Nor let us forget Vegas's synecdoche and beating heart. It's kitty-corner from Bally's: Caesar's Palace. The… — David Foster Wallace

The American Academy of Emergency Medicine confirms it: Each year, between one and two dozen adult US males are admitted to ERs after having castrated themselves. With kitchen tools, usually sometimes wire cutters. In answer to the obvious question, surviving patients most often report that their sexual urges had become a source of intolerable conflict and anxiety. The desire for perfect release and the real-world impossibility of perfect, whenever-you-want-it release had together produced a tension they could no longer stand.

So much about today’s adult industry seems like an undeft parody of Hollywood and the nation writ large. The top performers are comic-book caricatures of sexual allure. The prosthetic breasts and lifted buttocks and (no kidding) artificial cheekbones are nothing more than accentuations of a mentality that yields huge liposuction and collagen industries. The gynecologically explicit sexuality of Jenna, Jasmin, et al. seems more than anything like a Mad magazine spoof of the “smoldering” sexuality of Sharon Stone and Madonna and so many other mainstream iconettes.Not to mention the fact that the adult industry takes many of the psychological deformities that Hollywood is famous for—the vanity, the vulgarity, the rank commercialism—and not only makes them overt and grotesque but seems then to revel in that grotesquerie.

It is difficult to describe how it feels to gaze at living human beings whom you’ve seen perform in hard-core porn. To shake the hand of a man whose precise erectile size, angle, and vasculature are known to you. That strange I-think-we’ve-met-before sensation one feels upon seeing any celebrity in the flesh is here both intensified and twisted. It feels intensely twisted to see reigning industry queen Jenna Jameson chilling out at the Vivid booth in Jordaches and a latex bustier and to know already that she has a tattoo of a sundered valentine with the tagline HEART BREAKER on her right buttock and a tiny hairless mole just left of her anus.