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Hormones, Pain, and Altered States: A Scientific Search for the Essence of Sadomasochism Brad Sagarin Northern Illinois University
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Page 1: Brad Sagarin Northern Illinois University. Men Women “Pleasant thrills” from inflicting pain “Pleasant thrills” from receiving pain 51% 32% 28% 29%

Hormones, Pain, and Altered States: A Scientific Search for

the Essence of Sadomasochism

Brad SagarinNorthern Illinois University

Page 2: Brad Sagarin Northern Illinois University. Men Women “Pleasant thrills” from inflicting pain “Pleasant thrills” from receiving pain 51% 32% 28% 29%

Hamilton’s 1929 survey of 200 married men and women:

Men

Women

“Pleasant thrills” frominflicting pain

“Pleasant thrills” fromreceiving pain

51%

32%

28%

29%

Page 3: Brad Sagarin Northern Illinois University. Men Women “Pleasant thrills” from inflicting pain “Pleasant thrills” from receiving pain 51% 32% 28% 29%
Page 4: Brad Sagarin Northern Illinois University. Men Women “Pleasant thrills” from inflicting pain “Pleasant thrills” from receiving pain 51% 32% 28% 29%
Page 5: Brad Sagarin Northern Illinois University. Men Women “Pleasant thrills” from inflicting pain “Pleasant thrills” from receiving pain 51% 32% 28% 29%

Clinical

Criminal Consensual

Page 6: Brad Sagarin Northern Illinois University. Men Women “Pleasant thrills” from inflicting pain “Pleasant thrills” from receiving pain 51% 32% 28% 29%

Physiological and psychological effects of consensual BDSM

Hormonal changes and couple bonding in consensual sadomasochistic activity

Co-authors: Bert Cutler Nadine Cutler Kimberly Lawler-Sagarin Leslie Matuszewich

Page 7: Brad Sagarin Northern Illinois University. Men Women “Pleasant thrills” from inflicting pain “Pleasant thrills” from receiving pain 51% 32% 28% 29%

Participants and methods

13 participants: Arizona Power Exchange (APEX)

45 participants: Thunder in the Mountains

Questionnaires and saliva samples before and after scenes

Page 8: Brad Sagarin Northern Illinois University. Men Women “Pleasant thrills” from inflicting pain “Pleasant thrills” from receiving pain 51% 32% 28% 29%

Testosterone

Page 9: Brad Sagarin Northern Illinois University. Men Women “Pleasant thrills” from inflicting pain “Pleasant thrills” from receiving pain 51% 32% 28% 29%

Cortisol

Page 10: Brad Sagarin Northern Illinois University. Men Women “Pleasant thrills” from inflicting pain “Pleasant thrills” from receiving pain 51% 32% 28% 29%

Relationship closeness

Page 11: Brad Sagarin Northern Illinois University. Men Women “Pleasant thrills” from inflicting pain “Pleasant thrills” from receiving pain 51% 32% 28% 29%

Relationship closeness

Page 12: Brad Sagarin Northern Illinois University. Men Women “Pleasant thrills” from inflicting pain “Pleasant thrills” from receiving pain 51% 32% 28% 29%
Page 13: Brad Sagarin Northern Illinois University. Men Women “Pleasant thrills” from inflicting pain “Pleasant thrills” from receiving pain 51% 32% 28% 29%

Conclusions

SM activities show marked physiological and psychological effects on participants

Aftereffects confirm reports by SM practitioners: Reductions in stress and increases in relationship closeness

Opposite effects occurred in the scene that went poorly

Page 14: Brad Sagarin Northern Illinois University. Men Women “Pleasant thrills” from inflicting pain “Pleasant thrills” from receiving pain 51% 32% 28% 29%

SM without sex?

