Moen - Is Prostitution Harmful
Moen - Is Prostitution Harmful
Moen - Is Prostitution Harmful
Is Prostitution Harmful?
Ole Martin Moen
Ole Martin Moen is professor of ethics at Oslo Metropolitan University. This article was originally
published in the Journal of Medical Ethics 40:2 (2014), 73–81. It is reprinted here, slightly revised, with
permission of the Journal of Medical Ethics and the author.
INTRODUCTION
481
482 Ole Martin Moen
In the paper “Two Views of Sexual Ethics,” David Benatar draws a dis-
tinction between two different views on the necessary conditions for per-
missible sex. On one view, which Benatar calls “the significance view,”
sex is permissible only if it is “an expression of (romantic) love.” On the
other view, which Benatar calls “the casual view,” sex need not have this
significance in order to be permissible.3
This is an important distinction. I believe, however, that the labels
that Benatar has chosen—“the significance view” and the “the casual
view”—are misleading because they easily create the impression that
while one view holds that sex can be romantically significant, the other
view denies this. That, however, is not the case. “The casual view” does
not imply that sex is never romantically significant. It only implies that
sex need not always be romantically significant in order to be permis-
sible.
Clearly, proponents of what Benatar calls “the significance view”
might claim that “the casual view” reduces sex to mere wriggling of
meat, and thus makes all sex void of significance. That, however, is not
a claim that proponents of “the casual view” need to accept. They could
explain why by drawing a parallel to eating. When a romantic couple
dines at a lovely restaurant, their eating might well be romantically sig-
nificant for both parties. Then what is biologically the mere satisfaction
of a nutritional need is given deep personal meaning because of its social
and psychological setting. It is not clear, however, the advocate of the
“casual view” might argue, that one degrades eating as such and destroys
one’s capacity for appreciating romantic meals if one has earlier engaged
in “casual eating” or has been “eating around,” occasionally catching
a cheap hotdog on the run. If this is right, then casually engaging in an
activity that has the potential for romantic significance need not destroy
that activity’s romantic significance on other occasions. If we accept
this, then we would need a separate argument to explain why casual sex
destroys sex even though casual eating does not destroy eating.
Rather than speaking of “the significance view” and “the casual
view,” therefore, I will speak of “the strong significance view” and “the
484 Ole Martin Moen
weak significance view.” While both views hold that sex can be roman-
tically significant, only the strong significance view holds that all non-
significant sex is impermissible. I will nowhere use the term “casual
view,” though it could perhaps properly refer to the (implausible) view
that sex is always merely casual and is never romantically significant.
If the strong significance view is correct, it would be clear why prosti-
tution is problematic. Though there might be cases where romantic love
is present between a prostitute and a client (either one way or both ways),
these are exceptions, and for the sake of the argument, I will assume
that all sex between a prostitute and a client is sex without romantic
significance. If casual sex is problematic, therefore, so is prostitution. If
the strong significance view of sex is incorrect, however, it is no longer
equally clear what the problem is with prostitution. At least, prostitu-
tion cannot be categorically ruled out for being sex without romantic
significance, since sex without romantic significance is not per se a
problem. As such, other features of prostitution would have to account
for its alleged hazards. Let us now examine nine influential arguments
that purport to establish that such hazards exist.
To make this point clear, we may turn to the literature on, and the
debate over, homosexuality in the 1920s and 1930s. What we find in
this literature is that homosexuals in the early twentieth century also
experienced guilt, regret, and remorse; were significantly more prone to
depression, eating disorders, and insomnia than non-homosexuals; and
had a significantly higher suicide rate than the rest of the population.5
These figures were used by opponents of homosexuality as allegedly
scientific evidence that homosexuality is harmful. Today, however, most
of us would claim that they misinterpreted the data. Though we would
concede that many homosexuals did suffer from these problems, we
would argue that the statistics themselves were insufficient to establish
that there was anything inherently harmful in being a homosexual or
in engaging in homosexual practice, and that the correlation was most
likely due to the social treatment of homosexuals at the time. After all,
homosexuals were subject to significant stigma.
