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Open in a separate window Sexual Gratification Sexual gratification is commonly reported by patients and accepted by clinicians as the reason for autoerotic or consensual sexual acts involving the insertion of foreign objects into the erogenous zones of the urethra, 23 , 24 , 28 — 30 vagina, 31 or rectum. Psychoanalysts have long observed that psychosexual energy libido can become invested in actions that do not lead directly to orgasm, such that some behaviors may be primarily reinforced by a compelling emotional payoff that has become layered upon a secondary outcome of orgasm, or occurs in the absence of orgasm. A deeper understanding of the patient's situation may also distinguish between nonpathologic sexual preferences and the paraphilic disorders. When a patient's sexual history reveals a pattern of recurrent behaviors, fantasies, or urges involving nonhuman objects that causes significant distress or functional impairment, a paraphilic disorder fetishism may be diagnosed. Such behavior can take the form of foreign body insertion eg, 76 needles and hair pins self-inserted under the skin of a woman's arms, head, and neck, which required surgical excision, 36 or straightened paper clips inserted into the forearm Suicide Attempt Suicide attempts by foreign body insertion usually involve oral ingestion of toxic solids eg, batteries or sharp objects such as pins.
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Selected References These references are in PubMed. This may not be the complete list of references from this article. Biochemistry and regulation of a second L-proline transport system in Salmonella typhimurium. Purification and characterization of a glycine betaine binding protein from Escherichia coli. Regulation of envelope protein composition during adaptation to osmotic stress in Escherichia coli. Regulation of Tn5 transposition in Salmonella typhimurium. Salmonella typhimurium proP gene encodes a transport system for the osmoprotectant betaine.
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