A libertine is a person questioning and challenging most moral principles, such as responsibility or sexual restraints, and will often declare these traits as unnecessary or undesirable or evil. A libertine is especially someone who ignores or even spurns accepted morals and forms of behaviour observed by the larger society. The values and practices of libertines are known collectively as libertinism or libertinage and are described as an extreme form of hedonism or liberalism . Libertines put value on physical pleasures, meaning those experienced through the senses. As a philosophy, libertinism gained new-found adherents in the 17th, 18th, and 19th centuries, particularly in France and Great Britain . Notable among these were John Wilmot, 2nd Earl of Rochester , and the Marquis de Sade .
97-728: Sadism ( / ˈ s eɪ d ɪ z əm / ) and masochism ( / ˈ m æ s ə k ɪ z ə m / ), known collectively as sadomasochism ( / ˌ s eɪ d oʊ ˈ m æ s ə k ɪ z ə m / SAY -doh- MASS -ə-kiz-əm ) or S&M , is the derivation of pleasure from acts of respectively inflicting or receiving pain or humiliation . The term is named after the Marquis de Sade , a French author known for his violent and libertine works and lifestyle, and Leopold von Sacher-Masoch , an Austrian author who described masochistic tendencies in his works. Though sadomasochistic behaviours and desires do not necessarily need to be linked to sex, sadomasochism
194-486: A decreased appetite and decreased nutritional intake. A change in condition that deviates from baseline, such as moaning with movement or when manipulating a body part, and limited range of motion are also potential pain indicators. In patients who possess language but are incapable of expressing themselves effectively, such as those with dementia, an increase in confusion or display of aggressive behaviors or agitation may signal that discomfort exists, and further assessment
291-531: A few Lollards held libertine views such as that adultery and fornication were not sin, or that "whoever died in faith would be saved irrespective of his way of life". During the 18th and 19th centuries, the term became more associated with debauchery. Charles-Maurice de Talleyrand wrote that Joseph Bonaparte "sought only life's pleasures and easy access to libertinism" while on the throne of Naples. Les Liaisons dangereuses ( Dangerous Liaisons , 1782), an epistolary novel by Pierre Choderlos de Laclos ,
388-454: A psychoanalyst and a contemporary of Krafft-Ebing, noted that both were often found in the same individuals, and combined the two into a single dichotomous entity known as "sadomasochism". French philosopher Gilles Deleuze argued that the concurrence of sadism and masochism proposed in Freud's model is the result of "careless reasoning," and should not be taken for granted. Freud introduced
485-668: A case of a woman who submitted herself to the whipping and beating of the followers of Pan . Early libertine writers like John Wilmot, 2nd Earl of Rochester espoused ideals that modern times are associated with sadomasochism. The modern conceptualization of sadomasochism was introduced to the medical field by German psychiatrist Richard von Krafft-Ebing in his 1886 compilation of case studies Psychopathia Sexualis . Pain and physical violence are not essential in Krafft-Ebing's conception, and he defined "masochism" (German Masochismus ) entirely in terms of control. Sigmund Freud ,
582-463: A code employed usually among gay male casual-sex seekers or BDSM practitioners in the United States, Canada, Australia, and Europe. Wearing the handkerchief on the left indicates the top, dominant, or active partner; right indicates the bottom, submissive, or passive partner. Negotiation with a prospective partner remains important as people may wear hankies of any color "only because the idea of
679-488: A credible and convincing signal of the need for relief, help, and care. Idiopathic pain (pain that persists after the trauma or pathology has healed, or that arises without any apparent cause) may be an exception to the idea that pain is helpful to survival, although some psychodynamic psychologists argue that such pain is psychogenic, enlisted as a protective distraction to keep dangerous emotions unconscious. In pain science, thresholds are measured by gradually increasing
776-431: A damaged body part while it heals, and to avoid similar experiences in the future. Most pain resolves once the noxious stimulus is removed and the body has healed, but it may persist despite removal of the stimulus and apparent healing of the body. Sometimes pain arises in the absence of any detectable stimulus, damage or disease. Pain is the most common reason for physician consultation in most developed countries. It
873-625: A disorder when the sexual interests cause no harm or distress. Sexual sadism disorder however, listed within the DSM-5, is where arousal patterns involving consenting and non‐consenting others are not distinguished. On 18 June 2018, the WHO ( World Health Organization ) published ICD-11 , in which sadomasochism, together with fetishism and fetishistic transvestism ( cross-dressing for sexual pleasure) were removed as psychiatric diagnoses. Moreover, discrimination against fetish-having and BDSM individuals
970-525: A higher risk of being stigmatized, leading to less urgent treatment of women based on social expectations of their ability to accurately report it. This has been postulated to lead to extended emergency room wait times for women and frequent dismissal of their ability to accurately report pain. Pain is a symptom of many medical conditions. Knowing the time of onset, location, intensity, pattern of occurrence (continuous, intermittent, etc.), exacerbating and relieving factors, and quality (burning, sharp, etc.) of