Page 15: Brad Sagarin Northern Illinois University. Men Women “Pleasant thrills” from inflicting pain “Pleasant thrills” from receiving pain 51% 32% 28% 29%

Dance of Souls

Sadomasochism without sex: Pain as a catalyst to transcend the self

Co-authors: Kathryn Klement Ellen Lee James Ambler Sarah Hanson Evelyn Comber

David Wietting Michael Wagner Valerie Burns Bert Cutler Elwood Reid

Page 16: Brad Sagarin Northern Illinois University. Men Women “Pleasant thrills” from inflicting pain “Pleasant thrills” from receiving pain 51% 32% 28% 29%

Participants and methods

67 participants: Southwest Leather Conference (SWLC)

Questionnaires, saliva samples, cognitive tests, behavioral observation

Page 17: Brad Sagarin Northern Illinois University. Men Women “Pleasant thrills” from inflicting pain “Pleasant thrills” from receiving pain 51% 32% 28% 29%
Page 18: Brad Sagarin Northern Illinois University. Men Women “Pleasant thrills” from inflicting pain “Pleasant thrills” from receiving pain 51% 32% 28% 29%

Straight Gay Heteroflex Bisexual Other0

2

4

6

8

10

12

14

16

SwitchBottomTop

Sexual orientation and BDSM roles

Page 19: Brad Sagarin Northern Illinois University. Men Women “Pleasant thrills” from inflicting pain “Pleasant thrills” from receiving pain 51% 32% 28% 29%

Positive and negative affect

Positive Affect Negative Affect10

15

20

25

30

35

40

45

50

Pre-DanceDuring-Dance

p = .18

p = .01

Page 20: Brad Sagarin Northern Illinois University. Men Women “Pleasant thrills” from inflicting pain “Pleasant thrills” from receiving pain 51% 32% 28% 29%

Psychological stress

Pre-Dance During-Dance1

1.5

2

2.5

3

3.5

4

4.5

5

Stressedp = .02

Extremely

Not at all

Page 21: Brad Sagarin Northern Illinois University. Men Women “Pleasant thrills” from inflicting pain “Pleasant thrills” from receiving pain 51% 32% 28% 29%

Physiological stress (cortisol)

Pre-Dance During-Dance0

0.05

0.1

0.15

0.2

0.25

0.3

0.35

0.4

0.45

0.5

Cortisol

p = .06

Page 22: Brad Sagarin Northern Illinois University. Men Women “Pleasant thrills” from inflicting pain “Pleasant thrills” from receiving pain 51% 32% 28% 29%

Intimacy

"We"

Rel

atio

nshi

p

Self/

Oth

er O

verlap

1

3

5

7

Before DanceDuring Dance

p = .85

p = .005

Page 23: Brad Sagarin Northern Illinois University. Men Women “Pleasant thrills” from inflicting pain “Pleasant thrills” from receiving pain 51% 32% 28% 29%

Why are you participating in the Dance?What do you hope to get from the experience?

“It is a wonderful way to exchange energy not just with my owner but with my tribe. It is transcendental & amazing. It is also a great way to release the negative.”

“I find peace, power, and well-being at these events.”

“To participate in high energetic levels and feel the transformation that can occur in myself and others.”

“I have had visions and deep spiritual experiences. Or not. But it's fun anyway.”

Page 24: Brad Sagarin Northern Illinois University. Men Women “Pleasant thrills” from inflicting pain “Pleasant thrills” from receiving pain 51% 32% 28% 29%

“I am in an amazing happy place. Serene yet joyous.”

“Connection through the drums and the tribe and the shared energy that overrides any pain and -opens my heart and mind to a focus beyond the physical.”

“Just very high!!!”

“Pleasantly exhausted”

“I'm very happy and aroused. I feel strong and beautiful.”

Thoughts or feelings during the Dance

Page 25: Brad Sagarin Northern Illinois University. Men Women “Pleasant thrills” from inflicting pain “Pleasant thrills” from receiving pain 51% 32% 28% 29%

“Observed energetic releases of others, saw emotions stir in many; tears, anger, screaming, laughter, pure joy. Many had variety of different experiences. I got to share in all of them, and feel their release.”

“The experience was quite calming. The degree of pain I allowed myself to have physically allowed my hyper-analytic brain to focus/center on the present. With the exception of knitting and crochet, pain this intense is the only way I can truly fall into this state of peace/have a quiet mind.”

