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Published in: Current Psychiatry Reports 9/2013

01-09-2013 | Sexual Disorders (JP Fedoroff, Section Editor)

Consensual Sadomasochistic Sex (BDSM): The Roots, the Risks, and the Distinctions Between BDSM and Violence

Author: Eva Jozifkova

Published in: Current Psychiatry Reports | Issue 9/2013

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Abstract

When practiced consensually, sadomasochistic sex is being increasingly accepted as an alternative sexuality. Here I suggest the possible evolutionary roots of the preferences, draw distinctions between violent, abusive and “healthy” practitioners’ partnership, provide clear behavioural markers of the respective situations, and underline some specific problems connected to this sexual preference. Some of the problems are well-known in the community of its practitioners, although they have not yet been described in medical nor scientific sources.
Literature
1.
go back to reference •• Revise F65. ICD revision available at White Paper. http://wwwrevisef65org/icd_whitepaper html. Accessed June 2013. The purpose of Revise F65 committee (a subsidiary of LLH, the Norwegian LGBT Association with a mandate from the international lesbian and gay movement [ILGA 1999], the European leather club confederation [ECMC 2000], and the federal German SM organization [BVSM e.V. 2004]) is to remove fetishism, transvestism, and sadomasochism as psychiatric diagnoses from the ICD (International Classification of Diseases). Revise F65 1) informed BDSMers and the general public about revision processes and 2) prepared White Paper for WHO (World Health Organization) to remove the diagnoses. •• Revise F65. ICD revision available at White Paper. http://​wwwrevisef65org/​icd_​whitepaper html. Accessed June 2013. The purpose of Revise F65 committee (a subsidiary of LLH, the Norwegian LGBT Association with a mandate from the international lesbian and gay movement [ILGA 1999], the European leather club confederation [ECMC 2000], and the federal German SM organization [BVSM e.V. 2004]) is to remove fetishism, transvestism, and sadomasochism as psychiatric diagnoses from the ICD (International Classification of Diseases). Revise F65 1) informed BDSMers and the general public about revision processes and 2) prepared White Paper for WHO (World Health Organization) to remove the diagnoses.
2.
3.
go back to reference •• Moran M. DSM to distinguish paraphilias from paraphilic disorders. Psychiatric News. 2013;48:261. Moran explains why to distinguish paraphilias from paraphilic disorders. •• Moran M. DSM to distinguish paraphilias from paraphilic disorders. Psychiatric News. 2013;48:261. Moran explains why to distinguish paraphilias from paraphilic disorders.
4.
go back to reference Connolly PH, Haley H, Gendelman J, Miller J. Psychological functioning of bondage/domination/sado-masochism (BDSM) practitioners. J Psychol Hum Sex. 2006;18:79–120.CrossRef Connolly PH, Haley H, Gendelman J, Miller J. Psychological functioning of bondage/domination/sado-masochism (BDSM) practitioners. J Psychol Hum Sex. 2006;18:79–120.CrossRef
5.
go back to reference Richters J, de Visser R, Grulich A, Rissel C. Demographic and psychosocial features of participants in BDSM sex: data from a national survey. J Sex Res. 2008;45:98–9. Richters J, de Visser R, Grulich A, Rissel C. Demographic and psychosocial features of participants in BDSM sex: data from a national survey. J Sex Res. 2008;45:98–9.
