We have not yet unravelled how HIV/AIDS is changing South Africa's social fabric, despite the fact that over 5 million South Africans are living with the virus. Do we know how HIV/AIDS may affect different sectors of society, possibly altering the course set for development? Is it possible that the way in which the epidemic is being fought - through health and human rights activism - is adjusting our expectations of justice and equality? This title is a multidisciplinary overview of the discourse on HIV/AIDS and explores the concept of human security and the global development agenda. Contributions are drawn from a diverse group of academics and activists who examine how the epidemic intersects with politics, society, culture and the economy in South Africa, addressing human rights, gender inequality, prisons, the military, the education sector, rural livelihoods and the orphan crisis.

Inner-city Sydney was the epicenter of gay life in the Southern hemisphere in the 1970s and early 1980s. Gay men moved from across Australasia to find liberation in the city's vibrant community networks; and when HIV and AIDS devastated those networks, they grieved, suffered, and survived in ways that have often been left out of the historical record. This book excavates the intimate lives and memories of HIV-positive gay men in Sydney, focusing on the critical years between 1982 and 1996, when HIV went from being a terrifying unidentified disease to a chronic condition that could be managed with antiretroviral medication. Using oral histories and archival research, Cheryl Ware offers a sensitive, moving exploration of how HIV-positive gay men navigated issues around disclosure, health, sex, grief, death, and survival. HIV Survivors in Sydney reveals how gay men dealt with the virus both within and outside of support networks, and how they remember these experiences nearly three decades later.

Winner of the Sociology of Health and Illness Book Prize 2008 Of approximately 37 million HIV positive people in the world, 24.7 million live in sub-Saharan Africa and about 5..5 million in South Africa. Despite its relatively powerful economy and infrastructure, South Africa has been dramatically affected by the HIV pandemic. Using narrative analysis of a three year interview study and textual analysis of political materials, HIV in South Africa examines the impact of HIV on people's everyday lives in the country. Examining the relationship between personal accounts of living with HIV and wider medical, political and religious discourses, the book also highlights the significance of class, race and gender on individuals' experiences. These engaging stories of everyday lives provide an accessible way to connect with HIV as a health and development issue. Fascinating, challenging and constructive, this is an important contribution in an area of great social relevance. The ebook is available free of charge to those with addresses on the United Nations Development Programme's Human Development Index of Medium and Low Rankings (see http://hdr.undp.org/hdr2006/pdfs/report/HDR_2006_Tables.pdf), who can apply to the following address: www.ebookstore.tandf.co.uk

A witch's curse, an imperialist conspiracy, a racist plot-HIV/AIDS is a catastrophic health crisis with complex cultural dimensions. From small villages to the international system, explanations of where it comes from, who gets it, and who dies are tied to political agendas, religious beliefs, and the psychology of devastating grief. Frequently these explanations conflict with science and clash with prevention and treatment programs. In Witches, Westerners, and HIV Alexander Roedlach draws on a decade of research and work in Zimbabwe to compare beliefs about witchcraft and conspiracy theories surrounding HIV/AIDS in Africa. He shows how both types of beliefs are part of a process of blaming others for AIDS, a process that occurs around the globe but takes on local, culturally specific forms. He also demonstrates the impact of these beliefs on public health and advocacy programs, arguing that cultural misunderstandings contribute to the failure of many well-intentioned efforts. This insightful book provides a cultural perspective essential for everyone interested in AIDS and cross-cultural health issues.

The AIDS epidemic continues to grow in this country and around the world. Currently, the only hope of stopping this tragedy is through interventions that change individual behavior. This book provides an excellent overview of current knowledge and research on how to promote the behaviors of safer sex and safer drug use, which will slow down the spread of HIV. It will be a useful resource for researchers who examine HIV prevention and for community workers and clinicians who wish to use sound, well-tested techniques for their intervention work. In addition, the book can serve as a thorough introduction for students who are new to the area of behavioral research on HIV and AIDS. --from the Overview by Suzanne C. Thompson & Stuart Oskamp Bringing together some of the most active and respected researchers in the field, this volume presents a state-of-the-art, integrated examination of behavioral research aimed at reducing the transmission of HIV. In almost 20 years of battling the AIDS epidemic, one theme has consistently emerged: The solution to stopping the spread of the AIDS virus rests with individual behavior. Understanding and Preventing HIV Risk Behavior grapples with the critical question of how to influence people to change high-risk behaviors, particularly in sexual activity and drug use. The contributors take an in-depth look at the most current HIV and AIDS epidemiological findings; the information-motivation-behavioral skills model of risk behavior; and empirical analyses of contraceptive decision making, denial processes, and the role of attraction in heterosexual behavior. This timely volume also examines research with special populations, including African American youths, Latinos, both gay and straight residents of HIV-impacted communities, active drug users, and adolescents in countries that have different AIDS risk levels and public health policies. Representing the latest in research on safer sex and altering drug use behaviors, Understanding and Preventing HIV Risk Behavior will be a valuable resource for HIV-prevention researchers, community workers, and clinicians who want to utilize research findings in their HIV intervention programs. This volume will also benefit students seeking an up-to-date overview of research on HIV/AIDS risk behavior.

