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on our material and generate hypotheses it has been necessary<br />

to generalise.<br />

The methodology that we have used with different<br />

forms of supervision for therapists working with men<br />

and women was both fruitful and problematic. Our<br />

ambition was to better understand what happened when<br />

the men and women met, what each brought with them<br />

and what they desired from the other both consciously<br />

and unconsciously. When we first met and discussed our<br />

clinical work, it appeared difficult to understand each<br />

other’s very different clinical experiences of the clients.<br />

At the same time, we also discovered important common<br />

ground, especially in relation to the dialectical themes<br />

described earlier.<br />

Nevertheless, since we had different supervisors<br />

and were even using different forms of treatment (i.e.<br />

individual therapy and group therapy) it was difficult to<br />

understand whether the difficulties we noticed was caused<br />

by differences in methods or whether they reflected more<br />

“qualitative” difference in our clients’ psychological conditions.<br />

In order to better understand this and get to know<br />

more of each other’s work, we interviewed each other<br />

on separate occasions. These interviews were then used<br />

together with our other experiences as a basis of generating<br />

hypotheses concerning psychological driving forces.<br />

Along with meetings to critically discus the relevance of<br />

our emerging hypotheses we gradually reached the following<br />

formulations.<br />

Men who buy sex<br />

The man needs to reinforce his masculinity and this is<br />

done by purchasing sex. Engaging the services of a prostitute<br />

reinforces his sense of masculinity in a way that is<br />

separated from ordinary life, anonymous, and where no<br />

mutuality is required. His behaviour can in fact define the<br />

conditions necessary for maintaining a stable relationship<br />

with a wife or partner. Without his “secret” and forbidden<br />

space, the closeness with his partner would become<br />

too overwhelming, threatening and claustrophobic. The<br />

sexual purchases maintain an illusion of autonomy in the<br />

relationship to his partner. The fear and aggressiveness<br />

that arise within the closeness of his partner relationship<br />

become sexualised and expressed in the coldness of the<br />

sex purchase.<br />

There is something vitalising and “anti-depressive”,<br />

in the preparations and fantasies preceding his purchase<br />

of sex. In fact, the excitement and fantasising are more<br />

important than enjoyment of the act, and involve a temporary<br />

release from anxiety or depression. This release is,<br />

however, volatile and is soon replaced by disgrace, selfhate,<br />

anxiety and depressiveness, resulting in a need to<br />

repeat the act.<br />

That which is repeated could be likened to the movement<br />

of a pendulum. From first feeling powerless and<br />

threatened in a relationship where closeness is too great,<br />

he moves to a position of power and control over another<br />

person choosing a woman and buying the right to use<br />

her sexually. Money regulates what goes on and makes<br />

it appear like a business transaction, reducing possible<br />

feelings of guilt.<br />

Women who sell sex<br />

The woman needs to be accepted and desired, someone<br />

who possesses what someone else needs. To be desired and<br />

able to say yes or no gives a sense of power, control and<br />

activity, as opposed to being a passive victim of someone<br />

else’s desires.<br />

25

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