Although it has been argued that indoor workers in fact make up the majority of the sex industry, most of the literature on the transition out of sex work has looked at street-based workers. This interview-based qualitative research project aims to fill that gap. As such, this thesis examines the trajectories, challenges and strategies of women who transitioned or are in the process of transitioning from criminalized indoor sex work (escorting, erotic massage and domination) to the mainstream labour market. Using Ebaugh’s role exit theory and Goffman’s conceptualization of stigma, intersectional feminist analysis and labour theory, I position the transition as a re-negotiation of self, involving conflicts in identity and class location. My findings suggest that the transition out of sex work is characterized by multiple, parallel work trajectories, wherein the women were successfully able to transfer skills they had acquired in sex work to the mainstream labour market.

This thesis explores the social organization of ‘helping sex workers’ in Northeastern Ontario from the standpoint of sex workers or former sex workers. It is based on twelve (12) qualitative interviews with sex workers and former sex workers between the years 2002-2003. This thesis engages the feminist research framework as developed by Dorothy E Smith, a feminist sociologist. Smiths’ ontological and epistemological framework conceptualizes knowledge as socially produced and mediated by social/power relations. This is a theoretical framework that has the potential to explore the social standpoint of persons labeled ‘sex worker’ by examining social/power relations from their standpoint and by problematizing claims of the universality of knowledge and ‘truth’. Overwhelmingly sex workers identified ‘help’ as a series of stigmatizing processes that were triggered upon the ‘moment of identification’ of being a sex worker. These series of stigmatizing processes were embedded in social courses of action undertaken by social service agencies and the police. This is important research as claims to ‘helping’ sex workers by social service agencies and the subsequent social relations this creates for sex workers are rarely examined in Canada from the standpoint of sex workers.

Although it has been argued that indoor workers in fact make up the majority of the sex industry, most of the literature on the transition out of sex work has looked at street-based workers. This interview-based qualitative research project aims to fill that gap. As such, this thesis examines the trajectories, challenges and strategies of women who transitioned or are in the process of transitioning from criminalized indoor sex work (escorting, erotic massage and domination) to the mainstream labour market. Using Ebaugh’s role exit theory and Goffman’s conceptualization of stigma, intersectional feminist analysis and labour theory, I position the transition as a re-negotiation of self, involving conflicts in identity and class location. My findings suggest that the transition out of sex work is characterized by multiple, parallel work trajectories, wherein the women were successfully able to transfer skills they had acquired in sex work to the mainstream labour market.

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Although it has been argued that indoor workers in fact make up the majority of the sex industry, most of the literature on the transition out of sex work has looked at street-based workers. This interview-based qualitative research project aims to fill that gap. As such, this thesis examines the trajectories, challenges and strategies of women who transitioned or are in the process of transitioning from criminalized indoor sex work (escorting, erotic massage and domination) to the mainstream labour market. Using Ebaugh’s role exit theory and Goffman’s conceptualization of stigma, intersectional feminist analysis and labour theory, I position the transition as a re-negotiation of self, involving conflicts in identity and class location. My findings suggest that the transition out of sex work is characterized by multiple, parallel work trajectories, wherein the women were successfully able to transfer skills they had acquired in sex work to the mainstream labour market.

Thesis advisor: Janet E. Helms / Historically, psychological theory and mental health researchers have viewed sex work as inherently harmful to sex workers and capable of producing negative mental and physical health effects (Sprankle et al., 2018). Moreover, research focused on clinicians’ expectations for sex workers in therapy has not specifically examined clinicians’ attitudes toward sex workers or sex work as separate concepts (Benoit et al., 2015; Koken, 2011; Ma et al., 2017). In addition, mental health professionals may not view sex work as legitimate work because of the virtual lack of evidence-based theoretical frameworks for guiding therapy for sex workers, and, therefore, may use prostitution stigma as a substitute for theory (Krumrei-Mancuso, 2017; Williamson & Cluse-Tolar, 2002). The present study investigated the extent to which mental health professionals’ expectations of sex work and sex workers were related to prostitution stigma and their perceptions of sex workers’ overall mental health and evaluations of sex work as decent work. In particular, the study investigated the extent to which mental health professionals stigmatized the work of sex workers. Mental health professionals (N = 201) read a clinical vignette and completed an online survey containing a demographic information sheet, the Attitudes Toward Prostitutes and Prostitution Scale (Levin & Peled, 2011); (c) the Decent Work Scale (Duffy et al., 2017), (d) the Hospital Anxiety and Depression Scale (Zigmond & Snaith, 1986), and (e) the PTSD-8 (Hansen et al., 2010). Results from multivariate multiple regression analyses supported that when mental health professionals held higher levels of stigma towards sex work and sex workers, they may diagnose the client with higher levels of PTSD symptoms. Further, the results supported that endorsement of a feminist orientation moderated the relationship between sex work stigma and diagnosis clients’ PTSD avoidance symptoms. The discussion included methodological limitations and implications for research and practice. / Thesis (PhD) — Boston College, 2020. / Submitted to: Boston College. Lynch School of Education. / Discipline: Counseling, Developmental and Educational Psychology.

