sexual surrogates

I think one of the leading controversies regarding the topic of sexual surrogates is whether or not they can be considered glorified prostitutes. I agree that sexual surrogates are different than traditional prostitutes in that traditional prostitutes "intend to provide immediate gratification localized on genital pleasure," whereas sexual surrogates try to provide "long-term therapeutic re-education and re-orientation of inadequate capabilities of functioning relating to sexuality." 

After doing some reading on the topic there is a part of me that agrees and respects Cheryl Cohen Green and her openness towards sex. In an article she explains "[she] had a sexually repressive childhood in which [she] was taught to believe that sex was dirty and wrong,  that you were supposed to save it for the one you love," further explaining, "I had to confront all of the shame and guilt I had about my sexuality. I was eventually able to work through it and free myself of it, even though it was intense. That made me believe that this was possible for others, too, and I wanted to help people not just overcome negative feelings about sexuality, but become more accepting and happy as sexual beings." There is a huge part of me that agrees with her on this. I believe Green when she says she thinks she is helping people. Especially when she claims that 90% of her professional time involves nonsexual activities, acting more as educator, counselor, and co-therapist. I just dont know if I buy into the idea that therapy needs to go into the extreme of performing the act with their clients in order to educate them. For me this extreme pulls in legal, moral, ethical professional and clinical implications. I believe that traditional therapy is capable of providing sex education, sex counseling, social skills education, coping skills counseling, emotional support, sensuality and relaxation education and coaching, and self-awareness education without actually getting in bed with the client. Especially since the risk of the clients symptoms returning after surrogate therapy is so high and the ability to use the skills outside of their surrogate does not always happen. To me this might be more damaging to the person and the risk does not clinically outweigh the benefits of using traditional therapy.