Abstract
Sexual masochism disorder is considered the most prevalent paraphilia among women. However, little is known about the etiology and clinical correlates involved in this disorder. We aimed at addressing this issue through a potentially high-risk clinical cohort. This case–control study consisted of 60 women who met DSM-IV criteria for borderline personality disorder (BPD) and 60 women with other personality disorders. For both groups, sexual masochism disorder comorbidity was assessed through the Structured Clinical Interview, Sexual Disorders Module. Several etiological, psychosexual, and personality features were measured. Sexual masochism disorder was 10 times higher in BPD women than in women with other personality disorders (10 vs. 0 %). Among BPD women, those with sexual masochism disorder reported more child sexual abuse, more hostile/dismissing attachments, higher sensation seeking, and more frequently exploratory/impersonal sexual fantasies than BPD without sexual masochism. Correlation analysis confirmed a significant positive relationship between disinhibition and sexual masochism severity for BPD women. Our findings point out that BPD women may represent a high-risk cohort, especially those with higher disinhibition and detached attachment. Childhood sexual abuse may also play a predispositional role on this comorbidity. Further research may help to elucidate the intriguing relationship between both disorders.
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References
American Psychiatric Association. (1968). Diagnostic and statistical manual of mental disorders (2nd ed.). Washington, DC: Author.
American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC: Author.
American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders (4th ed., text rev.). Washington, DC: Author.
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author.
Bartholomew, K., & Horowitz, L. (1991). Attachment styles among young adults: A test of a four category model. Journal of Personality and Social Psychology, 61, 226–244.
Bernstein, D. P., & Fink, L. (1998). Childhood Trauma Questionnaire: A retrospective self-report (CTQ). San Antonio, TX: NCS Pearson Inc.
Bitzer, J. (2005). Sexual aggression against girls and adult women: Causes and consequences. Therapeutische Umschau, 62, 217–222.
Buss, A. H., & Perry, M. P. (1992). The aggression questionnaire. Journal of Personality and Social Psychology, 63, 452–459.
Carrasco, A., Belloch, A., & Perpiñá, C. (2009). The assessment of perfectionism: Uselfulness of the Multidimensional Perfectionism Scale in Spanish populations. Análisis y Modificación de Conducta, 35, 49–65.
Cohen, L. J., Tanis, T., Bhattacharjee, R., Nesci, C., Halmi, W., & Galynker, I. (2014). Are there differential relationships between different types of childhood maltreatment and different types of adult personality pathology? Psychiatry Research, 215, 192–201.
First, M. B., Gibbon, M., Spitzer, R. L., Williams, J. B. W., & Benjamin, L. S. (1997). SCID-II Personality Questionnaire. Washington, DC: American Psychiatric Press.
First, M. B., Spitzer, R. L., Gibbon, M., & Williams, J. (2002). Structured clinical interview for DSM-IV-TR axis I disorders, research version, patient edition (SCID-I/P). New York: Biometrics Research, New York State Psychiatric Institute.
Freud, S. (1924/1957). The economic problem of masochism. In J. Strachey (Ed.), The standard edition of the complete psychological works of Sigmund Freud (Vol. 19, pp. 155–170). London, UK: Hogarth Press.
Frost, R. O., Marten, P., Lahart, C., & Rosenblate, R. (1990). The dimensions of perfectionism. Cognitive Therapy and Research, 14, 449–468.
Hernandez, A., Gallardo-Pujol, D., Pereda, N., Arntz, A., Bernstein, D. P., Gaviria, A. M., … Gutiérrez-Zotes, J. A. (2013). Initial validation of the Spanish Childhood Trauma Questionnaire-Short Form: Factor structure, reliability and association with parenting. Journal of Interpersonal Violence, 28, 1498–1518.
Hudson, W. W., Harrison, D. F., & Crosscup, P. C. (1981). A short-form scale to measure sexual discord women. Journal of Sex Research, 17, 157–174.
