Viewing contemporary history from the perspective of the AIDS crisis, Jennifer Brier provides rich, new understandings of the United States' complex social and political trends in the post-1960s era. Brier describes how AIDS workers--in groups as disparate as the gay and lesbian press, AIDS service organizations, private philanthropies, and the State Department--influenced American politics, especially on issues such as gay and lesbian rights, reproductive health, racial justice, and health care policy, even in the face of the expansion of the New Right. Infectious Ideas places recent social, cultural, and political events in a new light, making an important contribution to our understanding of the United States at the end of the twentieth century. |Viewing contemporary history from the perspective of the AIDS crisis, Brier provides new understandings of the complex social and political trends of the post-1960s era. She describes how AIDS workers--in groups as disparate as the gay and lesbian press, AIDS service organizations, private philanthropies, and the State Department--influenced American politics, especially on issues such as gay and lesbian rights, reproductive health, racial justice, and health care policy.

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.

AIDS is now the leading cause of death in Africa, where twenty-eight million people are HIV-positive, and where some twelve million children have lost one or both parents to AIDS. In Zimbabwe, 45 percent of children under the age of five are HIV-positive, and the epidemic has shortened life expectancy by twenty-two years. A fifteen-year-old in Botswana or South Africa has a one-in-two chance of dying of AIDS. AIDS deaths are so widespread in sub-Saharan Africa that small children now play a new game called "Funerals." The Children of Africa Confront AIDS depicts the reality of how African children deal with the AIDS epidemic, and how the discourse of their vulnerability affects acts of coping and courage. A project of the Institute for the African Child at Ohio University, The Children of Africa Confront AIDS cuts across disciplines and issues to focus on the world's most marginalized population group, the children of Africa. Editors Arvind Singhal and Stephen Howard join conversations between humanitarian and political activists and academics, asking, "What shall we do?" Such discourse occurs in African contexts ranging from a social science classroom in Botswana to youth groups in Kenya and Ghana. The authors describe HIV/AIDS in its macro contexts of vulnerable children and the continent's democratization movements and also in its national contexts of civil conflict, rural poverty, youth organizations, and agencies working on the ground. Singhal, Howard, and other contributors draw on compelling personal experience in descriptions of HIV/AIDS interventions for children in difficult circumstances and present thoughtful insights into data gathered from surveys and observations concerning this terrible epidemic.

When an artist dies we face two great losses: the person and the work he did not live to do. This book is a moving collaboration by some of America's most eloquent writers, who supply wry, raging, sorrowful, and buoyant accounts of artist friends and lovers struck down by AIDS. These essayists include Maya Angelou, Alan Gurganus, Brad Gooch, John Berendt, Craig Lucas, Robert Rosenblum, and 18 others. Many of the subjects of the essays were already prominent - James Merrill, Paul Monette, David Wojnarowicz - but many others died young, before they were able to fulfil the promise of their lives and art. ""Loss Within Loss"" spans all of the arts and includes portraits of choreographers, painters, poets, actors, playwrights, sculptors, editors, composers, and architects. This text is published in association with the Estate Project for Artists with AIDS, a national organization that preserves art works created by artists living with HIV or lost to AIDS. ""Loss Within Loss"" stands as a reminder of the devastating impact of the AIDS epidemic on the arts community and as a survey of that devastation.

A well-informed portrait, part social critique, part memoir, of sexual mores and homosexuality in provincial Mexico.

In the Eye of the Storm tells the remarkable story of AIDS volunteers who engaged in a struggle for life against death. The people who volunteered to help during the HIV/AIDS crisis of the 1980s and early 1990s provided compassion and support to heavily stigmatised people. These volunteers provided in-home care for the sick and dying, staffed needle exchanges and telephone help-lines, produced educational resources, served on boards of management, and provided friendship and practical support, among many other roles. They helped people affected by the virus to navigate a medical system that in preceding decades had been openly hostile towards the marginalised communities of homosexuals, drug users and sex workers. In the process, volunteering left and indelible mark on the lives and outlooks of these volunteers. For the first time, by focusing on individual life stories, this book explores the crucial role of the men and women who volunteered at at time of disaster. Despite their critical role, they have not been sufficiently recognised. Through their stories, drawn from oral histories conducted by the authors, we see how those on the front-line navigated and survived a devastating epidemic, and the long-term impact of those grim years of illness, death and loss.

