Парафилический инфантилизм и фетишизм пеленок: спектр проявлений.

Sexual and/or non sexual fetish that involves role playing a regression to an infant like state
Paraphilic infantilism, also known as autonepiophilia and adult baby, is a sexual fetish or non sexual fetish that may involve role playing a regression to an infant like state. Paraphilic infantilism is a form of ageplay. People who practice paraphilic infantilism are often colloquially referred to (by themselves and others) as "adult babies", or "ABs". Behaviors may include things such as wearing childish clothes, wearing or using diapers, cuddling with stuffed animals, drinking from a bottle or sucking on a pacifier, People with a diaper fetish are often informally called "diaper lovers", or "DLs". In practice, these strict labels do not always reflect the true diversity of expression. As such, when considered together, paraphilic infantilism and diaper fetishism form a spectrum of behaviors that are often colloquially referred to under the umbrella term "adult baby/diaper lover", or "AB/DL" (also spelled "ABDL"). Like other sexual fetishes (paraphilias), there is no single recognized psychological origin for paraphilic infantilism and very little research has been done on the subject. A variety of theories have been proposed for fetish development, including unique lovemaps, imprinting or altered erotic targets, though there is no scientific consensus. Though it varies from person to person, paraphilic infantilism may sometimes be linked to masochism, urolagnia, garment fetishes or other consensual kinks.

Paraphilic infantilists (usually colloquially called "adult babies" or "ABs") are people who derive sexual pleasure and/or emotional comfort from imagining themselves as, and pretending to be, children. In addition, some people participate in adult baby play purely for the positive feeling and emotional comfort associated with childhood and being cared for; to what degree (if at all) eroticism plays a role depends heavily on the participants and context. Whether performed solo or with others, one large part of paraphilic infantilism is dressing in childish clothes (diapers, onesies, bodysuits, overalls or shortalls, rompers, plastic pants, and other clothing with cute patterns, bright colors and child like design elements) and adorning oneself with childish accessories (pacifiers, baby bottles, stuffed animals, toys, stickers or temporary tattoos, nursery style furniture, etc.). As such, depending on the person it may or may not be associated with a variety of garment and object fetishes, like diaper fetishism. Another large part of adult baby expression is behaving like a child or engaging in childish activities. This may include crawling or sitting on the floor and playing with toys or games, or sexual intercourse between consenting adult partners. However, some may choose not to engage in conventional sexual activities (either because it detracts from their ability to role play being in a baby like state, or because their interest in paraphilic infantilism is non sexual and motivated by feelings of comfort or being cared for). Like many other fetishes, the erotic pleasure derived solely from paraphilic infantilism may partially or completely replace the need for conventional sex in reaching orgasm, though it depends on the individual and their level of sexual interest.

Meaningful information on the incidence or prevalence of any paraphilias is lacking due to the private (and often taboo) nature of such practices. In one study of AB/DL website participants, 93% of the sample was male (assigned male at birth, excluding transgender individuals). 58% of the men and 34% of the women were heterosexual. Males on average first became interested in AB/DL at age 11, and started practicing it at the age of 13, compared to the ages of 12 and 16 for females, respectively. The most frequent activities were wearing diapers, wetting, and using other baby items. 87% of the men and 91% of the women reported that their AB/DL had not caused any significant problems or distress. It also reported that 9% of Yahoo groups devoted to "fetishes" dealt with paraphilic infantilism, which was high in relation to other fetishes. If exceptional behaviors do not cause functional impairment, personal distress or distress to others, or have legal implications they can escape the purview of psychiatric awareness and knowledge. Individuals with paraphilic infantilism may seek therapy only for other issues, or be encouraged or coerced to seek treatment pertaining directly to the paraphilia itself if discovered by others. Given these issues the potential of anonymous internet surveys for data collection on infantilist communities has been noted. Practically speaking, there can be a great deal of variation and overlap between paraphilic infantilists and diaper fetishists, and the term "AB/DL" can be used as a catch all term which includes a broad spectrum of related kinks and behaviors. and this association is repeated by others. Masochism appears to be particularly important for female infantilists. Sexologist John Money, in his book Lovemaps describes paraphilic infantilism as a possible " adjunctive to masochistic discipline and humiliation." Sexologist William B. Arndt considers paraphilic infantilism to combine forms of fetishism, transvestism and masochism. Wilhelm Stekel considered sado masochistic practices to be variant behavior arising from psychosexual infantilism. A potential connection between paraphilic infantilism and sadomasochism has been noted in the Polish publication, Przegląd Seksuologiczny. Research results within the publication indicated that 28% of those paraphilic infantilists surveyed reported an interest in BDSM.

Some adult babies may also engage in cross dressing by wearing clothes which are stereotypically associated with the opposite gender. This subset of the AB community is typically made up of males dressing in "feminine" styles of clothing. (This specific behavior is often referred to as being a "sissy baby".) People who are attracted to masochistic forms of infantilism may participate in forcible cross dressing.

