MNS 2024
Mental Health Nursing
Easy
What is Fetishism?
Appeared in: MNS 2024
Explanation
- Fetishism is a paraphilic disorder involving sexual arousal from non-living objects (fetishes) or a very specific focus on non-genital body parts.
- The objects are often intimately associated with the human body, such as shoes, gloves, or undergarments.
- According to diagnostic criteria (DSM-5-TR), for this to be considered a 'disorder', the urges or behaviors must persist for at least 6 months and cause clinically significant distress or impairment in functioning.
- This option accurately captures the core definition of fetishism as the use of a non-living object for sexual arousal.
Why Other Options Were Wrong
- Option A: This option describes the core feature of Transvestic Disorder, not Fetishism.
- Option B: This option defines Sexual Sadism, which involves deriving pleasure from the suffering of others.
- Option D: This option describes Voyeuristic Disorder, which involves arousal from secretly observing others.
Related Visual
Clinical Relevance
- Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Definition of Fetishism and differentiation from other paraphilic disorders as background academic context rather than a clinical decision trigger.
- Nurses must maintain a professional, non-judgmental attitude when caring for patients, regardless of their sexual interests or behaviors. This fosters trust and encourages open communication.
- It is crucial to distinguish between a paraphilia (an atypical sexual interest) and a paraphilic disorder. The key difference is that a disorder causes significant personal distress, functional impairment, or harm to others.
- A nurse's role includes assessing for distress and impairment, ensuring patient safety, and making appropriate referrals to mental health specialists or psychiatrists for evaluation and treatment if a disorder is suspected.
How to Approach the Question
- First, identify the key term in the question, which is 'Fetishism'.
- This is a factual recall question that requires knowledge of psychiatric terminology.
- Read each option carefully to understand the specific source of sexual arousal it describes.
- Match the definition of Fetishism (arousal from non-living objects) with the provided options.
- Eliminate the other options by correctly identifying them as other paraphilias (Transvestism, Sexual Sadism, Voyeurism).
Concept Tested & Keywords
- Concept Tested: Definition of Fetishism and differentiation from other paraphilic disorders.
- Stem keywords: Fetishism
- Lead-in keywords: What is
Question ID
Qw6VDmQbptoZkAp5oVeFa5
Reference Book
E6 Robert Boland, Marcia L. Verduin - Kaplan and Sadock's Comprehensive Text of Psychiatry-Wolters Kluwer Health (2024) (pp 1-16525 of 16525) pp. 6729-6731, 15697-15699
E6 Kaplan Sadock's Synopsis of Psychiatry-2022 (pp 1-3768 of 3768) p. 1696-1698
Practise the full MNS 2024
Attempt every question from this paper in a timed mock, then review the full solution for each one.
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