Feeling desired can instill a sense of identity. When self-punishment becomes a prominent part of the psychodynamics, humiliation and masochistic perversions may enter the relationships. From this perspective, it is logical to speculate that many prostitutes and pornographic actors and models may harbor borderline pathology. Difficulties with relationships may result in private ritualistic thinking and behaviors, often expressed as obsessions or compulsion. A borderline patient may develop specific phobias as he employs magical thinking to deal with fears; sexual perversions may evolve as a
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