Like most disorders in this category, many theories exist in an attempt to explain how this disorder develops. Most experts agree that there are underlying issues related to childhood which play a major role in the etiology.
Fetishism is characterized by either intense sexually arousing fantasies, urges, or behaviors in which the individual uses a nonliving object (e.g., woman’s high heeled shoe, stockings) in a sexual manner. Typically, the individual requires this object to become sexually aroused and is therefore unable to be aroused without it. To be considered diagnosable, the fantasies, urges, or behaviors must cause significant distress in the individual or be disruptive to his or her everyday functioning.
Treatment typically involves psychotherapy aimed at uncovering and working through the underlying cause of the behavior.
Prognosis is good although often there are other issues which may surface once the behaviors are extinguished. If this is the case, these issues must be worked through as well.