Although adopting global norms often improves domestic systems of governance, domestic obstacles to norm diffusion are frequent. States that decide to reinvent their political authority simultaneously evaluate which current global norms are desirable and to what extent. In this study, Vlad Kravtsov argues that recent debates about the nature of authority in Putin's Russia and Mbeki's South Africa have resulted in a set of unique ideas on the cardinal goals of the state. This is the first book to explore how these consensual ideas have shaped health governance and impinged on norm diffusion processes. Detailed comparisons of HIV/AIDS governance systems in Russia and South Africa illustrate the argument. The Kremlin's dislike of international recommendations stemmed from the rapidly maturing statism and great power syndrome. Pretoria's responses to global AIDS norms were consistent with the ideas of the African Renaissance, which highlighted indigenousness, market-based empowerment, and moral leadership in global affairs. This book explains how and why the governments under investigation framed the nature of the epidemic, provided evidence-based prevention services, increased universal access to proven lifesaving medicines, and interacted with other participants in social practice.

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.

In the late 1980s, after a decade spent engaged in more routine interest-group politics, thousands of lesbians and gay men responded to the AIDS crisis by defiantly and dramatically taking to the streets. But by the early 1990s, the organization they founded, ACT UP, was no more--even as the AIDS epidemic raged on. Weaving together interviews with activists, extensive research, and reflections on the author's time as a member of the organization, "Moving Politics" is the first book to chronicle the rise and fall of ACT UP, highlighting a key factor in its trajectory: emotion.

Surprisingly overlooked by many scholars of social movements, emotion, Gould argues, plays a fundamental role in political activism. From anger to hope, pride to shame, and solidarity to despair, feelings played a significant part in ACT UP's provocative style of protest, which included raucous demonstrations, die-ins, and other kinds of street theater. Detailing the movement's public triumphs and private setbacks, "Moving Politics" is the definitive account of ACT UP's origin, development, and decline as well as a searching look at the role of emotion in contentious politics.

In Southern Perspectives on the Queer Movement: Committed to Home, Sheila R. Morris has collected essays by South Carolinians who explore their gay identities and activism from the emergence of the HIV-AIDS pandemic to the realization of marriage equality in the state thirty years later. Each of the volume's nineteen essays addresses an aspect of gay life, from hesitant coming-out acts in earlier decades to the creation of grassroots organizations. All the contributors have taken public roles in the gay rights movement. The diverse voices include a banker, a drag queen from a family of prominent Spartanburg Democrats, a marching minister who grew up along the Edisto River, a former Catholic priest and his tugboat dispatcher husband from Long Island, the owner of a feminist bookstore, a Hispanic American who interned for Republican strategist Lee Atwater, a philanthropist politician from Faith, North Carolina, and a straight attorney recognized as the "Mother of Pride" who became active in 1980, when she learned her son was gay. Southern Perspectives on the Queer Movement challenges the conventional understanding of the LGBTQ movement in the United States in both place and time. Typically associated with pride marches and anti-AIDS activism on both the east and west coasts and rooted in the counterculture of the 1960s and "Stonewall Rebellion" in New York City, Southern variants of the queer liberation movement have found little room in public or scholarly memory. Confronting an aggressively hostile environment in the South, queer political organization was a late-comer to the region. But it was the very unfriendliness of Southern political soil that allowed a unique and, at times, progressive LGBTQ political community to form in South Carolina. The compelling Southern voices collected here for the first time add a missing piece to the complex puzzle of postwar queer activism in the United States. Harlan Greene, author of the novels Why We Never Danced the Charleston, What the Dead Remember, and The German Officer's Boy, provides a foreword.

Finalist for the 2017 Lambda Literary "Lammy" Award in LGBTQ Studies The first book to examine the correlation between mixed-race identity and HIV/AIDS among Native American gay men and transgendered people, Indian Blood provides an analysis of the emerging and often contested LGBTQ "two-spirit" identification as it relates to public health and mixed-race identity. Prior to contact with European settlers, most Native American tribes held their two-spirit members in high esteem, even considering them spiritually advanced. However, after contact - and religious conversion - attitudes changed and social and cultural support networks were ruptured. This discrimination led to a breakdown in traditional values, beliefs, and practices, which in turn pushed many two-spirit members to participate in high-risk behaviors. The result is a disproportionate number of two-spirit members who currently test positive for HIV. Using surveys, focus groups, and community discussions to examine the experiences of HIV-positive members of San Francisco's two-spirit community, Indian Blood provides an innovative approach to understanding how colonization continues to affect American Indian communities and opens a series of crucial dialogues in the fields of Native American studies, public health, queer studies, and critical mixed-race studies.

