Stigma Power and the Specificity of Sex Work: An Intersectional Analysis

This concept paper advances stigma power as a central analytical mechanism for understanding how patriarchy, capitalism, white supremacy, and cis-heteronormativity operate with particular intensity against sex workers. Integrating Link and Phelan’s stigma power with Bourdieu’s symbolic violence and Foucauldian productive power, the framework theorises stigma as a mechanism institutionalised through law and enforced by institutions, which produces measurable consequences that include violence, exclusion, and health harms. Analysing the intersecting axes of gender, sexuality, race, migration, and class across three qualitative studies (SWMH, SEXHUM, VICSW), the article demonstrates why labour-rights reforms, including decriminalisation, are necessary but insufficient. Dismantling stigma requires not only removing sanctions but actively contesting the actors exercising stigma power and interrupting the stabilising mechanisms that reproduce it. This requires policy that acknowledges stigma’s existence whilst working to dismantle it, rather than eliding its reality through liberal mainstreaming or strengthening it through criminalisation or rescue frameworks. The framework explains why decriminalisation is associated with better access to rights and health; why all criminalisation including the so-called Swedish model correlates with increased violence; why stigma persists under optimal legal conditions; and how intersecting marginalisations produce differential vulnerability. Policy implications emphasise pairing decriminalisation with peer-led anti-stigma work, institutional reform, migrant rights, and funded support for sex worker self-organisation.