Hank fantasizes that he is being strangled by a lover while he masturbates with a plastic bag over his head. This is an example of

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Auto-erotic asphyxia is a dangerous sexual practice that involves intentionally cutting off one's own oxygen supply for the purpose of enhancing sexual arousal and pleasure. In this case, Hank is using a plastic bag to restrict his breathing while masturbating, which can result in accidental death. Hank's fantasy also includes a lover strangling him, which could be indicative of sexual sadism, but the primary focus of the scenario is on the asphyxiation itself.

Hank Fantasizes That He Is Being Strangled by a Lover