Your text describes the masochistic behaviors of Daphne Merkin, but then suggests that she might not necessarily qualify for a diagnosis of sexual masochism because

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The text mentions that while Daphne Merkin engages in masochistic behaviors, it is not clear whether she experiences subjective distress or social impairment. This is an important criterion for a diagnosis of sexual masochism according to the DSM-5. Without these factors, it would be difficult to diagnose her with sexual masochism disorder.

Your Text Describes the Masochistic Behaviors of Daphne Merkin, but Then