Love in the Time of HIV

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Author :
Publisher : Guilford Press
ISBN 13 : 9781572308435
Total Pages : 235 pages
Book Rating : 4.3/5 (84 download)

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Book Synopsis Love in the Time of HIV by : Michael Mancilla

Download or read book Love in the Time of HIV written by Michael Mancilla and published by Guilford Press. This book was released on 2003-07-16 with total page 235 pages. Available in PDF, EPUB and Kindle. Book excerpt: The facts of life have never been more complicated for gay men. While the threat of AIDS has been diminished by new treatments and longer life expectancy, HIV remains a serious and intractable foe. In this affirming guide, therapist Michael Mancilla, himself HIV-positive, helps fellow gay men, both single and partnered, pursue the happy and fulfilling love life they deserve. Readers will find advice on everything from meeting Mr. Right and talking about HIV status to building the long-term relationships that many never expected to have. Candid first-hand accounts reveal how others in the community are negotiating safer sex, overcoming legal and financial hurdles to plan for the future, learning to accept care as well as give it, and crafting the kinds of intimate relationships they want, whether that means casual sex, dating, or permanent commitment. Smart, honest, and insightful, this book is written from the heart.

Sexual Ecology

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Author :
Publisher : Plume Books
ISBN 13 :
Total Pages : 474 pages
Book Rating : 4.0/5 ( download)

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Book Synopsis Sexual Ecology by : Gabriel Rotello

Download or read book Sexual Ecology written by Gabriel Rotello and published by Plume Books. This book was released on 1998 with total page 474 pages. Available in PDF, EPUB and Kindle. Book excerpt: AIDS and the Destiny of Gay Men This is the most important book about AIDS since Randy Shilt's 'And the Band Played On.' And it is far better.' - Martin Duberman in The Nation'

AIDS, Identity, and Community

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Author :
Publisher : SAGE Publications
ISBN 13 : 1452246505
Total Pages : 251 pages
Book Rating : 4.4/5 (522 download)

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Book Synopsis AIDS, Identity, and Community by : Gregory M. Herek

Download or read book AIDS, Identity, and Community written by Gregory M. Herek and published by SAGE Publications. This book was released on 1995-05-09 with total page 251 pages. Available in PDF, EPUB and Kindle. Book excerpt: HIV alters the lives of anyone that it touches, whether they are gay or straight. This book looks at all of the aspects of how HIV/AIDS has altered the lives of those it touches. . . . The titles of the 12 chapters give an excellent overview of what is covered in these extremely well-written reports. . . . This is a must-read book for everyone. It should be in all libraries, including school libraries. Young adolescents who are facing the problem of coming out would benefit from this book. --AIDS Book Review Journal Hit hard by the AIDS epidemic in the United States and in much of Europe, the gay and lesbian community has been forced to examine existing notions of what it means to belong to a community based on sexual orientation. The editors of this second volume in the annual series Psychological Perspectives on Lesbian and Gay Issues have collected a perceptive array of chapters that explore sexual behavior, personal identity, and community memberships of gay men and lesbian women. With the exception of a few, the chapters reflect study findings from AIDS-related research and include discussions of AIDS in large urban centers and in less populated settings outside of major AIDS epicenters. Focusing on underconsidered AIDS populations, the contributors explore specific topics concerning the AIDS epidemic among gay and bisexual men of color, lesbian women, and gay and lesbian youth. Accessible and sensitive, the book also examines relevant public policy, volunteerism, and long-term survival as important to AIDS awareness and education. AIDS, Identity, and Community is an appreciable resource for AIDS researchers and caregivers, mental health practitioners, social service professionals, behavioral and social science students, and any reader who seeks deeper insight into the complex and subtle areas of the lesbian and gay community in the AIDS era.

