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Algolagnia (; from el, ἄλγος, ''álgos'', "pain", and el, λαγνεία, ''lagneía'', "lust") is a sexual tendency which is defined by deriving sexual pleasure and stimulation from physical
pain Pain is a distressing feeling often caused by intense or damaging stimuli. The International Association for the Study of Pain defines pain as "an unpleasant sensory and emotional experience associated with, or resembling that associated with, ...
, often involving an
erogenous zone An erogenous zone (from Greek , ''érōs'' "love"; and English ''-genous'' "producing", from Greek , ''-genḗs'' "born") is an area of the human body that has heightened sensitivity, the stimulation of which may generate a sexual response, su ...
. Studies conducted indicate differences in how the brains of those with algolagnia interpret nerve input.


History of research

In 1892,
Albert von Schrenck-Notzing Albert Freiherr von Schrenck-Notzing (18 May 1862 – 12 February 1929) was a German physician, psychiatrist and notable psychical researcher, who devoted his time to the study of paranormal events connected with mediumship, hypnotism and telep ...
introduced the term algolagnia to describe "sexual" masochism, to differentiate it from
Charles Féré Charles Samson Féré (13 July 1852 in Auffay – 22 April 1907) was a French physician. He initially studied medicine in Rouen, where he subsequently served at the Hôtel-Dieu under surgeon Achille Flaubert (1813-1882), an older brother of w ...
's earlier term called "algophilia"; Schrenck-Notzing's interpretation was that algolagnia involved ''
lust Lust is a psychological force producing intense desire for something, or circumstance while already having a significant amount of the desired object. Lust can take any form such as the lust for sexuality (see libido), money, or power. It can ...
'', not ''love'' as Fere interpreted the phenomenon. (It should be cautioned, though, that the definitions regarding sadism and masochism as medical terms have changed over the years (as also noted in the main article for that topic) and are still evolving, and there are also non-medical definitions of
sadomasochism Sadomasochism ( ) is the giving and receiving of pleasure from acts involving the receipt or infliction of pain or humiliation. Practitioners of sadomasochism may seek sexual pleasure from their acts. While the terms sadist and masochist refer ...
.) However, Krafft-Ebing's theories in ''Psychopathia Sexualis'' – where the terms sadism and masochism were used – were adopted by Sigmund Freud and became an integral part of psychoanalysis, thereby ensuring their predominance over the concept of "algolagnia". The neurologist Albert Eulenberg was another one of the first researchers to look into algolagnia, in the 1902 ''Sadismus und Masochismus'' (Sadism and Masochism). Soon thereafter, Havelock Ellis also looked into algolagnia, in the early 1900s, and stated "Sadism and Masochism – Algolagnia Includes Both Groups of Manifestations" but maintained that enjoyment of pain was restricted to an erotic context, in contrast to Krafft-Ebing's interpretations. With such titles as ''Analysis of the Sexual Impulse, Love and Pain, The Sexual Impulse in Women'' and ''The Evolution of Modesty, The Phenomena of Sexual Periodicity, Auto-Erotism'', Ellis described the basics of the condition.
Eugen Kahn Eugen Kahn (born 20 May 1887 in Stuttgart, Germany – died January 1973 in Houston, Texas) was a German psychiatrist. His " habilitation" supervisors were Emil Kraepelin Emil Wilhelm Georg Magnus Kraepelin (; ; 15 February 1856 – 7 October ...
, Smith Ely Jelliffe, William Alanson White, and Hugh Northcote were other early psychological researchers into algolagnia.


