Dr. Derek Freedman:

That brings to mind a working girl who came to attend my clinic. She attended regularly and there were no problems other than a significant infection. She met somebody and stopped working, and her family were outraged because they had become used to the money. What happens in some cases is that while some of the clients are addicted to the sex, some of the workers become addicted to the money. This is not a case of one simple answer fits all. There are so many strains and threads of human behaviour that work through this; the purchase of sex for money is just one manifestation. I remember reading an article in The Observer many years ago about a wife who discovered her husband was using sex workers. She asked him what was going on and then said she would go with him. She went with him and suddenly realised that the sex worker was talking to the person, putting the person on a pedestal and making him feel good. She bailed out rapidly and it gave her a considerable insight into relationships.