It's a different matter entirely. The wiki gives a pretty good description so I won't repeat that part.
Let's take something we all know on here well enough, I will refrain from referencing specific persons or posts though:
Take someone who is overly sexual, either because that's how they are or because they have been brainwashed into thinking that's how they should be. The brainwashing version is actually quite typical of women in the US, they like to fill our heads with this "women should be sensual" bull and give us "baby" dolls as young girls to enforce it.
So they become overly sexual and deep down feel shame for that as well, a side effect of religious doctrine. Thus they over sexualize everything, to them everything has to be about sex because that's all they believe they should think about, but they struggle with the "teaching" that it's wrong to think about it so they feel guilty in some way.
Along comes someone who shows no sexual urges, no drive at all, so they try to find anything they can to call sexual, even when there is nothing sexual about it, as a way to say, in their mind, "that person likes sex a lot so I must be 'normal'." Even though outwardly they'll say things like "that's a sin and you should be ashamed of it." I also call it "forced common ground," because they are trying to bridge a gap that's not even there by using their own traits completely ignoring any possibility that the other person has different traits.
I hope I explained it well and didn't ramble too much. Psychology is a fascinating subject, and seeing such a strong case of any psychological trait in a single person spikes my interest in them.
I think it's characteristically Caucasian to respond defensively in complex social conditions. That doesn't mean they are paranoid. They just find everything to be an intuitive problem that will work itself out in the end. Well, at least in the U.S., that creates enough negative feedback over time that it creates more problems than it solves.
Personally, I think most people are riding a metaphorical horse that they fear will throw them. It really doesn't matter what they say or do. It's just the fear of the moment. I can't claim to have a solution other than to say what most therapists would say: "First, you have to WANT to get better."