From the Guidelines
A stocking fetish is not inherently a pathology, and it is only considered a disorder when it causes significant distress, impairment in functioning, or harm to oneself or others. In clinical terms, a fetish is a part of normal sexual expression, and many people have sexual interests in specific objects like stockings without experiencing any negative impact on their lives. The distinction between a healthy sexual interest and a pathological condition depends on whether the fetish is exclusive, whether it interferes with forming intimate relationships, or whether it causes significant personal distress, as outlined in the DSM-5 diagnostic criteria for OCD 1.
According to recent studies, the key factor in determining whether a fetish is a pathology is the level of distress or impairment it causes, rather than the fetish itself 1. Mental health professionals generally view sexual diversity as normal, and only consider intervention necessary when the behavior causes problems in a person's life or involves non-consensual activities. The most recent and highest quality study on the topic emphasizes the importance of proper diagnosis and treatment to avoid misdiagnosis and inappropriate treatment 1.
Some key points to consider when evaluating a stocking fetish include:
- Whether the fetish is exclusive, meaning sexual arousal is impossible without the fetish object
- Whether it interferes with forming intimate relationships
- Whether it causes significant personal distress
- Whether it involves non-consensual activities
- Whether it causes impairment in functioning or harm to oneself or others.
It is essential to approach each individual with a stocking fetish on a case-by-case basis, considering their unique circumstances and experiences, and to prioritize their morbidity, mortality, and quality of life when making any recommendations or diagnoses 1.
From the Research
Definition of Fetishism
- Fetishism is recognized as an attraction to objects with the aim of achieving sexual gratification 2.
- It has been reported to be related to specific body parts, non-living objects, or others.
Classification of Fetishism
- Fetishistic disorder can be recognized as sexual fantasies, sexual urges, and sexual behaviors that cause significant distress or impairment in an individual in social, occupational, or other important areas of function 2.
- Fetishism needs to be differentiated from paraphilias.
Treatment of Fetishism
- Treatments for fetishistic disorders can include behavioral, cognitive, or psychoanalytic strategies 2.
- Cognitive-behavioral therapy (CBT) has been shown to be effective in managing various mental health disorders, including anxiety and depression, which may be related to fetishistic disorders 3, 4, 5, 6.
Relation to Stocking Fetish
- There is no direct evidence in the provided studies that specifically addresses whether a stocking fetish is a pathology.
- However, based on the definition and classification of fetishism, a stocking fetish could be considered a type of fetishism if it causes significant distress or impairment in an individual's life 2.