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Autofellatio: a power and dependency conflict

J O Cavenar, J G Spaulding, N T Butts

    The Journal of Nervous and Mental Disease
    |November 1, 1977
    PubMed
    Summary

    This review examines autofellatio literature and presents three new cases. The findings suggest psychological factors like narcissism, dependency, and power dynamics are central to autofellatio behaviors.

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    Area of Science:

    • Psychology
    • Sexology
    • Clinical Psychiatry

    Background:

    • Autofellatio, a rare sexual behavior, has limited documented cases.
    • Understanding the psychological underpinnings of autofellatio is crucial for clinical practice.

    Observation:

    • This study reviews existing literature on autofellatio.
    • Two new cases of individuals engaging in autofellatio are presented.
    • A third case details a neurotic patient experiencing a reversal of autofellatio fantasy.

    Findings:

    • The reported cases, consistent with prior literature, suggest a strong association between autofellatio and psychological factors.
    • Key psychological elements identified include narcissism, dependency, and power conflicts.
    • The reversal of autofellatio fantasy in a neurotic patient highlights the complex interplay of these dynamics.

    Implications:

    • These findings contribute to a deeper understanding of atypical sexual behaviors and their psychological correlates.
    • Clinicians should consider narcissism, dependency, and power dynamics when assessing and treating individuals with autofellatio.
    • Further research is warranted to explore the developmental and psychodynamic aspects of autofellatio.

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