Different (Painful¡) Strokes for Different Folks: A General Overview of Sexual Sadomasochism (SM) and its Diversity

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Abstract
This article, written primarily for clinicians, draws from a variety of sources and provides a basic overview of sexual sadomasochism (SM). SM represents a wide range of behaviors and practices often associated with sexuality, yet it may also refer to a specific lifestyle or subculture composed of participants who regularly engage in such practices. Although large numbers of individuals are likely to participate in SM practices in various possible forms, many professionals may be unfamiliar with the diversity, terminology, possible motivations, and issues surrounding SM. Given that SM is easily misunderstood, it is important for professionals working in the area of human sexuality to become familiar with alternative expressions of eroticism, creative stimulation, and intimacy. It is suggested that SM potentially may be enriching and beneficial to many who safely participate, or it sometimes may be considered pathological and destructive. Insights are provided herein to raise awareness of issues and to help clinicians negotiate these determinations.

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