Federal government websites often end in. The site is secure. Preview improvements coming to the PMC website in October Learn More or Try it out now. We would like to thank all of the reviewers for their comments on our case report. We have taken their reviews into consideration, and have made the several revisions to the study.
We have updated the Design and Method section of the abstract to thoroughly reflect the procedures we used in the study. We also provided more detail on the results from the Arizona Sexual Experience Scale and added some more context to the Diagnoses and Clinical Evolution section. As suggested we added the specific nosographies to the DSM classifications so that it is clear what we are specifically referring to.
We appreciate the new references suggested by the reviewers, and have added Meston et al. Case: A shy, depressed 30 year old male discussed his frequent ego-syntonic indoor prostitution consumption in small peer groups.
Several distinctive non-sexual functions of this paid sex habit were identified. Design and method: The patient had 40 hourly psychiatric sessions in the private practice setting over 14 months. The Arizona Sexual Experience Scale was applied to compare the subjective appraisal of both paid sex and sex in a relationship.
The informal Social Atom elucidates social preferences and the Operationalized Psychodynamic Diagnostic-procedure was applied to describe a dominant relationship pattern. Results: The paid sex consumption functioned as a proud male life style choice to reinforce the patients fragile identity. The effect on self esteem was a release similar to his favorite past-time of kick-boxing. With paid sex asserted as a group ritual, it was practiced even with frequent erectile dysfunction and when sex with a stable romantic partner was more enjoyable and satisfying.
