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Sex Work, Motivations for Entry, and the Combined Impact of Both on Mental Health: A Case Report of Japanese Female Patients within Therapeutic Relationships

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DOI: 10.4236/ojpsych.2015.52026    2,089 Downloads   2,604 Views  
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ABSTRACT

The purpose of this study was to explore the motivations for entry into the sex industry. The narratives of four Japanese female psychiatric patients with a past experience of sex work were used for analysis. I identified not only practical factors such as financial difficulties or lack of job skills, but also various psycho-social factors, namely: weak emotional ties with their mothers since infancy, their mothers’ tendency to prioritize sons over daughters, unremitting needs for maternal care, fear of rejection and object-seeking behavior, desire to control others, envy and aggressive self-destructive behavior, difficulties in establishing female peer relationships during adolescence, proneness to dependency on male objects through sexual relationships, past histories of crime and delinquency, weak internal motivation, frequent acting out, and addictive behaviors. In this article I discussed whether their mental maladjustment was purely the product of their past experiences as sex workers, or whether in fact both the maladjustment and the motivations for entry were derived from personality characteristics developed since infancy. Although not applicable to every Japanese sex worker, this article presents a preliminary hypothesis regarding the contribution of the above multi-dimensional factors to the motivations for entry, and the following mental maladjustment.

Conflicts of Interest

The authors declare no conflicts of interest.

Cite this paper

Uji, M. (2015) Sex Work, Motivations for Entry, and the Combined Impact of Both on Mental Health: A Case Report of Japanese Female Patients within Therapeutic Relationships. Open Journal of Psychiatry, 5, 214-227. doi: 10.4236/ojpsych.2015.52026.

References

[1] Chudakov, B., Ilan, K., Belmaker, R.H. and Cwikel, J. (2002) The Motivation and Mental Health of Sex Workers. Journal of Sex and Marital Therapy, 28, 305-315.
http://dx.doi.org/10.1080/00926230290001439
[2] Cobbina, J.E. and Oselin, S.S. (2011) It’s Not Only for the Money: An Analysis of Adolescent versus Adult Entry into Street Prostitution. Sociological Inquiry, 81, 310-332.
http://dx.doi.org/10.1111/j.1475-682X.2011.00375.x
[3] Hwang, S.L. and Bedford, O. (2004) Juveniles’ Motivations for Remaining in Prostitution. Psychology of Women Quarterly, 28, 136-146. http://dx.doi.org/10.1111/j.1471-6402.2004.00130.x
[4] Cusick, L. (2002) Youth Prostitution: A Literature Review. Child Abuse Review, 11, 230-251.
http://dx.doi.org/10.1002/car.743
[5] R?ssler, W., Koch, U., Lauber, C., Hass, A-K., Altwegg, M., Ajdacic-Gross, V. and Landolt, K. (2010) The Mental Health of Female Sex Workers. Acta Psychiatrica Scandinavica, 122, 143-152.
http://dx.doi.org/10.1111/j.1600-0447.2009.01533.x
[6] Easser, B.R. and Lesser, S.R. (1965) Hysterical Personality: A Re-Evaluation. The Psychoanalytic Quarterly, 34, 390-405.
[7] Zetzel, E.R. (1968) The So-Called Good Hysterics. The International Journal of Psychoanalysis, 49, 256-260.
[8] Deutsch, H. (1942) Some Forms of Emotional Disturbance and Their Relationship to Schizophrenia. The Psychiatric Quarterly, 11, 301-432.
[9] Winnicott, D.W. (1960) Ego Distortion in Terms of True and False Self. In: Winnicott, D.W., Ed., The Maturational Processes and the Facilitating Environment: Studies in the Theory of Emotional Development, Karnac Books, London, 140-152.
[10] Ryan, R.M. and Deci, E.L. (2000) Self-Determination Theory and the Facilitation of Intrinsic Motivation, Social Development, and Well-Being. American Psychologist, 55, 68-78.
http://dx.doi.org/10.1037/0003-066X.55.1.68
[11] Winnicott, D.W. (1962) Ego Integration and Child Development. In: Winnicott, D.W., Ed., The Maturational Processes and the Facilitating Environment: Studies in the Theory of Emotional Development, Karnac Books, London, 56-63.
[12] Nishizono, M. and Yasuoka, H. (1979) Wrist Cutting Syndrome. Japanese Journal of Clinical Psychiatry, 8, 1309-1315.
[13] Winnicott, D.W. (1958) The Capacity to Be Alone. In: Winnicott, D.W., Ed., The Maturational Processes and the Facilitating Environment: Studies in the Theory of Emotional Development, Karnac Books, London, 29-36.
[14] Blos, P. (1967) The Second Individuation Process of Adolescence. Psychoanalytic Study of Child, 22, 162-186.
[15] Freud, A. (1966) Defense Motivated by Fear of the Strength of the Instincts Illustrated by the Phenomena of Puberty. The Ego and the Mechanisms of Defense (Revised Edition). Karnac Books, London, 137-172.
[16] Blos, P. (1962) On Adolescence: A Psychoanalytic Interpretation. The Free Press, a Division of Macmillan Inc, New York.
[17] Nishizono, M. (1999) Pathology of Circle-Based Self and Psychotherapy. Japanese Journal of Psychotherapy, 25, 444-447 (in Japanese).
[18] Winnicott, D.W. (1953) Transitional Object and Transitional Phenomena. International Journal of Psychoanalysis, 34, 89-97.

  
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