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Strictly speaking, fetishism is not part of BDSM, but fetish imagery is very common in visual depiction of BDSM activities.The major sub-groupings are described in the abbreviation “BDSM” itself: To someone outside of the fetish / BDSM scene it might appear to be a very homogeneous group of people and it may even seem to be a paraphilia. The stimulus that brings on the sexual arousal in an individual will vary from person to person.
Some BDSM activities may be potentially dangerous if proper precautions are neglected.
Indeed, the DSM-IV asserts that “The fantasies, sexual urges, or behaviours” must “cause clinically significant distress or impairment in social, occupational, or other important areas of functioning” in order for sexual sadism or masochism to be considered a disorder.
People who practice BDSM tend to reject the view of their activities as disordered.
Some practitioners of BDSM enjoy switching — that is, playing both dominant and submissive roles, either during a single scene or taking on different roles at different occasions with different partners.
A switch will be the top on some occasions and the bottom on other occasions.