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Women had more frequent positive cognitions of sexual submission than men.

Nevertheless, it has been claimed that previous cultures eg, ancient Egypt, ancient Rome accepted the use of physical and mental pain play in a sexual context much more than is the case in our current western societies, 1 , 36 , 37 but insufficient data exist to verify this hypothesis. Weierstall and Giebel 31 recently developed a sadomasochism checklist containing a submission scale and a dominant scale, each containing 24 items with 6 different factors: domination, use of toys, soft play, beatings, breath play, and play involving bodily fluids.