Lyric discussion by The_Dragon_And_Emu 

I was thinking that this song is about a guy who is very stale, as in just serious (maybe cocky as well, thinking he can't be broken, because of the "You choke behind a smile / A fake behind the fear" line), and doesn't want/care for any kind of fun or pleasure... or maybe he is cocky, as in thinking that any kind of sex bores him. He is considered queer/strange because of this, and so someone decides to hire a hooker for him. The hooker already knows that he is one of "those" types, from the line "I hate to see you here". And maybe it's something that runs in his family, because it was the same situation for his father.

I think this is somewhat similar to what starfaery was suggesting...

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