Sexual Masochism

Individuals with this paraphilia use sexual fantasies, urges, or behaviors involving being beaten, humiliated, bound or tortured to enhance or achieve sexual excitement. Richard von Krafft-Ebing may have introduced the term after the name of Leopold von Sacher-Masoch.

Diagnostic criteria for 302.83 Sexual Masochism

A. Over a period of at least 6 months, recurrent, intense sexually arousing fantasies, sexual urges, or behaviors involving the act (real, not simulated) of being humiliated, beaten, bound, or otherwise made to suffer. 

B. The fantasies, sexual urges, or behaviors cause clinically significant distress or impairment in social, occupational, or other important areas of functioning.

Reprinted with permission from the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision. Copyright 2000 American Psychiatric Association

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