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The backroom casting couch can have a profound impact on its victims. Many report feeling embarrassed, ashamed, and humiliated by the experience. The trauma and stress caused by these incidents can lead to anxiety, depression, and even post-traumatic stress disorder (PTSD). Victims may also feel disillusioned with the industry and abandon their dreams of becoming actors or actresses.

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Through her work, Lonstein has identified several key factors that contribute to the persistence of exploitation in the industry. These include a lack of effective regulation and oversight, a culture of silence and complicity, and a power imbalance that allows abusers to exploit and manipulate their victims.

The backroom casting couch is a more sinister iteration of this practice. It refers to the secretive, behind-the-scenes deals made between industry professionals and talent, often in private settings. These deals can involve everything from explicit favors to more subtle forms of coercion, such as offering a role in exchange for loyalty or silence.