In Changing Times

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Author :
Publisher : University of Chicago Press
ISBN 13 : 9780226278575
Total Pages : 330 pages
Book Rating : 4.2/5 (785 download)

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Book Synopsis In Changing Times by : Martin P. Levine

Download or read book In Changing Times written by Martin P. Levine and published by University of Chicago Press. This book was released on 1997-08-18 with total page 330 pages. Available in PDF, EPUB and Kindle. Book excerpt: The HIV/AIDS epidemic has been a major catastrophe for gay communities. In less than two decades, the disease has profoundly changed the lives of gay men and lesbians. Not just a biological and viral agent, HIV has become an opportunistic social invader, reshaping communities and the distribution of wealth, altering the social careers of gay professionals and the patterns of entry into gay and lesbian life, and giving birth to groups like ACT UP and Queer Nation. The distinguished contributors to this volume discuss the ways HIV/AIDS has changed collective and individual identities, as well as lives, of gay men and lesbians, and how these alterations have changed our perceptions of the epidemic. They cover such topics as the impact of the epidemic on small towns, cultural barriers to AIDS prevention, gay youth and intergenerational relations, and the roles of lesbians in AIDS organizations. This collection provides compelling insights into the new communities among gay men and lesbians and the new kinds of identities and relationships that are emerging from the social and cultural ferment engendered by HIV/AIDS. Contributors include Barry D. Adam, Lourdes Arguelles, Rafael Miguel Diaz, John H. Gagnon, Gilbert Herdt, Gregory M. Herek, Nan D. Hunter, Peter M. Nardi, John L. Peterson, Anne Rivero, Gayle S. Rubin, Beth E. Schneider, and Nancy E. Stoller.

Positive Images

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Publisher : Bloomsbury Publishing
ISBN 13 : 1838608982
Total Pages : 318 pages
Book Rating : 4.8/5 (386 download)

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Book Synopsis Positive Images by : Dion Kagan

Download or read book Positive Images written by Dion Kagan and published by Bloomsbury Publishing. This book was released on 2018-04-05 with total page 318 pages. Available in PDF, EPUB and Kindle. Book excerpt: A tidal wave of panic surrounded homosexuality and AIDS in the 1980s and early 1990s, the period commonly called 'The AIDS Crisis'. With the advent of antiretroviral drugs in the mid '90s, however, the meaning of an HIV diagnosis radically changed. These game-changing drugs now enable many people living with HIV to lead a healthy, regular life, but how has this dramatic shift impacted the representation of gay men and HIV in popular culture? Positive Images is the first detailed examination of how the relationship between gay men and HIV has transformed in the past two decades. From Queer as Folk to Chemsex, The Line of Beauty to The Normal Heart, Dion Kagan examines literature, film, TV, documentaries and news coverage from across the English-speaking world to unearth the socio-cultural foundations underpinning this 'post-crisis' period. His analyses provide acute insights into the fraught legacies of the AIDS Crisis and its continued presence in the modern queer consciousness.

If Memory Serves

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Author :
Publisher : U of Minnesota Press
ISBN 13 : 1452933146
Total Pages : 271 pages
Book Rating : 4.4/5 (529 download)

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Book Synopsis If Memory Serves by : Christopher Castiglia

Download or read book If Memory Serves written by Christopher Castiglia and published by U of Minnesota Press. This book was released on 2011-11-22 with total page 271 pages. Available in PDF, EPUB and Kindle. Book excerpt: How gay memory suppressed after AIDS returns in visions of sexual identity and social idealism

HIV and Gay Men

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Author :
Publisher : Springer Nature
ISBN 13 : 9811572267
Total Pages : 289 pages
Book Rating : 4.8/5 (115 download)

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Book Synopsis HIV and Gay Men by : Rusi Jaspal

Download or read book HIV and Gay Men written by Rusi Jaspal and published by Springer Nature. This book was released on 2020-10-29 with total page 289 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book focuses on the clinical, social and psychological aspects of HIV among gay men and examines the complex factors that can contribute to HIV risk in this key population. With the target to end all HIV transmissions in the UK by 2030 in mind, Jaspal and Bayley combine elements of HIV medicine and social psychology to identify the remaining barriers to effective HIV prevention among gay men. The authors take the reader on a journey through the history of HIV, its science and epidemiology and its future, demonstrating the vital role of history, society and psychology in understanding the trajectory of the virus. Underpinned by theories from social psychology and clinical snapshots from practice, this book considers how psychological constructs, such as identity, risk and sexuality, can impinge on physical health outcomes. This refreshing and thought-provoking text is an invaluable resource for scholars, clinicians and students working in the field of HIV.

