Upon experiencing an emotional breakdown, Jackson began facing a long-term case of depression, steaming from childhood and adolescent traumas, including body dysmorphia, anorexia and self-harm. She in turn developed her new record as a concept album, using introspection as its theme. Its title is a metaphor for emotional boundaries, as well as an allusion to an individual's need to feel special. Its lyrics address subject matter such as depression, self-worth, social networking, homophobia and domestic violence. It also encompasses themes of sexuality, including BDSM, masturbation, sexual orientation and same-sex relationships. Due to its sexually explicit content, the album reinforced Jackson's public image as a sex symbol and as one of the most erotic vocalists of the 1990s. Its incorporation of social issues regarding sexual orientation and combating homophobia also established her reputation as a gay icon and received a GLAAD Media Award for Outstanding Music.