The term breast fetishism is also used to refer to cultural attention to female breasts and the sexuality they represent, with debate continuing as to whether the modern widespread fascination with breasts among heterosexual males in western societies is a sexual fetish. It has since become momsex popular enough with couples videos gays to be discussed during an episode of Sex and the City. Furthermore, the DSM-IV-TR notes, Fantasies, behaviors, or objects are paraphilic only when they lead to clinically significant distress or impairment . A smotherbox gives a more dramatic experience . Pantyhose/Tights/Stockings pornography involves women or men dressed in pantyhose, tights, or stockings. The Girls Gone Wild series is one example. The choice of position takes into account the spankee comfort in the position for long periods of time, the spanker ability to swing at the spankee at a comfortable, natural angle, complete access to the spankee buttocks, the spanker control of the hentai porn spankee position and ability to read just as necessary, safety, and the amount of strength the top is able to generate from such a position. Some men place both hands directly on their penis during masturbation, while others may use their free hand to fondle their testicles, nipples, or other parts of their body. Works in this genre may explore philosophical, political or social issues. In Japan, point of view pornography is referred to as hamedori . The genre presents itself as real couples having real sex. It is the most common form of sexual fetishism for otherwise non-sexual objects or body parts. Shotacon : Similar to Lolicon, this genre involves prepubescent or under-aged boys between the ages 6–12. Nevertheless, it is only an attempt at phenomenological differentiation. This genre also features male-on-male fellatio through a small hole made in a bathroom divider. Soft swinging is when a couple engages in sexual activities with only each other while other couples perform sex acts in the immediate vicinity.