What Are Paraphilias? They are sexual interests in objects, situations, or individuals that are atypical. Autagonistophilia is a paraphilia in which sexual arousal and orgasm are contingent upon displaying one's self in a live show, i.e., being observed performing on stage or on camera. Capnolagnia is a sexual fetish based on the pulmonary consumption (smoking) of tobacco, most often via cigarettes, cigars, and also, pipes and hookahs to some extent. As a fetish, its mechanisms regard sexual arousal from the observation or imagination of a person smoking, sometimes including oneself.