Understanding Prevention for HIV Positive Gay Men

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Author :
Publisher : Springer
ISBN 13 : 1441902031
Total Pages : 436 pages
Book Rating : 4.4/5 (419 download)

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Book Synopsis Understanding Prevention for HIV Positive Gay Men by : Leo Wilton

Download or read book Understanding Prevention for HIV Positive Gay Men written by Leo Wilton and published by Springer. This book was released on 2017-10-27 with total page 436 pages. Available in PDF, EPUB and Kindle. Book excerpt: This innovative collection offers a wide-ranging palette of psychological, public health, and sociopolitical approaches toward addressing the multi-level prevention needs of gay men living with HIV and AIDS. This book advances our understanding of comprehensive health care, risk and preventive behaviors, sources of mental distress and resilience, treatment adherence, and the experiences of gay men’s communities such as communities of color, youth, faith communities, and the house ball community. Interventions span biomedical, behavioral, structural, and technological approaches toward critical goals, including bolstering the immune system, promoting safer sexual practices, reducing HIV-related stigma and discrimination, and eliminating barriers to care. The emphasis throughout these diverse chapters is on evidence-based, client-centered practice, coordination of care, and inclusive, culturally responsive services. Included in the coverage: Comprehensive primary health care for HIV positive gay men From pathology to resiliency: understanding the mental health of HIV positive gay men Emerging and innovative prevention strategies for HIV positive gay men Understanding the developmental and psychosocial needs of HIV positive gay adolescent males Social networks of HIV positive gay men: their role and importance in HIV prevention HIV positive gay men, health care, legal rights, and policy issues Understanding Prevention for HIV Positive Gay Men will interest academics, researchers, prevention experts, practitioners, and policymakers in public health. It will also be important to research organizations, nonprofit organizations, and clinical agencies, as well as graduate programs related to public health, consultation, and advocacy.

The HIV-Negative Gay Man

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Author :
Publisher : Routledge
ISBN 13 : 1317994647
Total Pages : 116 pages
Book Rating : 4.3/5 (179 download)

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Book Synopsis The HIV-Negative Gay Man by : Steven Ball

Download or read book The HIV-Negative Gay Man written by Steven Ball and published by Routledge. This book was released on 2014-01-02 with total page 116 pages. Available in PDF, EPUB and Kindle. Book excerpt: In The HIV-Negative Gay Man: Developing Strategies for Survival and Emotional Well-Being, you’ll get instant access to some of the most recent information on the market today about remaining HIV-negative. You’ll come in contact with a wealth of information concerning the psychosocial and psychosexual needs of HIV-negative gay men and discover strategies for staying uninfected and cultivating a meaningful way of life in the face of HIV/AIDS. Compiled by both professionals and peers, The HIV-Negative Gay Man goes to the front-lines of HIV prevention to help you understand the most beneficial and dependable ways of preserving the value of life and living it to the fullest. Radically reshaping and rehumanizing traditional HIV prevention efforts, these updated and personalized approaches will give you many individual strategies for survival in a world in which the link between sex and survival has been turned upside-down. You’ll find new ways to expand and enrich your own coping repertoire as you explore these topics: how the HIV-negative gay man’s complex emotional reactions change what peer groups can do when creating and experimenting with new identities and roles when group work needs to be short-term or long-term why a sex life vocabulary needs to be built where Latino Men can learn critical thinking about internalized homophobia and transgression survival mechanisms changing attitudes as a result of the development of protease inhibitors and new drug therapies in HIV prevention In The HIV-Negative Gay Man, you’ll find that the road to survival is a long one but a road that can be travelled and enjoyed if the right strategies are applied. This book is a “road map” for survival. In it, you’ll meet many brave professionals who are currently fighting on the front lines of HIV prevention and coming forward to share their own personal stories of survival. In turn, you’ll learn from them and eventually tell your own survival story to someone else along the way.