Magister Public Health - MPH / HIV/AIDS remains a major public health issue that is affecting all population groups and communities in Zambia. Among the most affected groups are key populations (KPs) such as female sex workers. KPs are considered at high risk of contracting HIV but have limited access to HIV services and retention in care due to internalized stigma, discrimination, criminalization, and negative attitudes towards HIV treatment. Under the USAID Open Doors project in Zambia, KPs access comprehensive HIV prevention, care and treatment services. The test and treat strategy is implemented by the project in support of the UNAIDS 90-90-90 targets by 2020 to diagnose 90% of people living with HIV, put 90% of them on treatment, and for 90% of them to have suppressed viral load.

This thesis uses the four principles of biomedical ethics as put forth by Beauchamp and Childress to address the issue of the criminalization of sex work in contemporary national and international settings. Though a controversial subject, the existence of sex work has been a constant for centuries worldwide. However, the criminalization of sex work in contemporary society has been largely predicated on the conflation of sex work and a number of social ills, particularly human trafficking and sexual exploitation. This uncritical and inappropriate conflation of terms has enabled discourse, legislation, and even health care policy that is unethical, ineffective, and explicitly harmful to both sex workers and victims of human trafficking alike.Medical professionals have a unique set of moral obligations to which they must hold themselves in their practice of medicine, both with their individual patients as well as with the society in which they live. This thesis argues that the criminalization of sex work is fundamentally incompatible with contemporary health care ethics, reviewing each of the four fundamental pillars of biomedical ethics as it applies to policies that criminalize sex work. Each chapter will outline the many ways in which criminalization violates each of these fundamental principles, causing immense and largely preventable harm in the form of human rights violations and poor public health outcomes. At the same time, this thesis will introduce the alternative policy of decriminalization, discussing its features and implications for public health, and highlighting the ways in which the decriminalization of sex work results in improved health, safety, and human rights outcomes for both sex workers and victims of sex trafficking, exemplifying a viable, ethical, and evidenced-based alternative to criminalization. Given the gross bioethical and humans rights violations associated with the criminalization of sex work, this thesis concludes that there exists evidence of a substantial ethical imperative on the part of the medical community and its constituent professional societies to formally condemn policies that criminalize any and all aspects of sex work and issue formal recommendations for its urgent decriminalization, as both a public health issue and an issue of human and patients’ rights. / Urban Bioethics

Cambodia’s commercial sex industry has long been the subject of transnational concern, yet this enduring problematization has yielded little in the way of lasting ‘solutions.’ Central to constructions of Cambodia’s sex trafficking problem are stories – narrative and numerical – that are not entertainment or fact, respectively, but political and ideological discourses that structure social problems and their solutions while masquerading as unmediated. In this media ethnography, I thematically analyzed aid documentaries, websites, reports, and tax returns to explore how sex trafficking in Cambodia is constructed in aid discourses as a problem to be solved. I argue that anti-trafficking rhetoric, narrated over iconographies of Cambodia’s savagery, entangles notions of material and moral poverty. Documentaries construct Cambodian families as both broke and broken, and thus as giving rise to Cambodian sex trafficking’s central, archetypal dyad: the bad mother and the innocent daughter. I further articulate how the trope of the innocent daughter is contingent on her framing as a ‘sex slave.’ These reductive discursive constructions enable similarly oversimplified solutions. The solution to ‘bad mothers’ is ‘better parents,’ enacted through maternalistic and paternalistic interventions; the solution to ‘sex slavery’ is ‘freedom at all costs,’ articulated through raid and rescue interventions. I suggest that articulations of the civilizing mission run through anti-trafficking discourses and interventions, evidenced by their attempts to use numbers to render the complexities of sex trafficking knowable and therefore manageable, but also in their commitment to ‘developing' the Cambodian sex slave through rehabilitation programs that replace sex trafficking with more civilized, though still exploitative, forms of gendered labour. The ways in which sex trafficking in Cambodia is constructed in aid discourses as a problem to be solved therefore ensures the ongoing presence of the anti-trafficking apparatus in Cambodia and the ongoing exploitation and abuse of the Cambodian girls subjected to aid interventions. / Thesis / Master of Arts (MA)

In this paper-based thesis, I describe the findings of my ethnographic research conducted among the intimate partners of female sex workers and adolescent boys in Northern Karnataka. By highlighting the contradictory and relational nature of masculinity, my study aims to contribute to the larger scholarship on masculinity in South Asia. In the first manuscript, I examine the intimate partners’ perceptions and practices to shed light on the common occurrence of intimate partner violence and how local ideologies of manhood—and the social and structural conditions that shape these ideologies—perpetuate intimate partner violence. In an attempt to destabilize hierarchical gender orders, the second manuscript builds on Connell’s theory of “hegemonic masculinity” by developing the notion of incipient masculinity. From a public health perspective, the findings of these studies are expected to inform the ongoing structural interventions in Northern Karnataka that aim to prevent violence against female sex workers. / October 2016