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Melissa Farley, PhD, Founding Director of the Prostitution Research and Education, wrote "Bad for the Body, Bad for the Heart" in the Oct. 2004 Violence Against Women, that stated:

“Laws that justify legalization or decriminalization of prostitution to safeguard women’s health fail to address the psychological harm of prostitution…

PTSD [Post Traumatic Stress Disorder] is characterized by anxiety, depression, insomnia, irritability, flashbacks, emotional numbing, and hyperalertness. Symptoms are more severe and long lasting when the stressor is of human design. PTSD is normative among prostituted women. Farley et al. (2003) found a PTSD prevalence rate of 68% among those in prostitution in nine countries. This rate was comparable to the rates of PTSD among battered women seeking shelter, rape survivors, and survivors of state-sponsored torture…

Dissociation occurs during extreme stress among prisoners of war who are tortured, among children who are sexually assaulted, and among women who are battered, raped, or prostituted. Dissociation, depression, and other mood disorders are common among prostituted women in street, escort, and strip club prostitution. Dissociation in prostitution results from both childhood sexual violence and sexual violence in adult prostitution. At the same time, dissociation is a job requirement for surviving prostitution.”

Oct. 2004