Paraphilic infantilism is not to be confused or conflated with pedophilia, as "adult babies" (adults who engage in paraphilic infantilism) are only participating in sexual role play, either by themselves or with consenting adult partners. People with this fetish are not attracted to children and do not seek them as sexual partners, and paraphilic infantilism is not related to pedophilia or any form of child sexual abuse. To that point, sexologist Gloria Brame states that " infantilists who recognize and accept their sexuality and its possible roots in infantile trauma tend to be acutely protective of real children."

Research on the etiology of paraphilias in general is minimal and as of 2008 had essentially come to a standstill; it is not clear whether the development of paraphilic infantilism shares a common cause with other paraphilias. A 2003 case report by psychiatrists Jennifer Pate and Glen Goddard found little research on the topic.

John Money developed the theory of a lovemap, "a developmental representation or template in the mind and in the brain depicting the idealized lover and the idealized program of sexual and erotic activity projected in imagery or actually engaged in". Money thought that the lovemap was normally fully developed by the age of 8, serving as a kind of sexual template through to the end of one's adult life. Money believed all paraphilias were caused by the formation of abnormal lovemaps during the preadolescent years and that such abnormal lovemaps can be formed by any number of contributing factors or stressors during this developmental period. Money also coined the term "autonepiophilia" meaning a "diaperism" or diaper fetishism in 1984 to describe the condition. Nepon is Greek for infant.

It has been hypothesized that, among other possible causes, sexual templates are established by a process akin to imprinting where lack of availability of female genitals during a critical period of development causes the imprinting mechanism to instead associate with the nearest visual or olfactory approximation. In the case of infantilism, the discipline of the mother or wearing diapers may create associations between pain, humiliation and sexuality. Similarly, authors Zack Cernovsky and Yves Bureau hypothesize that erotic fixation to diapers may parallel a study conducted by Harry Harlow in which he deprived infant monkeys of their natural mothers and gave them an artificial mother made of wire and another made of cloth; the monkeys were more likely to spend more time with the mothers made of cloth.

An additional theory is that infantilism is an erotic identity disorder where the erotic fantasy is centered on the self rather than on a sexual partner and results from an erotic targeting location error where the erotic target was children yet becomes inverted. According to this model, proposed by Ray Blanchard and Kurt Freund in 1993, infantilism is a sexual attraction to the idea of the self being a child.

In psychoanalytic theory, Regression (German: Regression) is a defense mechanism involving the reversion of the ego to an earlier stage of psychosexual development, as a reaction to an overwhelming external problem or internal conflict. A study published in 2019 stated a correlation between childhood maltreatment and paraphilic infatilism and related fetishes. The regression theories in the psychodynamic area hypothesise that during sexual activities, individuals may subconsciously regress to an early state of childhood for comfort and pleasure, with some masochistic elements attached to the same

In the limited number of extant medical case reports some clinicians have attempted to explain the behaviors associated with infantilism in terms of obsessive compulsive disorder, as "a concurrent cluster of symptoms found in a variety of psychiatric disorders." Psychiatrist Jay Feierman considers infantilism a form of chronophilia in which the infantilist desires a sexual partner of the same biological age, but their own "sexuoerotic age" does not match his or her own biological age (i. e. the adult infantilist wishes an adult sexual partner who treats them as a baby). A 2011 letter to the editor in the Archives of Sexual Behavior reviewed several case studies and noted a common history of sexual abuse. The organization "Diaper Pail Friends" was established in San Francisco, growing to approximately 3,000 members in 1995 through magazine articles, books, talk shows and the Internet. The organization was studied in 1995 by a group of sexologists, though the results were not published. In 2001, the New York organization "Still in Diapers" was founded for diaper fetishists. The store owner believes it helps to break the stigma about the community.

The original definition of "infantilism" meant the persistence of childlike traits in adults and, medically, the failure of an adult to attain sexual maturity. While "sexual infantilism" has also been used medically as a synonym for delayed puberty. Similarly, the term "psychosexual infantilism" was first used in Sigmund Freud's theory of psychosexual development to refer to individuals who had not matured through his hypothesized stages. In 2003, Dr. Jennifer Pate and Dr. Glen Gabbard, coined the term "adult baby syndrome" (inspired by an episode of the medical television drama ER) to describe an extreme case of infantilism, which may have been on the level of what is currently considered a "paraphilic disorder" as defined by the DSM 5. Today, the term "paraphilic infantilism" can be considered the official psychological term for the fetish, while the term "adult baby" is used colloquially. Another term, "AB/DL" (also written "ABDL"), is commonly used as a broad, non specific, and inclusive shorthand for the wider community of people with "adult baby" fetish, diaper fetish, or various other associated interests. The exact origins of the nicknames "adult baby" and "AB/DL" are difficult to determine, but there is evidence to suggest that these names have been in kink community for decades.