Extreme case of sadomasochism. This man inserted large dildos into his anus and with the trapeze-like contraption could produce in-and-out movements by flexing his knees. The cause of death was a heart attack.

sadomasochism, also called S&M, SM, or S/M, deriving pleasure, often of a sexual nature, from the infliction of physical or psychological pain on another person or on oneself or both. The term is a portmanteau of sadism—deriving pleasure from inflicting pain—and masochism—deriving pleasure in receiving pain.

Fig.1 Extreme case of sadomasochism.

While the public image of sadomasochism perpetuated in popular culture is often extreme in nature, sadomasochistic acts can vary widely. Physical discomfort may be inflicted in minor forms such as tickling, hair pulling, and orgasm denial, for example, or more extreme activities such as slapping, whipping, flogging, or piercing the skin with knives or needles. Emotional or psychological discomfort can also range from mild to extreme; it is usually inflicted via humiliation, degradation, or use of epithets and slurs, among other methods. In consensual sadomasochism, all of these acts are colloquially known as “play.”

Sadomasochistic play often occurs between a sadist partner and a masochist partner, but other configurations are possible, including group settings in private homes or in clubs. Most practitioners prefer either sadism or masochism, although a minority, known as “switches,” alternate between the two. Autosadism or automasochism, inflicting pain upon oneself, is also a possibility.

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