I think that's a distinction without a difference, as they say.
If the P4P (and the soft services) are a direct result of fucked up relationships, that kind of makes them fucked up too. Frankly, since most of us here are participating or at least interested in some or all of those services, the implication is that we have fucked up interpersonal skills too.
I'm not saying Japan doesn't have a higher percentage of people than in the West who are awkward around the opposite sex. But I also don't see it as anything to be ashamed of or even bad for society. It's another chicken and egg problem regarding the sex industry, IMO.
However, there are plenty of awkward people in the west and the reason the services mentioned don't exist is purely because of legal and social issues preventing them from operating publicly. Not because the demand isn't there (I mean here).
Guys here are almost forced into dating because 1) peer pressure, 2) there is no other way to get your dick wet. I don't think either of those are good and it results in a lot of unhappy and doomed relationships.