1067-454: A non-communicative person, observation becomes critical, and specific behaviors can be monitored as pain indicators. Behaviors such as facial grimacing and guarding (trying to protect part of the body from being bumped or touched) indicate pain, as well as an increase or decrease in vocalizations, changes in routine behavior patterns and mental status changes. Patients experiencing pain may exhibit withdrawn social behavior and possibly experience
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#17327985677561164-697: A peripheral rivalry that has developed around the actual love-object. Rejection is not desired by a primary masochist in the same way feigned rejection occurring within a mutually consensual sadomasochistic relationship is, or during instances where the masochist is the one having actual initiative power. In Things Hidden Since the Foundation of the World , René Girard attempts to resuscitate and reinterpret Freud's distinction of primary and secondary masochism, in connection with his own philosophy. People find sexual sadomasochism pleasurable for reasons dependent on
1261-643: A preference towards sadism. In contrast to frameworks seeking to explain and categorise sadomasochistic behaviours and desires through psychological, psychoanalytic, medical, or forensic approaches, Romana Byrne suggests that, in the context of sexual behaviours, such practices can be seen as examples of " aesthetic sexuality", in which a founding physiological or psychological impulse is irrelevant. Rather, according to Byrne, sadism and masochism may be practiced through choice and deliberation, driven by certain aesthetic goals tied to style, pleasure, and identity, which in certain circumstances, she claims can be compared with
1358-556: A reduction in negative affect . Across studies, participants that were subjected to acute physical pain in the laboratory subsequently reported feeling better than those in non-painful control conditions, a finding which was also reflected in physiological parameters. A potential mechanism to explain this effect is provided by the opponent-process theory . Before the relatively recent discovery of neurons and their role in pain, various body functions were proposed to account for pain. There were several competing early theories of pain among
1455-707: A result of decreased sensation. A much smaller number of people are insensitive to pain due to an inborn abnormality of the nervous system, known as " congenital insensitivity to pain ". Children with this condition incur carelessly-repeated damage to their tongues, eyes, joints, skin, and muscles. Some die before adulthood, and others have a reduced life expectancy. Most people with congenital insensitivity to pain have one of five hereditary sensory and autonomic neuropathies (which includes familial dysautonomia and congenital insensitivity to pain with anhidrosis ). These conditions feature decreased sensitivity to pain together with other neurological abnormalities, particularly of
1552-420: A secondary masochism, by contrast, the masochist experiences a less serious, more feigned rejection and punishment by the model. Both Krafft-Ebing and Freud assumed that sadism in men resulted from the distortion of the aggressive component of the male sexual instinct. Masochism in men, however, was seen as a more significant aberration, contrary to the nature of male sexuality. Freud doubted that masochism in men
1649-448: A state known as pain asymbolia, described as intense pain devoid of unpleasantness, with morphine injection or psychosurgery . Such patients report that they have pain but are not bothered by it; they recognize the sensation of pain but suffer little, or not at all. Indifference to pain can also rarely be present from birth; these people have normal nerves on medical investigations, and find pain unpleasant, but do not avoid repetition of
1746-432: Is "pain that extends beyond the expected period of healing". Chronic pain may be classified as " cancer-related " or "benign." Allodynia is pain experienced in response to a normally painless stimulus. It has no biological function and is classified by characteristics of the stimuli as cold, heat, touch, pressure or a pinprick. Phantom pain is pain felt in a part of the body that has been amputated , or from which
1843-701: Is a common, reproducible tool in the assessment of pain and pain relief. The scale is a continuous line anchored by verbal descriptors, one for each extreme of pain where a higher score indicates greater pain intensity. It is usually 10 cm in length with no intermediate descriptors as to avoid marking of scores around a preferred numeric value. When applied as a pain descriptor, these anchors are often 'no pain' and 'worst imaginable pain". Cut-offs for pain classification have been recommended as no pain (0–4mm), mild pain (5–44mm), moderate pain (45–74mm) and severe pain (75–100mm). The Multidimensional Pain Inventory (MPI)
1940-647: Is a major symptom in many medical conditions, and can interfere with a person's quality of life and general functioning. People in pain experience impaired concentration, working memory , mental flexibility , problem solving and information processing speed, and are more likely to experience irritability, depression, and anxiety. Simple pain medications are useful in 20% to 70% of cases. Psychological factors such as social support , cognitive behavioral therapy , excitement, or distraction can affect pain's intensity or unpleasantness. First attested in English in 1297,
2037-496: Is a questionnaire designed to assess the psychosocial state of a person with chronic pain. Combining the MPI characterization of the person with their IASP five-category pain profile is recommended for deriving the most useful case description. Non-verbal people cannot use words to tell others that they are experiencing pain. However, they may be able to communicate through other means, such as blinking, pointing, or nodding. With