Efforts within the past decade to address the HIV/AIDS pandemic in sub-Saharan Africa have dealt with HIV/AIDS principally as a medical concern-despite the fact that doctors continue to be confronted with the complex relationship of the disease to broader social issues. When medical and governmental institutions fail, artists step in. Contemporary performances in Uganda often focus on gender and health-related issues specific to women and youths, in which song texts warn against risky sexual environments or unprotected sexual behavior. Music, dance, and drama are principal tools of local initiatives that disseminate information, mobilize resources, and raise societal consciousness regarding issues related to HIV/AIDS. Through case studies, song texts, interviews, and testimonies, Singing for Life: HIV/AIDS and Music in Uganda examines the links between the decline in Uganda's infection rate and grassroots efforts that make use of music, dance, and drama. Only when supported and encouraged by such performances drawing on localized musical traditions have medical initiatives taken root and flourished in local healthcare systems. Gregory Barz shows how music can be both a mode of promoting health and a force for personal therapy, presenting a cultural analysis of hope and healing.

In this new volume, Michael A. Pagano curates essays focusing on the neighborhood's role in urban policy solutions. The papers emerged from dynamic discussions among policy makers, researchers, public intellectuals, and citizens at the 2014 UIC Urban Forum. As the writers show, the greater the city, the more important its neighborhoods and their distinctions. The topics focus on sustainable capital and societal investments in people and firms at the neighborhood level. Proposed solutions cover a range of possibilities for enhancing the quality of life for individuals, households, and neighborhoods. These include everything from microenterprises to factories; from social spaces for collective and social action to private facilities; from affordable housing and safety to gated communities; and from neighborhood public education to cooperative, charter, and private schools. Contributors: Andy Clarno, Teresa Cordova, Nilda Flores-Gonzalez, Pedro A. Noguera, Alice O'Connor, Mary Pattillo, Janet Smith, Nik Theodore, Elizabeth S. Todd-Breland, Stephanie Truchan, and Rachel Weber.

Drawing on rich and poignant interviews with mothers who have been diagnosed HIV-positive, Contradicting Maternity provides a rare perspective of motherhood from the mother's point of view. Whereas motherhood is often assumed to be a secondary identity compared to the central figure of the child, this book reverses the focus, arguing that maternal experience is important in its own right. The book explores the situation in which two very powerful identities, those of motherhood and of being HIVpositive, collide in the same moment. This collision takes place at the interface of complex, and often split, social and personal meanings concerning the sanctity of motherhood and the anxieties of HIV. The book offers an interpretation of how these personal and social meanings resonate with, and also fail to encompass, the experiences surrounding HIV positive mothers. Photographs, academic literature and the accounts of real women are read with both a psychodynamic and discursive eye, highlighting the contradictions within maternal experience, but also between maternal experience and the social imagination. Contradicting Maternity will appeal to scholars, students and practitioners in psychology, the social sciences and the health professions. The sensitive and readable analysis will also be of interest to mothers, whether HIV-positive or not.

As the AIDS crisis reaches new heights globally with no cure in the immediate future, the time is ripe to step back and examine the roots of this epidemic. In When AIDS Began, Michelle Cochrane constructs the making of this disease and dispels many of the misconceptions that surround it. By examining the early outbreaks in San Francisco, Cochrane unfolds the "creation" of AIDS in one geographic location and then traces how and why major claims about the transmission of HIV were made, extrapolated and then disseminated to the rest of the world - all important factors in understanding this disease.

