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Sexual activity can be viewed as a service for the self. Addictive, perverse and aversive devices mostly build an aggregate. I will present self-psychological and other views for understanding such an aggregation of errant sexuality. In the course of the development of culture, sexuality has developed a variety of functions. Self-psychology views sexual activity as a device for establishing and/or repairing coherence and vitality of the self. In the present paper, I will posit perverse action as being part of a conglomerate - consisting of addictive, perverse and aversive features as different but interdependent appearances of sexual life. Fundamental to developing and sustaining deviant sexuality, as perverse activity, is sexualisation. A vertical split is often described. The individual psychodynamic may be featured by addictive and aversive attributes. Addictive, perverse and aversive behaviours are viewed as part of narcissistic behaviour disorders. Self-psychologically informed features of treatment concentrate on the anxieties of being empty and destructive, and thus being unable to engage in an intimate relationship. The healing process consists of helping the client to establish a stronger self, able to build up and maintain relationships with sufficiently sustaining self-object qualities.