Note: This story was dynamically reformatted for online reading convenience. A Christian Couple I am a psychiatrist and, as the law requires, have kept case notes on all my clients. Some cases are more interesting than others and some of them I publish to inform the public about the types of issues that I feel are in need of treatment and those that I do not believe need help. All patients names have been changed and I have also worked to protect my own identity - if anyone does discover who I am I will NOT communicate or respond to any emails about these cases. I have consulted and given therapy to both of the people involved in this case study. I have treated then individually and as a couple on many occasions and they have come to terms with the way they live their lives. They now seem very happy and accepting of who they are as individuals and as a couple who love each other. They have been married for just over 3 years. Patrick decided to delay getting married until he had met the `right' woman and he decided that Debbie was the woman he had always been waiting for. He has had many relationships in the past but does not now cheat, or flirt with other women. The relationship is stable as far as they are both concerned. They met on a Christian dating site. Debbie's Case It was Debbie who first approached my office for an appointment so I will discuss her perspectives on what the issue was at first. Debbie is a small attractive woman in her early thirties and she is married to Patrick who is a career businessman in his early forties. Debbie is a stay a home wife who engages in a number of charitable organisations - they are what they describe as, good decent Christians who live as God wants them to live. Debbie and Patrick have been involved, since they first met, in a game they have been playing that is a central pillar of their sex lives. They are not what many people would consider as being highly sexed as they rarely have sex at all during the week and engage in any sexual activities to the weekends when they are free to have the time they feel they need uninterrupted. Debbie came to me because she started to think that their sex game was going to far as Patrick was pushing for more authenticity. The game they played was that early Saturday morning Debbie would `confess' to some sexually inappropriate misdemeanor such as having lustful thought for some man in the congregation, or wanting to play with some other man's penis and make him cum all over her breasts. This would be a signal for Patrick to start quoting passages from the Bible to her and to demand that she be punished for her trespass. Debbie's punishment required her to be tied up completely nude with her head on the pillows on the bed, her knees pulled up under her stomach which revealed her backside, rectum and vagina to easy viewing. Patrick would strip down to nothing and then continue to read and quote from the Bible about sinful thoughts and the punishments that should be metered out for these sins. He would go and collect canes and other tools that would be used for Debbie's punishment. Patrick would then list each of the sins she had committed and then ask her, one at a time, if she had committed each sin. She would always admit that she had done so and each time she did admit to sinning Patrick would tell her what punishment he would inflict on her. The punishments would revolve around her being caned and spanked (backside, thighs, back, flanks, etc.). He would also have sex with her without achieving orgasm so that they could continue for hours. He would get clothes pegs and attach them to her skin, breasts, labia, clitoris, ears, lips, and nipples. He had a set of needles that Debbie had to sharpen over the week and these he would use to pierce her skin. He would sew up her vaginal lips, and perform other similar acts on her - each designed to increase her pain. Debbie would cry a lot and have orgasm after orgasm from the pain that Patrick inflicted. Debbie was addicted to pain and it was pain that made her sexually excited. Without pain she could not achieve orgasm. Debbie was also punished by having her anus and vagina stretched to extremes. They had a number of large dildos and butt plugs that Patrick would insert and push as deep as he could. It seemed that deep vaginal and rectal pain were preferred by Debbie. [Note: It is not unusual for pain in the sexual organs (rectum, uterus, clitoris, vagina, labia and breasts) to be the preferred locations for pain women and men (testicles, scrotum, penal shaft, glans penis [the head of the penis], urethra, and rectum) who feel pain as a sexually pleasurable sensation that can lead to intense orgasm. Debbie was such a person and Patrick gained sexual pleasure by either inflicting pain or from giving Debbie intense sexual pleasure - or maybe both.] Debbie came to me not because she wasn't happy with their sex life but because Patrick was starting to pressure her to make some of her stories come true. He had, in the last few months, asked her to actually find a man she would have sex with, to offer men fellatio and/or masturbation and tell him all about these events. He was complaining that the `stories' were no longer getting him as excited as they had in the past and he needed her to really do the things they talked about. He expressed a desire for her to actually commit sin so that the need for repentance was real rather than imagined. Debbie was unwilling