Oh yes, definitly. The only "healthy" sexuality is a couple of moments between Acha and Esme. I also liked the fact that Esme did take pleasure in the sexual act she did for her trade, in a rather healthy sense of ownership of her own body and of her own pleasure.

Bakker purposefully had the villains define themselves as "a race of lovers", and then showed us what it means (quite squicky), so he addresses sexuality in a specific way, even more acute than the determination of human behaviours IMHO. Unless he's just being Freudian ^^