As long as we are merely spotting a correlation, therefore, we cannot
exclude the possibility that to a larger or smaller extent, the same is true
of prostitutes. Prostitutes, after all, are also subject to stigma. “Whore”
and “hooker” are highly derogatory terms, and Yolanda Estes, who used
to sell sex and who is now a philosophy professor at Mississippi State
University, claims in “Prostitution: A Subjective Position” that if she
had been open about her background all along, this would seriously have
damaged her career.6 Indeed, as prostitution researcher Teela Sanders
observes, we have a strong historical tradition for portraying people who
sell sex as “purveyors of disease, a social evil (and) a public nuisance.”7
I am not making the strong claim that homosexuality in the early
20th century and prostitution today are perfect parallels. For all I argue
(so far), it might well be that while there is nothing inherently harm-
ful in homosexual practice, there is something inherently harmful in
prostitution. As such, there might be excellent reasons why prostitutes,
even apart from the social stigma, naturally experience psychological
problems. The stigma might even be proper. What I argue is merely that
statistical correlation between prostitution and various psychological
problems is not alone sufficient to conclude that prostitution leads to
these problems. Since an argument from mere correlation with psycho-
logical problems alone fails to establish C, we will need additional argu-
ments to show that prostitution is harmful.
This argument purports to say something about the very nature of pros-
titution, and as with Arguments 1 and 2 above, it seems intuitively plau-
sible. It seems harmful to use people as objects (P1) and this seems to be
what goes on when a client uses a prostitute to satisfy his sexual desires
(P2). Thus it seems that prostitution is harmful (C).
Before we can assess this argument, we must—to avoid equivoca-
tion—get a clear understanding of what we mean by “objectification.”
Let us examine two different senses of the term “objectification” that
are in use in the academic prostitution debate, one narrow and one wide.
In a narrow sense, such as Thomas Mappes’s in “Sexual Morality
and the Concept of Using Another Person,” objectification means deal-
ing with other persons by means of force or fraud—that is, the practice
of using others as objects that one may manipulate and dispose of as one
pleases. In a broader sense, such as Howard Klepper’s in “Sexual Exploita-
tion and the Value of Persons,” objectification is not restricted to force
and fraud, but includes any treatment of another person as a means to
one’s ends without regard for that person’s own ends.13
On Mappes’s narrow account of objectification, P1 seems true, but
it is doubtful that P2 is true—that is, that prostitution involves objecti-
fication. However, even if prostitution might in some or in many cases
involve force or fraud, or both, it is not clear how this constitutes an ar-
gument against the very activity of buying and selling sex. It seems that
using force or fraud is always (or nearly always) harmful, and the fact that
it is harmful to force or defraud someone to φ is not a sufficient reason
to conclude that it is harmful to φ. The fact that it is harmful to force
someone to marry, for example, does not show that marrying is harmful.
Indeed, one could argue that in cases where force or fraud is used, we
should not even speak of prostitution, but of rape or sexual slavery. If
prostitution means buying and selling sex—and “buying” and “selling,”
to be applicable concepts, presuppose at least a thin notion of voluntari-
ness—it seems just as unreasonable to label sex slavery “prostitution”
as to label someone who is filmed while raped a “porn actress.” Thus
Mappes’s narrow account of objectification, though we should concede
488 Ole Martin Moen
If we translate “soul” into less mystical terms, and use it to refer to our
deepest values, emotions, and character traits, then this argument has
a plausible P1. The arch example of selling one’s soul is perhaps to sell
the position as one’s closest friend. Close friendships are thought to flow
from our deepest values, emotions, and character traits, and this seems
to be the reason why close friendships should not (or perhaps could not)
be sold. The intimacy of sexual relations might make them share this
characteristic with friendships (P2), and this might in turn explain why
prostitution is harmful (C).
