As the HIV epidemic enters its third decade, it remains one of the most pressing health issues of our time. Many aspects of the disease remain under-researched and inadequate attention has been given to the implications for the relationships and daily lives of those affected by HIV. Disclosing an HIV diagnosis remains a decision process fraught with difficulty and despite encouraging medical advances, an HIV diagnosis creates significant anxiety and distress about one's health, self-identity, and close relationships. This book provides an overarching view of existing research on privacy and disclosure while bringing together two significant areas: self-disclosure as a communication process and the social/relational consequences of HIV/AIDS. The unifying framework is communication privacy management and the focus of this volume is on private voluntary relational disclosure as opposed to forced or public disclosure. Utilizing numerous interviews with HIV patients and their families, the authors examine disclosure in a variety of social contexts, including relationships with intimate partners, families, friends, health workers, and coworkers. Of note are the examinations of predictors of willingness to disclose HIV infection, the message features of disclosure, and the consequences of both disclosure and non-disclosure. This volume, with its personal exercises and sources of additional information, offers an invaluable resource for individuals living with HIV and their significant others, as well as for professionals in the fields of health communication, social and health psychology, family therapy, clinical and counseling psychology, relationship research, infectious disease, and social service.

This book emphasizes the factors in the spread and control of AIDS that have received less attention in the literature. It suggests that a collaborative action program involving traditional healers is necessary if we wish to impact the spread of AIDS and other STDs in Africa.

Marriage for Life begins by listening to the lived experiences of Catholic, married, HIV-positive women, in order to better understand their struggles. The eight women interviewed in Chicago, Illinois, USA, shared their stories of marriage, of family life, of church involvement, and of living with HIV. Their candid reflections offer a fresh and grounded perspective on the challenges of living with HIV in a US context. After listening to and learning from these women's experiences, Reimer-Barry constructs a theology of Christian marriage that is life-giving in a world with AIDS. While Catholic teachings have developed and now affirm the equal dignity of women and men, troubling legacies of women's subordination remain embedded in liturgical practices and theological texts. Arguing that self-care is an indispensable component of a healthy marriage, Reimer-Barry constructs a life-affirming theology of marriage that is sensitive to the struggles of her collaborators. She argues that marriage for life must promote the full flourishing of both partners, respect wives as equal partners with their husbands, and offer a coherent and empowering sexual ethic. Building on the wisdom of her collaborators' lived experiences, Reimer-Barry examines the need for a more adequate Catholic response to HIV and AIDS, arguing that church communities should promote comprehensive sexual education, affirm both abstinence and condom use for HIV prevention, and actively work to reduce stigmatizing behaviors within church communities. She also unpacks the implications of marriage for life for Catholic liturgical practice, marriage preparation programs, sexual education programs, and family ministries. Modeling her method on what Pope Francis calls the "art of accompaniment," Reimer-Barry argues that Catholic theology of marriage must be renewed and updated so that all can plainly understand that marriage is for life.

Although morbidity among HIV/AIDS victims has decreased, the rate of new infections has remained steady for several years, substantially increasing the likelihood that this epidemic will continue and expand as a concern for social workers and their clientele, both of whom will need to be kept informed of the complex laws governing the milieu and the consequences of the disease. This is certainly the case with its spread throughout Asia and Africa.

In this new work, the author draws upon statutes and court decisions from across the United States to provide a comprehensive and current picture of the many facets of HIV/AIDS law, including health policy; confidentiality; privacy; bioethics; the workplace; and criminal law and corrections. The volume of legal, medical, social science, and popular literature pertaining to HIV/AIDS that has been published over the past two decades is staggering. Hence, any addition to this collection needs some justification. What Dickson offers is different from what has preceded. Rather than one more contribution to the extensive legal or social science literature, this book attempts to integrate the perspectives from two fields: law and social work. The hope is that this will give social workers, practitioners, and teachers a better understanding of one of the major issues that may face them in their work with patients and clients every day.

To date, although there is extensive HIV and AIDS-related literature in social work and the social sciences, it is primarily focused on social work practice issues. Where law has been introduced in these works, it often is narrow in focus and, given the rapid changes in the field, no longer up to date. This book does not purport to discuss all legal issues in all jurisdictions relating to HIV/AIDS, but rather to choose selectively those that have particular relevance for social work and social policy. The author has placed reliance on those published medical works cited with approval in the legal and social science literature. This is a seminal work on the relationship of law, medicine, and ethics.

