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A vicious circle of trauma, addiction and prostitution - Pennsylvania

“[Being out on the streets] was very traumatic,” she says. In addition to the  drugs, she’d been selling sex, hustling in what women like Sophie call, simply,  “the life.”

“At certain points, I wanted to hurt the men,” she says. “I thought of  seriously hurting them. I’d rob them. I had no respect for any of them. None of  them.”

"Not even the man who dropped her off at the hospital—who, for a long time,  was the only person who visited her there.

“He was just a sugar daddy,” she says. “He had a lot of insecurities … He  almost lived vicariously through me, ‘cause he was too scared to do anything. He  liked watching me get high.” Ultimately, she says, she saw him much like the  rest of the men she encountered on the streets: “Everybody uses everybody. I  used them, they used me, and it was all because I was using [drugs]. It’s all a  using thing … I don’t care how nice they were. Still, in my eyes, they weren’t,  you know?...

“We need to understand that this is a physical injury to the brain and to the  sympathetic nervous system,” says [leading traumatologist Dr. Frank] Ochberg. “There are ways to encourage people  who have that component of PTSD to recover joy and bliss and love and pride, but  that’s a tough slog. And there aren’t any pills that can really give you  that.”  

"There are, however, progressive places like Interim House, a  women-only recovery center that sits on a tree-lined street of Philadelphia’s  Mt. Airy neighborhood. It’s respected around the country as an innovative leader  in the use of trauma-informed therapy. It’s here that I met Sophie and Ann  Marie, the former of whom was in the tough slog—the latter of whom was working  there...."

http://www.philadelphiaweekly.com/news-and-opinion/A_Vicious_Circle_drug-addicted_sex_workers_can_suffer_ptsd-220406631.html

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