Truth is, sex is innately and irrevocably the most intimate interaction between two human beings. The essential human within us instinctively rebels against marketing intimacy. Making sex a market transaction inevitably leads to abuse of women and children. Making sex a commodity is degrading. Even the naked women hide their faces.
Prostitutes have to develop mechanisms to distance themselves from intimacy.
Frequently, alcohol and other drugs are needed not just to add a chemically-induced euphoria, or to weaken inhibitions, or provide courage, but also to partition the physical dimension of intercourse from its psychological and emotional, to deaden the sensibilities and perceptions. It should come as no surprise that a high percentage of prostitutes become addicted to drugs and alcohol. Let us not delude ourselves into imagining this is because they are having fun. Here in this most intimate of private behavior, we see the roots of a public problem. Alcoholic or drug-addicted women cannot generally be expected to behave responsibly.