| Arts & Lettres | Poésie | Démocratie, laïcité, droits | Politique | Féminisme, rapports hommes-femmes | Femmes du monde | Polytechnique 6 décembre 1989 | Prostitution & pornographie | Syndrome d'aliénation parentale (SAP) | Voile islamique | Violences | Sociétés | Santé & Sciences | Textes anglais
Sisyphe.org Accueil Plan du site
mercredi 29 octobre 2014
“Harm reduction” is not enough to appropriately analyze prostitution
DANS LA MEME RUBRIQUE
Burkini Is a Feminist Issue Too
The notion that it’s ok for disabled men to pay for sex is rooted in misogyny and ableism
Egyptian doctor living in Zurich produces educational videos about health and sexuality for the Arab world
Amnesty International and Prostitution : Not in Our Name !
Open letter to rabble.ca - Support Meghan Murphy suffered a misogynist campaign by the sex industry lobby
"Insectual - The Secret of the Black Butterfly", by Barbara Sala
Canada’s New Sex Trade Law
Sharia Law, Apostasy and Secularism
True Progressives Encourage Women’s Equality, Not Their Prostitution
Sexual mutilations outside Africa : new report and new denial except the Iraqi case
FGM slowing down ? The UN asserts it, the Indonesian case contradicts it
Prostitution, STRASS and the senator - When opacity becomes relevant
Is equating prostitution and rape ‘intolerable violence’ ? Really ?
Obama, Madonna and us
After Ontario Courts rule on Bedford : a rant
Comparing Sex Buyers and Non-Sex Buyers July 2011 (Boston)
Sex resistance in heterosexual arrangements
Abolitionists of the prostitution system : who we are, what we want !
Women Living Under Muslim Laws Statement on Libya
Prostitution is a Threat to Humanity
Prostitution - Call for Australia’s prostitution laws to be tightened
Violence - An Open Letter from Black Women to SlutWalk Organizers
Nothing that is sexual can be considered criminal : hidden sexual violence in the DSK case
The Truth about Global Sex Slavery – A Book by Lydia Cacho
Why reproductive rights and prostitution are not the same thing : A response to one decriminalization argument
Prostitution - The abolitionist project within the conference Women’s Worlds 2011
Montreal - The Turcotte jury got it wrong
Reasons I Will Not Go On the Slutwalk
International Sex Industries and their Accomplices Hamper the Autonomy of All Women
Ten Critical Reasons for getting rid of Harper’s Conservatives
Real solidarity with prostituted women is in the fight for abolition of prostitution
Decriminalize prostituted persons and criminalize those who exploit them (‘johns’ and pimps)
Polygamy in Canada Should Remain Illegal
My fears of the push for indoors prostitution
We cannot be satisfied with the simple harm-reduction model
The Native Women’s Association of Canada is Worried About Himel’s Judgement on Prostitution
Ontario Court Decision Abandons Aboriginal Women and Women of Colour to Pimps
Response to the VPD review in the cases of the Pickton Murders
Speech - The effects of globalization of political Islam on Women’s Rights, the question with polygamy, the Niqab and Honour Killing
Quebec Forges Enlightened Trail on Burkas
Breast Cancer a Disease, No a Marketing Opportunity
The International Campaign To Closedown Iranian Embassies
Violation of rights in Iran, a window from my experience to a broader picture
"Sex worker" ? Never met one !
The One Million Signatures Campaign has been awarded the prestigious Global Women’s Rights Award from the Feminist Majority Foundation
Prostitution - Feminist Perspectives, a book
Prostitution : Violating the Human Rights of Poor Women
More than 1 000 american historians call for equity in the stimulus package in open letter to Obama
Order of Canada Awarded to Dr. Morgentaler - Acts of intimidation should not rule Canada
Femaid report on Afghanistan, May 2008
Time for Quebecers to be more open : Bouchard-Taylor report
Canadian Bar Association supports strengthening equality in the Quebec Charter
Zero Tolerance for Johns : How the Government of Sweden Would Respond to Spitzer
Politicians are responsible for toxic, misogynist environment facing girls
Spitzer - The Myth of the Victimless Crime
Goodbye To All That (#2)
The freedom to never prostitute oneself
NO legalized brothels for the Olympics 2010 - Aboriginal women’s Action Network statement on prostitution
CLES says NO to the violence of prostitution
Does Porn Make the Man ?
