Prostitution Stigma and Its Effect on the Working Conditions,Personal Lives,and Health of Sex Workers

Researchers have shown that stigma is a fundamental determinant of behavior, well-being, and health for many marginalized groups, but sex workers are notably absent from their analyses. This article aims to fill the empirical research gap on sex workers by reviewing the mounting evidence of stigmatization attached to sex workers’ occupation, often referred to as “prostitution” or “whore” stigma. We give special attention to its negative effect on the working conditions, personal lives, and health of sex workers. The article first draws attention to the problem of terminology related to the subject area and makes the case for consideration of prostitution stigmatization as a fundamental cause of social inequality. We then examined the sources of prostitution stigma at macro, meso, and micro levels. The third section focuses on tactics sex workers employ to manage, reframe, or resist occupational stigma. We conclude with a call for more comparative studies of stigma related to sex work to contribute to the general stigma literature, as well as social policy and law reform.     

Stigmatizing Clients with Mental Health Conditions: An Assessment of Social Work Student Attitudes

Research suggests that stigma plays a major role in discouraging clients from participating in mental health treatment. Because social workers provide a significant amount of such services, this study investigates social work student stigma as a function of their willingness to treat clients with alcohol dependence, nicotine dependence, depression, and Alzheimer's disease. Students' held higher levels of stigma toward nicotine dependent clients and less toward those with depression. Personal histories of depression and student age - but not smoking or alcohol use - were predictive of higher stigma levels towards nicotine dependent clients. Implications for social work are discussed.     

Risk,Recovery and Capacity: Competing or Complementary Approaches to Mental Health Social Work

Mental health social workers have a central role in providing support to people with mental health problems and in the use of coercion aimed at dealing with risk. Mental health services have traditionally focused on monitoring symptoms and ascertaining the risks people may present to themselves or others. This well-intentioned but negative focus on deficits has contributed to stigma, discrimination, and exclusion experienced by service users. Emerging understandings of risk also suggest that our inability to accurately predict the future makes risk a problematic foundation for compulsory intervention. Therefore it is argued that alternative approaches are needed to make issues of power and inequality transparent. This article focuses on two areas of practice: the use of recovery-based approaches, which promote supported decision-making and inclusion; and the assessment of a person's ability to make decisions, their mental capacity, as a less discriminatory gateway criterion than risk for compulsory intervention.     

Mental health social work in Northern Ireland and the Republic of Ireland: challenges and opportunities for developing practice

Drawing on their experience of mental health social work in Northern Ireland and the Republic of Ireland, the authors examine the impact of current legislative and policy change in both jurisdictions. The paper applies Lorenz's theoretical framework to develop a comparative analysis of how global and country specific variables have interacted in shaping mental health social work. The analysis identifies linkages between factors and indicates similarities and differences in mental health social work practice. The paper highlights emerging discourses in this field and explores the impact on practice of developments such as de-institutionalisation, community care, and ‘user rights’ versus ‘public protection’. The article concludes with a review of key challenges facing social workers in both jurisdictions and identifies opportunities for developing mental health social work in ways that can positively respond to change and effectively address the needs of mental health service users and their carers. The analysis provides an opportunity to evaluate Lorenz's theoretical framework and the paper includes a brief critical commentary on its utility as a conceptual tool in comparative social work.     

Exploring Stigmatization and Stigma Management in Mental Health Court: Assessing Modified Labeling Theory in a New Context

Drawing on Link and colleagues' modified labeling theory, this article examines whether the stigma management strategies defendants anticipate using after mental health court exit are associated with their reported experiences during court. Using survey data from 34 mental health court graduates, we find that respondents generally perceive the mental health court as procedurally just, did not experience stigmatizing shame, and anticipate using the inclusionary coping strategy of education over the exclusionary strategies of secrecy and withdrawal. Moreover, findings reveal that the anticipated use of stigma management strategies is associated with mental health court experiences in that procedural justice is associated with inclusionary coping strategies, while stigmatizing shame is associated with exclusionary coping strategies. We conclude by encouraging researchers to further explore the role of stigmatization and shame in specialty court contexts and to continue investigating these defendant perceptions of these courts' process.     

