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The Clinical Mental Health Experience of Persons with Paraphilic Infantilism and Autonepiophilia. A phenomenological research study - Appendix C
Appendix C of The Clinical Mental Health Experience of Persons with Paraphilic Infantilism and Autonepiophilia. A phenomenological research study, a doctoral dissertation by Dr. Rhoda J. Lipscomb, PhD, LPC, DAACS, BCPC. It is also available in
PDF.
Background Information
- Age ___
- Gender
- Male
- Female
- Transgendered
- Marital status
- Single – never married
- Living with partner
- Married
- Separated
- Divorced
- Widowed
- Level of education
- Did not graduate high school or GED
- High school diploma/GED
- Some college
- Associate’s degree
- Bachelor’s degree
- Master’s degree
- Doctorate/advanced degree
- Trade/technical certification
- Other ______________________
- State you live in: ___________________
- Occupation: ___________________________
- Sexual orientation
- Primarily with women
- Exclusively with women
- Primarily with men
- Exclusively with men
- A mix of men or women
- Solitary sex, no desire for partner
- Which of the following sexual behaviors
have you engaged in?
- Bondage. Receive ___ or Give___
- Domination ___ submission ___
- Spanking. Receive ___ or Give ____
- Watersports. Receive ___ or Give____
- Fetishes for particular items (describe
and
list) ___________________________________________________________________
- Preferences for specific parts of a
partners body ___________________________________________________________________
- Pain. If yes, receiving ____ or
inflicting_____
- Public exposure: ________
- Voyeurism. Prefer to watch men ___
women ___ both___
- Humiliation. If yes, receiving ____ or
inflicting ____
- Pornography. If yes, is there a
particular type of porn you
prefer__________________________________________
- Age play. If yes, do you prefer to
role-play ___ or regress ___ and what age or ages do you prefer to
role-play/regress to? _________
- Other:
___________________________________________________________________
- As a child did you experience physical,
emotional, sexual or other kinds of abuse? If yes,
- Physical
- Emotional
- Sexual
- Neglect
- Other _______________________
- At what age were you potty trained?
___________ Don’t remember ___
- After becoming potty trained did you:
- Need to wear diapers during the day
- Need to wear diapers at night
- No diapers, yet accidents during the
day
- No diapers, yet accidents at night
- Don’t remember
- At what age do you remember feeling a
desire to wear diapers after no longer needing them _______________
- When you discovered you enjoyed wearing
diapers was the feeling:
- Erotic & sexually arousing
- Confusing
- Fearful
- Embarrassing
- Other. Please describe
___________________________________________________________________
- Did you reach puberty
- Earlier than your peers
- About the same time as your peers
- Later than your peers
- Don’t remember
- At what age did you reach your first
orgasm _____ Don’t remember ____
- Did anyone discover your secret
regarding wearing diapers? ____ If yes, how did they react?
___________________________________________________________________
- Once you began wearing diapers for
sexual arousal, how often did you
- Wear them _______________
- Fantasize about wearing them
_____________________
(multiple times a
day, once a day, weekly, monthly, or longer period)
- During this time did you have other
sexual fantasies that did not include diapers/age play? ____ If
yes, did most fantasies:
- Involve diapers/age play
- Involve typical sexual behaviors with a
female
- Involve typical sexual behaviors with a
male
- Involve typical sexual behaviors with
either
- Involve other types of atypical sexual
behaviors. Please list:
__________________________________________________
- What percentage of sexual fantasies
during the ages of 10 to 20 years involved diapers/age play?
