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Her piece on handling the situation professionally included a section where co-workers expressed conflicted emotions about dealing with a stimulated client. While most therapists understand that massage could cause involuntary erections, some felt the session might deviate from the therapeutic and into the sexual territory. Clients expressed feelings of embarrassment at the thought of potential erections when they really have no reason to feel shame. Ryan-Knox went on to explain why the penis still has a bad reputation in modern society. A 5th century philosopher by the name of Augustine helped to shape religious opinion regarding the penis and all of its actions.

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