I agree a bit with that...I think she was letting another person have sex with her, when before it had always been about her pleasure, I think the tear was clearly not from pain, it was the emotions she'd gone through, and also I think you could see in her eyes that she knew she had to leave him because she realised she loved him or at least cared about him, but didn't know how to give him what he wanted...
When they had anal sex David admitted that he needed her and that he never wanted her to leave, I think she was scared she couldn't live up to his need and knew that she couldn't be there for him all the time...or at least during that scene she doubted herself and was upset she'd promised not to leave him when it was a promise she didn't know how to keep, obviously at the end she felt differently...
I think the most painful scene to watch is the scene right afterwards when David asks her to look at him...when he asks you can tell he's scared she's slipping away from him, that she is planning to leave and therefore lied to him when they had sex (something she says when he throws her out later she says "we can lie to each other" rather than lie with each other...and he gets really angry over it, i think thats a link back to this scene), and then when she looks at him finally she doesn't give him any reasurance thats he's only being paranoid and he's clearly disappointed that he's right about her leaving...
I think when viewed in context with other scenes this particular sex scene means so much more than simply David being dominant if it means that at all...
http://www.youtube.com/watch?v=Jr48s3OHrZ8
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