Spock was a copy of Yoda, look at the ears. Roddenberry has repeatedly admitted that he failed to capture the depth and nuance of the original. "I'm no George Lucas," said Roddenberry in his biography Not Star Wars, The Other One, "I'm just a fan of his work desperate to make him proud in my own little way."
Regarding the title: no lie, there was a period of time where if you searched for CBT on bing or search engines derived from it (e.g. Ecosia), the top result was cock & ball torture. Sadly this seems to have been fixed.
The poster is a dominatrix whose submissive partner is autistic and wearing a gag. They inflict pain on their partner by making up incorrect facts about the autist’s niche interests.