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#17327985677562134-458: Is a trenchant description of sexual libertinism. Wayland Young argues: "... the mere analysis of libertinism ... carried out by a novelist with such a prodigious command of his medium ... was enough to condemn it and play a large part in its destruction." Agreeable to Calvin's emphasis on the need for uniformity of discipline in Geneva, Samuel Rutherford (Professor of Divinity in
2231-534: Is also a definitive feature of consensual BDSM relationships. The word sadomasochism is a portmanteau of the words sadism and masochism . These terms originate from the names of two authors whose works explored situations in which individuals experienced or inflicted pain or humiliation. Sadism is named after Marquis de Sade (1740–1814), whose major works include graphic descriptions of violent sex acts, rape, torture, and murder, and whose characters often derive pleasure from inflicting pain on others. Sade
2328-475: Is also associated with increased depression, anxiety, fear, and anger. If I have matters right, the consequences of pain will include direct physical distress, unemployment, financial difficulties, marital disharmony, and difficulties in concentration and attention… Although pain is considered to be aversive and unpleasant and is therefore usually avoided, a meta-analysis which summarized and evaluated numerous studies from various psychological disciplines, found
2425-420: Is an integral part of human culture. Some propose that it was already present among non-human primate and primitive human communities before emerging in ancient cultures. One of the oldest surviving narratives citing its practice is an Egyptian love song, sung by a man expressing a desire to be subjugated by a woman so he could experience pleasure as she treats him like a slave. Roman historian Juvenal described
2522-422: Is based to some extent on Boileau 's version of Juvenal 's eighth or fifteenth satire, and is also indebted to Hobbes, Montaigne , Lucretius , and Epicurus , as well as the general libertine tradition. Confusion has arisen in its interpretation as it is ambiguous as to whether the speaker is Rochester himself, or a satirised persona. It criticises the vanities and corruptions of the statesmen and politicians of
2619-549: Is caused by stimulation of sensory nerve fibers that respond to stimuli approaching or exceeding harmful intensity ( nociceptors ), and may be classified according to the mode of noxious stimulation. The most common categories are "thermal" (e.g. heat or cold), "mechanical" (e.g. crushing, tearing, shearing, etc.) and "chemical" (e.g. iodine in a cut or chemicals released during inflammation ). Some nociceptors respond to more than one of these modalities and are consequently designated polymodal. Libertine The word libertine
2716-789: Is considered inconsistent with human rights principles endorsed by the United Nations and The World Health Organization . The classifications of sexual disorders reflect contemporary sexual norms and have moved from a model of pathologization or criminalization of non-reproductive sexual behaviors to a model that reflects sexual well-being and pathologizes the absence or limitation of consent in sexual relations. The ICD-11 classification, contrary to ICD-10 and DSM-5, clearly distinguishes consensual sadomasochistic behaviours (BDSM) that do not involve inherent harm to self or others from harmful violence on non‐consenting persons (coercive sexual sadism disorder). In this regard, "ICD-11 go[es] further than
2813-547: Is distinctly located also activates the primary and secondary somatosensory cortex . Spinal cord fibers dedicated to carrying A-delta fiber pain signals and others that carry both A-delta and C fiber pain signals to the thalamus have been identified. Other spinal cord fibers, known as wide dynamic range neurons , respond to A-delta and C fibers and the much larger, more heavily myelinated A-beta fibers that carry touch, pressure, and vibration signals. Ronald Melzack and Patrick Wall introduced their gate control theory in
2910-518: Is drowned out by the "abyss of the Other's subjectivity". Given that the "For-itself" desires to attain a point of view in which it is both subject and object, one strategy is to gather and intensify every feeling and posture in which the self appears as an object to be rejected, tested, and humiliated; in this way, the For-itself strives toward a point of view in which there is only one subjectivity in
3007-474: Is essential for protection from injury, and recognition of the presence of injury. Episodic analgesia may occur under special circumstances, such as in the excitement of sport or war: a soldier on the battlefield may feel no pain for many hours from a traumatic amputation or other severe injury. Although unpleasantness is an essential part of the IASP definition of pain, it is possible in some patients to induce
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3104-403: Is initially described as burning or tingling but may evolve into severe crushing or pinching pain, or the sensation of fire running down the legs or of a knife twisting in the flesh. Onset may be immediate or may not occur until years after the disabling injury. Surgical treatment rarely provides lasting relief. Breakthrough pain is transitory pain that comes on suddenly and is not alleviated by
3201-507: Is necessary. Changes in behavior may be noticed by caregivers who are familiar with the person's normal behavior. Infants do feel pain , but lack the language needed to report it, and so communicate distress by crying. A non-verbal pain assessment should be conducted involving the parents, who will notice changes in the infant which may not be obvious to the health care provider. Pre-term babies are more sensitive to painful stimuli than those carried to full term. Another approach, when pain
3298-440: Is not diagnosed as a paraphilia unless such practices lead to clinically significant distress or impairment for the individual. Sadomasochism performed within the context of mutual and informed consent is distinguished from non-consensual acts of sexual violence or aggression. Individuals may identify as and partake in the sadistic, masochistic, or "switch" (performing both or changing) role. There have been occasions where
