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"They were pretty much disgusted." Philips argued that individual needy girls and exploitative men are not the only factors driving these relationships.

"From music videos, to porn, to Disney, this is all sits within this bigger cultural context of media images and cultural messages that absolutely eroticize and hyper-sexualize teen girls," she said.

For her, they were positive experiences -- she even saw the potential for marriage with some of the men.

For many women, though, these relationships look very different in hindsight.

Lee Cohen, a child and adolescent psychiatrist who is based in New York.

"It's probably not healthy, or not the most 'normal' relationship.

"The irony is they find out after the fact that these men were 'sowing their wild oats' with them." Older women interviewed about the relationships they had as teens felt quite differently.

"They had very little good to say at all when they were older: many were angry, really angry," Philips said.

While several psychiatrists cautioned against judging relationships like Cox and Catsimatidis' without knowing the specifics and what each partner is bringing to the table psychologically, studies show that there can be long-term emotional repercussions for teen girls who have sex with older men. Ann Meier, a professor of sociology at the University of Minnesota, studied data from the National Longitudinal Study of Adolescent Health and found that compared to teen girls with a same-aged partner, girls in 7th through 12th grades who had sex with a partner more than one year older had higher levels of subsequent depression and lower levels of self-esteem.

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