Sentence:  "In New York" she recalls, "I could go out to clubs and get laid. That's unheard-of in Santa Cruz, where they nurture each other and have sex side by side so that no one is on top. I dated a woman there who thought that using a dildo was like committing <WSD>self-rape</WSD>." 
Meaning of the word marked with <WSD> tags:  The act of inflicting obscene violence against oneself.