ROBERT J. FILEWICH, PhD: A fetish is an object. Fetishism is really a disorder whereby a person is experiencing extreme difficulties in their lives because of the fact that they like these particular objects to provide for them a great deal of sexual arousal. The only way they can achieve this type of sexual satisfaction is with an inanimate object, a non-living object.
DAVID FOLK THOMAS: Ken, do you agree or disagree? Or add to that, if you like.
KEN ROSENBERG, MD: I absolutely agree.
DAVID FOLK THOMAS: Fifty points.
KEN ROSENBERG, MD: I think that what Dr. Filewich said is right on. The important point is that it interferes in your life, right? That it's not just something you like to do or you want to do, but something you have to do.
DAVID FOLK THOMAS: It's almost like there's a compulsion.
KEN ROSENBERG, MD: Absolutely. Like there's no other way to have an orgasm except with a shoe or with a bra or a stocking.
DAVID FOLK THOMAS: I mentioned in the introduction having a foot fetish. That seems to be the one everybody talks about. "This person has a foot fetish." Technically, is that a fetish, if the foot is part of a person -- it's not inanimate?
ROBERT J. FILEWICH, PhD: Technically, it's not really, truly a fetish. It's what we call a partialism, a part of the body that's an extremely important part to achieve sexual arousal. But you could actually extend it out somewhat when you talk about shoes.