ABSTRACT
Background: Despite its growing prevalence, BDSM practice (bondage, discipline, dominance, submission, and sadomasochism) is still stigmatized, and little is known about the physical marks and injuries that individuals sustain from consensual BDSM-related activities. Aim: In this exploratory study, we examined BDSM sexual experiences and the physical marks and injuries resulting from these experiences in a convenience sample of 513 US adults. Methods: We examined the extent to which individuals at various stages of BDSM exploration engage with different types of BDSM and kink behaviors, along with the frequency with which they communicate about, inflict, and receive physical marks from these activities. Outcomes: Our main outcome measures were intentional and unintentional marks sustained from BDSM-related activities, BDSM experiences, and the use of safe words. Results: Results revealed that BDSM marks and injuries are common and quite varied (from small scratches to very large bruises) and unintentional and intentional marks differ in terms of typical size, place on body, and severity of injury. Additionally, BDSM experience is positively associated with the use of safe words and marking behaviors. Clinical Translation: Disclosure of marks and injuries, intentional and unintentional, may be improved if health care providers are aware of, and make efforts to reduce stigma surrounding, BDSM and rough sex activity. Strengths and Limitations: The findings of this study must be interpreted with acknowledgment of the limitations that it was a survey study with a convenience sample. However, as one of the few studies exploring the marks and injuries sustained from BDSM activities, the exploration of intentional and unintentional marks sustained provides a critical starting point for future examination of BDSM consequences that intersect with health care and the law. Conclusion: Marks and injuries from BDSM-related activities are common, and despite the greater use of safe words, practitioners with more BDSM experience inflict more marks than those with less BDSM experience.
ABSTRACT
Sexual communication offers relational and sexual benefits. However, the sexual communication occurring in an individual's relationship may be incongruent with their expectations for such communication. Such discrepancies can affect partners' relationships and are important to examine. This study presents a new instrument for assessing discrepancies in sexual communication, the Sexual Communication Discrepancy Index (SCDI). Results of two studies examining SCDI's dimensionality, factor structure, and reliability revealed a promising 24-item, 4-factor scale instrument. The index offers a brief, easily scored, and reliable measure of sexual communication discrepancies. It may prove useful for researchers and clinicians who focus on sexual communication.
Subject(s)
Communication , Sexual Behavior , Humans , Reproducibility of Results , Self Report , Sexual PartnersABSTRACT
Sexual communication brings numerous relational and sexual benefits. However, individuals often do not communicate sexually with their partners, resulting in the potential for sexual communication discrepancies (SCD). Guided by uncertainty reduction theory, the purpose of this exploratory study was to examine SCD in married relationships. Results of a cross-sectional survey conducted with 398 married individuals revealed a significant relationship between relational uncertainty and SCD, as well as significant associations between SCD and relational and sexual outcomes. The implications of this study are discussed in the context of sexual communication research and clinical settings.