A Trip Into the Absurd
Mothers File International Complaint Against United States
Prostitutes are victims, not criminals
Anthology of Québec Women’s Plays in English Translation, Volume I (1966-1986)
The Concertation des luttes contre l’exploitation sexuelle (CLES) intervene during the upcoming provincial election
Prostitution - Three Women and a Debate
Men Favour the Apolitical Discourse on Prostitution
The Whole Truth Must be Told : Sylviane’s testimony on her experience of prostitution
Democracy and Religious Obligations : an Impasse ?
What is liberation ? Feminism past, present and future
Books by Andrea Dworkin
Globalization, Militarism and Sex Trafficking
Muslim Groups Denounce the Cultural Relativism of a Certain Left
Canadian Muslim leader alleges her veil views sparked vandalism
Prostitution : CATW’S Post-World Cup Statement
NOW to denounce so-called parental alienation
Prostitution : for an Abolitionist Bill
The dimensions of trafficking for purposes of prostitution
"Charm is a Guise ; Batterers Belong in Jail, Expert Says"
Interview with Catherine MacKinnon : Are Women Human ?
Danish cartoons - Doing away with the Enlightenment ?
It’s happening next door : from incestuous girls to alienating mothers
Green Light for Pimps and Johns
Buying Sex is not a Sport
Prostitution is Violence Against Women
The Ideal Site for the Crime
Tell me, what does "gender" really mean ?
Gunilla Ekberg : « The best thing we can do for our sisters is to support them to get out of prostitution »
Interview with Catharine A. MacKinnon : « They haven’t crushed me yet. »
Decriminalizing prostitution, a magnet for pimps and johns
Declaration on Religious Arbitration in Family Law
Prostitution : Towards a Canadian policy of abolition
Prostitution inseparable of violence against women
The need for a public debate on prostitution and its social consequences
Prostitution of First Nations Women in Canada
270 000 $ granted to Stella for a four days event on sex work
IN MEMORIAM : Andrea Dworkin or The passion for justice
Decriminalizing prostitution will not improve the security of prostituted women
Dworkin - Taking Back the Night
Backlash and Whiplash : A Critique of Statistics Canada’s 1999 General Social Survey on Victimization
Helping the prostituted women or promoting prostitution ?
The Need for a Public Debate on Prostitution and its Social Consequences
The legalization of prostitution and its impact on trafficking in women and children
Prostitution Links, Women’s Justice Center
"If you don’t take a job as a prostitute, we can stop your benefits"
Sweden Treating Prostitution as Violence Against Women
Forced marriage as crime
Why Women Must Get out of Men’s Laps
International Campaing Against Shari’a Court in Canada
Decriminalize prostituted women, not prostitution
Canada Contributes to the Sexual Trafficking of Women for Purposes of Prostitution
Fathers’ Rights Groups in Australia and their Engagement with Issues in Family Law
Women Rage Against ’Rape’ in Northeast India
Sexual domination in uniform : an american value
Tribunals Will Marginalize Canadian Muslin Women and Increase Privatization of Family Law
The sexual sadism of our culture, in peace and in war
Queer theory and violence against women
The Legalisation of Prostitution : A failed social experiment
Globalization and the Sex Trade : Trafficking and the Commodification of Women and Children
Will Paternal Paranoia Triumph ?
Ode to Survivors
Court confirms any woman’s human right to organize with peers
Program produces motherless kids
Legitimating Prostitution as Sex Work : UN Labour Organization (ILO) Calls for Recognition of the Sex Industry (Part One)
Legitimating Prostitution as Sex Work : UN International Labour Organization Calls for Recognition of the Sex Industry (Part Two)
Elisabeth Badinter distorts feminism the better to fight it
Prostitution : Rights of Women or Right to Women ?
The "Stolen Feminism" Hoax : Anti-Feminist Attack Based on Error-Filled Anecdotes
Hormone Replacement Therapy, the "Magic Bullet" Ricochets
For the sake of the children : the law, domestic violence and children contact in England
Friendships between women good for health
Children of divorce need our protection
Divorce Bill’s flaws inadvertently aid abusers
Problem isn’t little boys, it’s little minds
A report from Status of Women Canada about the discursive denial of gender inequalities
Ten Reasons for Not Legalizing Prostitution
Poem for Peace
Peace Rally Speech of a 12 year old American Girl
Good clone, bad clone ?
Canadian Women’s Health Network
So hard to say goodbye
We regularly hear that the harm (or risk) reduction approach is the perfect solution for working with individuals engaging in practices considered “at risk.” This approach is said to reduce the individual and social harms of a given practice in order to promote the well-being of the individual and the community. Its apparent success in HIV prevention (by providing users with access to clean needles) and the treatment of addictions at the user’s own pace (such as by prescribing methadone) has made it the model of choice for addressing other kinds of issues.
