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Top and dominant are widely used for those partner(s) in the relationship or activity who are, respectively, the physically active or controlling participants.

Bottom and submissive are widely used for those partner(s) in the relationship or activity who are, respectively, the physically receptive or controlled participants.

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Individuals who can change between top/dominant and bottom/submissive roles—whether from relationship to relationship or within a given relationship—are known as switches.Advocates of RACK argue that SSC can hamper discussion of risk because no activity is truly "safe", and that discussion of even low-risk possibilities is necessary for truly informed consent.They further argue that setting a discrete line between "safe" and "not-safe" activities ideologically denies consenting adults the right to evaluate risks vs rewards for themselves; that some adults will be drawn to certain activities regardless of the risk; and that BDSM play—particularly higher-risk play or edgeplay—should be treated with the same regard as extreme sports, with both respect and the demand that practitioners educate themselves and practice the higher-risk activities to decrease risk.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").