6.
go back to reference Sandnabba NK, Santtila P, Alison L, Nordling N. Demographic, sexual behaviour, family background and abuse experiences of practitioners of sadomasochistic sex: a review of recent research. Sex Relatsh Ther. 2002;17:39–55.CrossRef Sandnabba NK, Santtila P, Alison L, Nordling N. Demographic, sexual behaviour, family background and abuse experiences of practitioners of sadomasochistic sex: a review of recent research. Sex Relatsh Ther. 2002;17:39–55.CrossRef
7.
go back to reference Ernulf KE, Innala SM. Sexual bondage - a review and unobtrusive investigation. Arch Sex Behav. 1995;24:631–54.PubMedCrossRef Ernulf KE, Innala SM. Sexual bondage - a review and unobtrusive investigation. Arch Sex Behav. 1995;24:631–54.PubMedCrossRef
8.
go back to reference Cross PA, Matheson K. Understanding sadomasochism: an empirical examination of four perspectives. J Homosexual. 2006;50:133–66.CrossRef Cross PA, Matheson K. Understanding sadomasochism: an empirical examination of four perspectives. J Homosexual. 2006;50:133–66.CrossRef
9.
go back to reference Kolmes K, Stock W, Moser C. Investigating bias in psychotherapy with BDSM clients. J Homosexual. 2006;50:301–24.CrossRef Kolmes K, Stock W, Moser C. Investigating bias in psychotherapy with BDSM clients. J Homosexual. 2006;50:301–24.CrossRef
10.
go back to reference Richters J, Grulich AE, de Vieser RO, et al. Sex in Australia: autoerotic, esoteric and other sexual practices engaged in by a representative sample of adults. Aust NZ J Pub Heal. 2003;27:180–90.CrossRef Richters J, Grulich AE, de Vieser RO, et al. Sex in Australia: autoerotic, esoteric and other sexual practices engaged in by a representative sample of adults. Aust NZ J Pub Heal. 2003;27:180–90.CrossRef
11.
go back to reference Weinberg TS. Sadomasochism and the social sciences: a review of the sociological and social psychological literature. J Homosexual. 2006;50:17–40.CrossRef Weinberg TS. Sadomasochism and the social sciences: a review of the sociological and social psychological literature. J Homosexual. 2006;50:17–40.CrossRef
12.
go back to reference Newmahr S. Power struggles: pain and authenticity in SM play. Symb Interact. 2010;33:389–411.CrossRef Newmahr S. Power struggles: pain and authenticity in SM play. Symb Interact. 2010;33:389–411.CrossRef
13.
go back to reference Weinberg MS, Wiliams CJ, Moser C. The social constituents of sadomasochism. Soc Probl. 1984;31:379–89.CrossRef Weinberg MS, Wiliams CJ, Moser C. The social constituents of sadomasochism. Soc Probl. 1984;31:379–89.CrossRef
14.
go back to reference •• Powls J, Davies J. A descriptive review of research relating to sadomasochism: considerations for clinical practice. Deviant Behav. 2012;33:223–34. This paper reviews the latest findings about BDSM.CrossRef •• Powls J, Davies J. A descriptive review of research relating to sadomasochism: considerations for clinical practice. Deviant Behav. 2012;33:223–34. This paper reviews the latest findings about BDSM.CrossRef
15.
go back to reference Henkin WA, Holiday S. Consensual sadomasochism. Los Angeles: Deadalus Publishing Company; 2003. Henkin WA, Holiday S. Consensual sadomasochism. Los Angeles: Deadalus Publishing Company; 2003.
17.
go back to reference •• Bezreh T, Weinberg TS, Eedgar T. BDSM disclosure and stigma management: identifying opportunities for sex education. American J of Sex Ed. 2012;7:37–61. Bezreh and colelagues analyzed risk factors involved with BDSM disclosure. They described risks of the dislosure and suggest ideas for education and stigma management.CrossRef •• Bezreh T, Weinberg TS, Eedgar T. BDSM disclosure and stigma management: identifying opportunities for sex education. American J of Sex Ed. 2012;7:37–61. Bezreh and colelagues analyzed risk factors involved with BDSM disclosure. They described risks of the dislosure and suggest ideas for education and stigma management.CrossRef
18.
go back to reference Sandnabba NK, Santtila P, Nordling N. Sexual behavior and social adaptation among sadomasochistically-oriented males. J Sex Res. 1999;36:273–82.CrossRef Sandnabba NK, Santtila P, Nordling N. Sexual behavior and social adaptation among sadomasochistically-oriented males. J Sex Res. 1999;36:273–82.CrossRef
19.
