Sexual masochism is the act -- real, not simulated -- of being humiliated, beaten, or otherwise made to suffer to achieve sexual excitement and climax. These acts may be limited to verbal humiliation, or they may involve being beaten, bound, or otherwise abused. Masochists may act out their fantasies on themselves by cutting or piercing their skin or burning themselves. Or they may seek out a partner who enjoys hurting or humiliating others.