Fetishism usually becomes evident during puberty, and may develop prior to that. Ramachandran observed that the region processing sensory input from the feet lies immediately next to the region processing genital stimulation, and suggested an accidental link between these regions could explain the prevalence of foot fetishism. Partners may agree to incorporate the fetish into their activities in a controlled, time-limited manner, or set aside only certain days to practice the fetishism. He argued that, in certain vulnerable individuals, an emotionally rousing experience with the fetish object in childhood could lead to fetishism. None of the women's favorite fantasies had fetishistic themes. In order to be diagnosed as fetishistic disorder, the arousal must persist for at least six months and cause significant psychosocial distress or impairment in important areas of their life. Cyproterone acetate is the most commonly used antiandrogen, except in the United States, where it may not be available. According to his argument, sexual attractiveness never originates in a person as a whole but always is the product of the interaction of individual features. Definitions[ edit ] In common parlance, the word fetish is used to refer to any sexually arousing stimuli, not all of which meet the medical criteria for fetishism. He stated that nearly everyone had special interests and thus suffered from a healthy kind of fetishism, while only detaching and overvaluing of a single feature resulted in pathological fetishism. Cognitive behavioral therapists teach clients to identify and avoid antecedents to fetishistic behavior, and substitute non-fetishistic fantasies for ones involving the fetish. He speculated that the child's transitional object became sexualized. Less popular object groups focused on headwear, stethoscopes, wristwear, and diapers diaper fetishism. In , Donald Winnicott presented his theory of transitional objects and phenomena, according to which childish actions like thumb sucking and objects like cuddly toys are the source of manifold adult behavior, amongst many others fetishism.