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"The patient appears to be suffering from deep feeling of inadequacy and low self-esteem. The constant references to violent sexual acts is a loud cry of desire for those specific acts. The person obviously has a desire to be dominated and demeaned sexually. This may be the result of severe emotional/sexual abuse by the patient's mother. The almost worshipful obsession with the figure of StephenDeVoy suggests that the patient has become sexually obsessed with this person, and acts out in an effort to deny such feelings, while at the same time, vicariously live them through outragious language."