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Since the 1980s, many practitioners and organizations have adopted the motto (originally from the statement of purpose of GMSMA—a gay SM activist organization) "safe, sane and consensual", commonly abbreviated as "SSC", which means that everything is based on safe activities, that all participants be of sufficiently sound/sane mind to consent, and that all participants do consent.

Bottom and submissive are widely used for those partner(s) in the relationship or activity who are, respectively, the physically receptive or controlled participants.

RACK may be seen as focusing primarily upon awareness and informed consent, rather than accepted safe practices. The consent and compliance for a sadomasochistic situation can be granted only by people who can judge the potential results.

For their consent, they must have relevant information (extent to which the scene will go, potential risks, if a safeword will be used, what that is, and so on) at hand and the necessary mental capacity to judge.

Activities and relationships within a BDSM context are often characterized by the participants taking on complementary, but unequal roles; thus, the idea of informed consent of both the partners is essential.

The terms "submissive" and "dominant" are often used to distinguish these roles: the dominant partner ("dom") takes psychological control over the submissive ("sub").

Some have a policy of panties/nipple sticker for women (underwear for men) and some allow full nudity with explicit sexual interaction allowed.

The fundamental principles for the exercise of BDSM require that it should be performed with the informed consent of all involved parties.

Despite the bottom performing the action and the top receiving they have not necessarily switched roles.