Transactional Analysis Case Report: Street-Level Prostituted Women as Mental Health Care Clients

Author: Carter, David & Dalla, Rochelle

Abstract: Despite recognition that mental health treatment is paramount in successfully intervening on the behalf of prostituted women, minimal information exists delineating effective counseling techniques for working with this unique population. Importantly also, understanding the culture of street-level prostitution is essential for effective treatment. Women prostituted on the streets have typically experienced life-long patterns of victimization, often resulting in substance addiction and continued self-destructive behavior. The culture of street-level sex work is built on numerous psychological and sociological factors which permeate the thinking patterns, social interaction, and daily activities of prostituted women. Professional counselors are ill equipped, academically and experientially, in addressing the diverse needs of the female street-level prostitute. A theoretical integration of transactional analysis and psycho-social concepts for a prostituted woman is provided in a case report to promote a more effective approach to therapy for this population. Counselors and prostituted clients will benefit from this blended therapeutic model.

Keywords: street-level prostitution, mental health, sex work