I’m doing an internship thuoc hindgra But the antics belie a bigger purpose, says Amir Afkhami, a psychiatrist for the Center for Sexual Health at George Washington University’s Medical Faculty Associates. “People get too caught up in the pageantry and don’t realize the emotional aspect to all of this.” The desire to be sexually dominated cuts across both genders and provides an erotic high “that people don’t get from the typical vanilla sex experience,” he says. “It’s titillating. It’s kinky, and it involves trust” – the linchpin of romantic relationships, he notes. “When you’re giving up control, what is that a statement of at the end of the day? It’s a statement on trust.”