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Two years later in the Archives of Sexual Behavior, Evcimen and Gratz reported the case of a 25-year-old male who wished to be a 10-year-old girl, although it is debatable whether this case would really be classed as infantilism.

Among the referred events, enuresis was the most frequently reported.

In our study, out of 38 participants, seven had directly linked the genesis of ABDL fantasies to infantile enuresis.

Considering Italian members of the ABDL online community, it is possible to affirm that the first ABDL fantasies appeared at about 11 years old, while the first behaviours appeared at about 19 years old.

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Furthermore, given that, in the literature, ABDL phenomena were present in psychopathological disorders, such as depression [] and obsessive-compulsive disorder [], we wanted to obtain an evaluation of the main clinical problems most frequently encountered in clinical practice.

Data confirmed the association between ABDL practices and the quality of the early parental relationship, showing that ABDL behaviours were more frequent in adults with an anxious attachment or negative parental relationships [,].

Washington DC: American Psychiatric Association.

She suffered from Guillain-Barre Syndrome a disorder affecting the peripheral and had been a paraplegic since the age of 13 years following a complication from a tracheotomy.

Medical Journal of Australia, 2, 208-209.