Sex, Gay Men and AIDS

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Author :
Publisher : Routledge
ISBN 13 : 1000154351
Total Pages : 156 pages
Book Rating : 4.0/5 (1 download)

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Book Synopsis Sex, Gay Men and AIDS by : Peter Davies

Download or read book Sex, Gay Men and AIDS written by Peter Davies and published by Routledge. This book was released on 2020-09-29 with total page 156 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book reports on the largest empirical study of male homosexual behaviour in the UK for thirty years. Important new theories about sexuality are developed, which expose unhelpful stereotypes and challenge outdated assumptions about AIDS.

Aging with HIV

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Author :
Publisher : Oxford University Press
ISBN 13 : 9780199781515
Total Pages : 248 pages
Book Rating : 4.7/5 (815 download)

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Book Synopsis Aging with HIV by : James Masten Ph.D., LCSW

Download or read book Aging with HIV written by James Masten Ph.D., LCSW and published by Oxford University Press. This book was released on 2010-12-01 with total page 248 pages. Available in PDF, EPUB and Kindle. Book excerpt: With improvements in the treatment of HIV disease, gay men in great numbers are surviving--and thriving--into middle and older age. While increased longevity brings new hope, it also raises unanticipated challenges, particularly for gay men who never thought they would live this long: How do I deal with all the physical changes? Who can I rely on as I get older? Is a relationship still in the cards for me? What about sex? How should I prepare for old age? A one-of-a-kind guide for gay men aging with HIV, Aging with HIV offers an upbeat, down-to-earth approach for adapting to change, whether driven by age, AIDS, or both. Psychotherapist James Masten and physician James Schmidtberger shed light on the many common assumptions and fears of aging with HIV. Aging with HIV provides concrete solutions for facing midlife with a positive outlook, offering a wealth of advice for breaking unhealthy habits and coping mechanisms. The book describes the nine changes common to gay men as they age with HIV, discusses the four challenges of aging, and offers a unique ten-step path to optimal aging with HIV, helping the reader to tailor the book's suggestions to the realities of their lives. Woven throughout the book are first-person narratives from men who recount what worked--and did not work--for them. In addition, Rapid Research, Fast Fact, and Self-Reflection boxes highlight the latest research and challenge readers to take stock of the present--and plan for the future. An invaluable tool to keep handy and to refer to often, Aging with HIV is an inviting, confident companion to navigating midlife and beyond with HIV.

Latino Gay Men and HIV

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Author :
Publisher : Routledge
ISBN 13 : 1317795717
Total Pages : 209 pages
Book Rating : 4.3/5 (177 download)

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Book Synopsis Latino Gay Men and HIV by : Rafael M. Diaz

Download or read book Latino Gay Men and HIV written by Rafael M. Diaz and published by Routledge. This book was released on 2013-12-02 with total page 209 pages. Available in PDF, EPUB and Kindle. Book excerpt: With research based on focus group and individual interviews in the United States, as well as a thorough and integrative review of the current literature, Latino Gay Men and HIV discusses the six main sociocultural factors in Latino communities -- machismo, homophobia, family cohesion, sexual silence, poverty and racism--which undermine safe sex practices. In an attempt to explain the alarmingly high incidence of unprotected intercourse in this population, this in-depth cultural and psychological analysis shows how an apparent incongruence between knowledge or intention and behavior can possess its own sociocultural logic and meaning.

