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 condomsExamining 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.

Examine the psychosocial factors that affect lesbian and bisexual women’s mental health This essential guide presents up-to-date, evidence-based information that can be implemented to improve mental health services for lesbian and bisexual women in a variety of settings. It examines the systemic factors that play a role in their psychological and emotional well-being, and presents new research on protective factors that play an important role when lesbian/bisexual women face depression, anxiety, and other mental health disorders. Lesbian and Bisexual Women’s Mental Health reviews the past literature on mental health and sexual orientationciting biased and inadequate assessment, diagnosis, and treatment approaches currently in use in the care of lesbian and bisexual women. This essential guide for clinicians and researchers presents new empirical research on lesbian/bisexual women’s mental health. It explores specific challenges that face various lesbian and bisexual female populations, with research on: dysthymia depression and anxietyincluding a chapter on depressive distress among African-American women the way that community size and religiosity impact lesbian/bisexual women’s psychosexual development the relationship between shame and a client’s attachment style the mental health implications of same-sex marriage mental health in Taiwan’s T-Po lesbian communitywith a focus on community members’ sexual orientation, gender roles, and gender identity the interconnectedness of sexual fantasies, psychological adjustment, and close relationship functioning in lesbian/bisexual women body image and eating issues As the diversity of this population becomes progressively more evident, so does the necessity for deeper exploration of the mental health problems facing lesbians and bisexuals. Whether you are a student, an educator, or an experienced clinician, Lesbian and Bisexual Women’s Mental Health is an essential resource for relevant and meaningful information that focuses much-needed attention on the mental health of lesbian and bisexual women.

Health and Risk Communication provides a critical and comprehensive overview of the core issues surrounding health and risk communication from the perspective of applied linguistics. It outlines the ways applied linguistics differs from other methods of understanding health and risk communication, assesses the benefits and limitations of the approaches used by different scholars in the field, and offers an innovative framework for consolidating past research and charting new directions. Utilizing data from clinical interactions and everyday life, this book addresses a number of crucial questions including: How are the everyday actions we take around health constructed and constrained through discourse? What is the role of texts in influencing health behaviour, and how are these texts put together and interpreted by readers? How are actions and identities around health and risk negotiated in situated social interactions, and what are the factors that influence these negotiations? How will new technologies like genetic screening influence the way we communicate about health? How does communication about health and risk help create communities and institutions and reflect and reproduce broader ideologies and patterns of power and inequality within societies? Health and Risk Communication: An Applied Linguistic Perspective is essential reading for advanced students and researchers studying and working in this area.

Gain important insight and a broader perspective on where, why, and how sex workers conduct their business For years, the focus of sex work research has been on street-based male and female sex workers and the HIV-related risks they pose to their clients. Contemporary Research on Sex Work moves beyond the basic association between sex work and unprotected sex to a fuller description of the varied facets of the industry while still pursuing a better understanding of HIV risk among those working the streets. The diverse approaches in this unique book include targeted sampling, qualitative and quantitative interviews, ethnographic interviews with key informants, using sex workers as recruiters, and quasi-experimental intervention designs. Contemporary Research on Sex Work dispels the notion that all sex workers are prostitutes working the streets, highlighting instead various aspects of sex work in terms of gender, venue, and context. Social scientists from a variety of disciplines present research collected from across the United States, Cambodia, the Philippines, Argentina, and Canada that reflects the efforts to explore interventions and programs designed to improve the social and physical lives of male, female, and transgender sex workers—and their clients. The book examines how different circumstances determine different issues of power, control, health, social functioning, mental health, and HIV/STI risk each sex worker faces. Contemporary Research on Sex Work examines: condom use by transgender female sex workers the association between mental health issues and unprotected sex the influence of structural intervention in reducing biologically sexually transmitted infections (STIs) the “hidden” population of women who solicit clients in private locations off the street stigma resistance among male sex workers in Canada the relationship between childhood sexual abuse and subsequent involvement in sex work health services among male sex workers in Argentina how the intersection between race/ethnicity affects female sex workers in Los Angeles how sex workers deal with the negativity that surrounds their profession job-related risk and safety for sex workers in Canada legal concerns and policy issues and much more! Contemporary Research on Sex Work is your guide to the next generation of sex work research, highlighting the need to understand sex work as work. The book is an essential resource for researchers in the fields of sex research, sex work, and HIV/AIDS prevention, and for clinicians who work with those involved in the industry.

AIDS and Development in Africa: A Social Science Perspective is the first book-length treatment of both the impact of AIDS in Africa and an assessment of intervention strategies in varying cultural situations. Developed from revised selected papers from the nineteenth Southern African Universities Social Science Conference, AIDS and Development in Africa will be of interest to counselors, medical and development practitioners, Africanists, and AIDS researchers. From this book, you will find wide analytical coverage of the issues and country case studies related to the contributory factors and development impact of the HIV/AIDS pandemic in Africa. You will also explore the ability of countries to willingly promote and cope with the pandemic in the context of their different economic circumstances. Specifically in AIDS and Development in Africa, you will read about: socioeconomic context of AIDS social scientific explanations of the AIDS pandemic in Africa HIV/AIDS and the status of women in Botswana and Swaziland sexual abuse and HIV/AIDS law and HIV/AIDS orphans of the AIDS pandemic media and the African context of social construction human resource development and training in relation to HIV/AIDS in Zambia AIDS and Development in Africa uses a multidisciplinary social science perspective in case studies of such countries as Botswana, Swaziland, Zimbabwe, South Africa, Malawi, and Zambia to reveal contributory factors and the developmental impact of HIV/AIDS in Africa. This book demonstrates the human consequences of AIDS and the efforts being made by governments, individuals, families, villages, communities, and national government organizations to respond to the pandemic. For example, you will learn about information campaigns and peer education approaches that are successfully increasing transmission awareness and condom use. You will read beyond the usual analysis of demographics and receive much more substantial assessments and analyses of the burden on people, economies, and health care systems of the African countries. AIDS and Development in Africa is indispensable to anyone who is involved with HIV/AIDS prevention/intervention in Africa. This comprehensive book provides you with essential and up-to-date research on the many issues surrounding Africa’s HIV/AIDS pandemic.

The Reader's Guide to Lesbian and Gay Studies surveys the field in some 470 entries on individuals (Adrienne Rich); arts and cultural studies (Dance); ethics, religion, and philosophical issues (Monastic Traditions); historical figures, periods, and ideas (Germany between the World Wars); language, literature, and communication (British Drama); law and politics (Child Custody); medicine and biological sciences (Health and Illness); and psychology, social sciences, and education (Kinsey Report).