go back to reference •• Jozifkova E, Bartos L, Flegr J. Evolutional background of dominance/submissivity in sex and bondage: the two strategies? Neuroendocrinol Lett. 2012;33:636–42. Jozifkova and colleagues suggest that the BDSM behavior is derived from natural reproduction strategy.PubMed •• Jozifkova E, Bartos L, Flegr J. Evolutional background of dominance/submissivity in sex and bondage: the two strategies? Neuroendocrinol Lett. 2012;33:636–42. Jozifkova and colleagues suggest that the BDSM behavior is derived from natural reproduction strategy.PubMed
20.
go back to reference •• Jozifkova E, Konvicka M. Sexual arousal by higher- and lower-ranking partner: manifestation of a mating strategy? Sex Med. 2009;6:3327–34. The sexual arousal by overemphasized hierarchy may represent manifestation of natural human behavior.CrossRef •• Jozifkova E, Konvicka M. Sexual arousal by higher- and lower-ranking partner: manifestation of a mating strategy? Sex Med. 2009;6:3327–34. The sexual arousal by overemphasized hierarchy may represent manifestation of natural human behavior.CrossRef
22.
go back to reference • Newmahr S. Rethinking kink: sadomasochism as serious leisure. Qual Sociol. 2010;33:313–31. Newmahr describes behavior and feelings of pratitioners participating in BDSM sex in the BDSM community semipublic clubs.CrossRef • Newmahr S. Rethinking kink: sadomasochism as serious leisure. Qual Sociol. 2010;33:313–31. Newmahr describes behavior and feelings of pratitioners participating in BDSM sex in the BDSM community semipublic clubs.CrossRef
23.
go back to reference Dupanloup I, Pereira L, Bertorelle G, et al. A recent shift from polygyny to monogamy in humans is suggested by the analysis of worldwide Y-chromosome diversity. J Mol Evol. 2003;57:85–97.PubMedCrossRef Dupanloup I, Pereira L, Bertorelle G, et al. A recent shift from polygyny to monogamy in humans is suggested by the analysis of worldwide Y-chromosome diversity. J Mol Evol. 2003;57:85–97.PubMedCrossRef
24.
go back to reference Gibson MA, Mace R. Polygyny, reproductive success and child health in rural Ethiopia: why marry a married man? J Biosoc Sci. 2007;39:287–300.PubMedCrossRef Gibson MA, Mace R. Polygyny, reproductive success and child health in rural Ethiopia: why marry a married man? J Biosoc Sci. 2007;39:287–300.PubMedCrossRef
25.
go back to reference Mealey L. The relationship between social status and biological success: a case study of the Mormon religious hierarchy. Ethol Sociobiol. 1985;6:249–57.CrossRef Mealey L. The relationship between social status and biological success: a case study of the Mormon religious hierarchy. Ethol Sociobiol. 1985;6:249–57.CrossRef
26.
go back to reference Fieder M, Huber S, Bookstein FL, et al. Status and reproduction in humans: new evidence for the validity of evolutionary explanations on basis of a university sample. Ethology. 2005;111:940–50.CrossRef Fieder M, Huber S, Bookstein FL, et al. Status and reproduction in humans: new evidence for the validity of evolutionary explanations on basis of a university sample. Ethology. 2005;111:940–50.CrossRef
27.
go back to reference Perusse D. Cultural and reproductive success in industrial-societies - testing the relationship at the proximate and ultimate levels. Behav Brain Sci. 1993;16:267–83.CrossRef Perusse D. Cultural and reproductive success in industrial-societies - testing the relationship at the proximate and ultimate levels. Behav Brain Sci. 1993;16:267–83.CrossRef
28.
go back to reference Buss DM, Shackelford TK. Attractive women want it all: good genes, economic investment, parenting proclivities, and emotional commitment. Evol Psychol-US. 2008;6:134–46. Buss DM, Shackelford TK. Attractive women want it all: good genes, economic investment, parenting proclivities, and emotional commitment. Evol Psychol-US. 2008;6:134–46.