Thirty years after AIDS was first recognized, the American South constitutes the epicenter of the United States' epidemic. Southern states claim the highest rates of new infections, the most AIDS-related deaths, and the largest number of adults and adolescents living with the virus. Moreover, the epidemic disproportionately affects African American communities across the region. Using the history of HIV in North Carolina as a case study, Stephen Inrig examines the rise of AIDS in the South in the period from the early spread and discovery of the disease through the late nineties. Drawing on epidemiological, archival, and oral history sources, Inrig probes the social determinants of health that put poor, rural, and minority communities at greater risk of HIV infection in the American South. He also examines the difficulties that health workers and AIDS organizations faced in reaching those communities, especially in the early years of the epidemic. His analysis provides an important counterweight to most accounts of the early history of the disease, which focus on urban areas and the spread of AIDS in the gay community. As one of the first historical studies of AIDS in a southern state, North Carolina and the Problem of AIDS provides powerful insight into the forces and factors that have made AIDS such an intractable health problem in the American South and the greater United States.

Why do alternative, non-scientific explanations of HIV/AIDS continue to circulate in South Africa's townships after almost 30 years of AIDS education? In A different kind of AIDS, David Dickinson explores the folk and lay theories that still circulate within township communities, despite extensive educational efforts and the availability of antiretroviral treatment. Dickinson's investigations are in partnership with HIV/AIDS peer educators and alongside township residents; and he argues that these theories constitute a robust hydra of beliefs that underlies and supports the de facto plural health care system in South Africa. The book explores township life and language and includes a methodological manifesto aimed at social science research students. The end-result is essential reading for the academic and lay reader alike, and a deeply sympathetic portrait of South African realities today.

Broadcasting the pandemic tells the story of a South African television show, Beat It! Created during the aspirational years of the political transition in which the broadcast media were poised to democratize the airwaves, Beat It! was first screened on public television in 1999 and developed into one of the most powerful health education initiatives in contemporary history. Broadcasting the pandemic traces the show's evolution, exploring how Beat It! used the medium of television to inform its viewers about HIV at a time of increasingly rapid infection rates, but in which government education and treatment campaigns were largely absent. Broadcasting the pandemic pioneers a new methodology in scholarship about South Africa - using a television programme to explore the history of AIDS activism and policy. It provides a contemporary history of television in South Africa, and of its role in the most influential social movement to have emerged from the democratic transition: the HIV activist movement. Its content will interest readers from a wide array of disciplines, including African studies, journalism, public health, sociology, cultural studies and the history of medicine.

Given that women and girls carry the heaviest burdens of the African HIV pandemic, their lived experiences should be the starting point for any pedagogy of prevention. In light of this claim, Risky Marriage: HIV and Intimate Relationships in Tanzania uses qualitative fieldwork with HIV positive women living in Mwanza, Tanzania to ask why marriage is an HIV risk factor. By beginning with women's experience as a hermeneutical lens, this book seeks to establish a creative space where African women can imagine new alternatives to HIV prevention that would promote human flourishing and abundant life in African communities. The aim of this book is to listen faithfully to the lived experiences of HIV positive women and ask how their experiences can help us re-imagine Christian conceptions of marriage, sexual ethics, and health in an HIV positive world. By drawing on the unwritten texts of women's lives, this study proposes alternative pedagogies for faith-based prevention methods and contributes to the wider interdisciplinary and theo-ethical discourse on HIV prevention and women's health. At the same time, it makes local impact of equal importance as women in East African communities are invited to think creatively about ways to end the HIV pandemic. For more information and comments from the author, watch a trailer for the book here: http://vimeo.com/semafilms/riskymarriage

Since the early days of the AIDS epidemic, many bizarre and dangerous hypotheses have been advanced as to the origins of the disease. In this compelling book, Nicoli Nattrass explores the social and political factors prolonging the erroneous belief that the American government manufactured the human immunodeficiency virus (HIV) to be used as a biological weapon, as well as the myth’s consequences for behavior, especially within African American and black South African communities.

Contemporary AIDS denialism, the belief that HIV is harmless and that antiretroviral drugs are the true cause of AIDS, is a more insidious AIDS conspiracy theory. Advocates of this position make a “conspiratorial move” against HIV science by implying its methods cannot be trusted, and that untested, alternative therapies are safer than antiretrovirals. These claims are genuinely life-threatening, as tragically demonstrated in South Africa when the delay of antiretroviral treatment resulted in nearly 333,000 AIDS deaths and 180,000 HIV infections thatcould have been prevented – a tragedy of stunning proportion.

