The use of ball bags, ball stretchers, various kinds of chastity devices, and the humbler can also be regarded as forms of CBT.

A ball lock may be used for prolonged entrapment, providing an interesting predicament associated with not knowing when padlock will be unfastened, releasing the testicles.

The recipient of said activity receives physical pleasure through endorphins, and emotional pleasure via pleasing another. There is also a high level of excitement associated with another focusing so much careful attention on that particularly intimate part of one's anatomy. There may also be social associations regarding controlling said part of the body. The one enacting the activity benefits by enjoying providing such pleasure to the recipient and having that control.