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29 December 2009
The most important thing I learned in writing this paper is that neurobiology and
psychobiology are hard. There’s a reason why people dedicate their lives to studying this
material (I spent under a month doing so.) The most important criticism I received on this paper
is that it is embarrassingly biased, which is fair. Understand that this paper is the result of one
student taking her very first look at neurobiology while trying to use that knowledge to explain
BDSM behaviors. I would not recommend that anyone cite this paper anywhere or even
consider it a credible source. Read it for some fun facts about the brain’s functioning, and to
consider some hypotheses about what makes the BDSM experience happen on a
psychobiological level. Like a Cracked.com article, there will be facts that pique your interest
and make you think, but you shouldn’t assume this is a completely reliable source.
I’m still deciding whether I want to plunge back into psychobiology and do a more
unbiased, in-depth, and factually sound rewrite of this paper. But until then, consider the
own on the subject, as I definitely feel that the biological aspect of BDSM is deeply important in
both enriching our understanding of BDSM and fostering greater understanding and acceptance
of the practice. So without further ado, I hope you are amused by:
As we have seen, the appeal of adopting an erotic role of submission, pain, or humiliation
(or of inflicting those) can be understood through the abstract psychology of participants: that is,
their thoughts, emotions, and sensations during play. These experiences, however, are much
more than manipulations of thoughts and emotions—much of BDSM play has solid roots in both
the physical structures of the brain and the neurotransmitters and hormones released by the
stimuli of play. We have seen how BDSM utilizes symbols and abstract cognitive function
during play. But studying the biological aspect of play reveals that not only do BDSM
participants play with these archetypes, but with the oldest and most evolution-driven areas of
the brain, using their conscious construction of psychodrama to tease the brain’s perception of
and response to fear and physical pain into intensely positive and erotic sensation. BDSM
players are neurobiological entrepreneurs, able to harness automatic and unconscious brain
First, we will observe the brain activity of the bottom, or submissive. Most often (though
certainly not universally), the bottom is the recipient of physical pain, the experience of which is
extremely similar to that of mental or emotional anguish. In that a bottom typically experiences
more physical stimulus than a top, there is more content concerning a bottom’s biological
experience than a top’s; although a top receiving physical pain will not experience a very
different biological response to pain than a bottom. So to begin, we must observe how the human
One of the most popular and respected theories on the body’s detection and perception of
pain remains Ronald Melzack and Patrick Wall’s gate-control theory of pain (Gray 242.)
According to this theory, sensation is modulated by inhibitory neurons before being recognized
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as noxious or benign. Without stimulating sensation, the inhibitory interneuron blocks the
projection neuron, and we feel no pain. Non-painful stimuli activate large fibers, which in turn
activate the inhibitory neuron: the gate is “closed”, so we feel no pain. Painful stimuli, however,
causes small fibers or nociceptors to block the inhibitory neuron which therefore cannot block
the projection neuron. The gate is “open”, and pain is communicated through the projection
neuron.
This theory can also be understood in terms of how rubbing a hurt area of the body can
reduce pain: by gently rubbing the injured area, large fibers are stimulated and activate the
inhibitory neuron, “closing” the gate and decreasing the pain. (Allen 201.)
Our brain reacts, consciously and unconsciously, to the pain we experience, which further
alters our experience of pain. It may seem difficult to understand the appeal of pain or
humiliation when these are the sensations that our unconscious brain works so hard to minimize,
neutralize, or escape from when they become imminent. Pain exists to warn us of harm; why
would we desire this noxious sensation, especially when our brains have evolved to ward off this
sensation as best as possible? The answer is in the question: because we are hardwired to
minimize, neutralize, or escape from pain, we can elicit pain in safe scenarios to create intense
sensation and to enjoy our primitive brain’s reaction to pain, much as a runner enjoys a “runner’s
One of the brain’s most notable responses to pain is chemical release. The many diverse
heightens sensation and emotional response to prepare the body for “fight or flight.” Gray cites
stimuli. The experiment revealed that “epinephrine by itself did not produce any particular
film, it increased the intensity of the subject’s emotion” (Gray 217.) Release of epinephrine is
one of the body’s primary responses to stress, and when incorporated into the erotic context of
Richard Sprott suggests that epinephrine could be, not just a biological response to stress,
characterized by “seeking varied, novel, complex and intense situations and experiences…
react[ing] more quickly and orient[ing] to new stimulation in a more open fashion…
extroversion, creativity, risk-taking” (Sprott 13-14.) Research suggests that sensation-seekers are
not merely products of their environment, but of their very biological makeup. Sensation-
seekers, Sprott explains, have lower baseline levels of epinephrine. Since low epinephrine levels
are related to boredom, sensation-seekers function to their highest potential when they are more
stimulated, and their levels of epinephrine are raised. Furthermore, the mentioned personality
traits are closely correlated with higher levels of dopamine receptors; the significance of this
correlation will be explained further on in the paper. Sprott explains that “behavioral genetic
characteristics are in the 30-50% range)” (Sprott 14.) Sensation-seeking, therefore, is not solely a
behavior or even a behavioral disorder, because of this significant genetic, biological component.
