A 25-year-old female graduate student asked for a consultation because of depression and marital discord. The patient had been married for 5 years, during which time both she and her husband were in school. For the past 3 years, her academic performance had been consistently better than his, and she attributed their frequent, intense arguments to this. She noted that she experienced a feeling of sexual excitement when her husband screamed at her or hit her in a rage. Sometimes she would taunt him until he had sexual intercourse with her in a brutal fashion, as if she were being raped. She experienced the brutality and sense of being punished as sexually exciting.