to do this and had resisted for those few months. However, Patrick was getting far more demanding and she was not sure what to do to resolve the issue. I asked Debbie if she thought that Patrick would be willing to attend therapy. She said that she wasn't sure but would be happy to talk to him about it and let me know the next time we met. Patrick made an appointment, at Debbie's request, to discuss the issues they were having. They attended together. At their first appointment he was amazed to hear that Debbie wasn't happy to actually enact the `stories' in real life. He couldn't understand that she would be happy to just pretend and to not seek forgiveness for real trespasses. I asked him what it was, in particular, that gave him sexual pleasure and he responded that is was seeing Debbie orgasm on a continuous basis. I then asked him if he felt that Debbie's orgasms would be much more intense if she was punished for real sexual adventures with other men and Patrick said that he believed this was so. I asked Debbie if she agreed with Patrick. Her response was that was not sure but in any event she was not ready to test the idea. Patrick expressed intense disappointment with her stance on the issue. I asked them both of either of them had thought about getting their sexual satisfaction from simply going what they currently did without the religious overtones. They bother agreed that it was the idea of sin and the need for forgiveness through punishment that gave their sexual experiences the truly sexual and lust filled excitement they both craved. I then asked Debbie what it was about having real sexual experiences outside of their relationship that caused her to feel the way she did. She said that it was the idea of cheating on Patrick, even if that is what he wanted, that was a problem for her. She did not want to break her marriage vows and she felt that sex, outside of her marriage, as a very obvious breaking of her vows. Her response got me thinking about the idea of choice. What if Debbie had no choice in this? What if, in some way, she could be forced or trapped into having sex with other men. Would she still feel that she had broken her marriage vows. I asked her that question. Her response was that if she was forced into having sexual experiences with other men then, of course, she would not feel that she had broken her vows. I then proposed that Patrick, if he truly wanted Debbie to have sex with other men, had to, somehow, force Debbie to comply. I remember Debbie looking at Patrick with a very questioning look on her face and Patrick looking at her with a similar expression. They sat there just looking at each other for a minute or two and then I saw Patrick give Debbie a small nod of his head and she nodded in response. I surmised that they had agreed that this could be a way forward for them. At that point I ended the session. About a month later my secretary made another appointment for me with Patrick and Debbie. They arrived and sat down and the first thing they said was that they had tried the `force Debbie to have sex' idea and that it worked very well for them both. I didn't expect to hear from them again as everything seemed to be sorted out for them but it wasn't to continue that way for long. They came back, both of them together because there was a problem. They had found a way of getting Debbie to get men to touch her sexually, kiss her, and even play with her breasts but she just couldn't bring herself to go `all the way' with these men and this was becoming a bit of a problem because Patrick wasn't satisfied with this level of sexual activity and had started to suffer from erectile dysfunction as a result. I asked Debbie if what she had been doing with these men was okay for her? Was she feeling to upset by what she had done? She told me that she had managed to overcome any issues she had and was ready to continue as long as there was no vaginal or penile contact with other men. She only wanted to have sex with her husband - the man she had married. Patrick has started to become despondent, depressed and had started to ignore Debbie and spend time in front of his computer watching porn where he could masturbate to orgasm and achieve sexual satisfaction. However, as can be imagined Debbie wasn't happy with this as she had no similar source to help her get the sexual release she needed. I asked Patrick what he wanted to experience with Debbie that could excite him and he responded that he wanted to see her commit sexual sins that she could be punished for. "What sort of sexual sin?" I asked. He responded with, "Anything that the Bible says is an abomination in sex outside of man and wife." I asked them both if they knew their Bible well and they both said they did. So what constitutes sexual abomination I then asked. Sex with a man that she is not married to was the response I got. Anything else? They didn't think there was. So for a few minutes we sat and just thought what might be achieved by continuing down this track when Debbie timidly said, "Sex with animals is an abomination." Patrick responded by saying that he would never allow Debbie to have sex with an animal as that was an abomination that was beyond thought. I asked why he believed it was beyond consideration and he just looked at me as if I was crazy I remember. "So what is the problem?", I asked. "If you're happy for Debbie to commit a serious sin with another man which is also, according