Sexual offences and forensic psychiatry: sexual masochism: practice question

A Forensic Medicine question in the style of the NEET PG paper. Answer it first, then read why the right option is right and why each of the others is wrong.

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Forensic Medicine · Sexual offences and forensic psychiatry: sexual masochism

Sample item

A 28-year-old man can reach sexual arousal only when his consenting partner binds, beats or humiliates him. Which paraphilia does this describe?

Original practice item, not a recalled exam question. Nothing here is recorded.

The answer and the reasoning

C. Sexual masochism

In sexual masochism the person obtains arousal from being subjected to pain, bondage or humiliation. Sexual sadism is the reverse, with arousal from inflicting suffering on another person. The distinction rests on whether the person receives or inflicts the pain.

Option by option

  • A. Frotteurism

    Frotteurism is arousal from rubbing against a non-consenting person in a crowd.

  • B. Fetishism

    Fetishism is arousal from an inanimate object or a non-genital body part, not from suffering.

  • C. Sexual masochism (correct)

    Correct. Arousal depends on receiving pain, bondage or humiliation, which is masochism.

  • D. Sexual sadism

    Sadism is arousal from inflicting pain on a partner, the opposite role to the one described.

Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.

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Questions about this Forensic Medicine question

What is the answer to this Forensic Medicine question?

The best answer is C, Sexual masochism. In sexual masochism the person obtains arousal from being subjected to pain, bondage or humiliation.

Why is "Frotteurism" not the answer?

Frotteurism is arousal from rubbing against a non-consenting person in a crowd.

Why is "Fetishism" not the answer?

Fetishism is arousal from an inanimate object or a non-genital body part, not from suffering.

Why is "Sexual sadism" not the answer?

Sadism is arousal from inflicting pain on a partner, the opposite role to the one described.

What concept does this question test?

It tests Sexual offences and forensic psychiatry: sexual masochism in Forensic Medicine. Sexual sadism is the reverse, with arousal from inflicting suffering on another person. The distinction rests on whether the person receives or inflicts the pain.

How hard is this question?

We tag it as an application question: it asks you to use a fact on a patient or a finding. The tag is our own editorial judgement, not an official difficulty rating, so read the reason for every option, not only the answer.

How should I study Sexual offences and forensic psychiatry: sexual masochism?

Learn postmortem changes with their timelines, and toxicology as poison, sign, test and antidote. Then use the flashcards and the other Forensic Medicine questions on this site to test what stuck.

Is this a real NEET PG question?

No. It is an original practice item (editorial status: sample, version 1). NextPrep does not publish recalled or leaked questions, and independent faculty review of this item has not been completed yet, so confirm important facts in a standard textbook.