29.
go back to reference Lammers J, Stoker JI, Jordan J, et al. Power increases infidelity among men and women. Psychol Sci. 2011;22:1191–7.PubMedCrossRef Lammers J, Stoker JI, Jordan J, et al. Power increases infidelity among men and women. Psychol Sci. 2011;22:1191–7.PubMedCrossRef
30.
go back to reference Greitemeyer T. What do men and women want in a partner? Are educated partners always more desirable? J Exp Soc Psychol. 2007;43:180–94.CrossRef Greitemeyer T. What do men and women want in a partner? Are educated partners always more desirable? J Exp Soc Psychol. 2007;43:180–94.CrossRef
31.
go back to reference Taborsky M. Sneakers, satellites, and helpers - parasitic and cooperative behavior in fish reproduction. Adv Stud Behav. 1994;23:1–100.CrossRef Taborsky M. Sneakers, satellites, and helpers - parasitic and cooperative behavior in fish reproduction. Adv Stud Behav. 1994;23:1–100.CrossRef
32.
go back to reference Taborsky M. The evolution of bourgeois, parasitic, and cooperative reproductive behaviors in fishes. J Hered. 2001;92:100–10.PubMedCrossRef Taborsky M. The evolution of bourgeois, parasitic, and cooperative reproductive behaviors in fishes. J Hered. 2001;92:100–10.PubMedCrossRef
33.
go back to reference Dominey WJ. Alternative mating tactics and evolutionarily stable strategies. Am Zool. 1984;24:385–96. Dominey WJ. Alternative mating tactics and evolutionarily stable strategies. Am Zool. 1984;24:385–96.
34.
go back to reference Healey MC, Prince A. Alternative tactics in the breeding behaviour of male coho salmon. Behaviour. 1998;135:1099–124.CrossRef Healey MC, Prince A. Alternative tactics in the breeding behaviour of male coho salmon. Behaviour. 1998;135:1099–124.CrossRef
35.
go back to reference Newmahr S. Playing on the sadomasochism, risk, and intimacy. Edge: Indiana University Press; 2012. Newmahr S. Playing on the sadomasochism, risk, and intimacy. Edge: Indiana University Press; 2012.
36.
go back to reference Sagarin BJ, Cutler B, Cutler N, et al. Hormonal changes and couple bonding in consensual sadomasochistic activity. Arch Sex Behav. 2009;38:186–200.PubMedCrossRef Sagarin BJ, Cutler B, Cutler N, et al. Hormonal changes and couple bonding in consensual sadomasochistic activity. Arch Sex Behav. 2009;38:186–200.PubMedCrossRef
37.
go back to reference • Moskowitz DA, Seal DW, Rintamaki L, Rieger G. HIV in the leather community: rates and risk-related behaviors. AIDS Behav. 2011;15:557–64. This paper focuses on leathermen HIV rates and sexual behaviour.PubMedCrossRef • Moskowitz DA, Seal DW, Rintamaki L, Rieger G. HIV in the leather community: rates and risk-related behaviors. AIDS Behav. 2011;15:557–64. This paper focuses on leathermen HIV rates and sexual behaviour.PubMedCrossRef
38.
go back to reference •• Revise F65. SM versus abuse. Available at http://www.revisef65org/violence html. Accessed June 2013. Revise F65 compiled this “SM versus violence“web page. Because of Revise F65, “the biggest difference between a violent sadist and an SM master is that the former destroys the self-confidence”. •• Revise F65. SM versus abuse. Available at http://​www.​revisef65org/​violence html.​ Accessed June 2013. Revise F65 compiled this “SM versus violence“web page. Because of Revise F65, “the biggest difference between a violent sadist and an SM master is that the former destroys the self-confidence”.