Sprott goes on to observe that socialization and culture can guide sensation-seekers into
destructive or constructive means of expression (Sprott 14.) Since BDSM play is so largely
dependent on stimulus, it would appear that the BDSM community probably contains a large
epinephrine levels; and a hypothesis I would propose to the more biologically focused BDSM
researchers would be that sensation-seeking personalities could be more likely to use BDSM
towards BDSM.
Hormones are also released in response to pain. Gray defines hormones as “chemical
messengers that are secreted into the blood. They are carried by the blood to all parts of the body,
where they act on specific target tissues…relatively slow, diffuse, widespread communication”
(Gray 170.) Endorphins are such hormones, their name short for endogenous morphine-like
substance (Gray 243.) These hormones chemically resemble opiates, drugs distinguished by their
analgesic effects: “they may dampen pain perception during intense physical activity, producing
the indifference to pain sometimes seen among competing athletes” (Allen 202.)
Endorphins play an important analgesic role with the periaqueductal gray (PAG), a major
center of pain inhibition. Klein and Thorne explain that “activity in the PAG activates the
inhibitory interneurons, which then block the pain messages from entering the CNS” (Klein and
Thorne 248); the PAG is a major component of the aforementioned gate control theory. Klein
and Thorne go on to note investigations suggesting that endorphins released by pain stimulate the
neurons in the PAG that “close” the gate (Klein and Thorne 249.) This shows that endorphins
act, not only on their own, effecting the body’s tissues, but in conjunction with the PAG to
“close” the gate before our perception of more pain actually occurs, or to block further
Although activity in the PAG is indeed affected by psychology, this activity remains
mainly in the realm of involuntary activity. Candace Pert, however, suggests that humans have
the ability to access their PAG and manipulate their pain thresholds, as evidenced by yogi
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meditation and even Lamaze training, both of which using breathing techniques to control pain
(Pert 186.) Stressing the concept of “bodymind” (Pert 188), which suggests that psychology and
biology are not divorced, parallel aspects of the human person but rather inextricably linked, Pert
holds as evidence the “wealth of data showing that changes in the rate and depth of breathing
produce changes in the quantity and kind of peptides that are released” (Pert 186), and that by
actively controlling breathing, one can therefore excite the release of peptides such as
endorphins, many of which act, like endorphins, as analgesics. This evidence is clearly linked to
the frequency with which bottoms focus on controlling their breathing while under intense
stimulus: they are managing their pain experience both externally (by cuing the top for more,
less, or constant pain) and internally, by accessing their PAG and altering their release of
Endorphins and their analgesic effects are often attributed to reduced experience of pain,
especially in the case of athletes who may be injured during a game, but find themselves able to
play through the pain, or even fail to notice the injury until after the game. Of course, endorphins
are not solely responsible for this effect—they work in conjunction with the distraction of an
intense game to “close” the gate and reduce the pain experienced (Klein and Thorne 248-249.)
