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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. A person with klismaphilia is a klismaphile or 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. Klismaphilia is practiced both heterosexually and homosexually. The paraphilia may be used as a substitute or as an auxiliary by its practitioners for genital sexual activity. Usually, klismaphiles carry out normal lives and successfully engage in this behavior secretly. If this is the case they will probably try to conceal the pleasure they receive from these administrations.
For administering enemas not intended for medical purposes there are specialty items, such as the aluminium nozzle shown to the right, that are commonly used in activities involving klismaphilia. Such items are available on the Internet and in sex shops in a great variety of sizes, styles, and materials.
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
- Denko, JD. (April 1973). "Klismaphilia: enema as a sexual preference. Report of two cases". Am J Psychother. 27 (2): 232–50. PMID 4704017.
- Agnew, J. (October 1982). "Klismaphilia--a physiological perspective". American journal of psychotherapy. United States: Association for the Advancement of Psychotherapy. 36 (4): 554–66. ISSN 0002-9564. PMID 7158678.
- Denko, JD. (April 1976). "Amplification of the erotic enema deviance". Am J Psychother. 30 (2): 236–55. PMID 937588.
- Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision. Washington, DC, American Psychiatric Association, 2000.
- "Rectal Impaction With Epoxy Resin: A Case Report". Journal of Gastrointestinal Surgery. 9: 747–749. 2005-06-01. doi:10.1016/j.gassur.2004.12.010. Retrieved 2013-03-14.
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