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Giving and receiving pain are common in the practice of BDSM bondage-discipline, dominance-submission, and sadism-masochism. Playing a submissive role during BDSM practice weakens both the behavioral and neural empathic responses of female individuals to others' suffering, suggesting that long-term BDSM experience affects BDSM practitioners' empathic ability. This study further investigates whether physical restriction during BDSM practice also modulates individuals' neural responses to others' suffering. The neural responses recorded during 92— ms N1— ms P2— ms N2early late positive potential LPP, — msand late LPP —1, ms were included in the analyses. Compared to the relaxed condition, when a ball gag was used to prevent facial muscle movement and facial mimicry, the N1, early LPP, and late LPP responses neural responses to others' suffering were inhibited. These findings suggest that physical restriction via a ball gag during BDSM practices increases the wearer's facial muscle stillness and sense of humiliation. This physical restriction inhibits both early automatic responses and late controlled processes in response to the suffering of others. BDSM includes many types of sexual practices or roleplaying, such as bondage, physical restriction, punishment, and power exchange Alison et al.

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