Contents:
List of Tables and Illustrations Glossary Acknowledgments Preface 1. The Sociology of Knowledge on HIV and AIDS 2. The Medicalization of Gay Desire in San Francisco (1974-1983) 3. The Early Demographics of AIDS:
Case Studies of The First Nine Gay Male AIDS Cases in San Francisco 4. More Gay Men Reported With AIDS in San Francisco: 15 Case Studies from 1981 5. The Mechanics of AIDS Surveillance: An Historical Critique of The Demography of Risk 6. AIDS Surveillance Statistics: Changing The Subjects and Object of Study 7. Conclusion Notes Works Cited Index

The revelation of being HIV positive continues to be a discourse fraught with meaning. In Infecting the Treatment: Being an HIV-Positive Analyst, Gilbert Cole offers an intimate and deeply insightful examination of disclosure of his HIV seropositivity on his analytic sense of self and on his clinical work with patients.
Cole begins his journey of discovery by meditating on the meanings that being HIV positive have had for him, and by situating these personal meanings within the multiple meanings of HIV seropositivity generated by our culture, leading to a clinical discussion of the pros and cons of disclosure to one's patients. What begins as a consideration of disclosure of an ostensibly medical fact, opens to an exploration of the broader problematic of disclosure in the context of questions of sameness and difference, of dependence and autonomy, and of the ethical ground of psychoanalytic practice. He illuminates these issues by circling back to his own predicament, which took the form of an apparent conflict between his self-image as a psychoanalytic therapist committed to a psychoanalytic treatment approach and aspects of his self-experience that seemed uncomfortably dissonant with this identity and this commitment. He approached resolution of this conflict when he became able to use his HIV seropositivity as a metaphor for aspects of the treatment process.

Comprising Cole's personal engagement of the issues inherent in being an HIV-positive analyst, his report of clinical work attendant to disclosure of his condition, and a research project compiling the experiences of other HIV-positive analysts, Infecting the Treatment is an intimate and deeply insightful examination of the impact of one analyst's disclosure of HIV seropositivity on his analytic sense of self. With admirable candor and uncommon thoughtfulness, Cole shows how the analyst's disclosure of information of the most meaningful sort may deepen and even transform the therapeutic dialogue.

Among the chief themes of this book are the representation of AIDS in the mass media and in the arts, and the encouragement of a wider understanding of the personal impact of AIDS and its social experience, particularly among those social groups living with the highest levels of illness, death and mourning.

In this single volume, William N. Elwood has gathered potent evidence of the impact that the HIV/AIDS epidemic has had on the world, its communities, and its inhabitants, and he addresses the role of communication in affecting the way in which people respond to AIDS. With a multidisciplinary group of contributors and topics ranging from political rhetoric to interpersonal discourse, "Power in the Blood" offers a multitude of ways in which to think about power, politics, HIV prevention, and people living with HIV. Readers will be able to use this information in class discussions, program designs, grant applications, and research, as well as in their own lives. With this volume, Elwood makes a thoroughly convincing argument that communication is the key to understanding, treating, and preventing AIDS, and he inspires further action toward the goal of ending the AIDS crisis.

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.

Activism and Marginalization in the AIDS Crisis shows readers how the advent of HIV-disease has brought into question the utility of certain forms of "activism" as they relate to understanding and fighting the social impacts of disease. This informative and powerful book is centrally concerned about the ways in which institutionally governed social constructions of HIV/AIDS affect policy and public images of the disease more so than activist efforts. It asserts that an accounting of the power institutional structures have over the dominant social constructions of HIV disease is fundamental to adequate forms of present and future AIDS activism. Chapters in Activism and Marginalization in the AIDS Crisis demonstrate how, despite what is thought of as the "successful activism" of the past decade, the claims of the HIV-positive are still being ignored, still being marginalized, and still being administratively "handled" and exploited even as the plight of those who find themselves HIV-positive worsens. Although chapters reject the assertion that activism has been a highly effective remedy to HIV-positive voicelessness, authors do not deny that activists have been vocal, but that they continue to be ignored despite their vocality.Contributors in Activism and Marginalization in the AIDS Crisis offer numerous examples of institutional control and demonstrate that institutional structures, and not activists, are controlling the public meaning of HIV-related issues. Readers learn how messages about HIV/AIDS are produced, negotiated, modified, and sustained through institutional mechanisms that serve mostly institutional interests rather than those of the HIV-positive. In gaining an understanding of these issues, readers will begin to learn how to modify and strengthen activist efforts with valuable insight on: the lack of HIV-positive voices in mainstream news portrayals of HIV/AIDS research on constructions of HIV-disease at the state government level social constructions and how they affect HIV/AIDS policy the political construction of AIDS and interest-based struggles the emergent "bio-politics" of HIV and homosexuality in the U.S. how institutional power works to govern public understanding of HIV diseaseInstitutional structures are defined in this book as groups engaged in and defined by the production of various "truths" which sustain them. Institutional power may be defined as the capacity to regulate, constrain, and disseminate versions of "truth." Activism and Marginalization in the AIDS Crisis reveals how HIV activist groups have been outmaneuvered when it comes to the production and dissemination of various "truths" about HIV/AIDS by institutional structures more deeply steeped in social legitimacy and which have a superior capacity for message dissemination.HIV/AIDS activists, HIV-positive persons and those with AIDS, HIV/AIDS educators, public and institutional policymakers, health professionals, and the general public will find this book essential to understanding the social constructions of HIV/AIDS, how these affect HIV/AIDS-related policy and public opinion, and how to begin to cipher through the plethora of information to find and promote the "truth."

