Psychological problems of women working in the sex business

Stanislav Ondrášek, Ingrid Baloun, Alena Kajanová
University of South Bohemia in České Budějovice, Faculty of Health and Social Sciences, Institute of Social and Special-paedagogical Sciences, České Budějovice, Czech Republic

Korespondenční autor: Alena Kajanová (kajanova@zsf.jcu.cz)

ISSN 1804-7181 (On-line)

Full verze:
Full version

Submitted:14. 10. 2016
Accepted: 24. 3. 2017
Published online: 24. 6. 2017

Summary

The study deals with the psychological problems of women working in the sex business. The most frequent mentioned psychological problems of these women are depression, then emotional exhaustion and posttraumatic stress disorder (PTSD). Posttraumatic stress disorder in women working in the sex business is connected with sex violence, mostly from a client, but also with sexual abuse in childhood or physical and psychological abuse. Posttraumatic stress disorder may be accompanied by dissociative disorder when a person experiences unbearable emotion, memories or thoughts that form the basis for other mental and physical symptoms. Psychological problems, however, are not only connected with women working in the sex business but also with women who have already left this business; as it resulted from the research, the so-called “ex-prostitutes” have significantly higher problems with alcohol and smoking, and more frequent PTSD symptoms than other women. The study is an output of the GAJU project No. 029/2016/S – Lifestyle of women in the private sex business and their (self) reflection.

Keywords: psychological problem; sex business; helplessness; posttraumatic stress disorder

Literatura

1. Abel G, Fitzgerald L, Brunton Ch (2007). The impact of the prostitution reform act on the health and safety practices of sex workers. Christchurch: University of Otago.

2. Baral S, Beyrer C, Muessig K, Poteat T, Wirtz AL, Decker MR et al. (2012). Burden of HIV among female sex workers in low-income and middle-income countries: a systematic review and metaanalysis. The Lancet Infectious Diseases. 12/7: 538–549.

3. Barry K (1984). Female sexual slavery. New York: University Press.

4. Chmelík J et al. (2004). Mravnost, pornografie a mravnostní kriminalita [Morality, pornography and moral criminality]. Praha: Portál (Czech).

5. Choi H, Klein C, Shin MS, Lee HJ (2009). Posttraumatic Stress Disorder (PTSD) and Disorders of Extreme Stress (DESNOS) symptoms following prostitution and childhood abuse. Violence Against Women. 15/8: 933–951.

6. Chudakov B, Ilan K, Belmaker RH, Cwikel J (2002). The motivation and mental health of sex workers. Journal of Sex and Marital Therapy. 28/4: 305–315.

7. Cooper BS, Kennedy MA, Yuille JC (2001). Dissociation and sexual trauma in prostitutes: Variability of responses. Journal of Trauma and Dissociation. 2/2: 27–36.

8. Epstein JN, Saunders BE, Kilpatrick DF (1997). Predicting PTSD in women with a history of childhood rape. Journal of Traumatic Stress. 10/4: 573–588.

9. Farley M, Barkan H (1998). Prostitution, violence and posttraumatic stress disorder. Women and Health. 27/3: 37–49.

10. Farley M, Cotton A, Lynne J, Zumbeck S, Spiwak F, Reyes ME et al. (2003). Prostitution and trafficking in 9 countries: update on violence and posttraumatic stress disorder. Journal of Trauma Practice. 2/3–4: 33–74.

11. Farley M, Lynne J, Cotton AJ (2005). Prostitution in Vancouver: violence and the colonization of First Nations women. Transcult Psychiatry. 42/2: 242–271.

12. Flowers RB (1998). The prostitution of women and girls. Jefferson: McFarland.

13. Gajic-Veljanoski O, Stewart DE (2007). Women trafficked into prostitution: determinants, human rights and health needs. Transcultural Psychiatry. 44/3: 338–358.

14. Goetz M (2005). Deprese u dětí a adolescentů [Depression in children and adolescents]. Pediatrie pro praxi. 6: 271–274 (Czech).

15. Hedin UC, Månsson SA (2004). The importance of supportive relationships among women leaving prostitution. Journal of Trauma Practice. 2/3–4: 223–237.

16. Herman E, Hovorka J, Praško J, Nežádal T, Bajaček M, Doubek P (2008). Disociativní poruchy v praxi [Disociative disorders in praxis]. Psychiatrie pro praxi. 9/6: 277–282 (Czech).

17. Hrabětová J (2009). Psychologie oběti [Psychology of a victim]. Littera Scripta. 2/1: 141–149 (Czech).

18. Jeal N, Salisbury C (2007). Health needs and service use of parlour-based prostitutes compared with street-based prostitutes: a cross-sectional survey. An International Journal of Obstetrics & Gynaecology. 114/7: 875–881.

19. Jung Y-E, Song J-M, Chong J, Seo H-J, Chae J-H (2008). Symptoms of posttraumatic stress disorder and mental health in women who escaped prostitution and helping activists in shelters. Yonsei Medical Journal 49/3: 372–382.

20. Kajanová A, Mutlová M (2012). Prostituce jako profese (pohled žen pracujících v sex businessu) [Prostitution as a profession (view of women working in sex business]. Kontakt. 14/2: 171–176 (Czech).

