 The book is controversial, even among Mormons, for its treatment of masturbation, homosexuality, premarital sex, and rape.Rape survivors have been published criticizing parts of the book including the phrase "It is better to die in defending one's [virginity] than to live having lost it without a struggle" as victim blaming and shaming rhetoric that contributes to rape culture.Allen Bergin, a retired psychologist from Brigham Young University and past president of the Association of Mormon Counselors and Psychotherapists (AMCAP), felt the useful parts were "overshadowed by a host of negatives and also outdated policies that the church itself doesn't even endorse any more."