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Masochism
The terms sadism and masochism were first used consistently to describe these behaviors by the German psychiatrist Richard Freiherr von Krafft-Ebing in his 1886 compilation of case studies Psychopathia Sexualis, a famous study of sexual perversity. Sigmund Freud, 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 (often abbreviated as S&M or S/M). This observation is commonly verified in both literature and practice; many sadists and masochists define themselves as "switchable"—capable of taking pleasure in either role.
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 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. Both 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 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 also made the important point that sadomasochism is concerned only with pain in regard to sexual pleasure, and not in regard to cruelty, as Freud had suggested. In other words, the sadomasochist generally desires that the pain be inflicted or received in love, not in abuse, for the pleasure of either one or both participants. This mutual pleasure may even be essential for the satisfaction of those involved.
Here Ellis touches upon the often paradoxical nature of consensual S&M. It is not only pain to initiate pleasure, but violence—or the simulation of violence—to express love. This contradictory character is perhaps most evident in the observation by some that not only are sadomasochistic activities usually done for the benefit of the masochist, but that it is often the masochist that controls them, through subtle emotional cues received by the sadist.