After the Dance

Page 26: Brad Sagarin Northern Illinois University. Men Women “Pleasant thrills” from inflicting pain “Pleasant thrills” from receiving pain 51% 32% 28% 29%

Themes

29

23 2117 16 15 14 12 12

8 7 6 4 3 3 2 2

Frequency of Qualitative Data Codes

Page 27: Brad Sagarin Northern Illinois University. Men Women “Pleasant thrills” from inflicting pain “Pleasant thrills” from receiving pain 51% 32% 28% 29%

Conceptualizing the Dance

1

1.5

2

2.5

3

3.5

4

4.5

5

How SexualHow SMHow Spiritual

p <.001Extremely

Not at all

Page 28: Brad Sagarin Northern Illinois University. Men Women “Pleasant thrills” from inflicting pain “Pleasant thrills” from receiving pain 51% 32% 28% 29%

Altered states of consciousness

Physiological short term changes in the brain caused by SM related activities

Page 29: Brad Sagarin Northern Illinois University. Men Women “Pleasant thrills” from inflicting pain “Pleasant thrills” from receiving pain 51% 32% 28% 29%

The self is sometimes burdensome

"The greater the demands in my outside life, the likelier I am to feel submissive sexually."

Escape from the Self

Baumeister (1988)Wiseman (1996)

Page 30: Brad Sagarin Northern Illinois University. Men Women “Pleasant thrills” from inflicting pain “Pleasant thrills” from receiving pain 51% 32% 28% 29%

Consciousness as a Process

Page 31: Brad Sagarin Northern Illinois University. Men Women “Pleasant thrills” from inflicting pain “Pleasant thrills” from receiving pain 51% 32% 28% 29%

Transient Hypofrontality Hypothesis

Dietrich (2003)

Page 32: Brad Sagarin Northern Illinois University. Men Women “Pleasant thrills” from inflicting pain “Pleasant thrills” from receiving pain 51% 32% 28% 29%
Page 33: Brad Sagarin Northern Illinois University. Men Women “Pleasant thrills” from inflicting pain “Pleasant thrills” from receiving pain 51% 32% 28% 29%

The Stroop Test

Page 34: Brad Sagarin Northern Illinois University. Men Women “Pleasant thrills” from inflicting pain “Pleasant thrills” from receiving pain 51% 32% 28% 29%

Read the word

Page 35: Brad Sagarin Northern Illinois University. Men Women “Pleasant thrills” from inflicting pain “Pleasant thrills” from receiving pain 51% 32% 28% 29%

Green

Page 36: Brad Sagarin Northern Illinois University. Men Women “Pleasant thrills” from inflicting pain “Pleasant thrills” from receiving pain 51% 32% 28% 29%

Red

Page 37: Brad Sagarin Northern Illinois University. Men Women “Pleasant thrills” from inflicting pain “Pleasant thrills” from receiving pain 51% 32% 28% 29%

Blue

Page 38: Brad Sagarin Northern Illinois University. Men Women “Pleasant thrills” from inflicting pain “Pleasant thrills” from receiving pain 51% 32% 28% 29%

Yellow

Page 39: Brad Sagarin Northern Illinois University. Men Women “Pleasant thrills” from inflicting pain “Pleasant thrills” from receiving pain 51% 32% 28% 29%

Name the color

Page 40: Brad Sagarin Northern Illinois University. Men Women “Pleasant thrills” from inflicting pain “Pleasant thrills” from receiving pain 51% 32% 28% 29%

XXXXX

Page 41: Brad Sagarin Northern Illinois University. Men Women “Pleasant thrills” from inflicting pain “Pleasant thrills” from receiving pain 51% 32% 28% 29%

XXXXX

Page 42: Brad Sagarin Northern Illinois University. Men Women “Pleasant thrills” from inflicting pain “Pleasant thrills” from receiving pain 51% 32% 28% 29%

XXXXX

Page 43: Brad Sagarin Northern Illinois University. Men Women “Pleasant thrills” from inflicting pain “Pleasant thrills” from receiving pain 51% 32% 28% 29%

XXXXX

Page 44: Brad Sagarin Northern Illinois University. Men Women “Pleasant thrills” from inflicting pain “Pleasant thrills” from receiving pain 51% 32% 28% 29%