This raises a dilemma in terms of how endorphins function as analgesics in BDSM play. In some
distraction; for instance, The New Topping Book cites a top “who required that [Janet] address
him by obscene names, each one different, as he caned her” (Easton and Hardy 99.) For these
bottoms, the effects of endorphins appear similar to the effects in non-erotic contexts. However,
this does not account for those who experience pleasure by focusing intensely on the pain they
receive. Klein and Thorne suggest that keeping the focus on pain keeps the gate “open” and
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intensifies the experience of pain (Klein and Thorne 248.) How does a bottom focusing on pain
manage to experience pleasure? The conundrum speaks, yet again, to the inherent complexity of
especially when studying the biological facet of BDSM. Since pain is so heavily influenced by
psychology, the bottom’s knowledge that s/he is indeed safe and secure; accomplishing a goal by
enduring pain; etc. could act in a number of ways. These thoughts and knowledge could reduce
pain; reduce the anxiety that often accompanies pain and significantly increases it; and give the
bottom control over the pain s/he is experiencing, as bottoms are encouraged to offer their tops
feedback on whether they want or can handle more or less pain. This psychological control
enables the bottom to suffer less from pain (or to suffer a precise amount of pain) while enjoying
the effects of the body’s analgesic response. In addition, endorphins and adrenaline are hardly
the only chemicals activated by noxious stimuli. A myriad of other hormones are activated by
pain besides endorphins, all of which contribute to the pleasurable effects of measured,
analgesic and opiate effects, can be identified as “reward” hormones that enhance our enjoyment
of a sensation or experience, dopamine is the hormone that causes us to actively seek this reward
as a goal. If endorphins can be identified with “liking”, dopamine can be identified with
“wanting” (Gray 186.) Gray explains that not only does dopamine motivate effort to achieve
reward, but it enhances learning as well. Experiments with rats prove that dopamine is released
immediately after a spontaneous reward to “reinforce the remembered association between the
reward and any stimulus or response that happened to precede it” (Gray 186.) Conversely, once
the stimulus is well associated with the reward, there is no need for further dopamine production
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to “teach” obtaining the reward, and dopamine is released by the cue preceding the reward, not
Recall that baseline epinephrine levels, related to the sensation-seeking personality, are
largely determined by genetics. Sprott states that there could also be a genetic component to our
ability to experience epinephrine and dopamine. Monoamine oxidase (MAO) regulates both
epinephrine and dopamine by breaking them down, so “high levels of MAO in the brain means
low levels of dopamine and epinephrine (and a quiet, reserved behavioral style), low levels of
MAO in the brain means high levels of dopamine and epinephrine (and an outgoing, active
behavioral style)” (Sprott 3-4.) As with epinephrine, a person’s baseline level of MAO is largely
can also explain a more behavioral-learning component to enjoyment of BDSM. This perspective
would be especially relevant in relation to those persons who enjoy BDSM, but were introduced
to it later in life by an active participant or knowledgeable person, rather than having original
power-based erotic interest prior to “discovering” the practice of BDSM. We have discussed how
the experience of pain can be psychologically and chemically altered to exist in a pleasurable
scenario, and once this pleasure-pain coexistence has been established, it is highly likely that
dopamine helps the body to remember contextualized pain as a source of pleasure, and
motivation would further lubricate the passage between pleasure and pain for a BDSM
participant.
Among those who are opposed to BDSM, there is the sentiment that the high stimulus of
BDSM can create an “addiction” to pain, or otherwise “ruin” the person for “normal”, vanilla
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sex, perhaps best evidenced by the fact that regular BDSM play remains categorized as a sexual
disorder. Addiction and dependence are always serious concerns worthy of being addressed,
especially when the dopamine reinforcing BDSM behaviors is also related to such grave
concerns as drug addiction. I would not go so far as to say that “addiction” to pain or BDSM is
impossible. But fortunately, for reasons I will illustrate, such an addiction is extremely
Recall, as Gray states, that dopamine is only released when the reward is spontaneous and
unexpected; and Schulkin adds that once a cue-reward system is “learned”, dopamine “is not
longer activated to the same degree” (Schulkin 72.) With the use of hard drugs, however,
dopamine response is elicited with every dose of the drug, so dopamine levels do not taper off
once the reward of the drug is established, but the drug elicits continuous levels of dopamine
