S&M is currently in the DSM (heh, you see what I did there?). My understanding, however, is that S&M occupies a strange space within the much-edited manual. S&M is no longer listed as all-disorder-all-the-time, though it once was. But if a person has an urge towards S&M, and that person feels unhappy about it, then it is classified as a disorder. In other words, an S&Mer is labeled “healthy” if she’s happy about S&M, and “unhealthy” if she’s unhappy about it.
Actually, this is basically the spot that homosexuality occupied for a while. And the reason homosexuality was taken out is the same reason S&M should be taken out: because a person who wants a completely consensual type of sexuality, and who is unhappy about it, is probably better off working to change the unhappiness rather than the sexuality. Like homosexuality, S&M is stigmatized and misunderstood. A person who is stigmatized and misunderstood is likely to be unhappy, but that doesn’t mean there’s something wrong with her.
Hm, I hadn’t thought of it that way. It had seemed reasonable to me to leave it in the DSM in cases of people ‘unhappy about it’. But this is a very good summary of why that doesn’t really make sense.
Yes, I prefer to be labeled crazy on the basis of other things in the DSM.