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The Impact of prostitution on mental health refers to the psychological, cognitive, and emotional consequences experienced by individuals involved in prostitution. These consequences include a wide range of mental health issues and difficulties in emotional management and interpersonal relationships. Prostitution is closely linked to various psychological pathologies and affects not only those directly involved but also society at large.
Studies have shown that both street and indoor sex workers have experienced high levels of abuse in childhood and adulthood, with differences in trauma rates between the two groups. Women in prostitution experience a profound impact on their identity, encompassing cognitive, physical, and emotional dimensions, manifesting in health problems and difficulties in emotional management and interpersonal relationships.
Sex work involves the provision of one or more sexual services in exchange for money or goods. However, sex workers are not a homogeneous group. Street sex workers are often illegal, finding clients on the street and providing services in alleys or clients' cars. On the other hand, indoor sex workers operate in brothels, massage parlors, or as private escorts.
Previous research has shown that both street and indoor sex workers have experienced high levels of abuse in childhood and adulthood, though indoor sex workers report lower rates of abuse and trauma compared to street workers. There is a high prevalence of victimization in childhood and adulthood among sex workers , with secondary trauma disorders. Recurrent victimization, known as "Type II trauma," can cause pathological psychological changes that are difficult to classify.
Proposed diagnoses include developmental trauma disorder for childhood and complex post-traumatic stress disorder cPTSD for adulthood, though these are not included in official diagnostic manuals.