Verified by Psychology Today. However, fetishistic arousal may become a problem when it interferes with normal sexual or social functioning, or when sexual arousal is impossible without the fetish object. According to the DSM-5, fetishistic disorder is characterized as a condition in which there is a persistent and repetitive use of or dependence on nonliving objects such as undergarments or high-heeled shoes or a highly specific focus on a body part most often nongenital, such as feet to reach sexual arousal. Only through use of this object, or focus on this body part, can the individual obtain sexual gratification. In earlier versions of the DSM, fetishistic disorder revolving around nongenital body parts was known as partialism; in the latest version, partialism was folded into fetishistic disorder. Since fetishes occur in many normally developing individuals, a diagnosis of fetishistic disorder is only given if there is accompanying personal distress or impairment in social, occupational, or other important areas of functioning as a result of the fetish.