Tuesday, November 9, 2010

BDSM, The DSM & Orgasm Inc.

Hmmm it’s not often that I write about orgasms in a direct and in your face (so to speak hehe) manner, n’est-ce pas?

But seeing a screening of the movie Orgasm Inc. make me want to write something about the connection between BDSM, orgasms, and the vanilla world’s (and North American psychiatric circle’s) definition of what is “normal” in sexual function.

In a discussion with the sexologist present after the film screening, the speakers casually mentioned how so-called sexual dysfunction can be found in the DSM. Most people in the crowd had no clue what the DSM was/is, I have no doubt.

So enter the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV) ...soon to be DSM-V. Commonly referred to as the DSM.

What the heck is that?

Well, basically it is the medical “bible” used by doctors and psychiatrists to diagnose aberrant mental behaviors and conditions.

And yes folks, you guessed it – they placed components of BDSM in there.

Now I’ll tell you about me & the DSM & BDSM. You see we have a long history together. Ha!

One of the first books that I ever read that described BDSM was a psychology textbook in college, which described different facets of BDSM, under the DSM category.


This, my kinky friends, was the first “factual”, scientific book that I read that described these strange fantasies that I had been thinking. And since the book is used to diagnose problems, well it definitely gave me a negative view about what I was feeling. Not very encouraging to say the least. Luckily I went on to discover other materials – and people – who explained BDSM in more positive terms. Which made me realize no I was not a freak. Other people felt the way I did. Phew.

An interesting premise of the movie that “female sexual dysfunction syndrome” was actually created by pharmaceutical companies who obviously have a vested interest in pushing the pills and a range of gadgets. Just imagine having a wire stuck into your spine to help you experience orgasms. There is something seriously disturbing about that, that someone would even come up with such a concept. What the sexologist said after the movie made much more sense – that basically people need to talk to each other, to explore their desires and work things out.

That wire looked like something out of a Frankenstein movie to me. Yikes!

But thinking and discussing what is normal in sexual function made me think about BDSM and sexuality. What is normal with that connection?

At the après-film discussion, I asked a few questions about the DSM and the answer I received, to me, seemed to prove the same point as the movie did.


Pharmaceutical companies create so-called sexual dysfunctions. North American psychiatrists sit together to decided what is “normal" sexual behavior and what is dysfunctional behavior and put that info into the DSM version of the year. And thousands of doctors and psychiatrists follow this directive and diagnose accordingly.

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Want to know what the DSM says about BDSM?

Check it out:

from AllPsychOnline

Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV)
Paraphilias and Sexual Disorders
Common Characteristics


Paraphilias all have in common distressing and repetitive sexual fantasies, urges, or behaviors. These fantasies, urges, or behaviors must occur for a significant period of time and must interfere with either satisfactory sexual relations or everyday functioning if the diagnosis is to be made. There is also a sense of distress within these individuals. In other words, they typically recognize the symptoms as negatively impacting their life but feel as if they are unable to control them.

Disorders in this Category

Exhibitionism
Fetishism
Frotteurism
Pedophilia
Sexual Masochism
Sexual Sadism
Transvestic Fetishism
Voyeurism"


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First of all, is it not disturbing to see S/M placed in the same category as Pedophilia??

And now let’s look at two specifics here:

"Sexual Masochism
Category
Paraphilias and Sexual Disorders

Etiology
There are different theories related to sexual masochism, many stemming from the psychoanalytic camp. They suggest that childhood trauma (e.g., sexual abuse) or significant childhood experiences can manifest itself in exhibitionistic behavior.

Symptoms
Sexually masochistic behaviors are typically evident by early adulthood, and often start with masochistic or sadistic play in childhood. The disorder is characterized by either intense sexually arousing fantasies, urges, or behaviors in which the individual is humiliated, beaten, bound, or made to suffer in some way.

Sexual Sadism
Category
Paraphilias and Sexual Disorders

Etiology
There are different theories related to sexual sadism, many stemming from the psychoanalytic camp. They suggest that childhood trauma (e.g., sexual abuse) or significant childhood experiences can manifest itself in exhibitionistic behavior.

Symptoms

Sexually sadistic behaviors are typically evident by early adulthood, and often start with masochistic or sadistic play in childhood. The disorder is characterized by either intense sexually arousing fantasies, urges, or behaviors in which the individual is sexually aroused by causing humiliation or physical suffering of another person.”

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So apparently we all got messed up in childhood and that’s why we like pain/like causing pain?
Oh boy.

You know, on the one hand I really enjoyed watching the movie and discussion, because it opened my mind a lot to the North American view on sexuality and the impact that pharmaceutical companies have on whether or not we feel we are “normal”.

On the other hand, these DSM psychiatrists have a ways to go before they understand people like us, the kinky folk, the fetishists, the transvestites & transgendered, and the oh so many variations of BDSMers out there.

My question:
Where do we go from here?
Should we even try to make inroads in the psychiatrist community to be better understood?

Kinky food for thought.
Angel


3 comments:

Mystress Lady Evyl said...

Very interesting post and a lot to ponder. I do not think the med books will be changed any time soon though.

Angel said...

@Mystress Lady Evyl:

You're absolutely right about the med books not changing any time soon.

But I wanted to pass the info onto the BDSM Community, for people to know how doctors and psychiatrists classify BDSM behavior.

Quite an eye-opener, I say!

Thanks for your comment,
Angel :)

Liras said...

We all proceed on. Like we have been doing. Every so often, we will get to educate and illuminate. Some of us will wind up arguing with the medicos. Or being part of the community and doing research that will help change perceptions. But that is a ways off.

I am not surprised at the classifications, not just due to the so-called morality but also because there is a sizable amount of healing of hurts through BDSM. They are stuck on the former and missing the beauty of the latter.

Being kinky is not a sign of mental disorder. It is what it is. And it means different things to different people on the ground.