Fortunato Posted:

like many exotic sex acts the appeal would be less in the act itself than on the psychological subtext underneath it, as njp’s earlier post indicates quite clearly. Most fetishes are really about the power dynamic and relationship between the players; medical fetishism, for example, plays on the god-complex we grant doctors and the submissiveness we give to them.

edit: fixed a typo

This.

The pleasure is not in the act itself, but in the domination/umiliation of the woman.