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Coprophilia, also known as Scatophilia or Scat, was in the headlines this week after NFL star Odell Beckham Jr. was accused of being sexually arousal by bowel movements.

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The 27-year-old Cleveland Browns wide receiver trended on Twitter after adult film star Slim Danger, who shares a child with rapper Chief Keef, went on a podcast and accused the football star of having an obsession with watching people defecate or being defecated on.

A morbid attraction or fetish for the smell, taste or sight of feces is a paraphilia often associated with obsessive-compulsive disorder.

The paraphilia begins in childhood when toddlers take pleasure in holding or retaining and then expelling their stool or urine.

Coprophilia can be reinforced by masturbation and may become a fetish by age 17.

Each time masturbation reinforces the coprophilia, it becomes more difficult to modify or erase the behavior.

This can cause significant stress and anxiety or impairment of social or occupational functioning in men, according to Psychology Today.

The disorder is rare and impacts 20 times more males than females. Women tend to be repulsed by the odor of excrement.

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Most men with the disorder hide their fetish in more traditional sexual activity with women. They may prefer that women use straps on them during sex. The man will usually forego the use of enemas to evacuate his bowels before sex.

Coprophilia, or Scatophilia, is largely ignored in psychology. Any literature on the subject groups it in with other paraphilias such as necrophilia or pedophilia.

“People with paraphilia seem to have grown up in dysfunctional environments and to have had early sexual experiences that limited their ability to be sexually stimulated by consensual sexual activity,” according to the text Human Sexuality.

Paraphilias are treated with counseling and therapy to help men cope with their anxiety and modify their behavior. But most men with the disorder never self-report and tend to hide their shame.

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