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It is estimated that as much as 10% of the population identifies as “kinky” and up to 14% of people have experimented with BDSM, or Bondage/Discipline, Domination/submission, and Sadism/masochism. Within the psychoanalytic community, this behavior has long been viewed as perverse. However, as popular books and movies bring BDSM more into the mainstream of acceptable sexual behavior, clinicians are finding the need for a different lens through which to view those who engage in kink.Have you ever wondered what thoughts reside within a Dominant’s mind as he strikes his submissive? What feelings are present as he has control of her? Moreover, as a clinician, have you sat with patients, contemplating the unconscious meanings that this type of sexual activity might have for them? Have you found it difficult to treat kinky patients either because you disagree with or do not understand what is involved? Little has been studied about the BDSM population from the perspective of those who