While there is a growing list of publications devoted to the AIDS epidemic, Africa, with two-thirds of the world's cases, still receives scant attention. This book may change the way we think about AIDS and how it is being addressed in Africa and the rest of the world.
The book draws on first-hand research and in-depth investigations carried out by a team of researchers from Britain, Zambia and Tanzania, and focuses on the gendered aspect of the struggle against AIDS.
The authors study the severity of the epidemic and the threat it poses to the population and society in Tanzania and Zambia. They argue that the success of strategies against the spread of AIDS in Africa rests on their recognition of existing gendered power relations and that this success might be enhanced if the strategies are built on existing organisational skills and practices, especially among women. Their conclusions have repercussions for all countries around the world, and especially the rest of Africa.

"Persuading People to Have Safer Sex" offers a lucid, in-depth, student-friendly and academically thorough discussion of AIDS prevention and health persuasion. In so doing it provides an introduction to the ways that social scientific research can be brought to bear on a daunting health problem.
Covering many aspects of the AIDS crisis, the book introduces readers to the severity of the AIDS problem and explains the epidemiology of the disease. It discusses why persuasion is so important, explicates cognitive theories of AIDS prevention, and notes the role emotions and communication play in safer sex prevention. It also discusses:
*functions that unsafe sex plays in peoples' lives;
*why people, notably minority women, frequently choose to engage in unsafe sex; and
*social factors underlying the spread of AIDS in urban America and portions of Africa.
As a resource for introducing students to the role that theory and research play in health communication and psychology, the volume is appropriate for use in communication, journalism, social psychology, and public health courses, and will be of value to scholars, researchers, and all who seek to understand the use of persuasion in changing behavior.

Contents:
1. Purpose of the Study: Introduction; Research; Questions 2. Background: Introduction; Characteristics of AIDS Affected Youth; Stigma; Bereavement; Needs of AIDS Affected Youth 3, How the Study was Constructed: My Stance in the Role of Researcher; Rationale for the Method; Recruiting Participants; The Interview Process; The Field Log; Data Analysis; Trustworthiness; Creating the Participants' Stories 4. The Young People's Stories: Introduction; Setting; Joe; Maria; Tina 5. Common Themes: 'We're Out Here by Ourselves'; 'My Mother Had a Problem'; 'Me and my Mother Didn't Get Along'; Something to Live For'; Epilogue; Where are They Now? 6. Discussion and Implications: Unstable Living Arrangements; Behaviour and Learning Problems; Unsafe Sexual Behaviour; Multiple Losses: Disclosure; Responding to AIDS Affected Youth; Implications; Application of Findings; Appendices; Bibliography; Index

Major changes in the nature and dynamics of the AIDS epidemic over the last few years are reflected in changing epidemiological trends as well as in the progress made in biomedical research and treatment. AIDS in Europe brings together papers from leading social science researchers to look at the opportunities and challenges these changes bring and the different ways in which they are being responded to in both western and eastern Europe. Papers are organised under three headings:
*new challenges for HIV prevention
*care of people living with HIV/AIDS in a new therapeutic context
*AIDS public policies: from specialisation to normalisation
AIDS in Europe provides a comprehensive overview of current social and behavioural research on HIV and AIDS for all health professionals.

To date, the majority of HIV/AIDS research has concentrated on education and prevention for those with a seronegative status, while studies of HIV positive individuals have been concerned with their potential to infect others. The Endangered Self however, focuses on how the discovery of an HIV positive status affects the individual's sense of identity, on the experience of living with HIV and its effects on the individual's social relationships. In this comparative study of the UK and US, Green and Sobo explore identity change and the stigma attached to an HIV positive status within the context of the sociology of risk. Chapters discuss issues such as:
*identity, social risk and AIDS
*stigma
*living and coping with HIV
*the danger of disclosure
*reported reactions in health care settings and sexual settings
*risk and reality
*seropositivity.
The Endangered Self will be of interest to all those infected with HIV and to their families, partners, friends and caregivers who are affected by it. It will be essential reading for health-care professionals and those studying medical anthropology, sociology and health and risk studies.