- Less than 10%
- 10 - 25%
- 25 - 50%
- 50 – 75%
- 75 – 100%
- In your youth were you ever sexual with
a partner? ____ If yes,
- Were diapers/age play involved? ____
- Did you need to fantasize about
diapers/age play to become aroused? _____
- Were your early sexual experiences with
a partner
- Mostly positive
- Mostly negative
- Neutral
- As a child/teen when you engaged in ABDL
activities did you:
- Engage only alone in the privacy of
your home
- Engage with a consenting friend/lover
in private
- Surprise a friend/lover by dressing in
diapers without their prior knowledge
- Go outside of your home in a
diaper/baby clothes
- As a child/teen did you ever wear
diapers or use baby items to:
- Feel better
- Soothe yourself
- Help you sleep
- Any other childhood/teen experiences
related to your diaper/age play fetish that you think is important
for this study to know:
___________________________________________________________________
Current Information
This section is related to actual experience
in your adult life with diapers and age play. Definition: Rarely –
less than once a year; Sometimes – 1-10 times per year; Often –
1-20 times per month
Do you…? | Never | Rarely | Sometimes | Often | Daily |
Wear
diapers | ____ | ____ | ____ | ____ | ____ |
Wear plastic/rubber
pants | ____ | ____ | ____ | ____ | ____ |
Use a rubber
sheet | ____ | ____ | ____ | ____ | ____ |
Wet diapers during
the day | ____ | ____ | ____ | ____ | ____ |
Wet diapers at
night | ____ | ____ | ____ | ____ | ____ |
Soil/defecate in
diapers | ____ | ____ | ____ | ____ | ____ |
Masturbate in
diapers | ____ | ____ | ____ | ____ | ____ |
Nurse from
breast | ____ | ____ | ____ | ____ | ____ |
Nurse from a
bottle | ____ | ____ | ____ | ____ | ____ |
Use
pacifier | ____ | ____ | ____ | ____ | ____ |
Wear
bib | ____ | ____ | ____ | ____ | ____ |
Eat baby
food | ____ | ____ | ____ | ____ | ____ |
Sleep in a
crib | ____ | ____ | ____ | ____ | ____ |
Use high chair or
playpen | ____ | ____ | ____ | ____ | ____ |
Play with doll/teddy
bear/blocks | ____ | ____ | ____ | ____ | ____ |
Use baby
powder | ____ | ____ | ____ | ____ | ____ |
Use baby
oil | ____ | ____ | ____ | ____ | ____ |
Use baby
lotion | ____ | ____ | ____ | ____ | ____ |
Use diaper rash
ointment | ____ | ____ | ____ | ____ | ____ |
Use
wet-wipes | ____ | ____ | ____ | ____ | ____ |
Wear
onesie | ____ | ____ | ____ | ____ | ____ |
Wear baby
sleeper | ____ | ____ | ____ | ____ | ____ |
Watch AB/DL
porn | ____ | ____ | ____ | ____ | ____ |
Watch other types of
fetish porn | ____ | ____ | ____ | ____ | ____ |
Watch typical/non
fetish types of porn | ____ | ____ | ____ | ____ | ____ |
Engage in sex play
with a partner while in diapers | ____ | ____ | ____ | ____ | ____ |
Engage in sex play
with a partner without diapers | ____ | ____ | ____ | ____ | ____ |
Engaged in bondage as
part of sex play | ____ | ____ | ____ | ____ | ____ |
Enjoyed being
submissive to a partner | ____ | ____ | ____ | ____ | ____ |
Engage in other
fetishes (list) ________________________________________________________________ |
| ____ | ____ | ____ | ____ | ____ |
- Who participates with you in your age
play/diaper practices?
- No one
- Spouse
- Lover
- Non-sexual friend
- Dominatrix/sex worker
- Other __________________
- Would you rate your age play/diaper
fetish interests as weaker than, equal to, or greater than your
interests for typical sexual interactions?
___________________________
- At any time do you enjoy/fantasize about
urination or defecation in a diaper?
_____________________________________________________
- The main reason you engage in age
play/diaper fetish activity is:
- I cannot help it
- I prefer and enjoy it
- I am required to do so by another for
discipline/punishment
- Other _____________________________
- Do you find wearing diapers sexually
arousing?