Sex Composition,Masculinity Stereotype Dissimilarity and the Quality of Men's Workplace Social Relations

Previous research suggests that the quality of men's work group social relations varies depending on the sex composition of the work unit. Previous studies also suggest that men derive different benefits from working with other men than with women and that the higher status associated with men and masculinity advantages men in their relations with women workers. Previous sex composition studies tell us little, however, about the extent to which the quality of men's work group social relations with women and other men depends on how well a man fits dominant masculinity stereotypes. Drawing on sex composition and gender constructionist approaches to gender and work I investigate in this study the effects of men's individual similarity to masculinity stereotypes on the affective quality of their social relations with coworkers, given the sex composition of their work groups. The data for this study consist of male, mostly white, non‐faculty employees of a public university in the northwest United States. I discuss my results in terms of both individual outcomes and implications for understanding sex and gender inequalities in work organizations.     

Revanchist Masculinity: Gender Attitudes in Sex Work Management

Pimps, or male managers of female sex workers, are commonly represented in popular culture as hypermasculine and as a ubiquitous part of sex work. However, there is little empirical scholarship on pimps or the construction of their masculinity. Drawing on ethnographic and interview data, this article demonstrates how pimps produce a “revanchist masculinity” that seeks to reclaim power from women and establish status over other men. Pimps are suspicious of sex workers’ motives and deny them decision‐making power and profit sharing—processes that highlight how work practices can structure gender identity construction.     

Strategies of Stigma Resistance Among Canadian Gay-Identified Sex Workers

Abstract

The purpose of the current study was to explore how sex workers (specifically, gay-identified Canadian men working primarily, though not exclusively, as independent escorts) combat the pervasive negativity that surrounds their profession. Semi-structured interviews were conducted with 9 men, a majority of whom were targeted through escort review boards. Interviews were transcribed verbatim and analysed for themes of “stigma resistance.” Four themes were identified: (1) escorting is volitional (i.e., one isn't forced to work as an escort, rather it is a choice one makes); (2) escorting is a profession (i.e., the client is a customer and the escort a service provider); (3) the escort is in control during client/escort interchanges; and (4) escorting is distinct from, and better than, street prostitution. Directions for future research and limitations of the current study are outlined.     

Bachelor of Social Work Students and Mental Health Stigma: Understanding Student Attitudes

Bachelor-level social work students (n = 198) at a midsized Midwestern public university were surveyed to evaluate their attitudes toward those with mental health concerns. Additionally, students were surveyed regarding their willingness to seek treatment for their own mental health needs. Results of the analyses suggest that the majority of students do not hold stigmatizing attitudes toward mental illness. Students who believed mental health work is rewarding were less likely to be afraid or uncomfortable around people with mental illness. In addition, these students were more likely to report attitudes that acknowledge the capabilities of people with mental illness and were less concerned with others knowing their own mental health status. Implications for social work education and directions for future research are discussed.     

Social Stigma, Social Capital Reconstruction and Rural Migrants in Urban China: A Population Health Perspective

In this study, we examine migrant stigma and its effect on social capital reconstruction among rural migrants who possess legal rural residence but live and work in urban China. After a review of the concepts of stigma and social capital, we report data collected through in-depth interviews with 40 rural migrant workers and 38 urban residents recruited from Beijing, China. Findings from this study indicate that social stigma against rural migrants is common in urban China and is reinforced through media, social institutions and their representatives, and day-to-day interactions. As an important part of discrimination, stigma against migrant workers creates inequality, undermines trust, and reduces opportunities for interpersonal interactions between migrants and urban residents. Through these social processes, social stigma interferes with the reconstruction of social capital (including bonding, bridging and linking social capital) for individual rural migrants as well as for their communities. The interaction between stigma and social capital reconstruction may present as a mechanism by which migration leads to negative health consequences. Results from this study underscore the need for taking measures against migrant stigma and alternatively work toward social capital reconstruction for health promotion and disease prevention among this population.     

