A sex scene, which is not violent or aggressive, involves a psychiatric patient, who cannot truly consent, a fact which is acknowledged in the book. This scene and the attempted rape scene are both handled sensitively, and written from the perspective of the man perpetuating. The whole book is about acknowledging the character's mistakes as he looks back at his life, so these two moments are not romantisized or justified. Neither scene is overly graphic, but quite psychological (i.e. describing complicated feelings and focusing on the feelings rather then the physical aspect.)