Series Information:
Health, Risk and Society

Major changes in the nature and dynamics of the AIDS epidemic over the last few years are reflected in changing epidemiological trends as well as in the progress made in biomedical research and treatment. AIDS in Europe brings together papers from leading social science researchers to look at the opportunities and challenges these changes bring and the different ways in which they are being responded to in both western and eastern Europe. Papers are organised under three headings:
*new challenges for HIV prevention
*care of people living with HIV/AIDS in a new therapeutic context
*AIDS public policies: from specialisation to normalisation
AIDS in Europe provides a comprehensive overview of current social and behavioural research on HIV and AIDS for all health professionals.

In December 1982, the Centers for Disease Control received the first reports of cases of children with HIV/AIDS. Since that time, the child welfare system, as well as other human service organizations, have been coping with and responding to the crises of children and families living with HIV/AIDS, including the considerable number of children affected by AIDS through the illness of their parents, siblings, or other family members. This volume is intended as a resource for personnel within the child welfare field serving children and families whose lives are touched by HIV and AIDS. The contributors add insight to and fuel the discussion of the fight against AIDS. They provide tools to help better serve the children and adolescents that the current epidemic so tragically affects. Chapters and contributors include: "Factors Associated with Parents' Decision to Disclose Their HIV Diagnosis to Their Children" by Lori S. Wiener, Haven B. Battles, and Nancy E. Heilman; "Custody Planning with HIV-Affected Families" by Sally Mason; "Correlates and Distribution of HIV Risk Behaviors Among Homeless Youths in New York City" by Michael C. Clatts, W. Rees Davis, J. L. Sotheran, and Aylin Attillasoy; and "HIV Prevention for Youths in Independent Living Programs" by Wendy F. Auslander, Vered Slonim-Nevo, Diane Elze, and Michael Sherraden. Originally published as a special issue of "Child Welfare," this volume examines lessons learned from a variety of perspectives and settings, and identifies a number of continuing challenges facing the field. "Children and HIV/AIDS" is an invaluable compendium that should be read by social workers and health specialists and all those affected by the epidemic.

All over the world, families and communities are key providers of care and support. This is particularly true in relation to serious illnesses such as HIV and AIDS. Yet families and communities can also stigmatize their members, leaving people to die in the most appalling conditions. This book looks at the diversity of family and community responses to HIV and AIDS. By examining contexts as diverse as nuclear, extended and refugee family households, and gay community networks and structures, it offers important insight into the factors which lead to positive responses and those which trigger negative ones.

Men Who Sell Sex is the first comprehensive international account of male prostitution and AIDS. While much is known about female prostitution and sex work, relatively little is known about men who sell sex - either to women or other men. This book brings together an authoritative collection of essays from different countries and examines sexual behaviour, the reasons men sell sex, the meanings involved, and implications for HIV prevention. The authors are all experts in their fields and individual chapters offer a compelling description of the reasons men sell sex and the pleasures and risks involved.

The way in which the Netherlands has responded to AIDS is arguably regarded as well organized and effective. This is possibly due to the timely and effective response to the threat of the disease, with a prevention programme starting in 1982. This book uses the Dutch example to provide an instructive case study for other countries with relevance for policy makers now and in the future. It documents and discusses the Dutch prevention policy, most specifically the prevention policies and activities for various target groups. It examines prevention research and studies on sexuality and health behaviour with the emphasis on individual responsibility.

The way in which the Netherlands has responded to AIDS is arguably regarded as well organized and effective. This is possibly due to the timely and effective response to the threat of the disease, with a prevention programme starting in 1982. This book uses the Dutch example to provide an instructive case study for other countries with relevance for policy makers now and in the future. It documents and discusses the Dutch prevention policy, most specifically the prevention policies and activities for various target groups. It examines prevention research and studies on sexuality and health behaviour with the emphasis on individual responsibility.

Since nearly the beginning of the AIDS epidemic, activists have signaled the inadequacy of prevention strategies and drug protocols that have been developed from research done primarily on men. The latest C.D.C. figures prove they were right; for the first time since the beginning of the epidemic, AIDS cases among white men have fallen, yet the largest increases are among women.
Weaving together theoretical, critical, and practical perspectives, "Gendered Epidemic" is a collection of essays that questions the "add women and stir" model that governs most HIV/AIDS prevention and treatment efforts. The individual essays describe conflicts and contradictions, and pose new theories and practices. Written by HIV positive women, theorists, teachers, artists, policy makers and activists, it offers insights necessary to stem the spread of HIV.

