In which disorder is sexual arousal from humiliation, beating, being bound, or made to suffer?

• A. Sexual Masochism
• B. Sexual Sadism Disorder
• C. Fetishistic Disorder
• D. Transvestic Disorder

Answer: (A)

The pattern described is sexual masochism, where sexual arousal centers on being humiliated, bound, or made to suffer. In DSM-5, this becomes Sexual Masochism Disorder when the fantasies, urges, or behaviors cause clinically significant distress or impairment, or involve non-consenting individuals. This is distinct from sexual sadism, where arousal comes from inflicting pain or humiliation on another; fetishistic disorder, which involves arousal from nonliving objects or specific non-sexual body parts; and transvestic disorder, which involves arousal from cross-dressing. If the arousal occurs in a fully consensual, non-distressing context, it may not meet disorder criteria even though the masochistic interest exists.