Psychohistorians endorse trauma models of schizoid, narcissistic, masochistic, borderline, depressive and neurotic personalities. In most depictions, Alucard is violent, sadistic, and masochistic. "Masochism" is named after Leopold von Sacher-Masoch, who wrote novels expressing his masochistic fantasies. The Four Skins, from which she derives a perverse, masochistic enjoyment. The themes of the lyrics concerned romance, intimacy, and masochistic tendencies. Controversial diagnoses, such as pre-menstrual dysphoric disorder and masochistic personality disorder, were considered and discarded. The attending pathologist suggested the likelihood of masochistic sexual activity. Some women, with masochistic traits, can reach orgasm in such conditions. His avatar name was chosen because of his masochistic nature. Masochistic infantilists may wish to be forcibly cross-dressed. For me, it was all the masochistic scenes. Another controversial outtake, is a song titled "Masochistic Beauty". It is the "heaviest" track on the album because of its masochistic themed lyrics.