The problem with this argument is that it is forceful only on the
strong significance view of sex. If the strong significance view is false, it
is not clear why selling a close friendship is a good parallel to selling sex.
On the weak significance view, in which casual sex is permitted, it would
be fine to engage in sexual actions without being emotionally involved.
A counterargument to this reply could be that even if the weak
significance view is correct, complete emotional detachment is not
Is Prostitution Harmful? 497
possible, at least not as long as the person involved has a healthy, non-
repressed emotional life. There might, accordingly, be some personal
elements included in all sex, even though these might not be sufficiently
strong to warrant the strong significance view of sex. I believe this is a
sound counterargument. Even if we concede that there are certain per-
sonal elements involved in all sex, commercial sex included, however,
this need not imply that prostitution is harmful—or, at least, not harmful
to a significant degree. After all, people sell personal elements in a long
line of professions that we do not consider harmful. Nussbaum provides
the example of a philosophy professor, like herself, who “takes money for
thinking and writing about what she thinks—about morality, emotion,
the nature of knowledge” even though these are “all parts of a human be-
ing’s search for understanding of the world and oneself.”32 A philosophy
professor, Nussbaum notes, sells her soul in this sense and should expect,
as part of her work, that strangers invade her private space: On the one
hand, she could be facing students who are not worthy of her philosophi-
cal attention and yet still receive it for payment. On the other hand, she
could experience unexpected arguments that shake her grounds in set-
tings where she must remain calm and professional. A philosophy pro-
fessor, therefore, seems to sell her soul, and the same might plausibly
be said about professional musicians, authors, psychologists, priests,
medical doctors, nurses, teachers, and kindergarten workers. Granted the
weak significance view of sex, it is not clear why a prostitute sells her
soul to a larger extent than these professionals do. As such, we are still
not given a convincing reason why prostitution is harmful.
Even though, for the reasons provided above, I do not believe that pros-
titution is harmful in the ways and to the extent that is traditionally
assumed, I do not believe it is harmless. Engaging in prostitution has
its costs. Though prostitution is not necessarily a high-risk job, it is
not a low-risk job either, most obviously because it carries with it a
certain chance of catching sexually transmitted diseases.33 For many
people, moreover, it will be a considerable psychological burden to have
sexual contact with someone toward whom one is neither physically nor
mentally attracted (this point is forcefully put by de Marneffe34). These
downsides, moreover, appear to be present regardless of our social or legal
treatment of prostitution, so we should concede that they are genuine
downsides to the practice of selling sex.35
Even on the weak significance view of sex, therefore, we need not
agree with Lars O. Ericsson, who claims that “If two adults voluntarily
consent to an economic arrangement concerning sexual activity and this
498 Ole Martin Moen
do not just have benefits. This must be taken into account as long as the
alternative to selling sex is not to get money for nothing, but rather to
engage in other kinds of work.
When we compare the risks involved in prostitution with the risks
involved in being a professional boxer, stunt artist, race car driver, deep
sea diver, miner, policeman, or soldier—all of which are widely accepted
occupations—it seems that prostitution is only moderately risky. The
governmental New Zealand Accident Compensation Corporation inter-
estingly categorizes being a prostitute, which is legal in New Zealand,
as safer than being an ambulance nurse.38 When we further compare the
level of felt disgust in prostitution with the level of felt disgust in being
a toilet cleaner, a sewer maintainer, a garbage worker, a coroner, or an
embalmer—all of which are also widely accepted occupations—being a
prostitute does at least not appear to be exceptionally disgusting. Sex,
after all, is by and large a positive activity.
Thus it seems that when the whole context is taken into account,
the harmful aspects of engaging in prostitution, though they are real and
should not be neglected, are not as significant as we tend to assume. In-
deed, it appears that for some—say, those who accept casual sex, have a
high sex drive, need money, and are able to work in a safe environment—
selling sex could be a prudent option.
