FMGE 2022 — Psychiatry

Q: A man regularly derives sexual gratification by inflicting pain upon his partner. He would often produce cuts and cigarette burns on his partner's arms. This is best described as?

Sadism. ***Sadism*** - **Sexual sadism** is defined by recurrent, intense sexually arousing fantasies, urges, or behaviors involving inflicting **physical or psychological suffering** on another person. - In this case, the man derives sexual gratification from causing pain (cuts and cigarette burns) to his partner, which is a direct manifestation of sadistic behavior. *Masochism* - **Sexual masochism** involves deriving sexual gratification from being **humiliated, beaten, bound, or otherwise made to suffer**. - The scenario describes the individual inflicting pain, not experiencing it, thus ruling out masochism. *Voyeurism* - **Voyeurism** is characterized by deriving sexual gratification from **observing unsuspecting people** who are naked, disrobing, or engaging in sexual activity. - The behavior described involves active participation and infliction of pain, not covert observation. *Fetishism* - **Fetishism** involves recurrent, intense sexually arousing fantasies, urges, or behaviors involving the use of **non-living objects (fetishes)** or a highly specific focus on non-genital body parts. - While some fetishes might involve pain, the primary driver here is the act of inflicting suffering, not the attachment to an inanimate object or specific body part. [Practice more Psychiatry PYQs on OnCourse]

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A man regularly derives sexual gratification by inflicting pain upon his partner. He would often produce cuts and cigarette burns on his partner's arms. This is best described as?