Iglesias, P., Sierra, J. C., García, M., Martínez, M., Sánchez, A., & Tapia, M. I. (2009). Índice de Satisfacción Sexual (ISS): un estudio sobre su fiabilidad y validez. International Journal of Psychology and Psychological Therapy, 9, 259–273.
Kraff-Ebing, R. V. (1965). Psychopathia sexualis. New York: GP Putnam’s Sons.
Krueger, R. B. (2010). The DSM diagnostic criteria for sexual masochism. Archives of Sexual Behavior, 39, 346–356.
Lau, M., & Kristensen, E. (2010). Sexual revictimization in a clinical sample of women reporting childhood sexual abuse. Nordic Journal of Psychiatry, 64, 4–10.
Marsh, P. J., Odlaug, B. L., Thomarios, N., Davis, A. A., Buchanan, S. N., Meyer, C. S., & Grant, J. E. (2010). Paraphilias in adult psychiatric inpatients. Annals of Clinical Psychiatry, 22, 129–134.
Melero, R., & Cantero, M. J. (2008). Affective styles in a Spanish sample: A questionnaire for the assessment of adult attachment. Clinical Health, 19, 83–100.
Pérez, J., & Torrubia, R. (1986). Fiabilidad y validez de la versión española de la Escala de Búsqueda de Sensaciones (Forma V). Revista Latinoamericana de Psicología, 18, 7–22.
Richters, J., de Visser, R. O., Rissel, C. E., Grulich, A. E., & Smith, A. M. (2008). Demographic and psychosocial features of participants in bondage and discipline, “sadomasochism” or dominance and submission (BDSM): Data from a national survey. Journal of Sexual Medicine, 5, 1660–1668.
Rosenberg, M. (1965). Society and the adolescent self-image. Princeton, NJ: Princeton University Press.
Sagarin, B. J., Cutler, B., Cutler, N., Lawler-Sagarin, K. A., & Matuszewich, L. (2009). Hormonal changes and couple bonding in consensual sadomasochistic activity. Archives of Sexual Behavior, 38, 186–200.
Sansone, R. A., Lam, C., & Wiederman, M. W. (2011). The relationship between borderline personality disorder and number of sexual partners. Journal of Personality Disorders, 25, 782–788.
Sansone, R. A., & Wiederman, M. W. (2009). Borderline personality symptomatology, casual sexual relationships, and promiscuity. Psychiatry, 6, 36–40.
Shiwach, R. S., & Prosser, J. (1998). Treatment of an unusual case of masochism. Journal of Sex and Marital Therapy, 24, 303–307.
Sierra, J. C., Ortega, V., Domingo, J., & Vera, P. (2004). Psychometric properties of Wilson’s Sex Fantasy Questionnaire. Revista Mexicana de Psicología, 21, 37–50.
Vázquez, A., Jiménez, R., & Vázquez, R. (2004). Escala de autoestima de Rosenberg: fiabilidad y validez en población clínica española. Apuntes de Psicología, 22, 247–255.
White, C. (2006). The spanner trials and the changing law on sadomasochism in the UK. Journal of Homosexuality, 50, 167–187.
Wilson, G. D. (1978). The secrets of sexual fantasy. London: J. M. Dent & Sons Ltd.
Wismeijer, A. A., & van Assen, M. A. (2013). Psychological characteristics of BDSM practitioners. Journal of Sexual Medicine, 10, 1943–1952.
Zhang, T., Chow, A., Wang, L., Dai, Y., & Xiao, Z. (2012). Role of childhood traumatic experience in personality disorders in China. Comprehensive Psychiatry, 53, 829–836.
Zuckerman, M., Eysenck, S., & Eysenck, H. J. (1978). Sensation seeking in England and America: Cross-cultural age and sex comparisons. Journal of Consulting and Clinical Psychology, 46, 139–149.
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Frías, Á., González, L., Palma, C. et al. Is There a Relationship Between Borderline Personality Disorder and Sexual Masochism in Women?. Arch Sex Behav 46, 747–754 (2017). https://doi.org/10.1007/s10508-016-0834-z
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DOI: https://doi.org/10.1007/s10508-016-0834-z