39.
go back to reference Nordling N, Sandnabba NK, Santilla PV. The prevalence and effects on self-reported childhood sexula abuse among sadomasochistically oriented males and females. J Child Sex Abus. 2000;9. Nordling N, Sandnabba NK, Santilla PV. The prevalence and effects on self-reported childhood sexula abuse among sadomasochistically oriented males and females. J Child Sex Abus. 2000;9.
40.
go back to reference Neighbors CJ, O'Leary A, Labouvie E. Domestically violent and nonviolent male inmates' responses to their partners' requests for condom use: testing a social-information processing model. Health Psychol. 1999;18:427–31.PubMedCrossRef Neighbors CJ, O'Leary A, Labouvie E. Domestically violent and nonviolent male inmates' responses to their partners' requests for condom use: testing a social-information processing model. Health Psychol. 1999;18:427–31.PubMedCrossRef
41.
go back to reference Allan S, Gilbert P. Submissive behaviour and psychopathology. Brit J Clin Psychol. 1997;36:467–88.CrossRef Allan S, Gilbert P. Submissive behaviour and psychopathology. Brit J Clin Psychol. 1997;36:467–88.CrossRef
42.
go back to reference Klofstad CA, Anderson RC, Peters S. Sounds like a winner: voice pitch influences perception of leadership capacity in both men and women. P Roy Soc B-Biol Sci. 2012;279:2698–704.CrossRef Klofstad CA, Anderson RC, Peters S. Sounds like a winner: voice pitch influences perception of leadership capacity in both men and women. P Roy Soc B-Biol Sci. 2012;279:2698–704.CrossRef
43.
go back to reference Buss DM, Craik KH. The frequency concept of disposition - dominance and prototypically dominant. Acts J Pers. 1980;48:379–92.CrossRef Buss DM, Craik KH. The frequency concept of disposition - dominance and prototypically dominant. Acts J Pers. 1980;48:379–92.CrossRef
44.
go back to reference Goldberg LR. A broad-bandwidth, public domain, personality inventory measuring the lower-level facets of several five-factor models. In: Mervielde I, Deary I, De Fruyt F, Tilburg OF, editors. Personality psychology in Europe. Tilburg University Press; 1999:7–28. Goldberg LR. A broad-bandwidth, public domain, personality inventory measuring the lower-level facets of several five-factor models. In: Mervielde I, Deary I, De Fruyt F, Tilburg OF, editors. Personality psychology in Europe. Tilburg University Press; 1999:7–28.
45.
go back to reference Dunbar NE, Abra G. Observations of dyadic power in interpersonal interaction. Commun Monogr. 2010;77:657–84.CrossRef Dunbar NE, Abra G. Observations of dyadic power in interpersonal interaction. Commun Monogr. 2010;77:657–84.CrossRef
48.
go back to reference Rohr HP: Narcismus - vnitrni zalar. Praha: Portal s.r.o.; 2001. From original Narzißmus. Das innere Gefängnis., Germany, Patmos Verlag GmbHCo&KG.co, Narzißmus. Das innere Gefängnis Patmos Verlag GmbHCo&KG.co, 1999. Translated to English: Narcisim. Escaping from the Inner Prison. Germany: Pamtos; 2012. Rohr HP: Narcismus - vnitrni zalar. Praha: Portal s.r.o.; 2001. From original Narzißmus. Das innere Gefängnis., Germany, Patmos Verlag GmbHCo&KG.co, Narzißmus. Das innere Gefängnis Patmos Verlag GmbHCo&KG.co, 1999. Translated to English: Narcisim. Escaping from the Inner Prison. Germany: Pamtos; 2012.