Since nearly the beginning of the AIDS epidemic, activists have signaled the inadequacy of prevention strategies and drug protocols that have been developed from research done primarily on men. The latest C.D.C. figures prove they were right; for the first time since the beginning of the epidemic, AIDS cases among white men have fallen, yet the largest increases are among women.
Weaving together theoretical, critical, and practical perspectives, "Gendered Epidemic" is a collection of essays that questions the "add women and stir" model that governs most HIV/AIDS prevention and treatment efforts. The individual essays describe conflicts and contradictions, and pose new theories and practices. Written by HIV positive women, theorists, teachers, artists, policy makers and activists, it offers insights necessary to stem the spread of HIV.

This book provides a comprehensive overview of behavioral interventions to prevent HIV-AIDS risk-related behaviors. It synthesizes the empirical literature on individual, group, and community-level interventions and provides an objective and detailed assessment of intervention outcomes. Factors associated with behavioral risk for HIV transmission, theories of HIV risk behavior change, and the state of HIV prevention technology transfer are also reviewed. Additionally, behavioral interventions for adolescents and adults of diverse ethnic and sexual backgrounds are discussed with respect to each intervention type. Although the focus is on sexual risk reduction, interventions for sexual behavior of substance abusing populations are also covered.

Meddling with Mythology examines the role of research in the construction of modern mythology or folklore surrounding HIV/AIDS.
Researchers from a variety of disciplines reflect on the insights gained and the impact of their work, in light of the initial panic surrounding the prediction of an AIDS epidemic.
Issues discussed include: -
* power
* representation
* the politics of text
* understanding research relationships
* impact of research on researchers and responders
* potential for change.
Meddling with Mythology takes the reader from the theoretical to the practicable and from the public to the personal in the representations of AIDS. The issues raised here also have great significance for those concerned with the social construction of knowledge, theory building and the research process more generally.

AIDS has a unique political history. As fears grew of a global pandemic on the scale of AIDS in sub-Saharan Africa, AIDS was briefly treated as an issue of high politics in the international arena and generated significant resources for country programmes. That initial commitment is now declining, and if AIDS is to maintain its visibility and contribution to global solidarity, human rights and dignity, its politics will have to evolve to reflect the profound geo-political, economic and social transformations underway today. This volume brings together leading scholars from a variety of disciplines who work at the intersection of politics and HIV. They reflect on the lessons learned from the past thirty years of the politics of AIDS and how political science, writ large, can further contribute to the understanding and practice of political mobilization around AIDS. Through case studies and analysis, new insights into identity politics and social movements in countries as diverse as Brazil, Switzerland, Vietnam and Zambia are offered alongside new approaches to understanding the determinants and incentives which generate political will and commitment. This book was published as a special issue of Contemporary Politics.

Robert Ariss - activist and academic - had a unique vision of HIV/AIDS. As an HIV seropositive individual for many years before his death on May 9, 1994, he was a full participant in, and critic of, the development of the gay community's response to the HIV epidemic both in Australia and internationally. Though Ariss' life is a definite presence in this study, Against Death: The Practice of Living with AIDS is not an autobiography. Instead, it is a unique and critical account of a public health crisis, a community's response, and the politics of sexuality. It was in Sydney, Australia, world-famous for its Gay and Lesbian Mardi Gras, that Robert Ariss lived and worked. It is his vision of that community - of its members infected with and affected by HIV - which is documented in this remarkable anthropological study. Yet the study's implications reach beyond Sydney to all communities living with HIV and AIDS.

Nancy Stoller records how the poor, people of color, gay men and lesbians, drug users, and women have built social movements to fight the impact of AIDS, revealing that organizational structure and culture have a greater impact on who is served and how than do public health theories or official organizational goals. She draws on ethnographic research and the words of the activists themselves, as well as the literature of social movements and theories of bureaucracy. In addition to the stories of the organizational strategies, the book offers guidelines for dealing with diversity and conflict with both theoretical and practical perspectives on cross-community and international organizing.

Nancy Stoller records how the poor, people of colour, gay men and lesbians, drug users, and women have built social movements to fight the impact of AIDS. This study reveals that organizational structure and culture have a greater impact on who is served and how, than public health theories or official organizational goals. Nancy Stoller draws on ethnographic research and the words of the activists themselves, as well as the literature of social movements and theories of bureaucracy. In addition to accounts of organizational strategies, the book offers guidelines for dealing with diversity and conflict with both theoretical and practical perspectives on cross-community and international organizing.

With research based on focus groups 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 behaviour can possess its own sociocultural logic and meaning.