3395-421: Is often described as shooting, crushing, burning or cramping. If the pain is continuous for a long period, parts of the intact body may become sensitized, so that touching them evokes pain in the phantom limb. Phantom limb pain may accompany urination or defecation . Local anesthetic injections into the nerves or sensitive areas of the stump may relieve pain for days, weeks, or sometimes permanently, despite
3492-412: Is suspected, is to give the person treatment for pain, and then watch to see whether the suspected indicators of pain subside. The way in which one experiences and responds to pain is related to sociocultural characteristics, such as gender, ethnicity, and age. An aging adult may not respond to pain in the same way that a younger person might. Their ability to recognize pain may be blunted by illness or
3589-723: The Diagnostic and Statistical Manual of Mental Disorders (DSM) has always been separate; sadism was included in the DSM-I in 1952, while masochism was added in the DSM-II in 1968. Contemporary psychology continues to identify sadism and masochism separately, and categorizes them as either practised as a lifestyle, or as a medical condition. The current version of the American Psychiatric Association 's manual, DSM-5 , excludes consensual BDSM from diagnosis as
3686-527: The autonomic nervous system . A very rare syndrome with isolated congenital insensitivity to pain has been linked with mutations in the SCN9A gene, which codes for a sodium channel ( Na v 1.7 ) necessary in conducting pain nerve stimuli. Experimental subjects challenged by acute pain and patients in chronic pain experience impairments in attention control, working memory capacity , mental flexibility , problem solving, and information processing speed. Pain
3783-405: The medial , paleospinothalamic tract . The neospinothalamic tract carries the fast, sharp A-delta signal to the ventral posterolateral nucleus of the thalamus . The paleospinothalamic tract carries the slow, dull C fiber pain signal. Some of the paleospinothalamic fibers peel off in the brain stem—connecting with the reticular formation or midbrain periaqueductal gray—and the remainder terminate in
3880-494: The "Contract": the process by which he can control another individual and turn the individual into someone cold and callous. The sadist, in contrast, derives pleasure from the "Law": the unavoidable power that places one person below another. The sadist attempts to destroy the ego in an effort to unify the Freudian id and super-ego , gratifying the most base desires the sadist can express while ignoring or completely suppressing
3977-473: The 1965 Science article "Pain Mechanisms: A New Theory". The authors proposed that the thin C and A-delta (pain) and large diameter A-beta (touch, pressure, vibration) nerve fibers carry information from the site of injury to two destinations in the dorsal horn of the spinal cord, and that A-beta fiber signals acting on inhibitory cells in the dorsal horn can reduce the intensity of pain signals sent to
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4074-447: The 19th-century development of specificity theory . Specificity theory saw pain as "a specific sensation, with its own sensory apparatus independent of touch and other senses". Another theory that came to prominence in the 18th and 19th centuries was intensive theory , which conceived of pain not as a unique sensory modality, but an emotional state produced by stronger than normal stimuli such as intense light, pressure or temperature. By
4171-511: The 2020s is thought to have increased with the prevalence of easily accessible hardcore pornography and a decrease in social taboo surrounding the subject. In 1995, Denmark became the first European Union country to have completely removed sadomasochism from its national classification of diseases. This was followed by Sweden in 2009, Norway in 2010, Finland in 2011 and Iceland in 2015. Medical opinion of sadomasochistic activities has changed over time. The classification of sadism and masochism in
4268-415: The C fibers. These A-delta and C fibers enter the spinal cord via Lissauer's tract and connect with spinal cord nerve fibers in the central gelatinous substance of the spinal cord . These spinal cord fibers then cross the cord via the anterior white commissure and ascend in the spinothalamic tract . Before reaching the brain, the spinothalamic tract splits into the lateral , neospinothalamic tract and
4365-502: The Psychology of Sex , argued that there is no clear distinction between the aspects of sadism and masochism, and that they may be regarded as complementary emotional states. He states that sadomasochism is concerned only with pain in regard to sexual pleasure, and not in regard to cruelty, as Freud had suggested. He believed the sadomasochist generally desires that the pain and violence be inflicted or received in love, not in abuse, for
4462-761: The Quintessence of Debauchery , 1684). Other famous titles are Histoire de Dom Bougre, Portier des Chartreux (1741) and Thérèse Philosophe (1748). Precursors to the libertine writers were Théophile de Viau (1590–1626) and Charles de Saint-Evremond (1610–1703), who were inspired by Epicurus and the publication of Petronius . Robert Darnton is a cultural historian who has covered this genre extensively. A three-part essay in The Book Collector by David Foxen explores libertine literature in England, 1660-1745. Critics have been divided as to
4559-544: The University of St. Andrews, and Christian minister in 17th-century Scotland) offered a rigorous treatment of "Libertinism" in his polemical work "A Free Disputation Against Pretended Liberty of Conscience" (1649). A Satyr Against Reason and Mankind is a poem by John Wilmot, 2nd Earl of Rochester which addresses the question of the proper use of reason , and is generally assumed to be a Hobbesian critique of rationalism . The narrator subordinates reason to sense. It