Read the word

Page 45: Brad Sagarin Northern Illinois University. Men Women “Pleasant thrills” from inflicting pain “Pleasant thrills” from receiving pain 51% 32% 28% 29%

Yellow

Page 46: Brad Sagarin Northern Illinois University. Men Women “Pleasant thrills” from inflicting pain “Pleasant thrills” from receiving pain 51% 32% 28% 29%

Green

Page 47: Brad Sagarin Northern Illinois University. Men Women “Pleasant thrills” from inflicting pain “Pleasant thrills” from receiving pain 51% 32% 28% 29%

Blue

Page 48: Brad Sagarin Northern Illinois University. Men Women “Pleasant thrills” from inflicting pain “Pleasant thrills” from receiving pain 51% 32% 28% 29%

Red

Page 49: Brad Sagarin Northern Illinois University. Men Women “Pleasant thrills” from inflicting pain “Pleasant thrills” from receiving pain 51% 32% 28% 29%

Name the color

Page 50: Brad Sagarin Northern Illinois University. Men Women “Pleasant thrills” from inflicting pain “Pleasant thrills” from receiving pain 51% 32% 28% 29%

Green

Page 51: Brad Sagarin Northern Illinois University. Men Women “Pleasant thrills” from inflicting pain “Pleasant thrills” from receiving pain 51% 32% 28% 29%

Red

Page 52: Brad Sagarin Northern Illinois University. Men Women “Pleasant thrills” from inflicting pain “Pleasant thrills” from receiving pain 51% 32% 28% 29%

Yellow

Page 53: Brad Sagarin Northern Illinois University. Men Women “Pleasant thrills” from inflicting pain “Pleasant thrills” from receiving pain 51% 32% 28% 29%

Blue

Page 54: Brad Sagarin Northern Illinois University. Men Women “Pleasant thrills” from inflicting pain “Pleasant thrills” from receiving pain 51% 32% 28% 29%

Altered states in tops?

Page 55: Brad Sagarin Northern Illinois University. Men Women “Pleasant thrills” from inflicting pain “Pleasant thrills” from receiving pain 51% 32% 28% 29%

Flow

Csikszentimihályi (1991)

The ego falls away. Time flies. Every action, movement, and thought follows inevitably from the previous one.

Page 56: Brad Sagarin Northern Illinois University. Men Women “Pleasant thrills” from inflicting pain “Pleasant thrills” from receiving pain 51% 32% 28% 29%
Page 57: Brad Sagarin Northern Illinois University. Men Women “Pleasant thrills” from inflicting pain “Pleasant thrills” from receiving pain 51% 32% 28% 29%

Conditions under which flow happens

1. Engagement in activity chosen for its own sake

2. Perceived challenges are high while skill level is also high

3. Clear goals that are regarded important

4. Immediate feedback indicating success at task

5. Highly focused attention

Page 58: Brad Sagarin Northern Illinois University. Men Women “Pleasant thrills” from inflicting pain “Pleasant thrills” from receiving pain 51% 32% 28% 29%

Characteristics of flow state

1. Intense concentration on task

2. Deep sense of involvement and merging of action and awareness

3. Sense of control over one’s actions

4. Enjoyment in activity

5. Distorted sense of time

Page 59: Brad Sagarin Northern Illinois University. Men Women “Pleasant thrills” from inflicting pain “Pleasant thrills” from receiving pain 51% 32% 28% 29%

Correlation does not imply causation!