21. Kempadoo K, Doezema J (1998). Global sex workers: rights, resistence, and redefinition. New York: Routledge.

22. Kramer LA (2004). Emotional experiences of performing prostitution. Journal of Trauma Practice. 2/3–4: 186–197.

23. Kutálková P et al. (2016). Tak tohle ne! Analýza násilí v sex businessu a jeho řešení [So this not! Analysis of violence in sex business and its solution]. Brno: Rozkoš bez rizika (Czech).

24. MacKinnon CA (1993). Prostitution and civil rights. Michigan Journal of Gender and Law. 13/1: 13–31.

25. MacKinnon CA (2007). Sex equality. New York: Foundation Press.

26. McClanahan SF, McClelland GM, Abram KM, Teplin LA (1999). Pathways into prostitution among jail detainees and their implications for mental health services. Psychiatric Services. 50/12: 1606–1613.

27. Ministerstvo vnitra České republiky [Ministry of Interior of the Czech Republic] (2016). Prostituce – Prostituční scéna [Prostitution – prostitution scene]. [online] [cit. 2016–09–25]. Available from: http://www.mvcr.cz/…i-scena.aspx (Czech).

28. Napoli M, Gerdes K, DeSouza-Rowland S (2001). Treatment of prostitution using integrative therapy techniques: a case study. Journal of Contemporary Psychotherapy. 31/2: 71–87.

29. Nussbaum M (1999). Sex and social justice. Oxford: Oxford University.

30. Romans SE, Potter K, Martin J, Herbinson P (2001). The mental and physical health of female sex workes: an comparative study. Australian and New Zealand Journal of Psychiatry. 35/1: 75–80.

31. Ross CA, Farley M, Schwartz HL (2004). Dissociation among women in prostitution. Journal of Trauma Practice. 2/3–4: 199–212.

32. Rössler W, Koch U, Lauber C, Hass AK, Altwegg M, Ajdacic-Gross V, Landolt K (2010). The mental health of female sex workers. Acta Psychiatrica Scandinavica. 122/2: 143–152.

33. Rozkoš bez rizika [Passion without a risk] (2015). Výroční zpráva 2015 [Annual report]. [online] [cit. 2017–02–27]. Available from: http://www.rozkosbezrizika.cz/…b-pdf/detail (Czech).

34. Scott SM, Dedel K (2006). Street prostitution. Other problem-oriented guides for police. Office of Community Oriented Policing Services, U. S: Department of Justice.

35. Seib Ch, Fischer J, Najman JM (2009). The health of female sex workers from three industry sectors in Queensland, Australia. Social Science and Medicine. 68/3: 473–478.

36. Šídová L (2014). Sex business nerovná se násilí. Přítomnost násilí v sex businessu a možnosti jeho eliminace [Sex business does not equal violence. Presence of violence in sex business and possibilities of its elimination]. In: Kutálková P, Kobocová Ľ (Eds). Sexuální násilí. Proč se nikdo neptá? [Sexual violence. Why nobody asks?] Praha: In IUSTITIA, o. p. s., pp. 181–197 (Czech).

37. Šídová L, Poláková J, Malinová H (2014). Ze sex businessu na trh práce? Přenos znalostí v oblasti legálního uchopení prostituce a jeho dopad na trh práce [From sex business to labour market? Transfer of knowledge in the sphere of legal understanding of prostitution and its impact on labour market]. Praha: Rozkoš bez rizika (Czech).

38. Střelková M, Poláková J (2015). Reflexe násilí v sex businessu a možnosti řešení [Violence in sex business and possible solution]. [online] [cit. 2016–08–16]. Available from: http://socialniprace.cz/zpravy.php?… (Czech).

39. Teryngel J (1991). Podnikání, právo, sex a erotika [Business, law, sex and erotics]. Praha: Nuga (Czech).

40. Tomeš I et al. (2016). Sociální právo České republiky [Social law of the Czech Republic]. Praha: Wolters Kluwer (Czech).

41. Trávníčková I (1995). Prostituce jako jedna z možných aktivit organizovaného zločinu [Prostitution as one of possible activities of organised crime]. Praha: Institut pro kriminologii a sociální prevenci (Czech).

42. Truong TD (1990). Sex, money and morality: The political economy of prostitution and tourism in South East Asia. London: Zed Books.

43. Valera RJ, Sawyer RG, Schiraldi GR (2001). Perceived health needs of inner-city street prostitutes: a preliminary study. American Journal of Health Behavior. 25/1: 50–59.

44. Vanwesenbeeck I (2005). Burnout among female indoor sex workes. Archives of Sexual Behavior. 34/6: 627–639.

45. Vokurka M, Hugo J et al. (2004). Velký lékařský slovník [Big medicine dictionary]. Praha: Maxdorf (Czech).

46. Weitzer R (2009). Sociology of sex work. Annual Review of Sociology. 35: 213–234.

47. Yargic LI, Sevim M, Arabul G, Ozden SY (2000). Childhood trauma histories and dissociative disorders among prostitutes in Turkey. In: Proceeding of the Annual Conference of the International Society for the Study of Dissociation. San Antonio, Texas, USA.

48. Young MA, Boyd C, Hubbell A (2000). Prostitution, drug use, and coping with psychological distress. Journal of Drug Issues. 30/4: 789–800.