Multiplex versus multiple taxonomy of paraphilia: Case example

Gregory K. Lehne, John Money

Research output: Contribution to journalArticlepeer-review

14 Scopus citations


Several different paraphilias are presently diagnosed in some individuals whereas a more parsimonious taxonomy would be that of one multiplex paraphilia. A multiplex paraphilia may be expressed by variations of content at different times in an individual's life or in different situations. The present case example shows the unfolding of a multiplex paraphilia over a lifetime. At age 7 the subject was dressed in public as a girl wearing a diaper as a humiliation for bed-wetting. This experience had 3 paraphilic components that were separately manifested at different times in his life: fetishistic transvestism, pedophilic incest, and infantilism. A multiplex paraphilia taxonomy may lead to improved identification of etiology, prognosis, and treatment of paraphilia.

Original languageEnglish (US)
Pages (from-to)61-72
Number of pages12
JournalSexual Abuse: Journal of Research and Treatment
Issue number1
StatePublished - Jan 2003


  • Incest
  • Infantilism
  • Paraphilia
  • Transvestism

ASJC Scopus subject areas

  • Psychology(all)
  • Psychiatry and Mental health


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