Sam and Susie are in a relationship. Sam finds it sexually arousing to be the dominant one in the relationship and enjoys subjecting Susie to physical pain and psychological humiliation. Susie prefers being submissive in the relationship, but does not enjoy or find it sexually gratifying to be subjected to pain or humiliation. If Sam and Susie came to see you for couples counseling, what would you tell them in terms of diagnosis and suggestions for improving their relationship?
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