ABSTRACT
Sexual fantasies are commonplace; indeed, an absence of fantasies is partly diagnostic of hypoactive desire. However, some fantasy themes may illuminate problematic issues in the psychology of the fantasiser, and the frequency of recourse to fantasies may indicate difficulties with emotional self-regulation. This chapter explores different understandings of the meaning and role of fantasies. The chapter addresses how fantasies may be worked with in therapy. The contributions of leaders in the field are essayed, including their methods of assessing problematic fantasising. Clinical experience and research indicates a sometimes complex overlap between ego-dystonic yet arousing fantasies. Fantasies and offending are not a major focus of this chapter, although where there is theoretical or therapeutic overlap with mainstream compulsive behaviour and offending, this is referenced.
