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Masochism

Diagnosis, symptoms, and treatment methods.

General Information About Masochism

Masochism (Sexual Masochism Disorder) is a paraphilia involving fantasizing about or engaging in the acts of being intentionally subjected to pain, humiliation, bondage, or beating to achieve sexual arousal or gratification. It is considered a disorder if it is without the person's consent or if it causes clinical distress/dysfunction. In our Psychiatry department, psychotherapy aiming to gain insight and treatments focused on impulse control are applied.

Disease Details and Frequently Asked Questions

You can find detailed information about the disease under the headings below.
What is Masochism?

It is the condition of experiencing intense and recurrent sexual pleasure or psychological gratification from physically or psychologically suffering, being humiliated, or being controlled.

What is the Difference from Sadism?

Sadism is the condition of deriving pleasure by inflicting pain on or humiliating others. Masochism, on the contrary, is deriving pleasure from experiencing pain and humiliation on oneself.

Is Every Masochistic Fantasy a Disorder?

No. To diagnose a psychiatric disorder (Sexual Masochism Disorder), these fantasies and actions must cause clinically significant distress in the person, impair their social or occupational life, or reach a level that would cause physical harm to the person.

Why Does It Develop?

The exact cause is unknown. Childhood traumas, abuse, the incorrect pairing of pain and sexual pleasure in the brain (conditioning), and problems in identity development may play a role.

How is it Diagnosed?

It is diagnosed through detailed clinical evaluations by a psychiatrist or clinical psychologist based on the DSM-5 diagnostic criteria and by listening to the patient's sexual impulse history.

How is it Treated?

Cognitive Behavioral Therapy (CBT), which teaches the person how to safely manage these impulses, is applied in treatment. If the actions are at dangerous levels, anti-androgen medications that reduce sexual impulses or SSRI group antidepressants can be used.

Our health library contents are prepared for informational purposes only and with scientific data available at the time of recording. For all your questions, concerns, diagnosis, or treatment regarding your health, please consult your doctor or a healthcare institution.


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