. A. & Coleman, E. (1989) Use of lithium carbonate in the treatment of autoerotic asphyxia. American Journal of Psychotherapy, 43, 277286.CrossRefGoogle ScholarPubMed
Freund, K. (1976) Diagnosis and treatment of forensically significant anomalous erotic preferences. Canadian Journal of Criminology and Corrections, 18, 181189.CrossRefGoogle Scholar
Freund, K. (1990) Courtship disorder. In Handbook of Sexual Assault: Issues, Theories, and Treatment of the Offender (eds Marshall, W. L., Laws, D. R. & Barbaree, H. E.). New York: Plenum.Google Scholar
Freund, K., Scher, H. & Hucker, S. (1983) The courtship disorders. Archives of Sexual Behavior, 12, 369379.CrossRefGoogle ScholarPubMed
Freund, K., Scher, H., Racansky, I. G., et al (1986) Males disposed to commit rape. Archives of Sexual Behavior, 15, 2335.CrossRefGoogle ScholarPubMed
Gutheil, E. A. (1954) The psychologic background of transsexualism and transvestism. American Journal of Psychotherapy, 8, 231239.CrossRefGoogle ScholarPubMed
Haydn-Smith, P., Marks, I., Buchaya, H., et al (1987) Behavioural treatment of life-threatening masochistic asphyxiation: a case study. British Journal of Psychiatry, 150, 518519.CrossRefGoogle ScholarPubMed
Hazelwood, R. R., Dietz, P. E. & Burgess, A. W. (1981) The investigation of autoerotic fatalities. Journal of Police Science and Administration, 9, 404411.Google Scholar
Hazelwood, R. R., Dietz, P. E. & Burgess, A. W. (1983) Autoerotic Fatalities. Lexington, Massachusetts: D. C. Heath.Google Scholar
Hucker, S. J. (1990) Sexual asphyxia. In Principles and Practice of Forensic Psychiatry (eds Bowden, P. & Bluglass, R.). London: Churchill Livingstone.Google Scholar
Ikeda, N., Harada, A., Umetsu, K., et al (1988) A case of fatal suffocation during an unusual autoerotic practice. Medicine, Science and the Law, 28, 131134.CrossRefGoogle Scholar
Innala, S. M. & Ernulf, K. E. (1989) Asphyxiophilia in Scandinavia. Archives of Sexual Behavior, 18, 181189.CrossRefGoogle ScholarPubMed
Lang, R. A., Langevin, R., Checkley, K. L., et al (1987) Genital exhibitionism: courtship disorder or narcissism? Canadian Journal of Behavioural Science, 19, 216232.CrossRefGoogle Scholar
Langevin, R. & Lang, R. A. (1987) The courtship disorders. In Variant Sexuality: Research and Theory (ed. Wilson, G. D.). London: Croom Helm.Google Scholar
Lowery, S. A. & Wetli, C. V. (1982) Sexual asphyxia: a neglected area of study. Deviant Behavior, 4, 1939.CrossRefGoogle Scholar
MacDonald, J. M. (1973) Indecent Exposure. Springfield, Illinois: Charles C. Thomas.Google Scholar
Resnick, H. L. P. (1972) Erotized repetitive hangings: a form of self-destructive behavior. American Journal of Psychotherapy, 26, 421.CrossRefGoogle Scholar
Rooth, G. (1973) Exhibitionism, sexual violence and paedophilia. British Journal of Psychiatry, 122, 705710.CrossRefGoogle ScholarPubMed
Walsh, F. M., Stahl, C. J., Unger, H. T., et al (1977) Autoerotic asphyxial deaths: a medicolegal analysis of forty three cases. In Legal Medicine Annual 1977 (ed. Wecht, C. H.). New York: Appleton Century Crofts.Google Scholar
Wilson, G. D. & Gosselin, C. (1980) Personality characteristics of fetishists, transvestites and sadomasochists. Personality and Individual Differences, 1, 289295.CrossRefGoogle Scholar
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