which creates a “super-learning”, or addiction (Gray 187.) The drug builds up levels of
dopamine, or cravings and addictions, while the body develops tolerance to the drug. The end
result is a drug addict who experiences intense levels of “wanting”—from subsequent dopamine
buildup—but decreased “liking”, from needing larger and larger doses of the drug to obtain the
While BDSM certainly calls endogenous chemicals into play, the body’s natural supply
dependence, since returning to a ‘normal’ level of activity leads to less dopamine sensitivity and
less dopamine release. Previously enjoyable activities become less pleasurable” (Sprott 12), the
CREB proteins activated by dopamine only remain active for about 30 minutes before its
expression by dopamine stops and tolerance levels drop (Sprott 12.) Therefore, dopamine
spurred by the stimuli of BDSM play would show its effect most prominently during the end of a
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scene, where aftercare for the “slump” of heavy endorphin release and psychological strain is
standard, rather than in the long-term, as with a hard drug. Unlike the drug user, whose pattern of
drug usage can be described as “vertical”—needing more and more stimulation to achieve the
same effect—a BDSM participant is more likely to experience a “upward diagonal” and then
“horizontal” path with BDSM sensations in the long-term. Part of BDSM play does involve
pushing limits, which, paired with initial introduction of dopamine in relation to pain and
pleasure, would account for the upward path, or incremental use of more pain during play, of the
initial “diagonal.” However, as stated, the body’s capacity to experience pain as part of pleasure
is far more limited than its ability to experience drugs as pleasure. If not impossible, it is highly
unlikely that the body can develop a limitless capacity to desire or enjoy pain in the long term;
rather, it is much more likely that any given BDSM participant’s career will follow a more
horizontal path, seeking dopamine through diverse and varied scenes and expressions of BDSM,
Addiction is a broad field, and I think it is possible to become addicted to BDSM much in
the same way it is possible to become addicted to “vanilla” sex. Like drug addiction, there would
BDSM was used, not as recreation, but as avoidant compensation for a problematic area of a
person’s life, depended on to cope with an outside problem rather than addressing the issue itself.
That being said, however, BDSM is not a hard drug, and there is almost no reason why a
psychologically healthy person with good coping and problem-solving strategies should be
concerned about developing a chemical addiction to BDSM over the months or years. In fact, the
inherently introspective nature of healthy BDSM play would decrease a person’s likelihood of
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becoming addicted to the practice, as any given participant is likely to be vigilant about their
own psyche, especially concerning BDSM, and would be able to identify and approach a
problem, personally or professionally, before it reached any magnitude close to that of addiction.
can be seen on a smaller scale and is a more immediate and pressing concern. In-scene demand
cannot increase so drastically in only a few hours. A bottom under intense stimulation may be
inundated with endorphins and other neurotransmitters and hormones which would lead them
either to demand more pain than they can withstand, due to their suppressed perception of pain;
or they may endure a constant pain for longer than they would normally be able to, also due to
heightened endorphin activity. Easton and Hardy confirm that “your bottom may or may not be
able to tell you if something you’re doing is causing physical harm. She may be so high on
endorphins that he simply can’t tell what’s happening, or may have gotten non-verbal and
forgotten how to communicate” (Easton and Hardy 43.) This situation is a very real concern in
all BDSM scenes, and it is the grave responsibility of every top to stay vigilant to their bottom’s
condition so that, should their bottom pass into such a state, they can stop play, prevent physical
damage to the bottom, and bring the bottom back to “reality.” Such is one of the inherent risks of
BDSM play; however, a responsible and vigilant top should be able to identify such a state of
mind in their bottom and end play before any serious damage, physical or otherwise, occurs.
If any “addiction” occurs during BDSM play, it is most likely to come, not from
dopamine, but from the release of oxytocin and vasopressin—pair-bonding hormones that form
the biological basis for long-term relationships in a pattern not unlike that of addiction to opiates.
pictures of their “true loves”, “the neural circuitry implicated is the same that is active when
individuals are high on cocaine” (Peterson 250), and a person separated from a loved one will
show oxytocin withdrawal symptoms not unlike those of drug withdrawal—indeed, a person
separated from their oxytocin-bonded lover will literally experience a chemical withdrawal
(Brizendine 67.)
