Looking at things from Mark's perspective, I completely agree with you, smares1. I see the therapeutic benefit that he gained from those sessions, and I understand why he would have wanted to do this. And I can see how HE (probably) could see the difference between the sex surrogate and a hooker. But when I try to put myself into Cheryl's mindset, that's where I struggle. I'm a psychologist myself, so I do understand the therapeutic aspect of the work, and I can see why she would want to help Mark deal with these issues. But I can't see myself wanting to have SEX with my clients in order to help them, without any emotional intimacy developing, and in exchange for money. I can't help thinking about the practical issues: the impact it would have on my personal relationships, the way it would cheapen the act of sex in my own life, worry about pregnancy and disease (even though Mark is certainly at low risk for having an STI or HIV, still you never know and they never discussed using protection or even getting tested first--not to mention that if she's doing this with hundreds of other clients, she could be giving HIM a disease), and the list goes on. That's why I say that the difference between a hooker and a sex surrogate is so subtle, for me. I often work with children who have inadequate (or even abusive) parents...but my solution is not to move them into my home so I can parent them myself. Same thing for people with sexual issues.
However, I must say I respect those professionals who are willing to do this work. Obviously it has its benefits in some cases.
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