I think if there was clear attempt to make the doll chip seem terrible, then it's limited to that database and maybe the note Robotic_Onion mentioned. It went right over my head the first time I played. It wasn't until I read the database that I did a double take and realised, "oh, that makes it even worse... but then why aren't the characters bothered by it, if they're bothered by everything else?".
So if the game was trying to make it clear that the doll chip is this terrible thing, to me it seemed overly reliant on having read that piece of info. I had no idea from the way the characters behave. Obviously the game makes it clear that working at Clouds is bad for other reasons; not sure about this one though.
I wouldn't be surprised if it's because CDPR just didn't see it as a negative thing - or maybe they did but it was low on their list of priorities or something, who knows
Oh, no, I would strongly disagree, and I would argue that the entire premise of that scene was heavily loaded, nuanced, and carefully delivered -- especially if the player chooses the option to use the "safe word". When the prostitute emerges from the trance, she's angry. "You pulled me out of it!" She also, very,
very clearly has no idea what was happening, what was said, or who we are.
This very direct reaction alone says something simple and irrefutable:
She does not want to be there.
So, the deeper connotation is that she is willing to sell her body and risk whatever happening to her, and is not even going to face the actual act of it, preferring to let it all happen while she is blissfully unaware of the reality. There's no part of this that is presented in a "comforting" way.
Then, we have mention that stuff sometimes happens to the dolls or the customers. Management hushes it up. The JoyGirls and JoyBoys are treated like commodities, as we see clearly with Evelyn. As the post just above mentions:
So basically the entire doll system screwed her over. If they had taken her to a ripper doc of Finger's level or higher initially, she would likely have eventually recovered, maybe not the same as initially, but not catatonic as she became, and suicidal. And its implied that this type of thing is not that abnormal for dolls.
Therefore, I'd say the themes, characters, and overall tone surrounding the dolls is incredibly dark. I'd argue that there's absolutely nothing about the game or the universe that's meant to show how anything in this future got "better". I'd find it very difficult to make an argument that the doll chips are improving life for prostitutes in any way -- not without specifically omitting truckloads of context that is very strongly established.
In a sense, a regular JoyBoy/Girl in CP would know what they're doing, be conscious during the act, able to at least manage things and defend themselves, and would then need to deal with the physical and psychological aspects of the lifestyle. A doll simply blinks out of consciousness. When they come out of it, they may be perfectly fine with no idea of what happened to their body...they may find themselves staring at a complete stranger lying in a bed with them with no idea of what was just happening...or they may find themselves chained to a pipe in the darkness holding their intestines in with their own hands and taking their last, few breaths. That's all assuming the tech doesn't backfire and fry their minds altogether. I'd argue there's no part of this that doesn't make prostitution even
worse.