The absence of struggle or physical harm may suggest that the incident was routine.

Furthermore, he only considers physical harm, not harm to the mind, the character, memory, motivation, ability to concentrate, empathise, love and so on.

In untrained hands, cosmetic procedures like dermal fillers can change the way you look forever and cause serious physical harm.

So if someone later suggests getting a pizza instead, you want to do them actual physical harm.

The physical harm includes problems with sensitivity - either they have no sensitivity or too much 'bad' sensitivity.