This has led certain social workers and activists calling for the legalization of prostitution to believe that this social issue also requires a harm reduction approach without giving too much thought to the nevertheless fundamental distinctions between prostitution and addictions to substances such as heroin or alcohol.
Marriage between the pro-prostitution lobby and the harm reduction approach
In the mid-1980s, some Western countries developed harm reduction programs that instead of requiring abstinence provided methadone and clean needles. Although the pro-abstinence approach continues to be favoured by supporters of the U.S. anti-drug approach and by European Cities Against Drugs (ECAD), the harm reduction approach has gone on to become a credible model for international organizations such as the UN and the World Health Organization. This harm reduction model as applied to drug use has been carried over to other areas, such as alcohol use and, the issue of interest here, prostitution. The harm reduction model was expanded in the 1990s through organizations that emerged at that time, such as the International Harm Reduction Association, and through publications such as the International Journal of Drug Policy. (1)
It was around this time that the movement to promote “sex work” began to take shape. The harm reduction approach, which by then had attracted significant interest, ended up laying the foundation for efforts to consolidate and legitimize “sex work.” Given that individuals in prostitution often had substance abuse problems, this helped introduce the harm reduction approach as a way to address prostitution. Since then, groups involved with “sex workers” have received funding from AIDS organizations such as Europap, the World Health Organization and UNAIDS. According to Melissa Farley, this well-meaning funding has helped to socially legitimize the sex industry. (2)
Projects using the harm reduction approach were conducted in emerging countries with large HIV-affected populations. For example, one project of this type was carried out in India in the 1990s, in Kolkata’s Sonagachi red light district. This project, which used a “pragmatic” harm reduction approach, was not aimed at challenging the institution of prostitution. On the contrary, its goal was to educate pimps and brothel owners about the importance of safe sex practices so that they would support the women in prostitution when they demanded clients wear a condom. While the official purpose of the project was to limit the spread of HIV and to empower prostituted women, it resulted in the project workers colluding with the pimps.
The point was to persuade brothel owners that condom use would not be bad for “business,” but would instead promote the health and therefore the “productivity of their employees.” (3) But since these pimps, as well as the clients of prostitution, tend to see prostituted women as interchangeable, there was little change in behaviour, so the safe sex education was basically limited to the prostituted women. In fact, the harm reduction efforts tended to place the onus on the prostituted women to protect themselves (for example, by suggesting techniques for negotiating condom use or encouraging them to use female condoms as a way to avoid such negotiations) and to take the client’s point of view (by adapting the “work” to the clients’ irresponsible and potentially violent behaviour).
The Sonagachi project is currently in place in other areas of India and in other developing countries. It is supported by the World Bank and the UN. Although the project is intended to reduce infection rates, it nevertheless continues to keep a segment of the women population in prostitution and legitimizes a practice that exposes women to the risk of infection (as well as to violence by prostitution clients).
Empowering these women should include challenging the institution of prostitution instead of remaining simply a shallow form of empowerment that simply legitimizes men’s right to buy sex. In fact, the problems experienced by prostituted women are not only under their control ; to a large extent they are caused by the clients and pimps. As long as there are no changes in behaviour, it is unlikely that these women will ever become truly empowered.
Distinguishing the problems of addiction and prostitution
Addressing the topic of prostitution generally means discussing the different problems that are related to but do not define prostitution. Prostituted individuals are usually dealing with substance abuse, a factor that often brings them into prostitution in the first place and keeps them from escaping it. Drug use is actually often “necessary” to endure the steady stream of unwanted sexual acts, forcing the prostituted individual into a vicious circle of taking drugs to endure prostitution, and engaging in prostitution to be able to buy drugs. Furthermore, the spread of HIV and STIs is now a reality that individuals in prostitution have to deal with. However, these diseases also do not define prostitution, namely the sale and purchase of sex.
The problem of prostitution is not “solved” by handing out condoms. As well, prostitution is a problem much more complex than substance abuse (not to minimize at all this problem). For the prostituted individual, prostitution is not an “addiction” in itself, far from it (it is almost always dissociating for the person who engages in it) : it is a survival strategy and sometimes a way to feed an addiction (such as to drugs or alcohol). It does not appear to make much sense to treat it the same way as an addiction problem.
American psychiatrist and feminist Melissa Farley has been one of the harshest critics of the harm reduction approach as applied to prostitution. Dr. Farley believes that the harm caused by prostitution is often invisible to society. (4) One reason for this is the libertarian approach to sexuality, which tends to see practically all of its manifestations as a victory over the suffocating moralism that still persists in certain segments of society. Another reason is the rather hasty and erroneous judgment by some supporters of the harm reduction approach, as well as comparisons that do not make any sense.
