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Home :: Neurology Disorders

Frotteurism - Causes, Symptoms and Treatment


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Most people who engage in frottage (sometimes called frotteurs) usually fantasize that they have an exclusive and caring relationship with their victims during the moment of contact. Most acts of frottage occur when the person is between 15 to 25 years of age, and declines thereafter. The behavior to an initially random or accidental touching of another's genitals that the person finds exciting. Successive repetitions of the act tend to reinforce and perpetuate the behavior. People may be diagnosed with frotteurism if the fantasies, urges, or behaviors cause distress or keep them from being able to function in school, on the job, or in relationships. For treatment to be successful, the frotteur must want to modify existing patterns of behavior. Behavior therapy is commonly used to try to treat frotteurism. The frotteur must learn to control the impulse to touch nonconsenting victims. Medroxyprogesterone, a female hormone, is sometimes prescribed to decrease desire.

Causes of Frotteurism

Common Causes and Risk factors of Frotteurism

  • Psychoanalytical factors.
  • Crowly places.
  • Biological factors.

Signs and Symptoms of Frotteurism

Common Sign and Symptoms of Frotteurism

  • Intense arousing fantasies.
  • Behaviors involving the exposure of one's genitals to an unsuspecting stranger.

Treatment for Frotteurism

Common Treatment for Frotteurism

  • Frotteurism is usually treated with medications, and adjunctive treatments.
  • There are several different classes of drugs used to treat the patient with frotteurism and the other paraphilias.
  • Antiandrogens reduce male hormone levels.
  • The frotteur must learn to control the impulse to touch nonconsenting victims.
  • Medroxyprogesterone, a female hormone, is sometimes prescribed to decrease desire.
  • Cognitive-behavioral therapy (CBT) is generally regarded as the most effective form of psychotherapy for Frotteurism.
  • Medicines such as fluoxetine (Prozac) increase the brain chemical serotonin and reduce obsessive thoughts and compulsive behaviors.