If this is correct, we must concede that it might be rational to engage
in prostitution, and for some, irrational to opt out of it. This, if true, has
significant implications for how, privately and professionally, we should
view prostitution and treat those who engage in it.
My argument has met with two main objections. The first states that
my argument runs contrary to basic, observable facts: prostitutes suffer
tragic harms, such as depression, guilt, drug abuse, and suicide attempts,
and no amount of philosophical theorizing can erase this.
This objection kicks in an open door, for I do not deny that prosti-
tutes are harmed. Prostitutes are harmed. What I argue is that this harm
has its main source, not in something intrinsic to prostitution, but in
contingent external factors.
In “The correlation with psychological problems argument” and
“The correlation with danger argument,” I discussed the hypothesis that
the extrinsic source of the harm suffered by people who sell sex lies in
how prostitutes are socially and legally treated. Proving this hypothesis
would require sociological work beyond the scope of this paper. To try
to isolate some of the harms brought about by our treatment of pros-
titutes, however, consider the following thought experiment in which
500 Ole Martin Moen
change. In less than two centuries we have, in large parts of the world,
ended slavery, given men and women equal legal rights, and accepted
homosexuality.
It is important to remember, moreover, that these changes were
made possible because some people dared to be a little utopian and
abstracted away from their present context. We can all too easily hear
the voice of someone opposed to homosexuality half a century ago pro-
claiming that homosexuality is deeply interrelated with various complex
social and psychological factors (such as depression, exploitation, rape,
disease, drug abuse, and unstable families), that these form part of what
homosexuality is, and that trying to assess homosexuality apart from
them is hopelessly utopian.
Today, we are glad someone dared question their assumptions and
looked beyond their immediate social context in their assessment of
homosexuality. If my arguments in this paper are sound, we should ap-
proach prostitution in a similar manner, and be open for the possibility
that prostitutes are harmed, not because prostitution is harmful, but
because society at present seriously harms prostitutes.
NOTES
1. Ronald Weitzer, “The Politics of Prostitution in America.” Sex for Sale: Pros-
titution, Pornography, and the Sex Industry, edited by Ronald Weitzer (New York:
Routledge, 2000), 159–80, at 163–66.
2. Oxford English Dictionary, 2nd ed.
3. David Benatar, “Two Views of Sexual Ethics: Promiscuity, Pedophilia, and
Rape,” Public Affairs Quarterly 16:3 (2002), 191–201 [reprinted in this volume; on the
definition and ethics of casual sex, see Raja Halwani, “Casual Sex, Promiscuity, and
Objectification,” this volume—eds.].
4. There is an extensive literature on psychological problems related to prostitu-
tion. For an overview see Vern L. Bullough and Richard D. McAnulty, “The Sex Trade:
Exotic Dancing and Prostitution,” in Sex and Sexuality, vol. 1, edited by Vern L.
Bullough and M. M. Burnette (Westport, Conn.: Praeger, 2006), 299–320; Sophie Day,
On the Game: Women and Sex Work (London and Ann Arbor, Mich.: Pluto Press,
2007), 124–47; Melissa Farley and Howard Barkan, “Prostitution, Violence against
Women, and Posttraumatic Stress Disorder,” Women and Health 27:3 (1998), 37–49.
5. These figures are from my own country, Norway. See Øystein Rian “Seksu-
alpsykologien som forsvant” (“The Sexual Psychology that Disappeared”), in Norsk
Homoforskning, edited by M. C. Brantsæter et al. (Oslo: Universitetsforlaget, 2001),
104–40; Bera Moseng, “Selvmordsatferd og seksuell orientering” (“Suicidal Behavior
and Sexual Orientation”), in Norsk Homoforskning, 258–67.
6. Yolanda Estes, “Prostitution: A Subjective Position,” in The Philosophy of Sex:
Contemporary Readings, 5th ed., edited by Alan Soble and Nicholas Power (Lanham,
Md.: Rowman & Littlefield, 2008), 353–65.
