Understanding Sadomasochism

Sexual sadism

The American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorders (DSM-IV-TR), the prevailing resource for diagnostic criteria of paraphilias, describes the diagnostic criteria for sexual sadism are as follows: The patient reports recurrent and intense sexual urges and sexually arousing fantasies involving the act (real, not simulated) in which the psychological or physical suffering (including humiliation) of one person is sexually arousing to another person. Symptoms must be present for at least 6 months. The fantasies, urges, or behaviors cause significant distress or impairment in social, occupational, or other important areas of functioning. Sadistic fantasies or acts may involve activities such as dominance, restraint, blindfolding, beating, pinching, burning, electrical shock, rape, cutting, stabbing, strangulation, torture, mutilation, or killing. Sadistic sexual fantasies are likely present in childhood. Onset of sadistic activities commonly occurs by early adulthood, and it tends to be chronic. Some individuals do not increase the severity of their sadistic acts; however, severity of the sadistic acts does usually increase over time.

No clear lines divide sexual sadism and sexual masochism, and the predispositions are often interchangeable. The conditions may coexist in the same individual, sometimes in association with other paraphilias. This relationship is supported by the finding that those who entertain masochistic fantasies also engage in sadistic fantasies.

Sadism involves causing physical or psychological pain or suffering to another person. As long as it occurs with a consenting partner, it can be argued that sexual sadism is not considered to be a psychological disorder. It is certainly considered a disorder when it causes unhappiness to the person with it, causes problems with work, social setting, or family, or when there is potential danger to another individual.

Like some masochists, some sadists require the pain or humiliation in order to function sexually. Others may engage in more typical sexual activities at some times and sadistic activities at other times. Sadists often seek out masochists as sexual partners. The sexual arousal in sadism is directly related to the suffering of the other person.

Some acts involve actual physical violence, including cutting, burning, or beating. Other acts involve domination, such as making the other person crawl or keeping him or her in a cage. Still other acts involve humiliation.

Sexual masochism

The essential features of this disorder as described by the DSM-IV-TR include the following: The patient reports recurrent and intense sexual urges and sexually arousing fantasies involving the act (real, not simulated) of being humiliated, beaten, bound, or otherwise made to suffer. Symptoms must be present for at least 6 months. The fantasies, urges, or behaviors cause significant distress or impairment in social, occupational, or other important areas of functioning. Masochistic acts commonly involve a wide range of activities, such as restraint, blindfolding, beating, electrical shock, cutting, piercing, and humiliation (e.g., being urinated or defecated on, forced to bark, verbally abused, forced to cross-dress). Some sexual masochists inflict pain through self-mutilation, and some engage in group activity or use services provided by prostitutes.

Hypoxyphilia is a dangerous form of masochism that involves sexual arousal by oxygen deprivation achieved by means of chest compression, noose, ligature, plastic bag, mask, or chemicals. Oxygen deprivation may be accomplished alone or with a partner. Data from the United States, England, Australia, and Canada indicate that 1-2 deaths per million population are reported each year.

Some sexually masochistic males also exhibit fetishism, transvestite fetishism, or sexual sadism. Masochistic sexual fantasies are likely present in childhood. Masochistic activities commonly begin by early adulthood, tend to be chronic, and the same act is generally repeated. Some individuals increase the severity of the act over time, which may lead to injury or death.

Sadomasochism

Sadism and masochism, often interrelated (one person obtaining sadistic pleasure by inflicting pain or suffering on another person who thereby obtains masochistic pleasure), are collectively known as S&M or sadomasochism. BDSM is a short-hand acronym for many subdivisions of the culture: (B&D) bondage and discipline, (D&S) domination and submission, (S&M) sadism and masochism. The term BDSM describes the quite common activities between consenting adults that contain sadistic and masochistic elements. Many behaviors such as erotic spanking, tickling and love-bites that many people think of only as "rough" sex also contain elements of sado-masochism.

The DSM-IV-TR list of other paraphilias includes:

Exhibitionism: the recurrent urge or behavior to expose one's genitals to an unsuspecting person.

Fetishism: the use of non-sexual or nonliving objects or part of a person's body to gain sexual excitement. Partialism refers to fetishes specifically involving nonsexual parts of the body. Frotteurism: the recurrent urges or behavior of touching or rubbing against a non consenting person. Voyeurism: the recurrent urge or behavior to observe an unsuspecting person who is naked, disrobing or engaging in sexual activities, or may not be sexual in nature at all. Transvestite fetishism: a sexual attraction towards the clothing of the opposite gender. Chronophilias such as Infantophilia: the sexual attraction to infants, Pedophilia: the sexual attraction to prepubescent children, Gerontophilia: the sexual attraction to the elderly. Other paraphilias: includes rarer behaviors such as telephone scatalogia (obscene phone calls), necrophilia (corpses), partualism (exclusive focus on one part of the body), zoophilia (animals), coprophilia (feces), klismaphilia (enemas), urophilia (urine). For additional "paraphilias", visit the page List of Paraphilias.