Research

In 1992, algolagnia was described as a physical phenomenon in which the brain interprets pain signals as pleasurable leading to psychological effects. Dolf Zillmann wrote that:
...most algolagniacs see their actions as an active lust, not a motivational one. Patients with algolagnia could lead normal lives, enjoy normal arousal sequences, and indulge in fairly normal
sexual intercourse Sexual intercourse (or coitus or copulation) is a sexual activity typically involving the insertion and thrusting of the penis into the vagina for sexual pleasure or reproduction.Sexual intercourse most commonly means penile–vaginal penetrat ...
, but when exposed to sexual pain, were unable to control their reaction. One woman described it as being unable to prevent her arousal or subsequent orgasm due to pain, even if she was not aroused when it began.
This and other research have linked algolagnia to aggression, hypersexuality, or other control psychoses. Research using MRI and computer models of neuron firing patterns has shown that most algolagniacs experience pain differently from others. Algolagniacs may have DNA errors such as
SCN9A Nav1.7 is a sodium ion channel that in humans is encoded by the ''SCN9A'' gene. It is usually expressed at high levels in two types of neurons: the nociceptive (pain) neurons at dorsal root ganglion (DRG) and trigeminal ganglion and sympathetic g ...
, causing inaccurate
nociception Nociception (also nocioception, from Latin ''nocere'' 'to harm or hurt') is the sensory nervous system's process of encoding noxious stimuli. It deals with a series of events and processes required for an organism to receive a painful stimulus, co ...
to occur. At least one researcher in the 1900s,
Albert Freiherr von Schrenck-Notzing Albert Freiherr von Schrenck-Notzing (18 May 1862 – 12 February 1929) was a German physician, psychiatrist and notable psychical researcher, who devoted his time to the study of paranormal events connected with mediumship, hypnotism and tel ...
, who was a self-professed sadist, thought that algolagnia was a
psychological disorder A mental disorder, also referred to as a mental illness or psychiatric disorder, is a behavioral or mental pattern that causes significant distress or impairment of personal functioning. Such features may be persistent, relapsing and remitti ...
. This view began to change once the
Kinsey Reports The Kinsey Reports are two scholarly books on human sexual behavior, ''Sexual Behavior in the Human Male'' (1948) and ''Sexual Behavior in the Human Female'' (1953), written by Alfred Kinsey, Wardell Pomeroy, Clyde Martin, and (for ''Sexual Behavi ...
noted that many seemingly normal people often enjoy pain in a sexual context, and later
Norman Breslow Norman Edward Breslow (February 21, 1941 – December 9, 2015) was an American statistician and medical researcher. At the time of his death, he was Professor (Emeritus) of Biostatistics in the School of Public Health, of the University of Washi ...
found that, before 1977, only four previous studies in all the scientific literature were
empirical Empirical evidence for a proposition is evidence, i.e. what supports or counters this proposition, that is constituted by or accessible to sense experience or experimental procedure. Empirical evidence is of central importance to the sciences and ...
in nature. One of the researchers whom Breslow cited as having empirically-valid work, Andres Spengler, concluded that earlier research was "heavily burdened with prejudice and ignorance" against those whose sexual practices were in the minority, falsely assuming behaviors to be pathological when in fact they were statistically abnormal, but harmless. In 1993 Thomas Wetzstein published a large-scale study of his local subculture from a sociological viewpoint, confirming Spengler's results and expanding on them. No empirical study has found a connection to violent crimes or evidence for an increased tendency towards any sociopathological behavior in algolagnia or the related features of sexual sadomasochism, as had been generally assumed since Krafft-Ebing's era. The term algolagnia has fallen into rare usage, and there is no entry for it in the
American Psychiatric Association The American Psychiatric Association (APA) is the main professional organization of psychiatrists and trainee psychiatrists in the United States, and the largest psychiatric organization in the world. It has more than 37,000 members are involve ...
's
DSM IV The ''Diagnostic and Statistical Manual of Mental Disorders'' (DSM; latest edition: DSM-5-TR, published in March 2022) is a publication by the American Psychiatric Association (APA) for the classification of mental disorders using a common langua ...
-TR. Inflicting pain on others has been termed "active algolagnia" and equated to the pathological form of sadism in Mosby's Medical Dictionary, which also equates the pathological form of masochism to "passive algolagnia", but it cannot be a pathological (dangerous) paraphilia form of sadism or masochism unless it involves pain inflicted on "non-consenting" persons, or "cause marked distress or interpersonal difficulty." And using algolagnia as both a pathological and non-pathological term, some in the modern research community still link it to some but not all
BDSM BDSM is a variety of often erotic practices or roleplaying involving bondage, discipline, dominance and submission, sadomasochism, and other related interpersonal dynamics. Given the wide range of practices, some of which may be engaged ...
activities. There is little ongoing research, with most neurophysiologists concentrating on neuropathological reasons for such reactions.Pg 197,''Therapeutic Suggestion in Psychopathia Sexualis with Special Reference''


See also

*
Sexual masochism disorder Sexual masochism disorder (SMD) is the condition of experiencing recurring and intense sexual arousal in response to enduring moderate or extreme pain, suffering, or humiliation.American Psychiatric Association. (2013). ''Diagnostic and Statistic ...
*
Autosadism Autosadism, or automasochism, is behaviour inflicting pain or humiliation on oneself. It may be related to self-harm or a paraphilia involving sexual arousal. It can be viewed as a form of masochism, a sublimated form of sadism, or a means to ex ...
*
Mortification of the flesh Mortification of the flesh is an act by which an individual or group seeks to mortify or deaden their sinful nature, as a part of the process of sanctification. In Christianity, mortification of the flesh is undertaken in order to repent for s ...


Footnotes


References


Ellis, on algolagnia

A 1900s book on algolagnia
* {{paraphilia BDSM terminology Pain