7. Teela Sanders, Maggie O’Neill, and Jane Pitcher, Prostitution: Sex Work, Policy
& Politics (Los Angeles: Sage, 2009), 33.
502 Ole Martin Moen
tution and Sexual Autonomy: Making Sense of the Prohibition of Prostitution,” Eth-
ics 112:4 [2002], 748–80, at 750).
24. Debra Satz, “Markets in Women’s Sexual Labor,” Ethics 106:1 (1995), 63–85.
25. Even if the assumed collectivism is legitimate, however, the claim is empiri-
cally questionable. Peter de Marneffe writes, “Here we must wonder, though, whether
women as a group are more victimized by sex discrimination in nations where prosti-
tution is tolerated, such as The Netherlands and Germany, than they are in the USA,
where it is not” (de Marneffe, Liberalism and Prostitution [Oxford: Oxford University
Press, 2010], 9). Another serious problem is that this objection does not fit well with
male prostitution.
26. The rationales offered by Pateman and Satz clearly do not exhaust the range of
arguments against prostitution put forth in the feminist literature. I hope and believe,
however, that the strongest additional arguments are adequately dealt with in other
sections of this paper (see especially “the objectification argument,” “the exploita-
tion argument,” “the economic dominance argument,” and “the selling one’s body
argument”). For a philosophical overview of feminist views on prostitution (for and
against), see Anderson, “Prostitution and Sexual Autonomy.”
27. This taxonomy roughly coincides with Joel Feinberg’s taxonomy of strong and
weak waiving of rights, and relinquishing of rights; see Feinberg, “Voluntary Euthana-
sia and the Inalienable Right to Life,” Philosophy & Public Affairs 7:2 (1978), 93–123.
For a recent application of Feinberg’s taxonomy to prostitution, see Hallie Liberto,
“Normalizing Prostitution versus Normalizing the Alienability of Sexual Rights: A
Response to Scott A. Anderson,” Ethics 120:1 (2009), 138–45.
28. Martha Nussbaum, “‘Whether from Reason or Prejudice’: Taking Money for
Sexual Services,” Journal of Legal Studies 27:2 (1998), 693–723.
29. Strictly speaking, the colon is not part of the genitals. It is hard to see, however,
how this could be argumentatively relevant, since we can presumably change the
example to involve gynecology rather than colonoscopy without deriving different
results.
30. Perhaps the CEO of the medical company wants the equipment tested on her
to ensure its quality.
31. Estes, “Prostitution: A Subjective Position,” 59–62.
32. Nussbaum, “‘Whether from Reason or Prejudice,’” 704.
33. S. O. Aral and J. M. Mann, “Commercial Sex Work and STD: The Need for
Policy Intervention to Change Societal Patterns,” Sexually Transmitted Diseases 25:9
(1998), 455–56.
34. De Marneffe, Liberalism and Prostitution, 20–21.
35. It is also possible that the above considered sources of harm, though they might
individually be small, aggregate to become significant, either because they sum up or
because they interact in unfortunate ways. The former I accept, though I maintain
that the sum would be reasonably low. The latter would have to be positively argued
for.
36. Ericsson, “Charges against Prostitution,” 338–39.
37. In counting the benefits of prostitution, we should perhaps include the benefits
on the side of the client. If we grant that clients are not harmed by buying sex, that
sex (or physical intimacy) is a basic human need, and that, for various reasons, many
people will not have access to sex (or physical intimacy) other than if they pay, it
seems that prostitution can satisfy a legitimate need. Due to the curious nature of
human sexuality, moreover, it seems possible that a slight favor on the side of the
prostitute could give a big surplus on the side of the client. Take a fetish such as feet
504 Ole Martin Moen
licking. If a client is turned on by licking a prostitute’s feet, and she charges $50 for
20 minutes of licking, there could be a considerable surplus for both parties.
38. New Zealand Accident Compensation Corporation, ACC Levy Rates Guide-
book 2010/2011 (Wellington: New Zealand, 2010), 118.
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