The Role of Cognitive Behavior Therapy in Intervention Management to Overcome Social Pathology in Commercial Sex Workers
Article Sidebar
Page Numbers:
3546-3557
Digital Object Identifier:
10.58578/arzusin.v6i4.10248
Viewed: 61 times
Downloaded: 43 times
LYAS Publisher cordially invites qualified professionals to serve as Editors or Reviewers. Your expertise will make an important contribution to maintaining and strengthening the academic quality of our publications. Interested applicants are kindly requested to complete the application form at the following link: Editors & Reviewers
Please feel free to contact us if you need any further information about the submission process or if you have any additional questions.
Authors:Muhammad Jumadi Ramadan1*, Nor Fatmah2
Copyright :Authors retain copyright and grant the journal right of first publication.
Main Article Content
Google Scholar
Abstract
This study analyzes the role of Cognitive Behavioral Therapy (CBT) in intervention management for female commercial sex workers (CSWs), with emphasis on cognitive mechanisms, behavioral change processes, and integration with socioeconomic support. The study focused on AR, a 30-year-old CSW in Palangka Raya who participated in CBT-based counseling involving cognitive restructuring, behavioral experiments, emotion-regulation training, and basic vocational-skills tasks. Data were collected through semi-structured interviews, participant and non-participant observation, and counseling documentation, then analyzed thematically using data triangulation and reflexivity to strengthen credibility. The findings indicate that addressing core maladaptive beliefs reduced shame, hopelessness, and nihilistic schemas, while behavioral tasks, including job interview simulations, resume building, and graded social exposure, provided experiential evidence of alternative livelihoods and increased self-efficacy. Emotion-management techniques also improved impulse control and reduced reactive decision-making associated with economic stress. However, dysfunctional family contexts, stigma, and economic pressures limited the sustainability of intervention outcomes. The results further show that CBT outcomes improved when combined with family psychoeducation, social support linkages, and referrals to vocational and economic-assistance services. The study concludes that modular CBT integrating cognitive restructuring, behavioral activation, life-skills development, and socioeconomic support offers a promising intervention model for CSW populations, although the single-case design limits generalizability and causal inference. This study contributes to counseling and social intervention literature by providing process-based insights into how CBT may support psychological, behavioral, and socioeconomic change among vulnerable women, while highlighting the need for larger, controlled, culturally adapted studies with long-term monitoring.
Citation Metrics:
Downloads
Citation Metrics & Similar Scopus Articles
-
Esmaeelpour E. (2027)The role of semantic transparency in lexical processing of head-first endocentric compounds in PersianLanguage Related Research, 17(4), 231-261
-
Rezvani V. (2027)Analysis of "Agentive Suffixes" in Russian and Persian Nouns from a Cognitive Morphological PerspectiveLanguage Related Research, 17(4), 203-230
-
Naemi Z. (2027)The Relationship between Second Language Learning Strategies, Learning Engagement, and Writing Skill in the Arabic Writing CurriculumLanguage Related Research, 17(4), 331-360
Article Details
Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
References
Afifky, I. B., Meliala, M. A., Justisia, F. A., Alfarezs, H. W., & Sary, W. E. (2025). Patologi Sosial dalam Perilaku Menyimpang dari Generasi Z. Jurnal Kajian Hukum dan Pendidikan Kewarganegaraan, 2(1), 238–242. https://jurnal.globalscients.com/index.php/jkhpk/article/view/781
Beck, A. T. (2019). A 60-year evolution of cognitive theory and therapy. Perspectives on Psychological Science, 14(1), 16–20. https://doi.org/10.1177/1745691618804187
Beck, J. G. (2025). Group cognitive behavioral therapy for PTSD: Therapist guide. Oxford University Press.
Bernard, T., Dercon, S., & Taffesse, A. S. (2011). Beyond fatalism: An empirical exploration of self-efficacy and aspirations failure in Ethiopia (CSAE Working Paper Series No. 2011-03). Centre for the Study of African Economies, University of Oxford. https://ora.ox.ac.uk/objects/uuid:8568ecef-1412-4b3e-a923-1c70cb2399f2
FEISHUM. (2025). Peran cognitive behaviour therapy dalam meningkatkan resiliensi perempuan bekerja. Universitas ’Aisyiyah Yogyakarta. https://feishum.unisayogya.ac.id/peran-cognitive-behaviour-therapy-dalam-meningkatkan-resiliensi-perempuan-bekerja/
Feldman, M. (2019). A CBT-based stress management intervention for work-related stress [Doctoral dissertation, Palo Alto University]. ProQuest Dissertations & Theses Global. https://www.proquest.com/openview/cdbff0ecd92a0e547e8bf7418bb0f70d/1?pq-origsite=gscholar&cbl=18750&diss=y
