Dean finds it impossible to reach orgasm unless he is holding and kissing a woman's shoe. This problem is a paraphilia known as

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Dean's sexual arousal and orgasm are dependent on a specific object, which is the woman's shoe. This behavior is categorized as fetishism, which is a type of paraphilia. Pedophilia is sexual attraction towards prepubescent children, frotteurism is sexual arousal by touching and rubbing against non-consenting individuals, and transvestic fetishism is sexual arousal through cross-dressing. None of these paraphilias align with Dean's behavior of needing a shoe to reach orgasm.

Dean Finds It Impossible to Reach Orgasm Unless He Is