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PSYCHOLOGICAL AND SOCIAL IMPACT<br />

Although in the West, sex workers may or may not bear<br />

significant social and psychological burdens, in South Asia their<br />

situation is different. For South Asian sex workers, the<br />

psychological and social impact <strong>of</strong> the pr<strong>of</strong>ession is brutal, and<br />

usually lasts a lifetime. 72<br />

Psychological malaise<br />

There are no comprehensive studies on the psychological<br />

impact <strong>of</strong> sex work on girls and women in South Asia, although<br />

there are numerous reports from counsellors and psychologists,<br />

including those presently working with entertainment workers<br />

in the Kathmandu Valley. 73 As expected, the psychological<br />

impact <strong>of</strong> prostitution is most severe on children. Most<br />

entertainment workers presenting to counsellors in the<br />

Kathmandu Valley suffer from anxiety and depression, <strong>of</strong>ten<br />

coupled with guilt for pursuing what society believes is a ‘bad<br />

occupation’. They <strong>of</strong>ten express anger and resentment at<br />

customers, employers and society in general. Insecurity and<br />

fear – from losing their jobs, being arrested by the police or<br />

being raped by customers – are commonplace.<br />

Girls and women <strong>of</strong>ten present with extreme feelings <strong>of</strong><br />

hopelessness, <strong>of</strong> being ‘ruined’ or ‘spoiled’ (Nepali bigrieko),<br />

and <strong>of</strong> isolation and abandonment from their homes, families<br />

and society. Some girls and women may express their feelings<br />

in behaviour that is abusive or impulsive, and others may<br />

‘My fate is like <strong>this</strong>, it was meant for me to<br />

come here.’<br />

‘I should not have been spoilt (“bigrieko”), but<br />

now I am spoilt.’<br />

‘Will I ever get married with a wedding<br />

procession coming to take me’<br />

‘I wish that nobody will come to the state that<br />

I am in now.’<br />

Quotes from minors working in Thamel massage parlours, Oct 2009<br />

become reclusive and withdrawn. In extreme cases, the<br />

psychological burden <strong>of</strong> their lifestyle may lead to self-destructive<br />

behaviour, including the use <strong>of</strong> drugs, self-inflicted harm or<br />

attempted suicide. The psychological and social impact on<br />

their children, who <strong>of</strong>ten receive inadequate attention because<br />

their mothers must work long hours, is not known,but is <strong>of</strong><br />

concern.<br />

Censure by society<br />

While some societies are more tolerant <strong>of</strong> sex work than<br />

others, in almost every society the public attitude towards<br />

entertainment and sex workers is negative. While there are<br />

activities worldwide to change social attitudes, it is unlikely<br />

that social stigma and discrimination will end in the near future.<br />

2010 Terre des hommes www.tdh.ch 47

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