When Diapers are Erotic: Investigation of 197 People with Adult-Baby-Syndrome (Autonepophilia)

Goal: Autonepophilia is a behaviour of adults in which people behave like toddlers. They wear diapers, suck on pacifiers and love it to be cared for from other people. Often an erotic component is involved and urinating into the diaper is connected with sexual arousal. Currently only a small number of studies exist about the AB/DL-syndrome (adult baby / diaper lovers). This study aimed to characterize causes in the development and typical behaviours of affected persons. Method: Data were collected in social networks and online communities for adult baby / diaper lovers. A sample of 184 male and 13 female participants with AB/DL behaviour was recruited and compared with a not-affected control group (158 male and 13 female). Primarily a questionnaire was used, which was developed to collect data about this syndrome by the authors. In addition the elements of the „Giessen-Test-II“ (GT-II, Beckmann et al.) and the „Need Inventory of Sensation Seeking“ (NISS, Hamelstein et al.) were used. Results: Data support a psychodynamic, behavioural and biopsychological explanation for AB/DL behaviour. Predisposing factors were the absence of a secure attachment object, lower stimulation in the anal stage, associations between infant care and first sexual arousal, enuresis and testosterone deficiency. The main motive was the reduction of stress and tensions. In contrast to the short excitement, in a long term practicing of AB/DL led to strong feelings of humiliation and shame. Moreover, AB/DL affected individuals had fewer, shorter and poorer-qualities of partnerships compared to the control group. No significant differences were found with respect to the expression of docility or sensation seeking. Conclusion: The study shows evidence of a psychodynamic explanation for the Adult Baby Syndrome. The absence of a safe attachment object and understimulation in the anal phase of development were identified as possible predisposing factors. In combination with the fact, that AB/DL sufferers more often come from divorced and adoptive families, it can be assumed that the origin of this behaviour is in the external circumstances of childhood and youth.