If there ever was a blatant case of a woman who has been sexually abused in her past it is Miranda. She reminded me of myself and I was sexually victimized repeatedly at the age of 14. I have spent years and years in therapy for depression, panic disorder, and posttraumatic stress disorder. I also had a history of promiscuity that could top Miranda's number. She has cut herself off emotionally. She is not really a cold person, but she can't deal with intimacy, whether it is emotional or sexual. Therapy will not be easy for Miranda because of the shame issues involved. She needs a therapist who will blatantly confront her over and over again about her early sexual history and finally get her to admit it. Only then will she have a chance of healing her soul. 
 
So many things were said that just screamed to me that this is a girl who has had sexual trauma in her life: 
 
"Our sex life is a very touchy subject," explains Donny, who notes that they have only had sex one time this month. "She likes to get it over and done with. 
 
Comment:: Same here. I liked to get it over and done with too. Not unusual to have flashbacks during sex too which may lead to crying. That could have been what was behind the honeymoon crying episode.  
"Because of my past, I’m used to having sex with guys once and that’s it, never having to really face them again,"  
 
Comment: Promiscuity isn't really about the sex. It can be a way of reliving a bad situation and trying to take control sexually when you had no control over it in the past. There is a lot of anger behind this too. It gives you a feeling of control over men and throwing them away like used tissues. 
 
“Being married, I really thought that would give him a sense of security.”  
 
Comment: I think the reality here is that she is projecting her own want of security on her husband. She has to stay in control so she projects this onto him. 
 
She admits that the only time they have sex is when she is ovulating. “Ever since I was young I dreamed of being a mother," 
 
Comment: That is the catch 22, unfortunately. You have to have sex to be a mother. However, do it when it is only necessary. 
 
Donny confides that he and Miranda are not connecting and that Miranda has problems being open and intimate mentally, physically, emotionally with him. 
 
Comment: She had to cut herself off from her emotions to survive. She probably has posttraumatic stress disorder. It would be too overwhelming if she actually had to "be there."  
 
Miranda says that before they got married they decided to be intimate. “I did feel guilty from the way I was raised. I knew that you weren’t supposed to be having sex before you are married, but we made that decision, so I thought getting married, I was going to feel OK.”  
Dr. Phil questions Miranda. “Didn’t you tell Donny that you had had sex with 27 different partners before you got married?” “Yeah,” Miranda says, as Donny lowers his head in shock. “I didn’t ever tell him a specific number. I told him that I had made some choices in my past that I was not proud of ... I just wanted a guy to like me.”  
 
Comment: Guilt and shame issues. It's a vicious circle of guilt and shame, guilt and shame. Acting out, and more guilt and shame.