Paying for Sex

This chapter focuses on men who paid for sex, a group that are often silent in histories of prostitution. It draws on letters written by male clients who denounced women as ‘clandestine prostitutes’ (as in, working outside the legal parameters of regulation). The chapter then moves on to address how the imperial state regulated the bodies of specific types of male client, including migrant workers and military personnel, for the purposes of public health. Rather than nameless and blameless clients, some men who paid for sex were regularly examined and their behaviour was scrutinized by those in authority. Finally, the chapter provides a case study of the regulation of male sailors within the Port of Emperor Alexander III in Libava (now Liepāja, Latvia).

Adapting Vocal Function Exercises for Voice Masculinization

Purpose The aim of this clinical focus article is to discuss the role of gender-diverse vocal function exercises (VFEs) in the context of voice and communication therapy for transgender men. Current literature on behavioral intervention with this population is very limited, and we present gender-diverse VFEs as a reasonable intervention approach. Method We developed a protocol for VFEs specific to voice masculinization, and we present a case study in which this technique was used for a transmasculine client who had not undergone hormone replacement therapy. Results Clinical measurements (acoustic, perceptual, and client self-rating) were collected before and after a course of voice therapy. Findings demonstrate decreased habitual speaking pitch and improved voice-related quality of life at the end of therapy, indicating successful outcomes for voice masculinization. Conclusions The recommended protocol for gender-diverse VFEs allows the trans male client to efficiently strengthen and coordinate the subsystems of voice production, particularly in the lower limits of his range. This clinical focus article also describes the need for strong research evidence to support all treatment modalities for transmasculine therapy, and this protocol offers one avenue for future investigations.

Development of a Transactional Analysis Diagnostic Tool for Burnout with a Case Study Application in Switzerland

Referring to the addition of burnout into the ICD-11, the authors review the literature and propose a combination of transactional analysis concepts with systemic-psychodynamic, cognitive-behavioural and logotherapy perspectives to generate a three-dimensional heptagon in which each summit represents a dimension of the burnout condition: cognitive, behavioural, motivational, emotional, somatic, relational and existential. They indicate how here-and-now symptoms are representations of there-and-then experiences and demonstrate how these elements may be represented within the script system developed by O’Reilly-Knapp and Erskine (2010). They go on to combine this with Freudenberger and North’s (1992) 12 steps model into a simplified five phase model of Honeymoon, Suppression, Denial, Dehumanisation and Burnout. Based on this material, they have developed a proxy-rated Burnout Assessment Chart (BAC) and a semi-structured Burnout Assessment Interview (BAI). A case study is then included of this material being applied with a 56-year-old male client in Switzerland. Whilst the limitations of this single case are recognised, the authors propose that the material can be used in developing a manual for working with burnout, with the different phases making it applicable to the various fields of TA application.

Transformational sexualities: Motivations of women who pay for sexual services

Previous research on client motivations to purchase sexual services in the UK has predominantly focused on the experiences of men. Women who buy sex have largely been overlooked as it is commonly assumed that women provide, rather than purchase, sexual services. In addressing this empirical absence, this article examines data gained from 49 interviews with women clients and sex workers. It examines the reasons why women decide to purchase sexual services in the UK. We argue that the increasing importance of contemporary capitalism and consumerism has shaped women's engagement in the sex industry as clients. We show how women's sexual agency and assertiveness as clients, inverts the female sex worker/male client binary assumed to characterize commercial sex and illustrates the overlap and convergence of male and female sexuality. Our research thus contributes to an understanding of female sexuality more broadly, as exemplifying the hallmarks of ‘transformational sexualities’ in cosmopolitanism (Plummer, 2015).

Are Men Who Pay for Sex Sexist? Masculinity and Client Attitudes Toward Gender Role Equality in Different Prostitution Markets

Prostitution clients’ attitudes toward gender equality are important indicators of how masculinity relates to the demand for commercial sexual services. Research on male client misogyny has been inconclusive, and few studies compare men in different markets. Using an online survey of 519 clients of sexual services, we examine whether male client attitudes toward gender role equality are related to the main methods customers used to access prostitution services (i.e., through print or online media vs. in-person contact). We found no differences among men in these markets in attitudes toward gender role equality in the workplace and home. This is in a context where all clients had more egalitarian attitudes toward women’s roles than the U.S. male population in the General Social Survey (GSS). However, clients in in-person markets were less supportive of affirmative action than in online markets in a context where all clients were less supportive compared to the national average. These findings point to need to rethink how masculinity and gender role attitudes affect patterns of male demand for paid sex.

Brief, Intensive Treatment for Separation Anxiety in an 8-Year-Old Boy: A Case Study

Cognitive behavioral therapy (CBT) is the evidence-based treatment modality for children with anxiety disorders; yet, many youth do not receive treatment. To overcome barriers associated with standardized CBT approaches, brief, intensive treatments have been proposed. This case study illustrates a brief, intensive CBT intervention for a preadolescent male client who presented with severe separation anxiety. The intervention consisted of five sessions (one each day for five consecutive days) and a follow-up assessment 4 months later to evaluate treatment outcomes. The intervention strategies were based in CBTs and included exposures, cognitive reappraisal work with both the client and the parents, and reduction of parental accommodation. Reliable Change Indices were calculated to evaluate change from preintervention to the follow-up assessment. There were large and statistically significant decreases in the main outcome measure of separation anxiety symptoms, indicating significant improvements in separation symptoms over treatment per the client’s and parents’ reports. At the follow-up session, the client no longer met diagnostic criteria for separation anxiety disorder. The results highlight the utility of brief, intensive interventions for separation anxiety in young children.

Counseling Men: Treatment Recommendations From Australian Men’s Therapists

Many of the contemporary treatment recommendations and guides for adapting therapy for men originates from the context of the United States. This qualitative study invited 15 Australian therapists, who advertised themselves as working with men, to describe their recommendations for male-friendly counseling. Three themes and 14 subthemes were identified, each explained from an understanding of their male client group’s experiences and common male norms. The themes included ensuring a safe space, to enact masculinity-informed respect, and to enhance client awareness and motivation. Therapists’ suggestions for working with Australian men were congruent with recommendations in the existing literature; however, variations were noted in how traditionally masculine or feminine-consistent their emphasis was.

Prostitution and sex work

This essay discusses the debates about prostitution and sex work in relation to the ‘sex wars’ paradigm, posing questions about its theoretical usefulness in addressing the regulation of commercial sexual activity between adults. The authors map the global trend in accepting the ‘Swedish model’ for managing the sex industry, noting the problems that have resulted with the turn to criminalization that many Western countries have taken in recent years. This ‘turn’ has been influenced significantly by myths about sex trafficking and the belief that all commercial sex is in some ways forced, coerced, or exploitative. The authors discuss the discourses that frame the male client as the ‘offender’ and the female as the ‘victim and offender’. The consequences are reviewed both for individuals engaging in sexual services and for contemporary feminist debates. The human rights perspective can offer useful insights for understanding and regulating sexual behaviour.