to the Bible, beyond consideration. Why is her sleeping with an animal worse?" He only responded by saying that it was also bestiality and that it would be impossible to go there. I asked them both to close their eyes and listen to me and think about what I was saying and to let their feelings go. I'm not sure of the actual words I used but they were close to the following. "Imagine you're both sitting outside under a tree just having finished a picnic. The day is lovely and warm and the sky is clear. You are both feeling comfortable and cosy. You lay down on the ground and look up into the blue sky. Can you feel it?" I asked. They both said they could. I asked them to close their eyes in their minds and lay down and relax. I noticed that they both relaxed back into their chairs so I continued. You both hear a quite noise that's non-threatening so don't let it startle you. Stay relaxed and feeling wonderful and warm and cozy and comfortable. You pick up the sounds of horses neighing, playing, and running around. These sounds continue for a while and then they change. The running stops, and the sounds of their neighing change. They come closer and become a bit louder. There are now sounds you don't recognise but I'll tell you what you see when you open your eyes. There is a male horse that is trying to mound a mare. She's very obviously ready and willing and the stallion has an enormous erection pocking out from under his belly. As he climbs onto her back you can see his erection even better. It looks to be more than 3 feet long, is as thick as a man thigh and it's as rigid as a bar of steel. He manages to find the mares cunt (I used the word cunt and not vagina for a good reason - to get a reaction) and slides his cock deep inside her and then he starts to fuck her rapidly. His cock slide in and out and the mare is obviously enjoying herself immensely. She seems to be having orgasms. Her flanks tremble and then she lifts her head high and whinnies. Then she calms down for a short while and then it starts again. All the while the stallion is pulling his massive cock in and out of her. It's very obvious when he cums as he reacts the same way a man would pushing his cock as deep as he can and staying there as he goes through a pattern of mini-jerks. Soon after than he pulls his cock out of the mare and she runs off happily and he slowly comes over towards you both. He walks slowly and unhurriedly towards where you are both laying on the ground. You both sit up now and watch him approaching you. You see that he's smelling the wind and starting to snort again. He picks up a bit of speed and comes closer faster. He stops about 3 feet away. You're not scared as he's not making any threatening sounds or moves. He comes in close and starts sniffing around Debbie and you both notice that he's getting another erection. He lowers his head and sniffs close to Debbie crutch and you both realise that he's going to try and fuck Debbie. "Now I want you to both to open your eyes and tell me how you're feeling about what's just happened." As the story had progressed I'd noticed that Patrick had moved his hands to cover his crutch as his erection started to become obvious and I'd also noticed that Debbie was tightening and loosening her thighs in an attempt to stimulate her clit. There was a bit of an awkward silent for a few seconds so I asked Debbie how the scenario I had painted had affected her. She swallowed a lot for a few seconds and then told us that she had been very excited by the event. As soon as she said that Patrick let out a great big sign and said the same thing. It had been a really strong turn on and he'd got an erection while the story was being told. I asked Debbie if she would think about what might have happened if I had kept on telling them the story. How would the story have evolved. She said that she believed that the stallion would have lifted her dress with his snout and buried his head into her crutch. He would then have inserted his tongue deep into her and licked her to orgasm and once he'd done that he would have raped her. Patrick's eyes opened wide and looked at Debbie with fascination and undisguised lust. Probably unknown to him he was rubbing his penis through the front of his trousers. I then asked Patrick what his feeling were and he told me that Debbie seemed to be willing to perform with a horse and sin in the eyes of God and that he would punish her for her sin if she ever did that. I asked him if punishing her for doing that would be in a good way or a bad way and he said it would be in a very good way but that it would be impossible anyway. I then sprang what I thought might be a bit of a surprise for them both by telling them that I have had patients in the past who had and still have sex with horses, dogs, and other animals. They seemed to be totally bemused and incredulous. I assured them that it was true and that they may want to look up bestiality on the net and start a discussion on the possibilities on some of the chat groups. I asked them to make an appointment for a meeting in three months time so that we could see where we needed to go in the future. When they turned up for that appointment they were completely changed people. They were happy again, the sex was back to being incredible for them both and they had moved to a country property and had two dogs and a stallion. I never heard from them again and I can but assume they are still very happy.