Page 60: Brad Sagarin Northern Illinois University. Men Women “Pleasant thrills” from inflicting pain “Pleasant thrills” from receiving pain 51% 32% 28% 29%

An experiment to test the causal effects of topping and bottoming

Recruited switches willing to be randomly assigned to the top or bottom role

Co-authors: James Ambler Ellen Lee Kathryn Klement Evelyn Comber Sarah Hanson

Bert Cutler Nadine Cutler Tonio Loewald

Page 61: Brad Sagarin Northern Illinois University. Men Women “Pleasant thrills” from inflicting pain “Pleasant thrills” from receiving pain 51% 32% 28% 29%

An experiment to test the causal effects of topping and bottoming

Recruited switches willing to be randomly assigned to the top or bottom role

With generous support from:

Page 62: Brad Sagarin Northern Illinois University. Men Women “Pleasant thrills” from inflicting pain “Pleasant thrills” from receiving pain 51% 32% 28% 29%

Participants

14 participants, 10 women, 4 men

Mean age= 40.86, SD=12.46, Range: 23-64

Sexual Orientation 1 gay/lesbian 10 bisexual/pansexual 3 heterosexual

Race All participants were Caucasian

Page 63: Brad Sagarin Northern Illinois University. Men Women “Pleasant thrills” from inflicting pain “Pleasant thrills” from receiving pain 51% 32% 28% 29%

Participants

BDSM experience (years) M=6.86, SD= 5.07, Range: 1-17

BDSM experience (# scenes) M=386.65, SD= 510.67, Range: 18-1500

Experience with study partner (# scenes) M= 39.64, SD= 79.73, Range: 0-250

Page 64: Brad Sagarin Northern Illinois University. Men Women “Pleasant thrills” from inflicting pain “Pleasant thrills” from receiving pain 51% 32% 28% 29%

Procedure

Informed consentPractice StroopBaseline StroopBaseline saliva

sampleBaseline survey

Pre-scene Stroop Pre-scene saliva

sample Pre-scene survey Scene Post-scene Stroop Post-scene saliva

samples (x3) Post-scene survey

Page 65: Brad Sagarin Northern Illinois University. Men Women “Pleasant thrills” from inflicting pain “Pleasant thrills” from receiving pain 51% 32% 28% 29%

How well did the scene go?

Top Bottom1

2

3

4

5

6

7

How well did the scene go?Very Well

Very Poorly

Page 66: Brad Sagarin Northern Illinois University. Men Women “Pleasant thrills” from inflicting pain “Pleasant thrills” from receiving pain 51% 32% 28% 29%

Open-ended thoughts

“It went better than I expected since it was random I did not know how well it would go.”

“It was fun and since I had never played with (#6) before it was nice the variety and different style.”

“Incredibly sensual and sexually charged, less about pain than sensuality and sensation.”

“He got my masochist to come out then fed her pain. I liked it.”

Page 67: Brad Sagarin Northern Illinois University. Men Women “Pleasant thrills” from inflicting pain “Pleasant thrills” from receiving pain 51% 32% 28% 29%

Impact of observation

Top Bottom1

2

3

4

5

6

7

Impact of ObservationVery strongly affected

Not at all affected

Page 68: Brad Sagarin Northern Illinois University. Men Women “Pleasant thrills” from inflicting pain “Pleasant thrills” from receiving pain 51% 32% 28% 29%

Self-other overlap

Baseline Post-scene1

2

3

4

5

6

7

Tops and bottoms

Page 69: Brad Sagarin Northern Illinois University. Men Women “Pleasant thrills” from inflicting pain “Pleasant thrills” from receiving pain 51% 32% 28% 29%

How intense was tonight’s scene?

Top Bottom1

2

3

4

5

6

7

How intense

Page 70: Brad Sagarin Northern Illinois University. Men Women “Pleasant thrills” from inflicting pain “Pleasant thrills” from receiving pain 51% 32% 28% 29%

What activities were most intense?

“the connection between us.” “heavy flogging at end.”“Being bitten on the tender sides of

my stomach and ribs.”“Biting the spot where her heart

chakra is.” “no one thing. It all added up to a

very intense/gratifying scene.”