4656-576: The World Health Organization, on June 18, 2018, removed Fetishism, Transvestic Fetishism, and Sadomasochism as psychiatric diagnoses. According to Anil Aggrawal , in forensic science , levels of sexual sadism and masochism are classified as follows: Sexual masochists: Sexual sadists: The difference between I–II and III–IV is consent. Sadomasochism is a subset of BDSM , a variety of erotic practices including bondage , discipline , dominance, and submission. Sadomasochism
4753-429: The affective-motivational dimension. Thus, excitement in games or war appears to block both the sensory-discriminative and affective-motivational dimensions of pain, while suggestion and placebos may modulate only the affective-motivational dimension and leave the sensory-discriminative dimension relatively undisturbed. (p. 432) The paper ends with a call to action: "Pain can be treated not only by trying to cut down
4850-403: The age of 15, while the majority of females (78%) developed their interest afterwards. The prevalence of sadomasochism within the general population is unknown. Despite female sadists being less visible than males, some surveys have resulted in comparable amounts of sadistic fantasies between females and males. The results of such studies indicate that one's sex may not be the determining factor for
4947-407: The ancient Greeks: Hippocrates believed that it was due to an imbalance in vital fluids . In the 11th century, Avicenna theorized that there were a number of feeling senses, including touch, pain, and titillation. In 1644, René Descartes theorized that pain was a disturbance that passed along nerve fibers until the disturbance reached the brain. The work of Descartes and Avicenna prefigured
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#17327985677565044-471: The brain no longer receives signals. It is a type of neuropathic pain. The prevalence of phantom pain in upper limb amputees is nearly 82%, and in lower limb amputees is 54%. One study found that eight days after amputation, 72% of patients had phantom limb pain, and six months later, 67% reported it. Some amputees experience continuous pain that varies in intensity or quality; others experience several bouts of pain per day, or it may reoccur less often. It
5141-506: The brain. In 1968, Ronald Melzack and Kenneth Casey described chronic pain in terms of its three dimensions: They theorized that pain intensity (the sensory discriminative dimension) and unpleasantness (the affective-motivational dimension) are not simply determined by the magnitude of the painful stimulus, but "higher" cognitive activities can influence perceived intensity and unpleasantness. Cognitive activities may affect both sensory and affective experience, or they may modify primarily
5238-637: The changes made for DSM-5 … in the removal of disorders diagnosed based on consenting behaviors that are not in and of themselves associated with distress or functional impairment." In Europe, an organization called ReviseF65 worked to remove sadomasochism from the ICD. On commission from the WHO ICD-11 Working Group on Sexual Disorders and Sexual Health, ReviseF65 in 2009 and 2011 delivered reports documenting that sadomasochism and sexual violence are two different phenomena. The report concluded that
5335-479: The character of Severin has become embittered by his experiment in the alleged control of masochism, and advocates instead the domination of women. René Girard included his account of sadomasochism in Things Hidden Since the Foundation of The World ( 1978), placing masochism as a coherent part of his theory of mimetic desire . In this view of sadomasochism, the violence involved is an expression of
5432-784: The court of Charles II. The libertine novel was a primarily 18th-century literary genre of which the roots lay in the European but mainly French libertine tradition. The genre effectively ended with the French Revolution . Themes of libertine novels were anti-clericalism , anti-establishment and eroticism . Authors include Claude Prosper Jolyot de Crébillon ( Les Égarements du cœur et de l'esprit , 1736; Le Sopha, conte moral , 1742), Denis Diderot ( Les bijoux indiscrets , 1748), Marquis de Sade ( L'Histoire de Juliette , 1797–1801), Choderlos de Laclos ( Les Liaisons dangereuses , 1782), and John Wilmot ( Sodom, or
5529-406: The creation of art. Surveys from the 2000s on the spread of sadomasochistic fantasies and practices show strong variations in the range of their results. Nonetheless, researchers assumed that 5 to 25 percent of the population practices sexual behavior related to pain or dominance and submission. The population with related fantasies is believed to be even larger. Interest in sexual sadomasochism in
5626-413: The drug wearing off in a matter of hours; and small injections of hypertonic saline into the soft tissue between vertebrae produces local pain that radiates into the phantom limb for ten minutes or so and may be followed by hours, weeks, or even longer of partial or total relief from phantom pain. Vigorous vibration or electrical stimulation of the stump, or current from electrodes surgically implanted onto
5723-430: The feeling of power and authority that comes from performing a dominant role or from receiving pleasure vicariously through the suffering of the masochist. Sexual sadomasochistic desires can appear at any age. Some individuals report having had them before puberty, while others do not discover them until well into adulthood. According to a 1985 study, the majority of male sadomasochists (53%) developed their interest before
