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The stigma of sex work: A call to end violence against sex workers

by Danielle Simpson-Baker aka The Sexpot Therapist

Sex workers are some of the most influential yet vilified members of our society. Their contributions to culture, fashion, and social trends are undeniable, but society often responds to their presence with stigma, ostracism, and violence. December 17th is International Day to End Violence Against Sex Workers, but we need to consider the urgency to confront these contradictions and take meaningful action to protect sex workers year-round, every day, everywhere.

Beyond Pretty Woman

As someone who has walked the path from full-service sex work to becoming a sex therapist, I have seen firsthand how stigma poisons public perception and policy. Research shows that sex workers face alarmingly high rates of violence. According to a 2020 study published in PLOS Medicine, sex workers are 45 to 75 times more likely to experience murder than women in the general population. This violence is not incidental - it’s systemic, fueled by laws and attitudes that criminalize and dehumanize sex work.

The mental health implications are staggering. Stigma isolates sex workers, cutting them off from community and resources, while fear of judgment or legal repercussions often keeps them from seeking therapy or healthcare. A study in the Journal of Interpersonal Violence found that sex workers who experience violence are at significantly higher risk for PTSD, depression, and anxiety. Yet, they are rarely offered the same empathy or support given to survivors of violence in other professions.

So why does society continue to perpetuate this cycle of harm? Part of the answer lies in the hypocrisy of cultural appropriation. From pole dancing fitness classes to fashion trends inspired by strip clubs, mainstream society often profits from sex work aesthetics while condemning those who originated them. This selective acceptance reinforces the idea that sex workers are less deserving of dignity and safety.

Destigmatization is the first step, but it's not the only step

If we are serious about reducing violence against sex workers, we must start with destigmatization. Decriminalization is a key step, supported by organizations like Amnesty International and the World Health Organization. Studies show that decriminalization reduces violence, improves health outcomes, and enhances economic stability for sex workers.

But policy change isn’t enough. We must challenge societal norms by amplifying sex workers' voices, educating others about the realities of the work, and holding accountable those who perpetuate harmful stereotypes.

Sex workers are innovators, caregivers, and cultural leaders. To protect them is to affirm their humanity and value. Ending violence against sex workers is not just a moral imperative - it’s a societal necessity. The path forward requires courage, compassion, and an unflinching commitment to justice. Let’s honor this day by taking the first step.

Danielle Simpson-Baker is a Marriage and Family Therapist in Florida and a Board Certified Sexologist with the American Board of Sexology. Danielle holds an MA in Marriage and Family Therapy and is currently working toward a dual certificate in Sex Therapy and Education. She also runs a sex-positive Instagram page (@thesexpottherapist) that has amassed more than 23,000 followers since its inception in 2018; with that following, Danielle started a virtual sexual wellness clinic called Sex(pot) Therapy, LLC. Danielle provides sex therapy, coaching, and consulting, as well as a host of sexual wellness products for every person’s needs!

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