In this guidebook, People With HIV and Those Who Help Them, author Dennis Shelby uses the reported experiences of HIV-positive men to chart the course of living with HIV. He offers a consistent clinical-theoretical framework that encompasses the vast range of clinical problems clinicians may encounter in their work with HIV-positive individuals across the span of infection.This book provides a detailed account of the many psychological transformations that infected people experience. People With HIV and Those Who Help Them enables clinicians and students to better address the problems commonly encountered in clinical practice with persons with HIV. Clinicians will be able to gain perspective on the process of knowing one is infected, infected men will see their process mirrored and validated, and family, friends, and partners of infected men will gain a greater appreciation for the experience of their relative, friend, and partner. As clinicians have gained experience in working with HIV-positive people, they have become increasingly aware of the complexity of successful clinical intervention with HIV-related problems. In his book, Shelby "breaks down" this complex process into its component aspects: psychological impact of HIV infection the process of adapting to the knowledge of infection the dynamic process involved with HIV infection common problems and solutions encountered by infected people case examples that illustrate the clinical framework intensive psychotherapy and HIV infectionThe study that is the basis for this book charts the initial psychological impact and many changes and transformations of the experience of being HIV-positive. While infected people are often encouraged to maintain hopeful outlooks and to think of themselves as living with HIV rather than dying from it, it is often a long and arduous process to achieve and maintain this perspective. People With HIV and Those Who Help Them is a guide to help those with HIV to keep a positive outlook on life.

AIDS: Rights, Risk and Reason contains a mix of papers linking research with the development of theoretical frameworks in a readable and accessibole style. Issues examined include: perceptions of risk and risk-taking behaviour; rights and responsibilities; and the rationality that underpins individual and collective responses to HIV/AIDS.

A significant contribution to the ongoing debate on aid effectiveness, Aid Effectiveness in Africa starts from the premise that money alone will not bring sustained development to Africa. With grounding in years of experience and fieldwork, Phyllis R. Pomerantz examines the relationship between aid donors and recipients and the extent to which trust is present in today's aid environment. Pomerantz concludes that there are serious gaps, created in part by a striking lack of knowledge of the African context and culture on the part of the donors, and troublesome institutional constraints that make it difficult for aid agencies to change the way they operate. Joining the urgent call to transform aid agencies and increase aid effectiveness, and eschewing pat solutions and simple formulae, the book offers realistic recommendations and provides an eloquent argument for further, far-reaching reform.

The purpose of this book is to encourage professionals to become involved in family-oriented services to prevent the spread of HIV and its consequences and to provide examples of strategies for mobilizing family resources in the prevention and adaptation to HIV and AIDS. The members of the NIMH Consortium on Families and HIV/AIDS have prepared these chapters building on their research and practice experience. Together some of the nation?s most capable behavioral prevention and treatment scientists have developed these prevention programs based on sound scientific principles and are currently testing them in rigorous controlled trials in communities across the country. While these interventions have not yet been demonstrated to be effective, they have received rigorous peer review by independent scientists conducted under the auspices of the NIMH, and were considered worthy of research support. This book focuses on populations were HIV infection is now quickly spreading, and yet relatively little is know about family interventions with these populations. The prevention programs address the spectrum of programs to prevent the spread of HIV and its consequences. The HIV prevention programs are intended to promote greater responsibility in general, and thus encourage healthier lifestyles with respect to drug and sexual behavior among family members. Although not exclusively, a large proportion of the programs presented in this book were designed for African American populations and address the Prevention of the spread of HIV/AIDS and its consequences. With that caveat, however, it should be noted that these interventions can also be adapted for use with other cultural groups, other chronic diseases, STDs and multiple family configurations.