5820-585: The groundwork for the widely accepted medical perspective in the following decades. This led to the first compound usage of the terminology in Sado-Masochism (Loureiroian "Sado-Masochismus") by the Viennese psychoanalyst Isidor Isaak Sadger in his work Über den sado-masochistischen Komplex ("Regarding the sadomasochistic complex") in 1913. In the later 20th century, BDSM activists protested against these ideas, because, they argued, they were based on
5917-551: The hankie turns them on" or they "may not even know what it means". Pain Pain is a distressing feeling often caused by intense or damaging stimuli. The International Association for the Study of Pain defines pain as "an unpleasant sensory and emotional experience associated with, or resembling that associated with, actual or potential tissue damage." Pain motivates organisms to withdraw from damaging situations, to protect
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#17327985677566014-399: The individual. For some masochists, taking on a role of compliance or helplessness offers an escape from the stresses of life, responsibility, or guilt. For others, being under the power of a strong, controlling presence may evoke the feelings of safety and protection associated with childhood. Others may derive satisfaction from earning the approval of a controlling figure. A sadist may enjoy
6111-400: The intensity of a stimulus in a procedure called quantitative sensory testing which involves such stimuli as electric current , thermal (heat or cold), mechanical (pressure, touch, vibration), ischemic , or chemical stimuli applied to the subject to evoke a response. The " pain perception threshold " is the point at which the subject begins to feel pain, and the "pain threshold intensity" is
6208-400: The intralaminar nuclei of the thalamus. Pain-related activity in the thalamus spreads to the insular cortex (thought to embody, among other things, the feeling that distinguishes pain from other homeostatic emotions such as itch and nausea) and anterior cingulate cortex (thought to embody, among other things, the affective/motivational element, the unpleasantness of pain), and pain that
6305-418: The law has focussed on the violent aspects of sadomasochistic behaviour while neglecting consensual sexual practices, such as during a case in England where 15 men were tried for a range of offences relating to sadomasochism. ( See also: Legality of BDSM ) Larry Townsend 's 1983 edition of The Leatherman's Handbook II states that a black handkerchief is a symbol for sadomasochism in the handkerchief code ,
6402-416: The likelihood of reporting pain. Patients may feel that certain treatments go against their religious beliefs. They may not report pain because they feel it is a sign that death is near. Many people fear the stigma of addiction, and avoid pain treatment so as not to be prescribed potentially addicting drugs. Many Asians do not want to lose respect in society by admitting they are in pain and need help, believing
6499-411: The literary merits of William Hazlitt 's Liber Amoris , a deeply personal account of frustrated love that is quite unlike anything else Hazlitt ever wrote. Wardle suggests that it was compelling but marred by sickly sentimentality, and also proposes that Hazlitt might even have been anticipating some of the experiments in chronology made by later novelists. One or two positive reviews appeared, such as
6596-575: The mid-1890s, specificity was backed primarily by physiologists and physicians, and psychologists mostly backed the intensive theory . However, after a series of clinical observations by Henry Head and experiments by Max von Frey , the psychologists migrated to specificity almost en masse. By the century's end, most physiology and psychology textbooks presented pain specificity as fact. Some sensory fibers do not differentiate between noxious and non-noxious stimuli, while others (i.e., nociceptors ) respond only to noxious, high-intensity stimuli. At
6693-480: The noxious stimulus is removed or the underlying damage or pathology has healed. But some painful conditions, such as rheumatoid arthritis , peripheral neuropathy , cancer , and idiopathic pain, may persist for years. Pain that lasts a long time is called " chronic " or "persistent", and pain that resolves quickly is called " acute ". Traditionally, the distinction between acute and chronic pain has relied upon an arbitrary interval of time between onset and resolution;
6790-585: The older inhabitants against the increasing number of religious refugees who were fleeing France in even greater numbers". By 1555, Calvinists were firmly in place on the Genevan town council, so the Libertines, led by Perrin, responded with an "attempted coup against the government and called for the massacre of the French. This was the last great political challenge Calvin had to face in Geneva". In England,
6887-630: The one in the Globe , 7 June 1823: "The Liber Amoris is unique in the English language; and as, possibly, the first book in its fervour, its vehemency, and its careless exposure of passion and weakness—of sentiments and sensations which the common race of mankind seek most studiously to mystify or conceal—that exhibits a portion of the most distinguishing characteristics of Rousseau, it ought to be generally praised". Dan Cruickshank in his book London's Sinful Secret summarized Hazlitt's infatuation stating: "Decades after her death Batsy (Careless) still haunted
6984-400: The pain should be borne in silence, while other cultures feel they should report pain immediately to receive immediate relief. Gender can also be a perceived factor in reporting pain. Gender differences can be the result of social and cultural expectations, with, in some cultures, women expected to be more emotional and show pain, and men to be more stoic. As a result, female pain may be at
7081-487: The pain stimulus. Insensitivity to pain may also result from abnormalities in the nervous system . This is usually the result of acquired damage to the nerves, such as spinal cord injury , diabetes mellitus ( diabetic neuropathy ), or leprosy in countries where that disease is prevalent. These individuals are at risk of tissue damage and infection due to undiscovered injuries. People with diabetes-related nerve damage, for instance, sustain poorly-healing foot ulcers as
