Piquerism: A Rare and Dangerous Paraphilia

Piquerism, derived from the French word piquer meaning “to prick,” is a rare paraphilia that involves sexual arousal from penetrating another person’s skin with sharp objects. This can range from seemingly minor acts, such as pricking with pins, to far more severe cases involving razors, knives, or other piercing tools. The behavior is closely associated with sadism, as it involves deriving pleasure from inflicting pain or injury, and can pose serious risks to both the victim and the individual engaging in it.

The most commonly targeted body areas are the breasts, buttocks, and groin—regions often linked with heightened sexual sensitivity. In mild scenarios, a small puncture, such as sticking a pin into the skin, may be enough to provide gratification. However, in extreme cases, repeated or deep penetration can result in permanent injury, disfigurement, or even death. Such cases are sometimes documented in forensic psychiatry, particularly when linked to violent crimes or serial offenders.

Almost any sharp object can be used, ranging from everyday items like scissors, nails, and pens to more specialized tools such as medical needles. Some individuals display strong preferences, insisting on specific instruments that heighten their arousal, such as a certain type of blade or disposable syringe.

Because of the dangers involved, piquerism is not only considered a paraphilia but also a public health and safety concern when acted upon without consent. Research suggests it is exceedingly rare, but when it surfaces, it may overlap with other psychiatric conditions, including sadomasochistic tendencies or antisocial behavior.

Modern clinical approaches stress the importance of distinguishing consensual role-play within BDSM communities from pathological piquerism, which is typically non-consensual and harmful. Therapy, including cognitive-behavioral treatment and psychiatric evaluation, is recommended for individuals struggling with compulsive urges. While piquerism remains one of the lesser-known paraphilias, its risks underscore the need for awareness, professional intervention, and clear boundaries between fantasy and dangerous reality.
Piquerism: A Rare and Dangerous Paraphilia