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In feminization transformation the development of a fetish lifestyle is of prime importance to the life altering behavior modification techniques of emasculation employed in forced feminization.

The submissive male undergoing feminization transformation developes a reliance upon crossdressing in intimate feminine apparel and having his flaccid penis encased in a latex rubber surgical glove to attain sexual gratification when induced to ejaculate.

Other important items is inducing impotence with the insertion of a latex rubber catheter. This technique is known as penis chastisement and causes temporary psychological erectile dysfunction. While suffering the effects of impotence with Penis Chastity, the feminized male can be sexually aroused by the intimate feminine scent derived from panty sniffing.

All these items play an important role in the development of a fetish lifestyle for the femininzed male. His sexual fulfillment is dependent upon feeling the latex rubber glove encased around his flaccid penis and will cause an erection and he'll end up with an erect penis. Hence, he developes a fetish lifestyle for latex rubber.

Crossdressing in feminine lingerie will cause the development of a fetish lifestyle for wearing such items as nylon pantyhose, garterbelts with nylon stockings, and panties made of satin.

A sexual fetish lifestyle, or erotic fetish, is the sexual attraction to materials and objects not conventionally viewed as being sexual in nature. The term was first introduced by Alfred Binet, the psychologist better known for inventing IQ testing. A fetish lifestyle is diagnosable as a paraphilia in the DSM and the ICD, but only if the fetish lifestyle causes significant sexual arousal for the person or has detrimental effects on important areas of their life. Many people embrace their fetish lifestyle rather than seek treatment to attempt to be rid of them. Body parts may also be the subject of sexual fetish (also known as partialism) in which the body part preferred by the fetish lifestyle takes sexual fulfillment over the owner. Sexual fetish lifestyle is not regarded as a disorder of sexual preference and is an enhancing element to relationships and dating.

Modern psychology assumes that a fetish lifestyle either is being conditioned or imprinted or the result of feminization transformation. But also physical factors like brain construction and heredity are considered possible explanations. In the following, the most important theories are presented in chronological order.

In his article 'Transitional objects and phenomena', Winnicott says about a fetish lifestyle: "Fetish can be described in terms of a persistence of a specific object or type of object dating from infantile experience in the transitional field, linked with the delusion of a maternal phallus" (Winnicott, 1953). In other words, a specific object or type of object, dating from an experience during the period where the mother gradually pulls back as an immediate provider of satisfaction of the child's desires, persists as a characteristic in adult sexual gratification.

Behaviorism traced fetish lifestyle back to classical conditioning and came up with numerous specialized theories. The common theme running through all of them is that sexual arousal and the fetish object are presented simultaneously causing them to be connected in the learning process. This is similar to Binet's early theory, though it differs in that it specifies association to classical conditioning and leaves out any judgment about pathogenicity. The super stimulus theory stressed that a fetish lifestyle could be the result of generalization. For example, it may only be shiny skin that sexually aroused a person at first, but in time more common stimuli, such as shiny latex rubber, may have the same effect. The problem with such a theory was that classical conditioning normally needs many repetitions, but this form would require only one. To account for this the preparedness theory was put forward; it stated that reacting to an object with sexual arousal could be the result of an evolutionary process, because such a reaction could prove to be useful for survival. In pointing to how life altering behavior modification can persist over time, one may cite how, in 2004, when quails were trained to copulate with a piece of terry cloth, their conditioning was sustained through ongoing repetition.

Most of the sexual arousal orientations popularly called a fetish lifestyle are regarded as normal variations of human sexuality by psychologists and medical doctors. Even those orientations that are potential forms of fetish are usually considered unobjectionable as long as all involved persons feel comfortable. Only if the diagnostic criteria presented in detail below are met is the medical diagnosis of fetish justified. The leading thought is that a fetish is not ill only if he or she suffers from the addiction, not simply because of the addiction itself.

Most of the material on fetish lifestyle is in reference to heterosexual men who crossdress, with most of the objects of the fetish being high-femme items such as lingerie, hosiery, and heels.

However, the visual map of a fetish linked below flags several clusters as having a number of women admirers, such as corsetry and some of the medical-related fetish. The preferences of a woman fetish lifestyle are not necessarily a mirror image of those of male fetish; just because many men are attracted to women in high heels does not necessarily mean there are many women attracted to men in construction boots.