"AIDS, Sex, and Culture" is a revealing examination of the impact the AIDS epidemic in Africa has had on women, based on the author's own extensive ethnographic research.
based on the author's own story growing up in South Africa
looks at the impact of social conservatism in the US on AIDS prevention programs
discussion of the experiences of women in areas ranging from Durban in KwaZulu Natal to rural settlements in Namibia and Botswana
includes a chapter written by Sibongile Mkhize at the University of KwaZulu Natal who tells the story of her own family's struggle with AIDS

Nearly thirty years since HIV/AIDS was first identified, confusion over effective mechanisms of controlling and eradicating the illness remain prevalent. This book highlights the need for comprehensive approaches to governance, as responses to HIV/AIDS become increasingly focused upon the health aspect of the epidemic, and financial commitments become subject to aid fatigue. This book examines the roles and influence of multiple actors and initiatives that have come to constitute the global response to the epidemic. It considers how these actors and structures of governance enhance, or limit, participation and accountability; and the impact this is having upon effective HIV/AIDS responses across the world. The book addresses participation and accountability as key elements of governance in four thematic areas: the role of the state and democratic governance; non-state actors and mechanisms of political governance; public-private partnerships and economic governance; and multilateral institutions and global governance. Drawing on the insights of public health specialists; political scientists; economists; lawyers; those working with community groups, and within international organisations, it offers valuable perspectives on the governance of HIV/AIDS. Aimed at both academics and practitioners throughout the world, this book contributes to the academic debate surrounding global governance, health and development economics, and the work of multiple international organisations and civil society organisations.

The HIV epidemic remains one of the most challenging of modern times, despite the enormous promise of anti-retroviral treatment. This timely book takes a critical look at HIV/AIDS in the context of South Africa, the country with the largest HIV epidemic in the world. Drawing on feminist science and technology studies and a close analysis of a range of textual sources, Politics in the Making of HIV/AIDS in South Africa tracks how the disease has been formed and transformed through political struggles. It illuminates the ways these struggles have also generated new selves for those living with HIV. In conducting this enquiry, the book addresses pressing questions about the politics of public health, the ethics of biological citizenship, and agency and the making of neoliberal subjects. It should appeal to scholars and students with interests in the sociology of health and medicine, the body in society, science and technology studies, and public health.

This book challenges the conventional security-based international policy frameworks that have developed for dealing with HIV/AIDS during and after conflicts, and examines first-hand evidence and experiences of conflict and HIV/AIDS.

Since the turn of the century international policy agenda on security have focused on HIV/AIDS only as a concern for national and international security, ignoring people s particular experiences, vulnerabilities and needs in conflict and post-conflict contexts. Developing a gender-based framework for HIV/AIDS-conflict analysis, this book draws on research conducted in Burundi to understand the implications of post-conflict demobilization and reintegration policies on women and men and their vulnerability to HIV/AIDS. By centring the argument on personal reflections, this work provides a critical alternative method to engage with conflict and HIV/AIDS, and a much richer understanding of the relationship between the two.

International Security, Conflict and Gender will be of interest to students and scholars of healthcare politics, security and governance.

?????? Medecins Sans Frontieres (MSF) is an international humanitarian organization, committed to providing medical assistance to populations in danger and to raising awareness of the plight of the people they help. Today MSF is active in more than 60 countries in the world. ?????? MSF has been working in Peru since 1985. In Peru, the prevalence of HIV/AIDS is low, but highest amongst the most neglected members of society there, mainly homosexual men and commercial sex workers. Since 2004, MSF has offered HIV/AIDS care in the slum of Villa El Salvador, Lima. ?????? In Lima, MSF has been working in Lurigancho, one of the most populated prisons of Latin America. In this prison the risk of contracting HIV/AIDS is 5 to 7 times higher than in the rest of the country. ?????? At the end of 2007 MSF hand over all Peruvian projects to local authorities, leaving the country after almost 25 years. ?????? Larry Towell (Magnum Photos) was commissioned by MSF to travel to the prison and the slums in Lima to photograph the result of MSF's 25-year presence, and show that the area is now ready to continue its fight against HIV and AIDS on its own. ?????? Towell brings us black and white images of people shunned by society and desperate through poverty, their situation exacerbated through the endemic HIV and AIDS in their already marginalised population. MSF has targeted their cause for the past 25 years. ?????? This book is a celebration of their work and the people whose existence they have salvaged.

Since the democratic elections in 1994, there have been concerted efforts to redress race and gender inequalities in South Africa. Learners and teachers have responded in their own ways to change and this nuanced analysis reveals their struggles to realise gender equality by living gender differently. In distinguishing short-term interventions to change behaviour from institutional approaches, which seek to transform school structures, this book offers a new framework for understanding gender-equality initiatives.