Hariyanto, D., Sartika, D. D., Isyanawulan, G., Wulindari, A., Tahira, N., Yulasteriyani, Arianti, Y., & Aidillah, E. (2025). Fenomena Pekerja Seks Komersial dalam Perspektif Tindakan Sosial Max Weber. Jurnal Penelitian dan Pengembangan Sains dan Humaniora, 9(3), 410–418. https://doi.org/10.23887/jppsh.v9i3.101004
Harris, E., Lum, J., Rose, V., Morrow, M., Comino, E., & Harris, M. (2002). Are CBT interventions effective with disadvantaged job-seekers who are long-term unemployed? Psychology, Health & Medicine, 7(4), 401–410. https://doi.org/10.1080/1354850021000015221
Hidayati, W., Judijanto, L., & Hadryanti, H. (2025). Cognitive behavior therapy: Prinsip-prinsip Utama untuk Praktik. PT Sonpedia Publishing Indonesia. https://buku.sonpedia.com/2025/11/cognitive-behavior-therapy-prinsip.html
Hupalovska, V., & Shevtsov, A. (2025). Sexual well-being as a factor of social and psychological rehabilitation of persons with disabilities. BRAIN: Broad Research in Artificial Intelligence and Neuroscience, 16(1), 142–156. https://doi.org/10.70594/brain/16.1/10
Lupton, D. (2013). Risk and emotion: Towards an alternative theoretical perspective. Health, Risk & Society, 15(8), 634–647. https://doi.org/10.1080/13698575.2013.848847
Meara, J. G., Leather, A. J. M., Hagander, L., Alkire, B. C., Alonso, N., Ameh, E. A., Bickler, S. W., Conteh, L., Dare, A. J., Davies, J., Mérisier, E. D., El-Halabi, S., Farmer, P. E., Gawande, A., Gillies, R., Greenberg, S. L. M., Grimes, C. E., Gruen, R. L., Ismail, E. A., ... Yip, W. (2015). Global surgery 2030: Evidence and solutions for achieving health, welfare, and economic development. The Lancet, 386(9993), 569–624. https://doi.org/10.1016/S0140-6736(15)60160-X
Miru, C. N. (2026). Efektivitas Cognitive Behavior Therapy dengan Teknik Self-Instruction terhadap Penurunan Stres pada Pekerja Seks Komersial (Studi Eksperimen Pra-Pasca). Jurnal Ilmiah Multidisiplin, 3(1), 95–104. https://doi.org/10.62282/juilmu.v3i1.95-104
National Academies of Sciences, Engineering, and Medicine. (2016). Ending discrimination against people with mental and substance use disorders: The evidence for stigma change. National Academies Press. https://doi.org/10.17226/23442
Newman, C. F. (2015). Cognitive restructuring/cognitive therapy. In C. M. Nezu & A. M. Nezu (Eds.), The Oxford handbook of cognitive and behavioral therapies (pp. 118–141). Oxford University Press. https://doi.org/10.1093/oxfordhb/9780199733255.013.22
Pratama, M. A. Q., & Salsabila, N. N. (2025). Jejak Prostitusi di Kabupaten Jember: Tabu, Stigma, dan Harapan Baru. KBM Indonesia.
Rahariyani, L. D., Windi, Y. K., Fadilah, N., & Kuntoro, K. (2010). Peningkatan Perilaku Seks Sehat melalui Model Terapi Kelompok pada Pekerja Seks Komersial. Jurnal Keperawatan Indonesia, 13(3), 174–180. https://doi.org/10.7454/jki.v13i3.249
Rasing, S. P. A., Creemers, D. H. M., Janssens, J. M. A. M., & Scholte, R. H. J. (2017). Depression and anxiety prevention based on cognitive behavioral therapy for at-risk adolescents: A meta-analytic review. Frontiers in Psychology, 8, Article 1066. https://doi.org/10.3389/fpsyg.2017.01066
Rijali, A. (2019). Analisis Data Kualitatif. Alhadharah: Jurnal Ilmu Dakwah, 17(33), 81–95. https://doi.org/10.18592/alhadharah.v17i33.2374
Rukundo, B. T. (2024). Enhancing sustainable HIV/AIDS funding through integrated capacity-building programs: A multi-stakeholder policy development approach. Eurasian Experiment Journal of Scientific and Applied Research, 6(3). https://publications.kiu.ac.ug/view/3027/enhancing-sustainable-hiv-aids-funding-through-integrated-capacity-building-programs-a-multi-stakeholder-policy-development-approach
Sap, K., & Stupak, R. (2026). Dignity in mental health care: The conceptual connections between sense of dignity, stigma, and self-stigma among people with mental disorder diagnoses. Frontiers in Psychiatry, 17, Article 1600777. https://doi.org/10.3389/fpsyt.2026.1600777
Sofiannisa, S., Mori, R. H., Lisbeth, F. H., & Khairat, I. (2025). Teknik Cognitive Restructuring dalam Konseling: Mengubah Pola Pikir Negatif Menjadi Positif melalui Pendekatan Literatur. Jurnal CONSEILS: Jurnal Bimbingan dan Konseling Islam, 5(1), 119–128. https://doi.org/10.55352/bki.v5i1.1971
Sugiyono. (2017). Metode Penelitian Kuantitatif, Kualitatif, dan R&D. Alfabeta.
Suwendra, I. W. (2018). Metodologi Penelitian Kualitatif dalam Ilmu Sosial, Pendidikan, Kebudayaan, dan Keagamaan. Nilacakra.
Takhttavani, M., Khayatan, F., & Atashpor, H. (2024). Comparing the effectiveness of emotion-oriented therapy and schema therapy on sexual schemas, fear of intimacy, and self-confidence in prostitutes. Iranian Evolutionary Educational Psychology Journal, 6(2), 365–378. http://ieepj.hormozgan.ac.ir/article-1-862-en.html
Tamir, M., Bigman, Y. E., Rhodes, E., Salerno, J., & Schreier, J. (2015). An expectancy-value model of emotion regulation: Implications for motivation, emotional experience, and decision making. Emotion, 15(1), 90–103. https://doi.org/10.1037/emo0000021
Uthomah, L. (2017). Penerapan Terapi Kognitif untuk Mengatasi Gangguan Stres Pasca Traumatik pada Pekerja Seks Komersial. PSYCHOPEDIA: Jurnal Psikologi Universitas Buana Perjuangan Karawang, 2(1). https://doi.org/10.36805/psikologi.v2i1.699