Activities with a partner include being Bound Blindfolded Spanked Flagellated (whipped) Humiliated by being urinated or defecated on Forced to cross-dress Part of a simulated rape Diagnosis of sexual masochism disorder is based on specific clinical criteria from the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5): Patients have been repeatedly and intensely aroused by being humiliated, beaten, bound, or otherwise abused; arousal is expressed in fantasies, intense urges, or behaviors.