Objective: There have been no large scale clinical studies on fetishism in Taiwan and there are few case reports. This article discusses the etiology, clinical manifestations and treatment limitations in patients with fetishism based on the report of a case. Case Report: A 27 years old single male complained of feeling the urge to masturbate when seeing slip-on rubber slippers and frequently engaged in thievery of these slippers. An examination of the patient's history revealed that the slippers had held a particular psychological importance for the patient since early childhood. The possible antecedent factors appeared to be complex and may have included being forbidden from childhood sex play and being rejected by the opposite sex. The client was also noted to have dysthymic disorder. After treatment with fluoxetine 20-40 mg/day and psychotherapy, his mood improved and the frequency of behavior associated with the fetish such as stealing decreased. Conclusion: Although the onset of fetishism is usually noted during adolescence, the fetishist may experience an attraction for the object in early childhood. These patients usually suffer from immense pressure from society and their families due to the bizarre nature of their behavior. Supportive psychotherapy can help the patient cope to alter behavior associated with the disorder as well as lessen the stress and chaos which it generates. Although aversive therapy has been reported to be the most effective treatment modality for fetishism, it should be applied gradually after a good rapport with the psychiatrist has been established. The lack of insight and motivation to change commonly found in these patients remains the major obstacle in successful treatment.