A New Life

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Author :
Publisher : University Press of America
ISBN 13 : 9780761807179
Total Pages : 196 pages
Book Rating : 4.8/5 (71 download)

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Book Synopsis A New Life by : Aydin Tözeren

Download or read book A New Life written by Aydin Tözeren and published by University Press of America. This book was released on 1997 with total page 196 pages. Available in PDF, EPUB and Kindle. Book excerpt: A New Life is a collection of essays and true stories about gay men. The portrayal of gay life presented in the book captures the intricate undercurrents in the age of AIDS: the anguish, disillusion and disappointment of HIV-positive youth, electricity between an HIV-positive man and his negative lover, the journey of a mother who lost her son to AIDS and why it is so difficult to be gay and proud in the inner city. The principal characters of the book--the young and old, Black and White, HIV-positive and HIV-negative--reflect the diversity of the gay community and the varying degrees to which gay men have been affected by HIV. Essays included in the book provide a background for the personal accounts of gay life. Large-scale information presented in these essays were derived from the data collected by the Multicenter AIDS Cohort Study, the largest sexual-and social-behavior survey ever funded by the federal government. The book shows how easy it is at present for a young gay man to become first a victim and subsequently endanger the lives of his fellow men. The seemingly complex picture of recent HIV infections would become simpler if we were to consider the link between sexual ethics and the transmission of HIV. Could we interpret an HIV-negative partner's willingness to engage in unprotected sex as acceptance of consequences? If a man who might be carrying HIV does not use a condom during sexual intercourse with a partner who might be HIV negative, is he being 'unreasonably negligent'? It appears that group values that emphasize protecting sex partners from HIV may be our best weapon against the spread of AIDS to the next generation of gay men. A New Life reveals insights into the impact of HIV on the relationships gay men form with each other and with their parents. The true stories presented in this book indicate that, confronted with a small but vicious virus, many of us, gay and straight, have reassessed those cultural values that divide rather than unite us. Those who have been hit with the hurricane force of AIDS have opened a path toward a new social order in which homosexuality is understood to be neither a choice nor a disease, and showing respect, love, and affection to an individual, regardless of his or her sexual orientation, is a norm.

Male Same-sex Sexuality and HIV in Sub-Saharan Africa

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Author :
Publisher : Springer Nature
ISBN 13 : 3030737268
Total Pages : 146 pages
Book Rating : 4.0/5 (37 download)

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Book Synopsis Male Same-sex Sexuality and HIV in Sub-Saharan Africa by : Theo Sandfort

Download or read book Male Same-sex Sexuality and HIV in Sub-Saharan Africa written by Theo Sandfort and published by Springer Nature. This book was released on 2021-06-20 with total page 146 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book addresses the impact of HIV on populations of men who have sex with men in Africa and local responses to the issue. It documents the enduring existence of a rich variety of same-sex practices between men. More critically, it analyses how the denial and social rejection of same-sex sexuality, together with the legacy of criminalization by former colonial rulers, has not only fueled the transmission of HIV between men, but has also impeded an effective response. The book also documents some of the outstanding progress that has been made and acknowledges the differences between African countries. Through its focus on lived realities and grassroots activism in Africa, this book will appeal to researchers, policy makers and practitioners alike.

Dry Bones Breathe

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Author :
Publisher : Routledge
ISBN 13 : 1317957628
Total Pages : 342 pages
Book Rating : 4.3/5 (179 download)

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Book Synopsis Dry Bones Breathe by : Eric Rofes

