本文提出一性偏好症患者接受藥物合併個別心理治療之成功案例。患者是一位26歲男性，大學生，因多次對胸部豐腴之國中女生猥褻，遭路人發現而送警處理，經精神鑑定診斷為性偏好症(Paraphilia)中之戀物症(Fetishism)合併輕鬱症。患者經15次個別心理治療及合併藥物治療(Fluoxetine 20mg/QD-BID)後，至今未有再犯紀錄。在此個案報告中將介紹文榮光與王起杰等(1995)發展之心性障礙診斷評估工具，應用於性偏好症患者，以作為診斷及評估其治療前後之療效的方法，並做相關文獻回\顧與討論。

This report introduces a case of male fetishism with has been effectively treated with combined individual psychotherapy and pharmacotherapy (Fluoxetine 20mg/qD-BID). The patient was a 26 year-old college student who was compulsively attracted by young females with well-developed breasts and was arrested after repeated touching breasts of passers-by. A set of questionnaires for psychosexual disorders were also administrated to illustrate the change of this patient’s sexuality and psychopatholoty during the treatment process