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Klismaphilia (or klysmaphilia), from the Greek words κλύσμα ("enema", from κατακλυσμός, "deluge, flood") and φιλία ("(fraternal) love"), is a paraphilia involving enjoyment of, and sexual arousal from, enemas.
The term klismaphilia was coined in 1973 by Dr. Joanne Denko, an early investigator in this field, to describe the activities of some of her patients, whom she referred to as klismaphiliacs. The term klismaphile is also in use for describing a person with klismaphilia, and is considered synonymous with klismaphiliac.
Klismaphiles can gain satisfaction of enemas through fantasies, by actually receiving or giving one, or through the process of eliminating steps to being administered one (e.g., under the pretense of being constipated). Klismaphilia is practiced by men and women, although men are more likely to be klismaphiles, as with most paraphilias. Klismaphiles might gain pleasure from a large, water distended belly or the feeling of internal pressure. Often, klismaphiles report discovering these desires after a chance administration of an enema sometime in their childhood, but some do report discovering these feelings later on. Usually, klismaphiles carry out normal lives and successfully engage in this behavior secretly.
An enema can be an auxiliary to, or a substitute for, genital sexual activity. Men and women with the paraphilia enjoy sexual enema play, both heterosexually and homosexually, experiencing sexual arousal from enemas which they find gratifying or sensual. Additionally, in men enemas can stimulate the prostate gland.
That some women use enemas while masturbating was documented by Kinsey, A. in "Sexual Behavior in the Human Female." He stated, "There still other masturbatory techniques which were regularly or occasionally employed by some 11 percent of the females in the sample ... enemas, and other anal insertions, ... were employed.
The Diagnostic and Statistical Manual of Mental Disorders (DSM-IV-TR) classifies klismaphilia under the diagnosis of "Paraphilias, Not Otherwise Specified". The diagnostic code is 302.9. Proactive treatment for klismaphilics is not generally recommended, due to the lack of any significant desire to be "cured". Health treatment for klismaphilia thus is typically only focused on ensuring the techniques employed and chemicals used are not harmful to the practitioner. Caution should always be maintained on the part of the practitioners experimenting with new techniques and concoctions; in certain cases cramps produced by the chemicals used have led to hospitalizations, in other circumstances the effects can even be life-threatening.
- Paraphilias from Psychology Today
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- Agnew, J. (October 1982). "Klismaphilia--a physiological perspective". American journal of psychotherapy. United States: Association for the Advancement of Psychotherapy. 36 (4): 554–66. doi:10.1176/appi.psychotherapy.1922.214.171.1244. ISSN 0002-9564. PMID 7158678.
- Denko, JD. (April 1976). "Amplification of the erotic enema deviance". Am J Psychother. 30 (2): 236–55. doi:10.1176/appi.psychotherapy.19126.96.36.199. PMID 937588.
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- Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision. Washington, DC, American Psychiatric Association, 2000.
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