Less commonly, some people also get sexual pleasure from the giving of enemas to other people. Typically, it is warm water that is used to clean the lower rectum although other substances have been reported including coffee, yogurt, air, whisky, wine, beer, cocaine , epoxy resin and even cement see case study below.
Published research on klismaphiliacs is rare and it is thought that most klismaphiliacs keep their engagement in this activity very secret. The little research into klismaphilia suggests that the act of receiving enemas can cause intense stimulation and produce pleasurable sensations e. Enemas cause mechanical distension of rectum that then cause stimulation of nerve endings supplying the pelvic organs i. Typically, klismaphiliacs retrospectively report discovering these very particular sexual desires after being given enemas sometime in their childhood.
Published case studies suggest that klismaphilia ost likely arises in those children who received them as children by a loving and affectionate mother. This association of loving attention with anal stimulation may eroticize the experience for some people so that as adults they may manifest a need to receive an enema as a substitute for or necessary prerequisite to genital intercourse.
Following the publication of her two case studies, Dr Joanne Danko published a study in the mids on 15 klismaphiliacs. Based on these limited data, she concluded that klismaphiliacs comprised one of three groups she labeled Type A, Type B and Type C. These individuals were unhappy, believed their klismaphilic behaviour as abnormal, and kept the behaviour compartmentalized. The behaviour originated in childhood and the enemas were usually self-administered. Some of the cases in this group also engaged in other paraphilic behaviour e.
These individuals were similar to Type A individuals, but accepted the condition and were more likely to engage in klismaphilia with their sexual partner. These individuals engaged in multiple paraphilic behaviours with other similar like-mined individuals, and their klismaphilia was integrated with a range of other praphilic behaviours e.
Back in , the American sexologist Dr William Arndt placed advertisements in sex magazines to recruit klismaphiliacs. He managed to survey 22 individuals all males except for one female and aged 25 to 54 years. They typically engaged in enema use twice a week and half of the klismaphiliacs reported the enemas were self-administered. In a American Journal of Psychotherapy paper, Jeremy Agnew provided a physiological perspective on klismaphilia concentrating on the ritualization of insertion, filling, and expulsion components.
He compared the physiological similarities between rectal stimulation and vaginal intercourse and said that the behaviour was reinforcing. This observation—taken together with the work of Dr. In a later paper, Agnew also noted that some individuals receive such extreme pleasure from the practice that they reach orgasm.
He also links klismaphilia with sadomasochistic activities. Accidental rectal trauma and the lodging of foreign bodies in the gastrointestinal tract have been widely reported in the medical literature. They wrote about a young man who turned up at the hospital complaining of rectal pain.
Upon further questioning, the patient revealed that four hours earlier, he and his boyfriend had been "fooling around" and that after stirring a batch of concrete mix, the patient had laid on his back with his feet against the wall at a 45 degree angle while his boyfriend poured the mixture through a funnel into his rectum.
The concrete had set and was eventually removed. On removal, a ping-pong ball was also found. The reason a ping-pong ball was also found in the rectum was because klismaphiliacs use the ball as a plug to promote retention and increase stimulation.
The use of such a device suggests the person was an experienced klismaphiliac. References and further reading Agnew, J. American Journal of Psychotherapy, 36, — Venereology, 13 2 , Arndt, W. Gender disorders and the paraphilias. A case of autoerotic asphyxia associated with multiplex paraphilia. American Journal of Forensic Medicine and Pathology, 12, 64— Enema as a sexual preference.
American Journal of Psychotherapy, 27, — Amplification of the erotic enema deviance. American Journal of Psychotherapy, 30, — Rectal Impaction With Epoxy Resin: Journal of Gastrointestinal Surgery, 9, — Stephens, P. Rectal impaction following enema with a concrete mix. American Journal of Forensic Medicine and Pathology, 8, —