Skip to main content
×
×
Home

Age, Transvestism, Bondage, and Concurrent Paraphilic Activities in 117 Fatal Cases of Autoerotic Asphyxia

  • Ray Blanchard (a1) and Stephen J. Hucker (a2)
Abstract

Autoerotic asphyxia is the practice of self-inducing cerebral anoxia, usually by hanging, strangulation, or suffocation, during masturbation. This study investigated the relationships between: asphyxiators' ages; two paraphilias commonly accompanying autoerotic asphyxia, bondage and transvestism; and various other types of simultaneous sexual behaviour. Subjects were two concurrent series totalling 117 males aged 10–56 who died accidentally during autoerotic asphyxial activities. Data concerning sexual paraphernalia at the scene of death or among the deceased's effects were extracted from coronors' files using standardised protocols. Anal self-stimulation with dildos, etc., and self-observation with mirrors or cameras were correlated with transvestism. Older asphyxiators were more likely to have been simultaneously engaged in bondage or transvestism, suggesting elaboration of the masturbatory ritual over time. The greatest degree of transvestism was associated with intermediate rather than high levels of bondage, suggesting that response competition from bondage may limit asphyxiators' involvement in a third paraphilia like transvestism.

Copyright
Corresponding author
Correspondence
References
Hide All
Abel, G. G., Becker, J. V., Cunningham-Rathner, J., et al (1988) Multiple paraphilic diagnoses among sex offenders. Bulletin of the American Academy of Psychiatry and the Law, 16, 153168.
Bancroft, J. (1989) Human Sexuality and Its Problems (2nd edn). London: Churchill Livingstone.
Blanchard, R. (1989a) The classification and labeling of non-homosexual gender dysphorias. Archives of Sexual Behavior, 18, 315334.
Blanchard, R. (1989b) The concept of autogynephilia and the typology of male gender dysphoria. Journal of Nervous and Mental Disease, 177, 616623.
Brittain, R. (1968) The sexual asphyxias. In Gradwohl's Legal Medicine (2nd edn) (ed. Camps, F. E.). Baltimore: Williams and Wilkins.
Buhrich, N. & Beaumont, N. (1981) Comparison of transvestism in Australia and America. Archives of Sexual Behavior, 10, 269279.
Cesnik, J. A. & Coleman, E. (1989) Use of lithium carbonate in the treatment of autoerotic asphyxia. American Journal of Psychotherapy, 43, 277286.
Freund, K. (1976) Diagnosis and treatment of forensically significant anomalous erotic preferences. Canadian Journal of Criminology and Corrections, 18, 181189.
Freund, K. (1990) Courtship disorder. In Handbook of Sexual Assault: Issues, Theories, and Treatment of the Offender (eds Marshall, W. L., Laws, D. R. & Barbaree, H. E.). New York: Plenum.
Freund, K., Scher, H. & Hucker, S. (1983) The courtship disorders. Archives of Sexual Behavior, 12, 369379.
Freund, K., Scher, H., Racansky, I. G., et al (1986) Males disposed to commit rape. Archives of Sexual Behavior, 15, 2335.
Gutheil, E. A. (1954) The psychologic background of transsexualism and transvestism. American Journal of Psychotherapy, 8, 231239.
Haydn-Smith, P., Marks, I., Buchaya, H., et al (1987) Behavioural treatment of life-threatening masochistic asphyxiation: a case study. British Journal of Psychiatry, 150, 518519.
Hazelwood, R. R., Dietz, P. E. & Burgess, A. W. (1981) The investigation of autoerotic fatalities. Journal of Police Science and Administration, 9, 404411.
Hazelwood, R. R., Dietz, P. E. & Burgess, A. W. (1983) Autoerotic Fatalities. Lexington, Massachusetts: D. C. Heath.
Hucker, S. J. (1990) Sexual asphyxia. In Principles and Practice of Forensic Psychiatry (eds Bowden, P. & Bluglass, R.). London: Churchill Livingstone.
Ikeda, N., Harada, A., Umetsu, K., et al (1988) A case of fatal suffocation during an unusual autoerotic practice. Medicine, Science and the Law, 28, 131134.
Innala, S. M. & Ernulf, K. E. (1989) Asphyxiophilia in Scandinavia. Archives of Sexual Behavior, 18, 181189.
Lang, R. A., Langevin, R., Checkley, K. L., et al (1987) Genital exhibitionism: courtship disorder or narcissism? Canadian Journal of Behavioural Science, 19, 216232.
Langevin, R. & Lang, R. A. (1987) The courtship disorders. In Variant Sexuality: Research and Theory (ed. Wilson, G. D.). London: Croom Helm.
Lowery, S. A. & Wetli, C. V. (1982) Sexual asphyxia: a neglected area of study. Deviant Behavior, 4, 1939.
MacDonald, J. M. (1973) Indecent Exposure. Springfield, Illinois: Charles C. Thomas.
Resnick, H. L. P. (1972) Erotized repetitive hangings: a form of self-destructive behavior. American Journal of Psychotherapy, 26, 421.
Rooth, G. (1973) Exhibitionism, sexual violence and paedophilia. British Journal of Psychiatry, 122, 705710.
Walsh, F. M., Stahl, C. J., Unger, H. T., et al (1977) Autoerotic asphyxial deaths: a medicolegal analysis of forty three cases. In Legal Medicine Annual 1977 (ed. Wecht, C. H.). New York: Appleton Century Crofts.
Wilson, G. D. & Gosselin, C. (1980) Personality characteristics of fetishists, transvestites and sadomasochists. Personality and Individual Differences, 1, 289295.
Recommend this journal

Email your librarian or administrator to recommend adding this journal to your organisation's collection.

The British Journal of Psychiatry
  • ISSN: 0007-1250
  • EISSN: 1472-1465
  • URL: /core/journals/the-british-journal-of-psychiatry
Please enter your name
Please enter a valid email address
Who would you like to send this to? *
×

Metrics

Altmetric attention score

Full text views

Total number of HTML views: 0
Total number of PDF views: 34 *
Loading metrics...

Abstract views

Total abstract views: 226 *
Loading metrics...

* Views captured on Cambridge Core between 2nd January 2018 - 15th August 2018. This data will be updated every 24 hours.

Age, Transvestism, Bondage, and Concurrent Paraphilic Activities in 117 Fatal Cases of Autoerotic Asphyxia

  • Ray Blanchard (a1) and Stephen J. Hucker (a2)
Submit a response

eLetters

No eLetters have been published for this article.

×

Reply to: Submit a response


Your details


Conflicting interests

Do you have any conflicting interests? *