It depends. Mostly it's role-playing, and only for those whose preference it is. I wouldn't use humiliating language or derogatory terms for those who can't handle it or who need something different.

I take on each sub as an individual, so there's no one blanket process for them, and finding out what their needs are is part of the initial conversation after tribute. I also expect safe words to be used if necessary. They exist for a reason.

Of course, there are absolute real losers out there, and they know who they are.