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RACK may be seen as focusing primarily upon awareness and informed consent, rather than accepted safe practices. The consent and compliance for a sadomasochistic situation can be granted only by people who can judge the potential results.

For their consent, they must have relevant information (extent to which the scene will go, potential risks, if a safeword will be used, what that is, and so on) at hand and the necessary mental capacity to judge.

Activities and relationships within a BDSM context are often characterized by the participants taking on complementary, but unequal roles; thus, the idea of informed consent of both the partners is essential.

The terms "submissive" and "dominant" are often used to distinguish these roles: the dominant partner ("dom") takes psychological control over the submissive ("sub").

For other scenes, particularly in established relationships, a safeword may be agreed to signify a warning ("this is getting too intense") rather than explicit withdrawal of consent; and a few choose not to use a safeword at all.Participants usually derive pleasure from this, even though many of the practices—such as inflicting pain or humiliation or being restrained — would be unpleasant under other circumstances.Explicit sexual activity, such as sexual penetration, may occur within a session, but is not essential.Since the 1980s, many practitioners and organizations have adopted the motto (originally from the statement of purpose of GMSMA—a gay SM activist organization) "safe, sane and consensual", commonly abbreviated as "SSC", which means that everything is based on safe activities, that all participants be of sufficiently sound/sane mind to consent, and that all participants do consent.Some BDSM practitioners prefer a code of behavior that differs from "SSC" and is described as "risk-aware consensual kink" (RACK), indicating a preference for a style in which the individual responsibility of the involved parties is emphasized more strongly, with each participant being responsible for his or her own well-being.

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Despite the bottom performing the action and the top receiving they have not necessarily switched roles.

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