msflibble 20mum Thelnebriati Isn’t it strange when someone produces research that does not confirm the abolitionist picture of all prostitutes are victims, vulnerable, trafficked and exploited there cries of “not representative” goes up but when a claim such as Prostituted women have a rate of PTSD that is double that of war veterans, at 68% goes up-not a peep, abolitionists lap it up.
The claim of “68% have PTSD” originates from Melissa Farley (as Thelnebriati ) notes, the original sample (N=136) were street prostitutes in San Francisco then she extended the study five countries (N=475) [[https://www.researchgate.net/publication/228535864_Prostitution_in_Five_Countries_Violence_and_Post-Traumatic_Stress_Disorder here]] finding 67% with PTSD and then further extended to nine countries (N=854) here and again found 68% had PTSD . (I must say to get precisely the same result as sample size increases and different populations are included strikes me as statistically implausible-it’s not the speed of light (which is a universal constant) that is being measured, maybe its coincidence, maybe the authors are getting sloppy or maybe something else is going on)
The prostitutes sampled in those studies were very disadvantaged (drugs, child abuse poverty)-so it cannot be claimed that there that their PTSD is due to sex-for-money unless you have a control group of equally disadvantaged people who do not prostitute-also not controlled is the fact that mental illness could be a pre-existing condition. For instance several prostitutes contributing to threads on SAAFE have illnesses such as anxiety and panic and cannot hold down a full time job but can manage prostitution which can offer relatively large rewards for time worked’
There have been countless studies on PTSD and prostitution-almost all lacking controls- and no one has observed the levels of PTSD that Farley does.
In 2001 a study The Mental and Physical Health of Female Sex Workers: A Comparative Study ', here concluded No evidence was found that sex work and increased adult psychiatric morbidity are inevitably associated, although there may be subgroups of workers with particular problems. The illegal and stigmatized nature of sex work are likely to make usual public health strategies more difficult to apply, considerations which should give concern from a preventive health standpoint
In 2002 Motivation and mental health of sex workers here a study used basically the same questionnaire as Farley to interview 55 brothel workers from the former Soviet Union working as indoor prostitutes in Israel, 17% of the women showed signs of PTSD, which meet Diagnostic and Statistical Manual of Mental Disorders (DSM-IV; American Psychiatric Association, 1994) criteria compared to 11.8% in a U.S. primary care study. So while there was evidence of PTSD it was not as high as in the Farley study-but there was no really suitable control group.
In another study published in 2008 The health of female sex workers from three industry sectors in Queensland, Australia [[http://www.ncbi.nlm.nih.gov/pubmed/?term=The+health+of+female+sex+workers+from+three+industry+sectors+in+Queensland%2C here]] concludes Much of the increased levels of poor mental health among illegal sex workers were associated with more negative experiences before, and subsequent to entering the sex industry. These patterns were not seen among women from the legal industry sectors. This research suggests that illegal, street-based sex workers, from whom many previous results have been derived, may show patterns of disadvantage, and health outcomes not seen in sex workers from other industry sectors
In 2010 a study The mental health of female sex workers
here of 193 sex workers in Zurich showed that PTSD very variable from nothing for those working privately and who are of European origin to a lot-those indoors who are non-European.
A report into the Sex industry in NSW Australia in 2012 The sex industry in New South Wales here reported (p 26) On the whole respondents appear to be well adjusted and comfortable with their occupation, however 10% had high scores on the Kessler-6 psychological distress scale that indicates that they were likely to have a serious mental illness .This was consistent across all states, and is about twice the rate for similar aged women in the general population. These women are likely to have other stressors in their lives such as stigma, drug use, homelessness, social and financial constraints. Health and outreach service providers need to be mindful of this minority and be able to make appropriate referrals when they suspect a sex worker is seriously at risk
I could go on boring you-but the upshot is that of PTSD amongst sex workers reported by Farley is far higher than those reported by other researchers. A clue as to why this might be so is that Farley’s studies were based on the most disadvantaged sex workers frequently those in street work.
What a fuller analysis of the literature shows that levels of PTSD are more related to experience before entering sex work or drug addiction during sex work especially for those working on the street. Much of the research concludes that those prostituting indoors have levels of mental health which is similar to demographically matched control samples.
For an interesting discussion of these issues see Reviewing the occupational risks of sex workers in comparison to other risky professions www2.le.ac.uk/departments/criminology/people/teela-sanders/BriefingPaperSexWorkandMentalHealth.pdf here]]
So the conclusion Farley wants you to take away-that prostitution itself is a major source of PTSD is simply not supported by the evidence