Melissa Farley believes that prostitution requires other kinds of comparisons. In her writings, she compares it to domestic violence, slavery, sexual harassment, torture, incest and rape. By its very definition, prostitution has much more to do with forms of personal and social violence and exploitation than it does with addicting substances such as drugs and alcohol. Even though it would appear to be obvious, it is surprising to see just how much this dimension is glossed over by many harm reduction researchers and workers. The relationship between prostituted individuals and prostitution is far removed from the relationship between an individual with an addiction and the addicting substance. In prostitution, the prostituted individual is not the one using prostitution, it’s the client who is the user and it is she who is used (she is the “product,” so to speak). If there is a problem of addiction when it comes to prostitution, it would probably be the clients who would be considered “sex addicts.” But yet again, it would be inappropriate to see this type of behaviour the same way as substance abuse : no human being should be treated as a substance to be used.
Challenging prostitution as a form of sexual violence
The parallel that can be drawn between prostituted women and women victims of domestic violence is an interesting one since it allows us to identify the limits of the harm reduction approach. Measures that could be considered for reducing harm have been developed to deal with domestic violence, such as shelters for abused women and emergency resources to deal with psychological distress. Another aspect would be to address domestic violence and allow women to leave an intolerable situation. There have not generally been any attempts to legitimize and legalize domestic violence for the sake of pragmatism. Believing that the solution to prostitution involves setting up supervised and controlled brothels makes one wonder whether there are special areas set up to allow men to abuse their partners without interference.
Applying the harm reduction approach to social problems other than substance abuse is not necessarily appropriate and could constitute a rather simplistic application of an approach that has proven to be effective for addressing addictions. Despite the fact that these issues often affect prostituted individuals, they are not defining characteristics of prostitution itself. It could be argued that individuals in prostitution need support to address their substance abuse and to prevent HIV infection, in cases where it is appropriate, without supporting prostitution itself. Giving women in prostitution access to condoms and clean needles, like other individuals at risk of contracting HIV, must not at all allow us to see prostitution as an activity requiring a harm reduction approach. On the contrary, it must be challenged in the same way as domestic violence.
Prostitution lies on the continuum of sexual violence committed by men against (mostly) women and violates their fundamental human rights. The same way that women who are victims of domestic violence must have access to care and shelters, prostituted individuals as well must have access to care and places able to help them address their physical and psychological issues (addictions, violence, sexually transmitted diseases, etc.), but this must stand in the way of working to eradicate this kind of violence. The many physical and psychological problems experienced by prostituted individuals, like those suffered by victims of domestic violence, should alert us and lead us as a society to fight these phenomena rooted in social inequality.
Lastly, we need to come up with intervention models that, without undermining the harm reduction approach, go much further, challenging the institution of prostitution and gender inequality. We also need to educate governments, international organizations, researchers, social workers, the public and individuals in prostitution themselves about the intrinsic harms of prostitution. Beyond simply reducing harm, we need to come up with solutions to help reduce demand (by clients), stop bringing girls into prostitution and eliminate the harms of prostitution as an institution and its violence and exploitation.
* This article is a summary of an article by Rhéa Jean, “L’approche de réduction des méfaits appliquée à la prostitution : un problème conceptuel ?,” in Perspectives étudiantes féministes (2010).
- Read other articles (in French) by Rhéa Jean on the site Sisyphe.org.
1. Pierre Brisson, “L’approche de réduction des méfaits : sources, situation, pratiques,” Standing Committee on Drug Addiction, Department of Health and Social Services, Government of Quebec, 1997.
Rhéa Jean has completed a PhD in Philosophy (2011) from the Université de Sherbrooke and Université Laval. Her thesis was about how prostitution limits women’s sexual autonomy. Since then, she has been a postdoctoral researcher at the University of Luxembourg (Luxembourg). She has published mainly on feminism and on the question of prostitution. She is also a founding member of La CLES (Concertation des luttes contre l’exploitation sexuelle - the Concertation of Struggles Against Sexual Exploitation), a NGO based in Montreal (active since 2004) seeking alternatives for women involved in the sex industry, and is frequently invited by different organizations to share her view on the ethical questions raised by prostitution.
Sisyphe : On line, October 20, 2014
|http://sisyphe.org | Archives | Plan du site | Copyright Sisyphe 2002-2016 | |Retour à la page d'accueil |Admin|