Many submissives in a submissive relationship wear a collar to indicate their submissive status and commitment. The book has elements of both social and physical submission, and is the genesis of the term "masochism" coined by the 19th-century psychiatrist Krafft-Ebing. Some employ a written form known as a "Dungeon negotiation form", for others a simple verbal commitment is sufficient. As such, it is a show of extreme trust and understanding and is usually undertaken only by partners who know each other well, or otherwise agree to set clear, safe limits on their activities. For long term consent, a "slave contract" may be drawn up. Some contracts can become quite detailed and run for many pages, especially if a scene is to last a weekend or more. Those who take the superior position are called "dominants"—Doms male or Dommes female —while those who take the subordinate position are called "submissive"—or subs male or female. The discussion of what activities are available and the mutual definition of the play is the only way both the dominant and submissive will be able to comfortably perform. Many people—for example, some in the punk rock and goth subcultures —wear collars for other reasons, such as fashion.
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