“…The Dance of Souls took place at the Southwest Leather Conference, which is an annual educational and community gathering of the leather community, an umbrella subculture encompassing alternative sexual expressions, chiefly BDSM and associated practices (Lenius, 2010;Peacock, Eyre, Quinn, & Kegeles, 2001). The Dance of Souls ritual is influenced by the spiritual rituals of Hinduism's Thaipusam and the Native American Sundance, that involves the piercing and pulling or weighing of the flesh (Lee et al, 2016;Reid, 2005). Lee et al (2016) aimed to assess participants in the natural setting of the ritual, using both direct and indirect measures of altered states, as well as measures of affect, sexual arousal, intimacy with fellow participants, and physiological and psychological markers of stress.…”