Download or read book Dry Bones Breathe written by Eric Rofes and published by Routledge. This book was released on 2015-01-28 with total page 342 pages. Available in PDF, EPUB and Kindle. Book excerpt: Dry Bones Breathe: Gay Men Creating Post-AIDS Identities and Cultures breaks new ground in offering an original and insightful interpretation of gay men’s shifting experience of the AIDS epidemic. From Dry Bones Breathe, you’ll gain a deeper understanding of current community debates focused on circuit parties, unprotected sex, and gay men’s sexual cultures, and you will learn how social, political, and biomedical changes are dramatically transforming gay identities and cultures. Dry Bones Breathe is Eric Rofes’explosive follow-up to Reviving the Tribe, a book which broke open debates in gay communities around the world about sex, identity, and gay men’s relationship to AIDS. In this volume, Rofes contends that most gay men no longer experience AIDS as the crisis they did during the 1980s. Gay men often attribute this shift to the advent of protozoa inhibitors, but Rofes explains how other factors, including the epidemic’s predicted trajectory, new treatments for opportunistic infections, the passage of time, and the increasing diversity of gay men inhabiting communities throughout the country have set in motion the transformation of gay life. AIDS organizations and gay leaders, however, continue to assert that gay men experience AIDS as an emergency, resulting in a tremendous dissonance between gay leaders and their communities. In the midst of this controversy, Dry Bones Breathe lets you share in stories of hope and recovery and a new vision for AIDS work that demands a radical redesign of prevention, care, and activism. Dry Bones Breathe tackles several other issues concerning the powerful shifts occurring in gay communities and cultures by: explaining why an understanding of the terms “post-AIDS” and “post-crisis” is crucial to interpreting contemporary gay male cultures and what Australian prevention theorists have to offer gay men in the United States describing the “Protozoa Moment” and exploring how a dangerous obsession with pharmaceuticals is leading many to mistakenly attribute all changes in gay men’s cultures to combination therapies examining the writings of Larry Kramer, Andrew Sullivan, Michelangelo Signorile, and Gabriel Rightly to illustrate how the crisis construct has unleashed a backlash against gay sexual cultures discussing the dramatic diminution in gay men’s AIDS-related deaths in epicenter cities and the impact of shrinking obituary pages on gay men’s mental health exploring the diverse relationships to the epidemic forged by young gay men, gay men of color, gay men from rural or small towns, and middle-aged men not infected with HI detailing how HI prevention and service organizations targeting gay men must redesign their mission and restructure their work In response to continuing efforts to direct gay men back into a state of emergency, Dry Bones Breathe suggests that long-term prevention efforts must be constructed around something other than a crisis. While AIDS organizations look at gay men’s diminished participation in AIDS activism, Rofes argues that these organizations should face how they have distanced themselves from the reality of most gay men’s lives. From stories and experiences full of hope, anger, sadness, and strength, Dry Bones Breathe will teach you about gay men who no longer base their identities and cultures solely around AIDS.

New International Directions in HIV Prevention for Gay and Bisexual Men

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Author :
Publisher : Routledge
ISBN 13 : 1317713028
Total Pages : 155 pages
Book Rating : 4.3/5 (177 download)

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Book Synopsis New International Directions in HIV Prevention for Gay and Bisexual Men by : Michael Wright

Download or read book New International Directions in HIV Prevention for Gay and Bisexual Men written by Michael Wright and published by Routledge. This book was released on 2021-02-25 with total page 155 pages. Available in PDF, EPUB and Kindle. Book excerpt: It is widely recognized that current HIV intervention models are falling short of their goals. What are the alternatives? To answer this question, New International Directions in HIV Prevention for Gay and Bisexual Men presents a collection of articles from European and American authors that rival dominant paradigms of HIV prevention. Researchers, practitioners, and community organizations will be challenged to examine current assumptions and to consider neglected aspects of risk behavior such as love, trust, and the dynamics of sexual intimacy. New International Directions in HIV Prevention for Gay and Bisexual Men explores models and theories that will help you develop more effective HIV prevention programs to better serve patients and clients. New International Directions in HIV Prevention for Gay and Bisexual Men offers you fresh perspectives on prevention work by examining risk behaviors in the interactional, communal, and social contexts in which they are practiced. You will receive alternative explanations and reasons for HIV risk that go beyond current approaches and that introduce possibilities for new intervention strategies. Written by experts in the field, the chapters in New International Directions in HIV Prevention for Gay and Bisexual Men will give you insight into new ideas and developments, including: placing a greater emphasis on improving successful risk management strategies as opposed to quantifying risk factors examining the meaning and context of sexual acts which occur in casual encounters or steady partnerships and incorporating their relevancy into prevention work considering the effects that cultural context and socially constructed meanings have on prevention work and incorporating individuals’values and feelings into prevention strategies focusing on more realistic goals of harm reduction that take sexual decision making into consideration as opposed to expecting abstinence relating the various aspects of sexual encounters--physical attraction, intimacy, reciprocity, and power--to reasons why men choose not to use condoms Examining how gay men can underestimate the risk of HIV in order to meet needs of intimacy, New International Directions in HIV Prevention for Gay and Bisexual Men will help you understand the symbolic dimension of sexual contact. The normal, everyday reasons for having sex without a condom are explored, questioning models which often characterize unprotected sex as being the result of low self-esteem, substance abuse, or some other psychological vulnerability. Presenting data from both qualitative and quantitative research conducted at group and individual levels, this book reveals the complexity of risk behavior, the richness of sexual experience, and the importance of respecting the unique context in which gay men live their sexual lives. New International Directions in HIV Prevention for Gay and Bisexual Men will help you understand this point of view, enabling you to provide patients and clients with more effective HIV prevention and risk management services.

