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Fat fetishism, also called lipophilia involves the experience of fat, fat body parts, or just "fatness" as extremely sexually arousing and fulfilling. DSM - V clasifies lipophilia as type of a paraphilia (lit., "beyond," [para] "love," [philia]), suggesting that the arousal is not rooted in loving friendship (philia) because it involves objectification (focusing on the "object" of the body, rather than the soul of the person). The criticism of "objectification" is unfair because it is equally possible to objectify the body of a skinny person, thin person, or "buff" person, “as it is to objectify the body of a fat person..The objectification of "fatness," leads lipophilia to be known colloquially as "fat fetishism," even though technically DSM-V does not literally classify lipophila as a "fetish," but rather as a paraphilia.

Lipophiliacs can be rhapsodic and highly aroused about fatness, roundness, softness, and large size of their partner's bodies, and the "folds" of fat (pannus) of their partners. Lipophiliacs may also of course be attracted to many of the fat people they encounter in every day settings and situations toward whom they experience significant attraction by virtue of such persons' fatness, size, roundness, and softness.

Some lipophiliacs may have particular obsessions such as fetishizing any or all of the following: fat bellies, fat buttocks, fat thighs, fat calves, fat faces and cheeks, fat feet, etc. Essentially so-called "Fat Fetishists," or "lipophilacs" experience Fat as a sign, symbol, and experience of Beauty, Majesty, and Fulfillment – Beauty, Majesty and Fulfillment being perfect metaphors for lipophilia or "Fat Fetshism." Again lipophilia is not technically a "fetish," but a paraphilia.

Ultimately, Fat Fetishists (lipophiliacs) are completely “in-FAT-uated and seek to attain significantly more than a "Fat Chance" at fully "phat" sexuality. Lipophia is a phenomenon that intersects with those who self-identify as being among "Fat Admierers" and "Fat Appreciators." Lipophilia is also related to such terms as "Fat Acceptance," "Feederismm" and "Big Beautiful Women" and "Big Beautiful Men."

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