Eliezer_Yudkowsky comments on Masochism vs. Self-defeat - Less Wrong
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Well that would be one FAI/Weirdtopia story that would be weird even by my standards.
What, really? I may be biased, but it seems practically certain to me that not all the people who would enjoy SM are doing it, for exactly the reasons you quote.
What about in the early part of Stross's Accelerando? That more or less happens, though for different reasons. (Essentially, IIRC, such practices become more popular because spread of STDs has led to increased exploration of practices that don't evolve exchange of bodily fluids.)