Paraphilic infantilism is the desire to wear diapers and be treated as a helpless infant. Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition. Washington, DC, American Psychiatric Association, 2000, pg 529 (IV) or pg 286 (IIIR) One who engages in infantilistic play is known as an adult baby (AB). About one in three adult babies is also a diaper lover (DL)Thomas John Speaker, Psychosexual Infantilism in Adults: The Eroticization of Regression. Columbia Pacific University. pg 83. Available from: DPF, Sausalito, CA 94965.Section 10 - Into the Future Retrieved 2002 from http://www.geocities.com/SouthBeach/Island/5861/ds3_s10.txt, now mirrored at http://web.archive.org/web/20010424192400/www.geocities.com/SouthBeach/Island/5861/DS3_S10.txt, so they are collectively known as AB/DLsWatson, J. (2005, June 9). Baby Man, Phoenix New Times. The majority of infantilists are heterosexual malesThomas John Speaker, Psychosexual Infantilism in Adults: The Eroticization of Regression. Columbia Pacific University. pg 78. Available from: DPF, Sausalito, CA 94965..
Infantilism and diaper fetishes differ in self-image and the focus of attention. However, they can coexist in individuals and have some similarities in practice. Neither include a sexual preference for children. There is no singular, archetypical infantilism, but a range. Some fantasize about being free of guilt, responsibility, or control while others might not. Some act indistinguishably from a baby at times, while others practice in a way that would be unnoticed by passerbys on the street. The desires and tastes of infantilists vary around common themes of diapers and babyhood.
One way to describe paraphilic infantilism is to contrast it with a diaper fetish, and this contrast is most clear in fantasies. Although there is no typical AB/DL fantasy, they often fall within two extremes. One extreme involves the fantasy of being an infant or small child; adorable, sexually innocent, and powerless. The infant fantasy might involve diapers, baby clothes, and toys to help define the infant's role. In the end, the infant might drift off to sleep in a soft crib. The other extreme is the erotic lover. The lover fantasy would focus on diapers as fetish items, sexually charged objects. The lover fantasy would end in orgasm and ejaculation.
Most individuals who have these fantasies do not seek psychotherapy Stekel, W. (1952). Patterns of Psychosexual Infantilism. Washington Square Press., pg 144, ISBN 0871408406Pate J.E., Gabbard G.O. (2003). Adult baby syndrome Am J Psychiatry 160:1932–1936. According to the American Psychiatric Association, if there is significant distress or impairment for a period of over six months, paraphilic infantilism or fetishism might be diagnosed, depending on the focusDiagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision, 2000 Washington, DC, American Psychiatric Association, 2000, pp 569-570. The urges and fantasies caused by diaper fetishes focus on the diapers themselves, while infantilism focuses on becoming a baby. (Please note that many published cases are only tangentially relatedPandita-Gunawardena, R. (1990). Paraphilic Infantilism, A Rare Case of Fetishistic Behaviour. British Journal of Psychiatry. 157, 767-770Mitchell, W. (1954) Epilepsy with Fetishism Relieved by Temporal Lobectomy. Lancet. Vol. II, pp. 626-630Croarkin, P., Nam, T., Waldrep, D. (November 2004). Comment on Adult Baby Syndrome. Am J Psychiatry 161:2141 to infantilism and diaper fetishism and should not be confused with the basic paraphilias Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision, 2000 Washington, DC, American Psychiatric Association, 2000, pp 568.)
In practice, the distinction between the two is much narrower; both involve diapers and adults. Those who try to act out the infant fantasy or similar ones are called Adult Babies (ABs). This may involve adult sized diapers and baby clothes, etcBaumeister, Roy F. (1989). Masochism and Self, Lawrence Erlbaum Associates. pg 159. ISBN 0805804862.. If their partner is willing, they may engage in mother/baby roleplay. The adult baby may choose not to engage in sex while they are in the baby role, since it isn't babylike. In contrast, diaper fetishes are much more practical. They may involve adding diapers to otherwise ordinary sexual activitiesThomas John Speaker, Psychosexual Infantilism in Adults: The Eroticization of Regression. Columbia Pacific University. pg 80. Available from: DPF, Sausalito, CA 94965.. Those who do are called Diaper Lovers (DLs). Neither are adult baby practices exclusive to paraphilic infantilists, nor diaper lover practices exclusive to diaper fetishists. Many AB/DLs describe themselves as 'mostly AB' or 'mostly DL,' based on which they engage in more frequently. Those with urophilia and coprophilia may enjoy similar practices.
To quickly summarize the theoretical differences, adult babies might have paraphilic infantilism Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text-Revised. Washington, DC, American Psychiatric Association, 2000, pg 572-573. , their interests are self-image or alter-ego focused, and might refrain from sexual activities during adult baby playStekel, W. (1952). Patterns of Psychosexual Infantilism. Washington Square Press., pg 143, ISBN 0871408406. In contrast, diaper lovers might have a diaper fetish Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text-Revised. Washington, DC, American Psychiatric Association, 2000, pg 569-570. , their interests are directed at a sexual fetish object, and don't inherently involve roleplay. In practice, the differences among AB/DLs are much less well-defined.
There are many that wear diapers but are not paraphilic infantilists or diaper fetishists in the strictest sense. Their motivations and underlying mechanisms are different. However, those who share AB/DL interests and practices are generally welcome in the communities, and may sometimes be counted as AB/DLs.
A common compromise between wanting to wear diapers and needing to go about daily life is to wear diapers under normal clothing. When adult babies do so, it is in their everyday mindset, as opposed to an infantile one. A few adult babies wear diapers all the time, and may seek to develop urinary incontinence. The level of enjoyment in wearing diapers all the time is mixed, and it may have lasting effects. Other AB/DLs enjoy wearing diapers intermittently more than they would enjoy wearing them all the time.
For DLs, there are some prostitutes willing to partake in diaper play. For ABs, there are professional "adult babysitters."
Paraphilia | Sexual fetishism | Sexuality and age
Infantilisme | Infantilismus | Infantilisme | Infantilismo | Инфатилизм
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