Wet and Messy Fetishism (WAM) is a fetishistic disorder or paraphilia in which sexual interest typically centers on the application of wet and messy substances that are deliberately and generously applied to the naked boy or to the clothes of others. Paraphilias are a group of persistent sexual behavior patterns in which unusual objects, rituals or situations are required for sexual satisfaction. Although mild forms of these conditions probably have occurred in the lives of many normal people, a paraphilic person is distinguished by the insistence and relative exclusivity with which his or her sexuality focuses on the acts or objects in question without which orgasm is often impossible.

In Wet and Messy Fetishism, messy substances such as whipped cream, mud, shaving foam, chocolate sauce, custard, oil, paint, slime, water, juice, sauce, pudding, melted icing, ice cream etc. are applied on the skin or clothes of an individual to achieve sexual excitement or gratification. The mode of using the wet and messy substances to achieve sexual excitation and gratification varies considerably, but it commonly involves kissing, fondling, tasting or smelling them. Fetishism does not normally interfere with the rights of others, except in an incidental way where the partner may have an objection to the use of such substances.

Treatment:

One of the most prominent problems in the treatment of this disorder is that most fetishists do not seek professional treatment for the condition, but rather receive it only when they have been caught in the act or on request of their sexual partner. Thus, their motivations for change may often stem from a desire to do it for someone else rather than from a genuine desire to change.

Treatments that combine cognitive and behavioral elements have been moderately successful in effecting changes in deviant arousal and behavior patterns of fetishists. Moreover, there is increasing evidence that these treatments can result in significantly reduced rates of recidivism than seen in untreated individuals.

Another key component of treatment involves techniques commonly known as aversion therapy— aversive conditioning to deviant sexual fantasies. Although early treatments tended to use electric shock as the unconditioned stimulus, in the past 15 years greater success has been found using assisted covert sensitization which involves having the patient imagine a deviant sexual arousal scene. At the point where arousal is high, the patient imagines aversive consequences and a foul odor is introduced via an open vial or an automated odor pump to help condition a real aversion to these deviant scenes.