Humiliation is enforced agreement to manage a lurking defeatedness

Often incorrectly called ‘choking’, in sex games, non-fatal manual strangulation is inherently dangerous. It can lead to death hours, days, even weeks afterward due to complications from the brain being deprived of oxygen. It also causes injuries to the throat that may not leave a mark. 

Well it only a game and it may seem no harm has come of it comes the defence against prudery.

But the   woman, if 'accidentally' hurt,  may not seek medical treatment and he incident will be ‘shrouded in silence’. However, it has been known she won’t wake up the next morning … victims of a non-fatal attack of this kind have also been found to be some seven times more likely to become the victim of an attempted homicide by the same perpetrator