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From this biopsychosocial perspective, we offer a dimensional approach while integrating the factors driving the onset and evolution of BDSM interests.
De Neef N, Coppens V, Huys W, et al. Bondage-Discipline, Dominance-Submission and Sadomasochism BDSM From an Integrative Biopsychosocial Perspective: A Systematic Review.
Sex Med ;— BDSM, previously known as sadomasochism or SM , is an overarching abbreviation of bondage and discipline, dominance and submission, and sadism and masochism and refers to a physical, psychological, and sexual role-play involving power exchange between consensual participants.
The perception of BDSM as being pathologic influenced scientific articles from the s and s, which tended to focus on non-consensual sexual sadism from a forensic perspective and incidental SM-related fatalities.
The recent success of the Fifty Shades of Grey books and movies, among others, have led to an increased awareness of this expression of intimacy and sexuality.
Contemporary mainstream interest in BDSM is mirrored in the exponential growth seen during the last decade of scientific research focusing on all kinds of BDSM aspects and, as such, has enriched the existing literature, thereby nuancing its initial pathologic classification.
This increased availability of BDSM-related scientific literature inspired us to bring together the existing literature on biopsychosocial aspects of BDSM in the current systematic review, the first in its kind.
An integration of biologic, psychological, and social knowledge about BDSM may contribute to the understanding and destigmatization of this form of sexual expression, as well as challenge its place in psychopathological classifications.
The current systematic review was conducted according to PRISMA-P preferred reporting items for systematic review and meta-analysis protocols guidelines.
Different sources may refer variously to individual parties involved in a BDSM interaction. A literature search was performed using the following inclusion and exclusion criteria: i research articles with a focus on BDSM generating original data were included; ii case reports on consensual sexual masochism and submission were included; iii opinion articles, comment letters, and essays without original data were excluded; iv given the focus on consensual sexual sadism or masochism, forensic articles on sexual offenders were excluded.
These inclusion criteria were driven by the generally accepted scientific hierarchy of evidence. A PubMed database search —April for English-language articles was conducted using the following search terms: BDSM OR masochism OR sadomasochism OR sexual sadism OR bondage OR sexual submissive OR sexual submission OR sexual kink.
Titles and abstracts were screened to eliminate irrelevant articles. Full texts of potentially relevant articles were read and screened for further eligibility; the final selection was made in consensus by N.
See Figure 1 for PRISMA Flow Diagram based on reference Preferred reporting items for systematic review and meta-analysis protocols flowchart. The Pubmed database search initially generated 1, records.
Cross-referencing further led to inclusion of 9 additional articles and book chapters. Preliminary screening of titles and abstracts resulted in 98 remaining articles to be read in full.
Studies reporting on the prevalence rates of BDSM interests and practices have yielded somewhat divergent results Table 1. An Australian study 18 found that 2.
On the other end of the spectrum, Holvoet et al 3 reported a BDSM interest in as much as Studies reporting on individuals having BDSM fantasies reveal higher prevalence rates.
Similarly, Jozifkova and Flegr 21 demonstrated that about half of the general population preferred unequal power dynamics in their sexual relationship.
This divergence might be explained by several factors. This is illustrated by the fact that about half of the sample from Holvoet and colleagues 3 indicated having engaged in BDSM activities, whereas, in the same sample, only 7.
It should be noted that no consensus exists on which activities are BDSM practices and which are not.
A second source of divergence might stem from investigating different intensity levels of BDSM interest. As such, some studies assessed interest in or fantasies about BDSM, whereas others queried actual performance of such activities.
As can be expected, the first type of studies demonstrated higher prevalence rates than the latter. Third, the applied methodology could further account for some of the variance, because the surveys yielding higher prevalence rates 3 , 22 , 23 were held via internet channels, whereas Richter et al 18 , 19 interviewed participants through less-anonymous telephone calls.
A final explanation might come from the time span covered by the different questionnaires, because the prevalence of activities in the preceding month 3 , 22 was found to be much lower than lifetime experience 1.
Although BDSM practitioners are often considered as a homogeneous subculture of the general population, in the current review, we applied a dimensional approach toward interest in and practices of BDSM.
On one end of the spectrum, BDSM-related interests translate into unexplored fantasies and, on the other, an intensive, continuous implementation of these interests in all aspects of daily life.
It has been suggested that a majority of the general population has BDSM-themed fantasies, and about half has engaged in BDSM-related activities at least once.
Additionally, engaging in at least 1 BDSM-related activity on a regular basis is reported by For example, a practitioner may start pain play interests by experimenting with mild spanking and evolve toward more intense stimuli, such as electrical stimulation or needle play.
Literature indicates that BDSM is an umbrella term that covers an array of interactions that can be present independently or in different clusterings.
A dimensional angle of approach is therefore also applicable on the nature of the interaction and the acts implemented. Generally, a shift in power dynamics is at the core of BDSM play.
Once the blindfold is on, the partner not wearing it can tease and tantalize the wearer, leaving them guessing what's coming next by kissing all over their body, whispering dirty talk into their ear, or tickling erogenous zones with a feather.
Orgasm control, especially when done to a person with a penis, is usually referred to as "edging. If you're new to orgasm control, you probably already know that delayed gratification can make the end reward that much sweeter.
You don't have to have any sort of rigid edging routine to explore orgasm control: If you're the submissive partner, simply relax and give your dominant partner permission to take your orgasm into their hands.
Have them use their mouth or a sex toy to bring you close to climax, stopping right beforehand. When you can't wait any longer, let them help you cross the finish line and prepare for the most intense orgasm you've had in a while.
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Attorney for the Southern District of New York, who enjoys a private BDSM relationship as his wife's played by Maggie Siff submissive.
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But what is life and sex like for a woman who is firmly entrenched in the BDSM community as a submissive?