Nattrass identifies four symbolically powerful figures ensuring the lifespan of AIDS denialism: the hero scientist (dissident scientists who lend credibility to the movement), the cultropreneur (alternative therapists who exploit the conspiratorial move as a marketing mechanism), the living icon (individuals who claim to be living proof of AIDS denialism’s legitimacy), and the praise-singer (journalists who broadcast movement messages to the public). Nattrass describes how pro-science activists have fought back by deploying empirical evidence and political credibility to resist AIDS conspiracy theories, which is part of the crucial project to defend evidence-based medicine.

Society was not prepared in 1981 for the appearance of a new infectious disease, but we have since learned that emerging and reemerging diseases will continue to challenge humanity. "AIDS at 30" is the first history of HIV/AIDS written for a general audience that emphasizes the medical response to the epidemic.Award-winning medical historian Victoria A. Harden approaches the AIDS virus from philosophical and intellectual perspectives in the history of medical science, discussing the process of scientific discovery, scientific evidence, and how laboratories found the cause of AIDS and developed therapeutic interventions. Similarly, her book places AIDS as the first infectious disease to be recognized simultaneously worldwide as a single phenomenon.After years of believing that vaccines and antibiotics would keep deadly epidemics away, researchers, doctors, patients, and the public were forced to abandon the arrogant assumption that they had conquered infectious diseases. By presenting an accessible discussion of the history of HIV/AIDS and analyzing how aspects of society advanced or hindered the response to the disease, "AIDS at 30" illustrates for both medical professionals and general readers how medicine identifies and evaluates new infectious diseases quickly and what political and cultural factors limit the medical community s response.

This provocative study examines the role of today's Russian Orthodox Church in the treatment of HIV/AIDS. Russia has one of the fastest-growing rates of HIV infection in the world - 80 per cent from intravenous drug use - and the Church remains its only resource for fighting these diseases. Jarrett Zigon takes the reader into a Church-run treatment center where, along with self-transformational and religious approaches, he explores broader anthropological questions - of morality, ethics, what constitutes a 'normal' life, and who defines it as such. Zigon argues that this rare Russian partnership between sacred and political power carries unintended consequences: even as the Church condemns the influence of globalization as the root of the problem it seeks to combat, its programs are cultivating citizen-subjects ready for self-governance and responsibility, and better attuned to a world the Church ultimately opposes.

In some parts of South Africa, more than one in three people are HIV positive. Love in the Time of AIDS explores transformations in notions of gender and intimacy to try to understand the roots of this virulent epidemic. By living in an informal settlement and collecting love letters, cell phone text messages, oral histories, and archival materials, Mark Hunter details the everyday social inequalities that have resulted in untimely deaths. Hunter shows how first apartheid and then chronic unemployment have become entangled with ideas about femininity, masculinity, love, and sex and have created an economy of exchange that perpetuates the transmission of HIV/AIDS. This sobering ethnography challenges conventional understandings of HIV/AIDS in South Africa.

This deeply insightful ethnography explores the healing power of caring and intimacy in a small, closely bonded Apostolic congregation during Botswana's HIV/AIDS pandemic. "Death in a Church of Life" paints a vivid picture of how members of the Baitshepi Church make strenuous efforts to sustain loving relationships amid widespread illness and death. Over the course of long-term fieldwork, Frederick Klaits discovered Baitshepi's distinctly maternal ethos and the 'spiritual' kinship embodied in the church's nurturing fellowship practice. Klaits shows that for Baitshepi members, Christian faith is a form of moral passion that counters practices of divination and witchcraft with redemptive hymn singing, prayer, and the use of therapeutic substances. An online audio annex makes available the examples of the church members' preachings and songs.

Changing the course of AIDS is an in-depth evaluation of a new and exciting way to create the kind of much-needed behavioral change that could affect the course of the global health crisis of HIV/AIDS. This case study from the South African HIV/AIDS epidemic demonstrates that regular workers serving as peer educators can be as - or even more - effective agents of behavioral change than experts who lecture about the facts and so-called appropriate health care behavior. After spending six years researching the response of large South African companies to the epidemic that is decimating their workforce as well as South African communities, David Dickinson describes the promise of this grassroots intervention - workers educating one another in the workplace and community - and the limitations of traditional top-down strategies. Dickinson's book takes us right into the South African workplace to show how effective and yet enormously complex peer education really is. We see what it means when workers directly tackle the kinds of sexual, gender, religious, ethnic, and broader social and political taboos that make behavior change so difficult, particularly when that behavior involves sex and sexuality. Dickinson's findings show that people who are not officially health care experts or even health care workers can be skilled and effective educators. In this book we see why peer education has so much to offer grappling with the HIV/AIDS epidemic and why those interested in changing behaviors to ameliorate other health problems such as obesity, alcoholism, and substance abuse have so much to learn from the South African example.