- Always
- Most of the time
- Occasionally
- Never
- Are you currently involved in a sexual
relationship? _________
- Does your partner participate in your
age play/diaper activities?
- Never. They do not know about them
- Never. They know, and prefer not to
participate
- Never. They know, and prefer I do it with
someone else
- Sometimes. They enjoy it too
- Sometimes. They don’t “enjoy” it
yet do it because I like it
- Sometimes. They participate begrudgingly
- Has your enjoyment of age play/diapers
ever caused problems for you?
- Yes in my personal life
- Yes in my career
- Yes in my romantic relationships
- Yes in all of the above
- No in my personal life
- No in my career
- No in my romantic relationships
- No in all of the above
- In age play/diaper play are you:
- Always the adult role
- Usually the adult role
- Always the baby role
- Usually the baby role
- Can play either role
- How much money have you spent in the
past 12 months on items such as diapers, baby clothes, supplies,
professional services? __________________
- Have you ever used the services of a
professional dominatrix or sex worker? _______ If yes, how many
times? _______
Mental Health Issues
- Within the larger fetish community, how
well accepted do you feel by others with different fetishes/kinks
when they discover you engage in age play/diaper fetishes?
- Well accepted
- Moderate acceptance
- Neutral
- Some disapproval
- Little acceptance
- Of those people in the non-fetish
community, how well do you feel accepted when people learn of your
fetish?
- Well accepted
- Moderate acceptance
- Neutral
- Some disapproval
- Little acceptance
- I have never told anyone
- If you have had negative experiences
with in the fetish community or the non-fetish community, how has
this affected your self-esteem/sense of self?
- My self-esteem is not affected
- There is some affect to my self-esteem
- There is a moderate affect to my
self-esteem
- There is a significant affect to my
self-esteem
- I feel terrible about myself for having
this fetish
- Have you ever sought out counseling or
therapy services? _____ If yes, was it related to your age
play/diaper fetish issues? ______
- If you engaged in counseling or therapy
services for what areas did you seek help?
- (check all that
apply)
- Dealing/understanding
my age play desires
- Dealing/understanding
my diaper fetish desires
- Difficulty in a
relationship
- Depression
- Anxiety
- Anger management
- Self-esteem
- Looking for a
“cure” to my age play or diaper fetish
- Non-fetish
sexual issues
- Difficulty with
school/work
- Other
______________________________________________________
- How long were you in therapy before you
told your therapist about your age play/diaper fetish desires?
____________________________
- How did your therapist react?
- With judgment
- With disgust
- With curiosity
- Was he/she unaware this existed
- Was he/she knowledgeable
- Was he/she compassionate
- Was he/she understanding
- Was he/she attempting to fix/cure you
- Other reaction
___________________________________________________________________
- If no, what has caused you not to seek
therapy services?
- I felt no need
- I was afraid the therapist would judge me
- I was afraid the therapist would try to
take away the fetish I enjoyed
- I wanted to address issues such as
depression, anxiety, self-esteem, yet feared the therapist would
tell me my fetish is what caused them and just give me drugs
- I heard horror stories from other fetish
friends about bad experiences with therapy
- I had my own bad experiences with therapy
- What I read in psychology classes or
literature was so negative I was afraid to go
- Other
_________________________________________________________
- If you were to seek out therapy, what
would be the ideal therapeutic approach to best help you?
___________________________________________________________________
___________________________________________________________________
-
- What other questions that have not been
covered by this questionnaire do you believe would be important to
be asked in order to give a better understanding to the mental
health community?
___________________________________________________________________
___________________________________________________________________
- Are there other people you know in the
ABDL community who you think would be a good candidate and willing
to participate in this study? If so, would you be willing to pass
on the contact information (phone number or email address) so they
can make contact?
___________________________________________________________________
Dissertation: 2014| HTML conversion: 14 September 2014
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This work is copyright Dr. Rhoda J. Lipscomb, PhD, LPC, DAACS, BCPC, posted by permission. Dr. Lipscomb can be reached at .