The essence of this violation of sexual behavior lies in the occurrence of an orgasm in the subject only under the influence of irritation of his genital organs with the lips and (or) tongue of the sexual partner. This phenomenon must be distinguished from oral-genital caresses, which are one of the sexual stimuli in the process of normal sexual life. Undoubtedly, it is the experience of such caresses that is the fundamental basis for the likely future formation of oralism, and the mechanism of its formation is generally similar to that in pathological autoeroticism. That is, it is based on the gradual consolidation (“coding”) of this type of sexual arousal, followed by the replacement of ordinary sexual contacts with oral-genital ones, as the most effective way for this subject to achieve sexual satisfaction.
It is necessary to prevent the unambiguous assignment of oralism to the category of sexual pathology (including partner pathology), since in many respects it meets the mutual needs of partners and does not create any sexual problems for them. However, in a number of cases, the positions of partners on this matter diverge, which gives rise to conflicts.
In practice, a sexologist encounters oralism as a problem in the following situations:
- oralism as a source of conflicts between partners or as the root cause of the development of a sexual inadequacy complex;
- oralism as a source of deviant sexual behavior (for example, pedophilic or zoophilic);
- oralism as a source of homosexual behavior. In the later case, such behavior may be caused by the unsatisfied need for oral-genital contacts during heterosexual relationships, i.e. in this situation, the satisfaction of sexual needs by homosexual means is substitutive. In more rare cases, such behavior is due to the manifestation of hidden or suppressed homosexual tendencies. At the same time, oralism can become a starting point in the development of a homosexual orientation of sexual desire.