The Evolution of Mental Health Care Policy and the Implications for Social Work

Abstract

The focus of this article is on the evolution of mental health care policy in the United States from the eighteenth century to the present. To the extent that social work practice enacts policy, this article focuses particularly on the ways 20th century social workers have reflected, interpreted, and forged mental health care initiatives and reforms. The article includes a discussion of how the cycles of mental health reform (moral treatment, mental hygiene, and community mental health) have influenced not only the roles but also the actual practices of social workers. The article concludes with a consideration of the impact of managed care on mental health policy and the implications for social work.     

Sex Work,Office Work: Women Working Behind the Scenes in the US Adult Film Industry

Women currently working behind the scenes in the adult film industry both inform considerations of the contemporary experiences of sex work in the USA and shed some light on differential experiences of gendered workplace organizations. Based on ethnographic observations and informal interviews conducted at a typical adult film production company and on examining the industry's historical development, I have found that a diverse range of occupations and occupational opportunities are available for women in the adult film industry and women workers in the US adult film industry experience their gendered workplace in unique ways. I suggest that this is due in part to the adult film industry's wider social network, which has itself been shaped by the historical development of the adult film industry and the stigma of sex work.     

A Social Work Perspective on Seclusion and Restraint in Australia’s Public Mental Health System

A social work perspective of the nature of seclusion and restraint in Australia’s public mental health systems is presented. The article suggests a theme of seclusion and restraint as a regulatory mechanism despite evidence of harm and even death. The case that the use of seclusion and restraint constitutes a social justice issue as it can be understood as an abuse of human rights and form of torture is established. An incident of a person dying in an Australian mental health facility after being secluded is presented to substantiate this claim. An over focus on individual expressions of violence or risk can be at the expense of understanding the systemic and cultural nature of violence in mental health systems. It is important to understand the nature of, and perhaps to question the presumed necessity of, seclusion and restraint practices to ensure that social workers are not breaching their professional obligations to people who are mental health clients.     

Creative Solutions and Development for Social Workers Treating People with Serious Mental Illness - Contributions from Supervision

Social workers who are engaged in a therapeutic work with clients who have serious mental illness often face specific challenges and find themselves in crisis states in therapy, which stem from the return of the clients’ symptoms and their cognitive impairments as well as social stigma. These crisis states cause dramatic changes in the way social workers mentalize their clients and they are propelled to draw from covert, unformulated, and dissociated knowledge that they have about the client’s experience, which contributes to achieving new, surprising, and creative ways to mentalize the client. Such crisis resolutions enhance therapists’ personal and professional development and serve as an identification model for their clients.     

Social Inclusion as an Agenda for Mental Health Social Work

Summary

Following New Labour's election to office in the UK in 1997, policy initiatives have proliferated relating to mental health. Much of this policy innovation emphasises the social dimensions of mental health and distress, with an emphasis on employment and social inclusion. Paradoxically, this modernization of the mental health agenda comes at a time when mental health social work is struggling to establish its role and contribution within recently integrated health and social services. The paper considers whether New Labour's flagship programme, Mental Health and Social Exclusion, constitutes a “New Deal” for mental health, and whether it provides a perspective that will help mental health social work to define its distinctive contribution to integrated services.     

Independent Mental Health Advocacy: A Model of Social Work Advocacy?

ABSTRACT

Advocacy has received less attention in social work research than other aspects of social work practice. This paper draws attention to two tensions in social work advocacy; between worker-led advocacy and person-led advocacy, and between individual advocacy and system level advocacy. We argue that human-rights-based social workers must choose a person-led approach over a worker-led approach while advocating with both systems and individuals. This argument is made by drawing on findings of an evaluation of Independent Mental Health Advocacy (IMHA) in Victoria, Australia. It is shown that social work training had not prepared social workers for rights-based, person-led advocacy and that social workers in public mental health services were struggling to maintain the rights of people in their services even with assistance from IMHA.