"Represents a long-overdue examination of anthropology's role in the fight against AIDS, bringing together the anthropological perspective and the problem of AIDS like no other."--Brian Joseph Gilley, University of Vermont Until now, there has been no one text that discusses the norms, beliefs, and behaviors that affect how societies respond to HIV/AIDS around the world. The Anthropology of AIDS synthesizes data from anthropology, psychology, sociology, biology, and medicine, and incorporates the author's more than two decades of work as a medical anthropologist, HIV test counselor, and sex therapist. Designed for use in a range of college courses, this volume combines a solid introduction to the epidemiology of HIV and AIDS with a wealth of material exploring the cross-cultural societal impact of the disease. Patricia Whelehan provides a broad overview of the epidemic since 1981, focusing on current social, cultural, political, and economic factors throughout the world. She brings a relativistic, comparative, and holistic approach to look at HIV/AIDS as both a pandemic and an intercultural health problem. She also explores the ethics and controversies surrounding HIV testing, treatment, and research in the United States and other specific societies, including Thailand, Brazil, and areas of Sub-Saharan Africa. Written in a clear, concise, and engaging tone, this timely and necessary text will prove an invaluable resource for instructors and undergraduates across many academic disciplines.

Popular understanding of the HIV/AIDS pandemic in Sub-Saharan Africa is riddled with contradiction and speculation. This is revealed in HIV/AIDS in Sub-Saharan Africa, which explores the various contexts in which debate about HIV/AIDS takes place and examines how the pandemic is perceived by scholars, religious leaders and traditional healers, among others – in communities in and around South Africa.

Using a social theory lens, the book focuses on not only the cultural and contextual practices, but also the methodological and epistemological orientations around HIV/AIDS in education that shape community and individual interpretations of this disease.

The book avoids a simplistic approach to the pandemic, by exploring the complex and sometimes contradictory spaces in which HIV/AIDS discourses are negotiated, and thus goes some way to present a more hermeneutic profile of the HIV/AIDS problem.

HIV/AIDS in Sub-Saharan Africa is as much about identity construction as it is about HIV/AIDS. The authors recognise the interrelatedness of sex, sexuality, identity and HIV/AIDS in the shaping of individual and collective identities and have thus gone beyond merely asking questions about what people know.

HIV/AIDS is holding firm as one of the worst diseases in history and the leading cause of death in sub-Saharan Africa. This collection of essays shares various case studies from sub-Saharan Africa and one from the African Diaspora that demonstrate how multi-faceted women's lives, and thus their HIV risk, are. Notwithstanding women's marginalisation, the essays in this volume maintain that women in Africa are not merely puppets of globalisation, cultural norms, or biological imperatives, but rather agents in their own livelihoods. In each case we see women presented with many challenges that they must navigate in order to mitigate their HIV risk. Some of the most trying challenges are based on economic and political structures that occur at various scales, from the global to the household. While structural factors are indeed important, the authors in this volume also show that traditional norms, cultural beliefs, and gender roles are equally necessary to consider when planning HIV prevention programs. Gender disempowerment is of particular importance, as it is seen in all of these case studies. In order for the HIV epidemic to dissipate in sub-Saharan Africa, prevention programs that truly understand the local circumstances and strive for gender equality must be instituted immediately and broadly. The book is divided into three parts, each concentrating on a different aspect of women and HIV/AIDS in sub-Saharan Africa. The first part provides case studies of the social, political, economic, cultural, and geographic dynamics that play into women's and girls' risk for the virus. The second part transitions into case studies of prevention, concentrating on condom use. The chapters in the final section expand on Part II by highlighting other ways of promoting HIV/AIDS awareness and prevention across the region. In short, the papers in this volume highlight the complicated decision making processes that women in countries of sub-Saharan Africa must make when it comes to HIV risk. In many cases, women find themselves in economically dependent relationships with men whereby they must stay in sexually risky situations to be able to feed themselves and, very often, their children.