Fetish fashion is a type of clothing usually created to be extreme or provocative. These styles are not usually worn by the majority of people on any regular basis. They are usually made of materials such as leather, latex rubber, nylon, PVC, spandex and fishnet. Some fetish fashion items include: stiletto heel shoes and boots (most notably the ballet boot), hobble skirts, corsets, collars, full-body latex rubber catsuits, stockings, miniskirt, crotchless panties, garters and stylized costumes based on more traditional outfits, such as wedding dresses that are almost completely see-through lace.

Fetish fashions are sometimes confused with costuming, because both are usually understood to be clothing that is not worn as the usual wardrobe of people, and is instead worn to create a particular reaction. This leads to sexual arousal which leads to sexual gratification, hence, the development of a fetish lifestyle.

Fetish fashions are usually considered to be separate from those clothing items used in cosplay, whereby these exotic fashions are specifically used as costuming to effect a certain situation rather than to be merely worn; such as the creation of a character for picture play. However, sometimes the two areas do overlap. For example, in Japan, many themed restaurants have waitresses who wear costumes such as a suit made of latex rubber or a stylized French maid outfit.

Some type of garments that women wear to routinely improve their appearance are thought of as erotic and qualify as fetish wear: corsets and high heels. Most fetish wear is not practical enough for routine daily wear. A very common fetish costume for women is the dominatrix costume. Usually it consists of mostly dark of even black clothing. The woman usually wears a corset or bustier and nylon stockings with high heeled footwear. High boots are quiet common as they enhance the woman's domination. Most women in dominatrix costumes carry an accesory such as a whip or a riding crop.

Fetish fashion has no specific origin point because certain fashions that were appreciated specifically for themselves or worn as part of a specific subculture have been noted since the earliest days of clothing. Some argue that the use of corsetry and hobble skirts back in the late 1700s was the first mainstream note of fetish fashions, because the majority of society did not have access to these articles. These items were specifically appreciated for themselves (i.e. the person liked the woman wearing the corset rather than just the woman by herself).

However, others argue that what is termed as fetish fashions started with the leather-wearing culture of the homosexual London, England underground after World War II. During this period, the homosexual men who began to use the rarely-used leather clothing items were doing so publicly and in large-order as identification and separation from the norm. Perhaps more importantly, the leather clothing items were being appreciated for themselves, and not just for their functional use. However, others argue that this identification is too restrictive, and that fetish fashion includes more than just leather.

The leather subculture later became more mainstream in the British 1960s due to the influence of rock musicians such as the Rolling Stones and the Who, and television performers such as the female lead in The Avengers, who wore full body leather catsuits and full limb-covering leather and latex rubber surgical gloves and boots.

Many fashion designers incorporate elements of the fetish subculture into their creations or directly create products based on elements that are not accepted by the mainstream. Malcolm McLaren and Vivienne Westwood created several restrictive BDSM-inspired clothing items for the 1970s punk subculture; in particular bondage trousers, which connect the wearer's legs with straps. The more recent fetish clothing makers Torture Garden Clothing, Vex Latex Rubber Clothing and Madame S of California focus on using latex rubber and leather as the base material for their creations, rather than as an accessory.

When the partners wear fantasy costumes as a sexual arousal fetish lifestyle they also embrace the different personalities instead of their own. The costumes range from classical attire, as in ancient Greek times, to present day firemen. Many times both partners decide what they want to be, and prepare a rough plot of their locality and shop for their attire and plan for a place and time where they would not be disturbed by others. Sometimes one partner surprises the other by suddenly appearing in a fantasy costume and the rest of the time goes based on their participation. When one partner is more active, usually he or she performs erotic dancing or speaks erotic dialogue as part of the fantasy. See role playing below.

A very common fetish costume for women is the dominatrix costume. Usually it consists of mostly dark or even black clothing. The woman usually wears a corset or bustier and nylon stockings with high heeled footwear. High boots are quite common as they enhance the woman's domination. Most women in dominatrix costumes carry an accessory such as a whip or a riding crop.

Scent plays an important role in a fetish lifestyle. The intimate feminine scent from sniffing soiled panties while being finger-fucked by a woman wearing a latex rubber surgical glove causes sexual arousal and a dependency upon the Latex Rubber Gloves when a male is induced to ejaculation. The finger-fucking itself will develope a fetish lifestyle as the feminized male has his flaccid penis encased in a latex rubber surgical glove to induce sexual arousal and sexual gratification when he is induced to ejaculate.

Being induced to ejaculate with a flaccid penis is known as premature ejaculation. This is the favored method of providing sexual fulfillment to a feminized male undergoing feminization transformation.