51.
go back to reference Krienert JL, Walsh JA, Matthews K, McConkey K. Examining the nexus between domestic violence and animal abuse in a national sample of service providers. Violence Vict. 2012;27:280–95.PubMedCrossRef Krienert JL, Walsh JA, Matthews K, McConkey K. Examining the nexus between domestic violence and animal abuse in a national sample of service providers. Violence Vict. 2012;27:280–95.PubMedCrossRef
52.
go back to reference Tiplady CM, Walsh DB, Phillips CJC. Intimate partner violence and companion animal welfare. Aust Vet J. 2012;90:48–53.PubMedCrossRef Tiplady CM, Walsh DB, Phillips CJC. Intimate partner violence and companion animal welfare. Aust Vet J. 2012;90:48–53.PubMedCrossRef
55.
go back to reference Maner JK, Miller SL, Schmidt NB, Eckel LA. Submitting to defeat - social anxiety, dominance threat, and decrements in testosterone. Psychol Sci. 2008;19:764–8.PubMedCrossRef Maner JK, Miller SL, Schmidt NB, Eckel LA. Submitting to defeat - social anxiety, dominance threat, and decrements in testosterone. Psychol Sci. 2008;19:764–8.PubMedCrossRef
56.
go back to reference Mehta PH, Josephs RA. Testosterone and cortisol jointly regulate dominance: evidence for a dual-hormone hypothesis. Horm Behav. 2010;58:898–906.PubMedCrossRef Mehta PH, Josephs RA. Testosterone and cortisol jointly regulate dominance: evidence for a dual-hormone hypothesis. Horm Behav. 2010;58:898–906.PubMedCrossRef
57.
go back to reference Timmer M, Cordero MI, Sevelinges Y, Sandi C. Evidence for a role of oxytocin receptors in the long-term establishment of dominance hierarchies. Neuropsychopharmacol. 2011;36:2349–56.CrossRef Timmer M, Cordero MI, Sevelinges Y, Sandi C. Evidence for a role of oxytocin receptors in the long-term establishment of dominance hierarchies. Neuropsychopharmacol. 2011;36:2349–56.CrossRef
58.
go back to reference Gilbert P, Miles JNV. Sensitivity to social put-down: it's relationship to perceptions of social rank, shame, social anxiety, depression, anger and self-other blame. Pers Indiv Differ. 2000;29:757–74.CrossRef Gilbert P, Miles JNV. Sensitivity to social put-down: it's relationship to perceptions of social rank, shame, social anxiety, depression, anger and self-other blame. Pers Indiv Differ. 2000;29:757–74.CrossRef
59.
go back to reference Alison L, Santilla P, Sandnabba NK, Nordling N. Sadomasochistically oriented behavior: diversity in practice and meaning. Arch Sex Behav. 2001;30:1–12.PubMedCrossRef Alison L, Santilla P, Sandnabba NK, Nordling N. Sadomasochistically oriented behavior: diversity in practice and meaning. Arch Sex Behav. 2001;30:1–12.PubMedCrossRef
60.
go back to reference Leonard S, Steiger H, Kao A. Childhood and adulthood abuse in bulimic and nonbulimic women: prevalences and psychological correlates. Int J Eat Disorder. 2003;33:397–405.CrossRef Leonard S, Steiger H, Kao A. Childhood and adulthood abuse in bulimic and nonbulimic women: prevalences and psychological correlates. Int J Eat Disorder. 2003;33:397–405.CrossRef
61.
go back to reference Durkin KF. Show me the money: cybershrews and on-line money masochists. Deviant Behav. 2007;28:355–78.CrossRef Durkin KF. Show me the money: cybershrews and on-line money masochists. Deviant Behav. 2007;28:355–78.CrossRef
Metadata
Title
Consensual Sadomasochistic Sex (BDSM): The Roots, the Risks, and the Distinctions Between BDSM and Violence
Author
Eva Jozifkova
Publication date
01-09-2013
Publisher
Springer US
Published in
Current Psychiatry Reports / Issue 9/2013
Print ISSN: 1523-3812
Electronic ISSN: 1535-1645
DOI
https://doi.org/10.1007/s11920-013-0392-1

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