Page 71: Brad Sagarin Northern Illinois University. Men Women “Pleasant thrills” from inflicting pain “Pleasant thrills” from receiving pain 51% 32% 28% 29%

Sexual, Spiritual, SM

Top Bottom1

1.5

2

2.5

3

3.5

4

4.5

5

SexualSpiritualSM

Page 72: Brad Sagarin Northern Illinois University. Men Women “Pleasant thrills” from inflicting pain “Pleasant thrills” from receiving pain 51% 32% 28% 29%

Positive affect(excited, determined, attentive, …)

Baseline Pre-scene End of scene

Post-scene20

30

40

50

TopsBottoms

Page 73: Brad Sagarin Northern Illinois University. Men Women “Pleasant thrills” from inflicting pain “Pleasant thrills” from receiving pain 51% 32% 28% 29%

Negative affect(distressed, irritable, nervous, …)

Baseline Pre-scene End of scene

Post-scene10

20

30

40

TopsBottoms

Page 74: Brad Sagarin Northern Illinois University. Men Women “Pleasant thrills” from inflicting pain “Pleasant thrills” from receiving pain 51% 32% 28% 29%

Sexual arousal

Baseline Pre-scene End of scene

Post-scene1

2

3

4

5

TopsBottoms

Page 75: Brad Sagarin Northern Illinois University. Men Women “Pleasant thrills” from inflicting pain “Pleasant thrills” from receiving pain 51% 32% 28% 29%

Stress

Baseline Pre-scene End of scene

Post-scene1

2

3

4

5

TopsBottoms

Page 76: Brad Sagarin Northern Illinois University. Men Women “Pleasant thrills” from inflicting pain “Pleasant thrills” from receiving pain 51% 32% 28% 29%

Cortisol

Base

line

Pre-

scen

e

Post

-sce

ne

20 m

in la

ter

40 m

in la

ter

00.020.040.060.080.1

0.120.140.160.180.2

TopsBottoms

Page 77: Brad Sagarin Northern Illinois University. Men Women “Pleasant thrills” from inflicting pain “Pleasant thrills” from receiving pain 51% 32% 28% 29%

Altered states (Stroop)

Baseline Pre-scene Post-scene0

100

200

300

400

500

600

TopsBottoms

Page 78: Brad Sagarin Northern Illinois University. Men Women “Pleasant thrills” from inflicting pain “Pleasant thrills” from receiving pain 51% 32% 28% 29%

36 items (1-5 plus “not applicable” option)

“I was challenged, but I believed my skills would allow me to meet the challenge”

“I did things correctly without thinking about trying to do so”

“Time seemed to alter (either slowed down or speeded up)”

“I really enjoyed the experience of what I was doing”

Altered states (flow)

Page 79: Brad Sagarin Northern Illinois University. Men Women “Pleasant thrills” from inflicting pain “Pleasant thrills” from receiving pain 51% 32% 28% 29%

Altered states (flow)

Top Bottom1

2

3

4

5

Flow

Yoga: 3.85

Sports: 3.68

Exercise: 3.88

Page 80: Brad Sagarin Northern Illinois University. Men Women “Pleasant thrills” from inflicting pain “Pleasant thrills” from receiving pain 51% 32% 28% 29%

Conclusions

Incredible community support for research

Participants volunteered for more intrusion!

SM activities Increase intimacy Decrease stress and negative affect Increase then decrease sexual arousal

and positive affect Facilitate flow

Page 81: Brad Sagarin Northern Illinois University. Men Women “Pleasant thrills” from inflicting pain “Pleasant thrills” from receiving pain 51% 32% 28% 29%

Topping and bottoming caused

Different perceptions of scenes Tops: Sexual > Spiritual > SM Bottoms: SM > Sexual > Spiritual

Different perceptions of scene intensity Tops saw scenes as more intense than did

bottomsAltered states

Objective evidence of altered states of consciousness in bottoms

Page 82: Brad Sagarin Northern Illinois University. Men Women “Pleasant thrills” from inflicting pain “Pleasant thrills” from receiving pain 51% 32% 28% 29%

Future directions

Page 83: Brad Sagarin Northern Illinois University. Men Women “Pleasant thrills” from inflicting pain “Pleasant thrills” from receiving pain 51% 32% 28% 29%

For moreinformation:

http://www.niu.edu/user/tj0bjs1/bdsm.html

Page 84: Brad Sagarin Northern Illinois University. Men Women “Pleasant thrills” from inflicting pain “Pleasant thrills” from receiving pain 51% 32% 28% 29%

Thank you

http://www.niu.edu/user/tj0bjs1/bdsm.html

Brad Sagarin <[email protected]>


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