No, seriously, once a currency gets to the point hookers accept it, it's indisputable that it's real.
It wouldn't surprise me if bitcoins were already being exchanged for escort service or some kind of "hookup" business via side channels already.
I'm no economist but this is how I see a fiat currency like bitcoin deriving value. Even if no one used bitcoin for a currency, there would be some people who would be interested in buying some just for the novelty of it. That alone gives it a non-zero value. From there, if it has the properties of being a useful medium of exchange, people will use it as such. Over time, the value grows as the amount of "float" (value exchanged into it) grows.
Also, buyers on the Silk Road have to be careful about which services they use to buy Bitcoin. If CoinBase isn't anonymous (and I'd guess it's not, since it uses bank transfers), Silk Road transactions could be tracked back to the purchaser's bank account.