Oxytocin and vasopressin are two different hormones that serve the similar function of
inducing pair bonding. Both hormones are present in both male and female brains, but oxytocin
is sensitive to estrogen and vasopressin is sensitive to testosterone (Sprott 5.) In addition, females
have more receptors for oxytocin whereas males have more receptors for vasopresin, which often
(Brizendine 71.) Brizendine explains that oxytocin is “a neurohormone that triggers and is
triggered by intimacy” (Brizendine 37); and Peterson goes even further, stating that oxytocin
“has been called the cuddle hormone, and it has been linked to the creation of a loving bond
between two individuals and perhaps even to monogamy” (Peterson 249.) Oxytocin is released
during birth and breastfeeding, and is closely related to maternal behavior—voles and monkeys
injected with oxytocin show maternal behavior towards other voles or monkeys’ infants,
respectively (Angier 312.) In addition, both oxytocin and vasopressin are elicited by sexual
arousal and orgasm. Oxytocin in females is more stimulated by touching and sexual pleasure,
whereas vasopressin in males is released after orgasm (Brizendine 72). In addition, some forms
of stress are proven to release oxytocin, including restraint, immobilization, foot shock, and
forced swimming (Kalin and Reul 214.) The former two are sometimes simultaneously present in
BDSM play—being placed under stress by a trusted partner elicits oxytocin or vasopressin and
subsequent trust and love for the partner, an effect only increased if the play involves sex and
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orgasm.
One myth about BDSM already dispelled by psychology—the idea that BDSM play is
cold and impersonal—is further disproved by the role of oxytocin. This bonding hormone is
released in response to stress—which occurs during play—and also to physical intimacy, which
frequently occurs during aftercare and winding down the session. If the BDSM play involves
sex, orgasm elicits yet more oxytocin. Not only is BDSM play psychologically intimate, but the
pairing of stress and tenderness between players creates fertile ground for fostering intimate,
loving, long-term relationships, as well as reinforcing the feeling of nurturing that is so crucial
for tops and bottoms staying vigilant of their partner’s well-being during play, especially if the
players are already in a committed, loving relationship. While the long-term effects of oxytocin
will be seen most strongly in committed, long-term, romantic BDSM relationships, its positive
effects will surely be seen, albeit with less intensity, in any BDSM encounter that elicits this
hormone.
Now that we understand the chemical responses elicited by noxious stimulus, we can turn
to the physical structure of the brain, and how different parts of the brain perceive pain and
noxious stimulus. Three major parts of the brain are involved in pain perception: the brainstem,
The most ancient parts of the brain, or subcortical structures of the brain, are all parts of
the brain stem: medulla, pons, and midbrain. These parts of the brain serve our most basic
survival instincts. The brainstem is similar to the spinal cord, in that it processes both ascending
and descending neurons, although the brainstem’s processing is more complex (Gray 150.) The
medulla and pons, the lowermost portions of the brainstem, organize postural and vital reflexes.
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Postural reflexes keep us balanced while moving or standing, and vital reflexes coordinate heart
rate and breathing rate according to neural input from the spinal cord (Gray 150.)
those involved in eating, drinking, attacking, or copulating” (Gray 150), as well as speed of
movements. The brainstem organizes the most primitive, survival-oriented motions, but contains
no capacity for choice or deliberation. Gray describes this through the example of the brainstem
animal: “an animal whose central nervous system is cut completely through just above the
brainstem” (Gray 150). While such an animal will respond to immediate stimuli and can go
through the motions of keeping itself alive (i.e. eating, grooming, etc.) it will not act “in either a
certain triggers rather than like an intelligent, decision-making mammal” (Gray 150.) This part
of the brain accounts for a person’s sexual drive and base aversion to pain, both of which are
Since the limbic system is named for the Latin word for “border”, or limbus, Gray’s
description of the limbic system is unsurprising: “the limbic system can be thought of as the
border dividing the evolutionary older parts of the brain, below it, from the newest part (or
cerebral cortex) above it” (Gray 152.) Originally evolved for complex olfactory analysis (the
remnants of which are seen today in the close ties between our emotions and smells), today’s
limbic system’s primary responsibilities include “processing emotional and social information,
forming emotional memories, and learning” (Sprott 1.) The limbic system’s position in the brain
makes it not only a border, but a crossroad of information. All sensory input is received in the
limbic system, and its connection to the basal ganglia—a part of the brain involved in
coordinating movements—“is believed to help translate emotions and drives into actions” (Gray
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152.) Even the hippocampus serves an important function in monitoring spatial location. The
hypothalamus, which is not considered a part of the limbic system but is connected to all of its
parts, also contributes to the “crossroads” nature of the limbic system—its task is to regulate
homeostasis within the body, a task that includes influencing the automatic nervous system and
hormone release, drive states such as hunger, and emotional states (Sprott 152-153.)
