Somnophilia and necrophilia in a woman with persistent depressive disorder and congenital amniotic band syndrome: a case report

Ahmad Tarmizi, Nur Inani and Md Rosli, Ahmad Nabil and Tengku Kamarulbahri, Tengku Mohd Saifuddin and Zakaria, Rozanizam (2026) Somnophilia and necrophilia in a woman with persistent depressive disorder and congenital amniotic band syndrome: a case report. Malaysian Journal of Medicine and Health Sciences, 22 (SUPP 4). pp. 178-181. E-ISSN 2636-9346

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Abstract

Paraphilic disorders involved persistent, intense, sexually arousing fantasies or behaviors towards non-human objects, the suffering or humiliation of oneself or others, or non-consenting individuals, which persist for at least six months and result in significant distress in functioning. Among the rarer paraphilic interests are necrophilia and somnophilia, increasingly conceptualized under the term “passivity paraphilias.” While SSRIs are considered firstline pharmacotherapy, many cases exhibit incomplete response, necessitating adjunctive options. Topiramate, an anticonvulsant with known effects on impulse control, has shown emerging promise in treating paraphilic symptoms. Here, we present a case emphasising the therapeutic role of topiramate in a woman with paraphilic interests, persistent depressive disorder, and congenital amniotic band syndrome.

Item Type:	Article (Case Report)
Uncontrolled Keywords:	Somnophilia, Necrophilia, Persistent Depressive Disorder, Topiramate, Amniotic Band Syndrome
Subjects:	B Philosophy. Psychology. Religion > BF Psychology
Kulliyyahs/Centres/Divisions/Institutes (Can select more than one option. Press CONTROL button):	Kulliyyah of Medicine > Department of Psychiatry Kulliyyah of Medicine
Depositing User:	Dr Rozanizam Zakaria
Date Deposited:	18 May 2026 16:55
Last Modified:	18 May 2026 16:55
Queue Number:	2026-05-Q3401
URI:	http://irep.iium.edu.my/id/eprint/128923

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