A Crisis of Meaning

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Author :
Publisher : Oxford University Press
ISBN 13 : 9780198025634
Total Pages : 288 pages
Book Rating : 4.0/5 (256 download)

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Book Synopsis A Crisis of Meaning by : Steven Schwartzberg

Download or read book A Crisis of Meaning written by Steven Schwartzberg and published by Oxford University Press. This book was released on 1996-12-05 with total page 288 pages. Available in PDF, EPUB and Kindle. Book excerpt: For gay men, the demands of the AIDS epidemic are enormous and unrelenting. Regardless of HIV status, all are called on to maintain vigilant safety with sex, to face down a cultural stigma greater even than homophobia, and to somehow find a way to go forward in a world heavy with loss. As exhaustion and grief threaten to overwhelm the activism and optimism of earlier years, and with new infections on the rise among young gay men, the challenge of finding meaning in a world turned upside down is more than an idle philosophical exercise. It is a matter of psychological and perhaps even physical survival. In this poignant and uncompromising new book, Dr. Steven Schwartzberg offers a ground-breaking perspective on how gay men (and particularly HIV-positive gay men) find ways to rebuild a world of meaning amid the trauma and uncertainty of the AIDS crisis. Eschewing both glib prescriptions for turning tragedy into triumph, and theoretical abstractions, Schwartzberg grounds his insights in his own experiences as a gay man and as a practicing psychotherapist, and in in-depth interviews with nineteen men living with HIV. Ranging in age from twenty-seven to fifty, the men include a construction foreman, a physician, an art historian, a waiter, a librarian, and a licensed massage therapist. With candor, insight, eagerness, and a remarkable ability to share of themselves, they speak eloquently about how HIV has affected their views of the world, their senses of themselves, and how they live their lives. Interweaving the men's stories with observations from his research and clinical practice, Schwartzberg bears witness to the remarkable transformations some men have accomplished, and the anguish of meaninglessness that weighs others down. He strives to uncover why some view HIV as a catalyst for change or growth, while others see it only as punishment. And though he passes no judgment on the coping strategies he describes, Schwartzberg does insist on the vital necessity of balancing somber reality with healing, life-sustaining hope. He argues that men who opt for too much illusion and too little reality risk shoddy self-care and inadequate preparation for the future, while those who find no escape from reality may teeter into rage or suicidal despair. Beautifully written, with piercing awareness of the enormity of the challenges confronting individuals with HIV, this book celebrates the resilience of the human spirit. It is both a keen psychological guide and an elegiac chronicle of what life for many has become. Gently pointing the way to an oasis of growth, strength, and love that exists amid the epidemic's bleak terrain of loss, it is essential reading for people living with HIV, for their friends, families, and the mental health professionals who care for them, and for all gay men grappling with the enormous changes AIDS has brought to a community under siege.