The limbic system is comprised of the hippocampus, pituitary gland, and amygdala. The
hippocampus is a vital structure in forming lasting memories (Coon and Mitterer 69.) The
pituitary gland, although itself controlled by the brain, releases hormones that elicit hormone
production in other glands, leading to the pituitary gland being nicknamed the master endocrine
gland (Gray 172.) The pituitary gland’s intimate connection with the emotional limbic system
explains how emotions can elicit the aforementioned hormonal responses; a relationship
understood better still by observing the neighboring portion of the limbic system: the amygdala,
possibly the most important portion of the limbic system in terms of understanding the BDSM
experience.
especially fear and anger, emotions critical to physical survival…Medial amygdala is important
in sexual arousal” (Sprott 2.) It is believed that the amygdala’s role in processing the base
evolutionary responses of “fight or flight” and sexual arousal explain how quickly sex can turn
into a heated argument, or how fighting can lead to copulating. The role of the amygdala is made
conspicuous by its absence in experiments where monkeys’ amygdales were removed, producing
a condition described as psychic blindness. Gray describes these animals as retaining vision and
responding to stimulus they had previously learned to associate with fear or aggression, failing to
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distinguish between favorable and even inedible food objects, and similarly making no
distinction in their choice of partners (animate or inanimate) for copulating. Gray even notes that
similar effects have been seen in humans sustaining damage to the amygdala (Gray 226.)
Although sensitive to basic emotional drive, the amygdala is not a rational part of the
brain. Since the limbic system is evolutionarily older than the analytical neocortex, Coon and
Mitterer note that “cognitive learning has little effect on these lower brain areas” (Coon and
Mitterer 224.) This explains why conditioned phobias—or phobias “learned” from a negative
encounter with the stimulus—are often resistant to analytical reasoning, and are better treated
with desensitization therapy, or gradually exposing the phobic person to the stimulus of their
Because this part of the brain is disconnected from the neocortex, it will respond to threatening
stimulus even when the neocortex is fully aware that no actual threat exists. And since the
amygdala is also involved in learning, it may be the part of the brain responsible for personal
preference in BDSM play; the reason why a participant might enjoy the fearful stimulus of a
kidnapping scene, but find a discipline scene too steeped in fear stimulus from previous learning
integrated into a scene as erotic. Also, since the amygdala responds to fear before the neocortex
has analyzed the stimulus, as a survival strategy (Coon and Mitterer 69), intense, learned fears
may become activated in play before the neocortex has a chance to mediate the amygdala’s fear
response. Previously, we have discussed unavoidable emotional “hot spots” that may be
unwittingly triggered during play to the result of emotional upset. The amygdala is the part of the
brain that can most prominently be held culprit for this phenomenon.
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Finally, we reach the evolutionarily newest part of the brain: the cerebral cortex. The
cerebral cortex has many important functions, including processing sensory information and
negotiating motor control. The most relevant area of the cerebral cortex to the BDSM experience
is also the one we know least about: the frontal association areas. While primary sensory and
motor areas send and receive sensory and motor messages, the association areas use memory to
combine and interpret sensory information (Coon and Mitterer 63-64.) This part of the brain is
also distinctly associated with personality and emotion, as well as reasoning and planning.
Gray describes the pathway of pain, from sensory receptors to neocortex. After being
received, pain is interpreted by the somatosensory cortex, “the area of the parietal lobe that
receives input for touch and temperature as well as pain” (Gray 241.)
BDSM play is a psychodrama, and the cerebral cortex—specifically the prefrontal cortex
—is the part of the brain that lets us identify play as a fiction. BDSM scenes are specifically
constructed to excite the limbic system with stimuli that the prefrontal cortex can comfortably
interpret as illusionary. The obvious dichotomy of pain and pleasure coexisting in BDSM play
extends to the most physical reactions of the brain: it experiences the dichotomy of a stressed
limbic system and a secure prefrontal cortex that can enjoy the limbic system’s reactions from
Thus far, we have discussed the brain’s reactions to stimulus most typically (though not
exclusively) experienced by bottoms during BDSM play, as well as how a top might also take
advantage of these reactions from different stimuli. Pain elicits many complex responses that
make BDSM play exciting, erotic, and pleasurable for a recipient of such stimulus. However, we
must now turn our attention to the top: how does biology account for the pleasure a top,
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