IMPLICATIONS

• Independent Mental Health Advocacy (IMHA) is a model of advocacy influenced by social work theory and delivered in part by social-work-trained advocates.

• Social work training is not preparing social workers for person-led, human-rights-based advocacy.

• Public mental health social workers are struggling to maintain the rights of people in mental health services even with the support of external advocacy services.

     

You Catch More Flies With Honey: Sex Work,Violence, and Masculinity on the Streets

Violence among inner‐city men is a pressing social concern, and the central focus of much academic research. Many frame it as a phenomenon that certain men perpetuate—those who inhabit disadvantaged, impoverished communities—and argue it is linked to performances of “street” masculinity. In this article, I examine male street‐based sex workers’ willingness to become embroiled in violent exchanges. In a departure from theoretical predictions, my findings reveal these men expend considerable effort to remain nonviolent with others immersed in the sex trade, a decision based upon their desire for the acquisition of capital as well as their calculation of risks. In doing so, they construct and perform a nuanced version of masculinity, which I call pacifist masculinity. Few studies analyze peaceful and conciliatory interactions among men in these contexts, an absence that only serves to reify assumptions about rampant hostility and aggression. I draw on interviews with 19 men involved in street prostitution in Chicago in 2012. This article contributes to a clearer understanding of male–male violence in high‐risk environments, examines the prominent factors that inform decisions to assault others, and explores how such actions challenge hegemonic masculinity.     

Occupational Sex Segregation and Part‐time Work in Modern Britain

It is often argued that women's full‐time work is becoming less gender segregated, while their part‐time work becomes more so. This article looks cross‐sectionally and longitudinally at the relationship between occupational sex segregation and part‐time work. An innovative application of segregation curves and the Gini index measures segregation between women full‐timers and men and between women part‐timers and men. Both fell between 1971 and 1991, as did overall occupational sex segregation. These results were used to contextualize a longitudinal analysis showing how shifts between full‐time and part‐time hours affected women's experiences of occupational sex segregation and vertical mobility. Human capital explanations see full‐time and part‐time workers as distinct groups whose occupational choices reflect anticipated family roles. The plausibility of this emphasis on long‐term strategic planning is challenged by substantial and characteristic patterns of occupational mobility when women switch between full‐time and part‐time hours. The segmented nature of part‐time work meant that women who switched to part‐time hours, usually over child rearing, were often thrown off their occupational path into low‐skilled, feminized work. There was some ‘occupational recovery’ when they resumed full‐time work.     

The Impact of Social Capital on Men's Mental Health from the Perspective of Social Support Theory

This study examines the effects of social capital as it affects men's mental health in the context of work–family balance. Multivariate analyses of data from National Family Research of Japan 2008 have revealed the following. First, the social capital that men receive from their spouses was found to have a direct effect on their distress. The effect of social capital from family other than a spouse does not have a direct effect on men's mental health. Second, only social capital from a spouse was observed to provide a buffering effect. This result implies that, in contemporary Japan, social capital derived from the spouse functions satisfactorily as a bulwark to mitigate the negative effects that the experience of role conflict between work and family has on men's mental health. Finally, the study examines the effect of social capital with reference to social support theory. Subsequent research might usefully focus on varieties of social capital other than those covered in the current study, which will leverage the unique potential of social capital by examining techniques and units of analysis.     

Sexual Behavior,Mental Health,Substance Use,and HIV Risk Among Agency-Based Male Escorts in a Small U.S. City

Abstract

Relatively little research has examined the personal sex lives of indoor male sex workers (MSWs) or possible connections in this group between sexual behavior and factors related to HIV risk. As part of a larger project, this study collected data from 30 agency-based indoor MSWs (mean = 22.4 years) about their sexual behavior, mental health, and substance use. Few HIV risk behaviors with clients occurred. Drug use and mental health problems were relatively frequent, but not related to increased risk behavior. Instead, MSWs appeared to employ rational decision-making and harm-reduction strategies. Conceptualization of MSW sexual behavior may be required where HIV risk is not attributed to sex work per se, but to other influences such as economic and relational factors.