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Cultural perception also plays a large role in how these dolls are received. In some countries, such as Japan, the use of human-like sex dolls is more normalized due to cultural attitudes toward aging, intimacy, and non-traditional relationships. In Western countries, stigma can still surround the use of dolls, especially adult ones, often reducing the conversation to stereotypes or ridicule. This social stigma can discourage those who might benefit from trying an American sex doll for companionship, fearing judgment or shame. Yet, the rising openness around mental health and social isolation is gradually shifting this narrative. More documentaries, personal testimonials, and academic research are presenting nuanced views of how these dolls function in people's emotional ecosystems.
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