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Exhibitionism

Public exposure of intimate body parts

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Such a display may be innocuous: to friends, acquaintances or strangers for their amusement or sexual satisfaction. It may also be to a bystander to shock them. In the latter case it classically involves men showing themselves to women and goes by legal terms such as indecent exposure or exposing one's person.

Psychologists and psychiatrists are solely concerned with this case and speak of an "exhibitionistic disorder" rather than just "exhibitionism". This is specifically an uncontrollable urge to exhibit one's genitals to an unsuspecting stranger. It is an obsessive-compulsive paraphilic pathology requiring psychiatric treatment.

Psychological aspects

The term exhibitionist was first used in 1877 by French physician and psychiatrist Charles Lasègue. Various earlier medical-forensic texts discuss genital self-exhibition, however.

As observed in males, the largest demographic of exhibitionists, exhibitionism is associated with psychiatric comorbidity and impairment, including though not limited to, depression, psychopathy, psychosis, autism spectrum disorders, and substance abuse. Exhibitionism is also associated with higher rates of singleness, high pornography consumption, frequent masturbation, sexism, and narcissism.

When performed on a non-consenting person or a recurrent interference with quality of life or otherwise normal functioning, exhibitionism can be diagnosed as exhibitionistic disorder in the Diagnostic and Statistical Manual of Mental Disorders, fifth edition (DSM-5). The DSM reports the possible prevalence for exhibitionistic disorder in men as 2-4% maximum. It is thought to be less common in women.

In a Swedish survey, 2.1% of women and 4.1% of men admitted to becoming sexually aroused from the exposure of their genitals to a stranger.

A research team asked a sample of 185 exhibitionists, "How would you have preferred a person to react if you were to expose your privates to him or her?" The most common response was "Would want to have sexual intercourse" (35.1%), followed by "No reaction necessary at all" (19.5%), "To show their privates also" (15.1%), "Admiration" (14.1%), and "Any reaction" (11.9%). Only very few exhibitionists chose "Anger and disgust" (3.8%) or "Fear" (0.5%).

A study conducted in Hong Kong among people who self-identified as perpetrators of sexual assault found that exhibitionists and zoophiles are less likely to commit sexual assault by contact or rape than those who suffer from voyeurism, frotteurism, or scatophilia. According to another study, serial sex murderers have different profiles from those who have committed a single sexual homicide. Both groups often have personality disorders, but serial sex murderers are distinguished by a higher prevalence of narcissistic, schizoid, or obsessive-compulsive traits. They are also more likely to exhibit paraphilic behaviors such as masochism, sexual fetishism, pedophilia, exhibitionism, or voyeurism.

Exhibitionism, understood as self-promotion, is a fundamental driving force in human psychological life. When expressed constructively through sociability, creativity, volunteering, performance, or public responsibility, this dynamic promotes personal fulfillment and collective creativity. From this perspective, exhibitionism can be seen as a driving force, capable of connecting individuals and stimulating research. The forms this exhibition takes vary according to the individual and the circumstances, but could all unconsciously refer to a quest for recognition. Scenes of exhibitionism, whether they arise from dreams, fantasies, theater, aggression, or media culture, function as small dramatic devices in which issues of identity and sometimes deep suffering can be replayed.

Causes

Exhibitionism is compulsive behavior and, as such, is one of the possible symptoms of childhood sexual abuse. It can be linked to traumatic behaviors and traumatic sexualization. Neglect and trauma during childhood, particularly sexual trauma, are strongly linked to the development of paraphilias, of which exhibitionism may be one form. This traumatic conditioning can lead exhibitionist women or men to prostitution or sex shows.

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