7178-400: The pain will help the examining physician to accurately diagnose the problem. For example, chest pain described as extreme heaviness may indicate myocardial infarction , while chest pain described as tearing may indicate aortic dissection . Functional magnetic resonance imaging brain scanning has been used to measure pain, and correlates well with self-reported pain. Nociceptive pain
7275-497: The patient's regular pain management . It is common in cancer patients who often have background pain that is generally well-controlled by medications, but who also sometimes experience bouts of severe pain that from time to time "breaks through" the medication. The characteristics of breakthrough cancer pain vary from person to person and according to the cause. Management of breakthrough pain can entail intensive use of opioids , including fentanyl . The ability to experience pain
7372-512: The peripheral end of the nociceptor, noxious stimuli generate currents that, above a given threshold, send signals along the nerve fiber to the spinal cord. The "specificity" (whether it responds to thermal, chemical, or mechanical features of its environment) of a nociceptor is determined by which ion channels it expresses at its peripheral end. So far, dozens of types of nociceptor ion channels have been identified, and their exact functions are still being determined. The pain signal travels from
7469-491: The periphery to the spinal cord along A-delta and C fibers. Because the A-delta fiber is thicker than the C fiber, and is thinly sheathed in an electrically insulating material ( myelin ), it carries its signal faster (5–30 m/s ) than the unmyelinated C fiber (0.5–2 m/s). Pain evoked by the A-delta fibers is described as sharp and is felt first. This is followed by a duller pain—often described as burning—carried by
7566-700: The philosophies of the two psychiatrists, Freud and Krafft-Ebing, whose theories were built on the assumption of psychopathology and their observations of psychiatric patients. Nomenclature in previous editions of the DSM referring to sexual psychopathology have been criticized as lacking scientific veracity. The DSM-V , however, has depathologized the language around paraphilias in a way that signifies "the APA's intent to not demand treatment for healthy consenting adult sexual expression". Sadomasochism has been practiced since ancient times with some scholars suggesting that it
7663-413: The pleasure of either one or both participants. This mutual pleasure may be essential for the satisfaction of those involved. Jean-Paul Sartre linked the pleasure or power experienced by a sadist in appraising the masochist victim to his philosophy of the "Look of the Other". Sartre argued that masochism is an attempt by the "For-itself" (consciousness) to reduce itself to nothing, becoming an object that
7760-474: The question of why pain should have the quality of being painful. He describes the alternative as a mental raising of a "red flag". To argue why that red flag might be insufficient, Dawkins argues that drives must compete with one another within living beings. The most "fit" creature would be the one whose pains are well balanced. Those pains which mean certain death when ignored will become the most powerfully felt. The relative intensities of pain, then, may resemble
7857-437: The relationship, being both that of the abuser and the abused. Conversely, Sartre held sadism to be the effort to annihilate the subjectivity of the victim, meaning the sadist is exhilarated by the emotional distress of the victim because they seek a subjectivity that views the victim as both subject and object. In his 1967 essay Coldness and Cruelty (originally French " Présentation de Sacher-Masoch "), Gilles Deleuze rejects
7954-537: The relative importance of that risk to our ancestors. This resemblance will not be perfect, however, because natural selection can be a poor designer . This may have maladaptive results such as supernormal stimuli . Pain, however, does not only wave a "red flag" within living beings but may also act as a warning sign and a call for help to other living beings. Especially in humans who readily helped each other in case of sickness or injury throughout their evolutionary history, pain might be shaped by natural selection to be
8051-984: The sadomasochism diagnosis was outdated, non-scientific, and stigmatizing. The ICD-11 classification considers Sadomasochism as a variant in sexual arousal and private behavior without appreciable public health impact and for which treatment is neither indicated nor sought. Further, the ICD-11 guidelines "respect the rights of individuals whose atypical sexual behavior is consensual and not harmful." WHO's ICD-11 Working Group admitted that psychiatric diagnoses have been used to harass, silence, or imprison sadomasochists. Labeling as such may create harm, convey social judgment, and exacerbate existing stigma and violence to individuals so labeled. According to ICD-11, psychiatric diagnoses can no longer be used to discriminate against BDSM people and fetishists. Based on advances in research and clinical practice, and major shifts in social attitudes and in relevant policies, laws, and human rights standards",
8148-654: The sensory input by anesthetic block, surgical intervention and the like, but also by influencing the motivational-affective and cognitive factors as well." (p. 435) Pain is part of the body's defense system, producing a reflexive retraction from the painful stimulus, and tendencies to protect the affected body part while it heals, and avoid that harmful situation in the future. It is an important part of animal life, vital to healthy survival. People with congenital insensitivity to pain have reduced life expectancy . In The Greatest Show on Earth: The Evidence for Evolution , biologist Richard Dawkins addresses
