The publication of the DSM-III in 1980 changed that, by excluding arousal from body parts in its diagnostic criteria for fetishism. Originally, most medical sources defined fetishism as a sexual interest in non-living objects, body parts or secretions. The publication of the DSM-III in 1980 changed that, by excluding arousal from body parts in its diagnostic criteria for fetishism. Aug 1, 2022 · If a client presents with a problematic paraphilia, I first conduct an extensive sexual history to help uncover the origin of the paraphilia and connect it to the client’s present symptom. Aug 1, 2022 · If a client presents with a problematic paraphilia, I first conduct an extensive sexual history to help uncover the origin of the paraphilia and connect it to the client’s present symptom. Nov 4, 2025 · Explore fetishism: psychology, types, origins, and when it becomes a disorder. Understand the science behind sexual interests.