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Hallucination
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=== Sexual === Sexual hallucinations are the perception of [[Erogenous zone|erogenous]] or orgasmic stimuli. They may be unimodal or multimodal in nature and frequently involve sensation in the genital region, though it is not exclusive.<ref name=":6">{{cite journal |last1=Blom |first1=Jan Dirk |last2=Mangoenkarso |first2=Esmeralda |title=Sexual Hallucinations in Schizophrenia Spectrum Disorders and Their Relation With Childhood Trauma |journal=Frontiers in Psychiatry |date=9 May 2018 |volume=9 |page=193 |doi=10.3389/fpsyt.2018.00193 |doi-access=free |pmid=29867612 |pmc=5954108 }}</ref> Frequent examples of sexual hallucinations include the sensation of being penetrated, experiencing orgasm, feeling as if one is being touched in an erogenous zone, sensing stimulation in the genitals, feeling the fondling of one's breasts or buttocks and tastes or smells related to sexual activity.<ref>{{cite journal |last1=Akhtar |first1=S. |last2=Thomson |first2=J. A. |title=Schizophrenia and sexuality: a review and a report of twelve unusual cases--part I |journal=The Journal of Clinical Psychiatry |date=April 1980 |volume=41 |issue=4 |pages=134โ142 |pmid=7364736 }}</ref> Visualizations of sexual content and auditory voices making sexually explicit remarks may sometimes be included in this classification. While it features components of other classifications, sexual hallucinations are distinct due to the orgasmic component and unique presentation.<ref name=":7">{{Cite journal |last=Blom |first=Jan Dirk |date=2024 |title=The Diagnostic Spectrum of Sexual Hallucinations |journal=Harvard Review of Psychiatry|volume=32 |issue=1 |pages=1โ14 |doi=10.1097/HRP.0000000000000388 |pmid=38181099 |pmc=11449261 |hdl=1887/3730958 |hdl-access=free }}</ref> The regions of the brain responsible differ by the subsection of sexual hallucination. In orgasmic auras, the mesial [[temporal lobe]], right [[amygdala]] and [[hippocampus]] are involved.<ref>Penfield W, Rasmussen T. The cerebral cortex of man: a clinical study of localization of function. London: Macmillan, 1950.{{page needed|date=July 2024}}</ref><ref>{{cite journal |last1=Janszky |first1=J |last2=Ebner |first2=A |last3=Szupera |first3=Z |last4=Schulz |first4=R |last5=Hollo |first5=A |last6=Szรผcs |first6=A |last7=Clemens |first7=B |title=Orgasmic auraโa report of seven cases |journal=Seizure |date=September 2004 |volume=13 |issue=6 |pages=441โ444 |doi=10.1016/j.seizure.2003.09.005 |pmid=15276150 }}</ref> In males, genital specific sensations are related to the [[postcentral gyrus]] and arousal and ejaculation are linked to stimulation in the [[Frontal lobe|posterior frontal lobe]].<ref>Sem-Jacobsen CW. Depth-electrographic stimulation of the human brain and behavior. Toronto: Ryerson, 1968.{{page needed|date=July 2024}}</ref><ref name=":8">{{cite journal |last1=Surbeck |first1=Werner |last2=Bouthillier |first2=Alain |last3=Nguyen |first3=Dang Khoa |title=Bilateral cortical representation of orgasmic ecstasy localized by depth electrodes |journal=Epilepsy & Behavior Case Reports |date=2013 |volume=1 |pages=62โ65 |doi=10.1016/j.ebcr.2013.03.002 |pmid=25667829 |pmc=4150648 }}</ref> In females, however, the [[hippocampus]] and [[amygdala]] are connected.<ref name=":8" /><ref>{{cite journal |last1=Chaton |first1=Laurence |last2=Chochoi |first2=Maxime |last3=Reyns |first3=Nicolas |last4=Lopes |first4=Renaud |last5=Derambure |first5=Philippe |last6=Szurhaj |first6=William |title=Localization of an epileptic orgasmic feeling to the right amygdala, using intracranial electrodes |journal=Cortex |date=December 2018 |volume=109 |pages=347โ351 |doi=10.1016/j.cortex.2018.07.013 |pmid=30126613 }}</ref> Limited studies have been done to understand the mechanism of action behind sexual hallucinations in [[epilepsy]], [[Substance abuse|substance use]], and [[post-traumatic stress disorder]] etiologies.<ref name=":7" />
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