8245-535: The spinal cord, all produce relief in some patients. Mirror box therapy produces the illusion of movement and touch in a phantom limb which in turn may cause a reduction in pain. Paraplegia , the loss of sensation and voluntary motor control after serious spinal cord damage, may be accompanied by girdle pain at the level of the spinal cord damage, visceral pain evoked by a filling bladder or bowel, or, in five to ten percent of paraplegics, phantom body pain in areas of complete sensory loss. This phantom body pain
8342-408: The stimulus intensity at which the stimulus begins to hurt. The " pain tolerance threshold" is reached when the subject acts to stop the pain. A person's self-report is the most reliable measure of pain. Some health care professionals may underestimate pain severity. A definition of pain widely employed in nursing, emphasizing its subjective nature and the importance of believing patient reports,
8439-474: The term "sadomasochism" as artificial, especially in the context of Sacher-Masoch's Venus In Furs . Deleuze's counterargument is that the tendency toward masochism is based on intensified desire brought on or enhanced by the acting out of frustration at the delay of gratification. Taken to its extreme, an intolerably indefinite delay is 'rewarded' by punitive perpetual delay, manifested as unwavering coldness. The masochist derives pleasure from, as Deleuze puts it,
8536-561: The terms sadism and masochism into clinical use in his work Neue Forschungen auf dem Gebiet der Psychopathia sexualis ("New research in the area of Psychopathology of Sex") in 1890. The terms were first selected for identifying human behavioral phenomena and for the classification of psychological illnesses or deviant behavior. In 1905, Sigmund Freud described sadism and masochism in his Drei Abhandlungen zur Sexualtheorie ("Three Papers on Sexual Theory") as stemming from aberrant psychological development from early childhood. He also laid
8633-407: The terms "primary" and "secondary" masochism. Though this idea has come under a number of interpretations, in a primary masochism the masochist undergoes a complete, rather than partial, rejection by the model or courted object (or sadist), possibly involving the model taking a rival as a preferred mate . This complete rejection is related to the death drive ( Todestrieb ) in Freud's psychoanalysis. In
8730-460: The two most commonly used markers being 3 months and 6 months since the onset of pain, though some theorists and researchers have placed the transition from acute to chronic pain at 12 months. Others apply "acute" to pain that lasts less than 30 days, "chronic" to pain of more than six months' duration, and "subacute" to pain that lasts from one to six months. A popular alternative definition of "chronic pain", involving no arbitrarily fixed duration,
8827-410: The use of medication . Depression may also keep older adult from reporting they are in pain. Decline in self-care may also indicate the older adult is experiencing pain. They may be reluctant to report pain because they do not want to be perceived as weak, or may feel it is impolite or shameful to complain, or they may feel the pain is a form of deserved punishment. Cultural barriers may also affect
8924-406: The will of the ego or conscience. Thus, Deleuze attempts to argue that masochism and sadism arise from such different impulses that the combination of the two terms is meaningless and misleading. A masochist's perception of their own self-subjugating sadistic desires and capacities are treated by Deleuze as reactions to prior experience of sadistic objectification. The epilogue of Venus In Furs shows
9021-554: The word peyn comes from the Old French peine , in turn from Latin poena meaning "punishment, penalty" (also meaning "torment, hardship, suffering" in Late Latin) and that from Greek ποινή ( poine ), generally meaning "price paid, penalty, punishment". The International Association for the Study of Pain recommends using specific features to describe a patient's pain: Pain is usually transitory, lasting only until
9118-461: Was ever a primary tendency, and speculated that it may exist only as a transformation of sadism. Sadomasochism in women received comparatively little discussion, as it was believed that it occurred primarily in men. Krafft-Ebing and Freud also assumed that masochism was so inherent to female sexuality that it would be difficult to distinguish as a separate inclination. Havelock Ellis , in Studies in
9215-496: Was imprisoned multiple times for sexual crimes following affairs in which he inflicted and/or received pain during sex, hence engaging in sadomasochism himself. Masochism is named after Leopold von Sacher-Masoch (1836–1895), whose novels explored his masochistic fantasies of receiving pain and degradation, particularly his novel Venus im Pelz (" Venus in Furs "). German psychiatrist Richard von Krafft-Ebing (1840-1902) introduced
9312-553: Was introduced by Margo McCaffery in 1968: "Pain is whatever the experiencing person says it is, existing whenever he says it does". To assess intensity, the patient may be asked to locate their pain on a scale of 0 to 10, with 0 being no pain at all, and 10 the worst pain they have ever felt. Quality can be established by having the patient complete the McGill Pain Questionnaire indicating which words best describe their pain. The visual analogue scale
9409-468: Was originally coined by John Calvin to negatively describe opponents of his policies in Geneva , Switzerland. The group, led by Ami Perrin , argued against Calvin's "insistence that church discipline should be enforced uniformly against all members of Genevan society". Perrin and his allies were elected to the town council in 1548, and "broadened their support base in Geneva by stirring up resentment among
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