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For the medical condition in which pain/humiliation is required for sexual arousal and causes distress or impairment, see Sexual masochism disorder.

"BDSM" is an umbrella term for certain kinds of erotic behavior between consenting adults.The interaction between tops and bottoms—where physical or mental control of the bottom is surrendered to the top—is sometimes known as "power exchange", whether in the context of an encounter or a relationship.BDSM actions can often take place during a specific period of time agreed to by both parties, referred to as "play", a "scene", or a "session".Since the 1980s, many practitioners and organizations have adopted the motto (originally from the statement of purpose of GMSMA—a gay SM activist organization) "safe, sane and consensual", commonly abbreviated as "SSC", which means that everything is based on safe activities, that all participants be of sufficiently sound/sane mind to consent, and that all participants do consent.Some BDSM practitioners prefer a code of behavior that differs from "SSC" and is described as "risk-aware consensual kink" (RACK), indicating a preference for a style in which the individual responsibility of the involved parties is emphasized more strongly, with each participant being responsible for his or her own well-being.

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