The counter-argument would be, so what if my sexual relationships are superficial, one can still have satisfying and rewarding relationships with friends, or parents, or siblings, or whatever.

I don't think of myself as an evil monster and I hope I'm not.

Trying to get your sexual partner to make a monogamous commitment to you is not a loving thing to do; it's selfish.

That's the thing. in medicine, you're used to saying there's a problem within the person, and saying there's a problem within the culture, that's not a medical answer. Medicine has to look in one direction, so there's only one type of answer that they can find.

It occurs to me that there's been a relatively recent tendency in the media to see prostitutes as victims and johns as exploiters. I don't think most prostitutes see themselves as victims or see their clients as exploiters, but that way of seeing prostitutes and johns is pretty common now outside of sex-work circles, and it's more shameful to be the exploiter than the exploited.

If I do need to make money suddenly, I prefer to just draw something I want to draw and have someone else sell it for me on the Internet.

You know, if a relationship has gone on for five or six years, that couple is not having as much sex as they were at the beginning of the relationship. In a lot of marriages, the sex stops altogether. So that's a very common thing, even if they still like each other.