Contents of Coercive Paraphilic Disorders:Sexual Sadism and Masochism Disorder

Lecture Notes

Sexual sadism and masochism are separate but sometimes related. The pain and harm are real, not simulated. Therefore, there are risks involved including physical injury. It is important for participants of sadism and masochism to communicate their preferences and limits before activities. The acts are indistinguishable from D/S if they are consensual, but coercion distinguishes sadism. If it is consensual, a good rule of thumb that differentiates the two is that sexual sadism and masochism disorders are often extreme, compulsive and dangerous. Let's define the different forms.

Image from McGraw-Hill