i guess it's the goal in combination with the general view of the activity, what makes selling yourself, also selling your dignity.
doing work that nobody wants to do, because you've got mouth to feed - is not selling your dignity.
but doing work that nobody respects, because you are after the money even though you don't necessarily need it - is selling your dignity.
like someone going into politics because they try to achive their ideals, but succumbs to bribery.
however this is not a clear line, because if we take your example as undeniable, we must also accept that hookers in fact do not sell their dignity as well.
good luck with getting people to accept that!
because it's not a interaction of mutual sexual interest in each other. he is doing something he has no interest in, in itself. he is enduring something that seemingly might even be disgusting to him, for the sake of compensation
hey, no problem there. i respect sex workers, they are a fundamental part of society. i respect them far more than politicians for example. though the fact stands that he would have sold his dignity. how you view this, or i view this, doesn't matter for this.
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