DOCSLIB.ORG

The Legacy of the Past Gay Men in Mid-Life and the Impact of HIV/AIDS

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
The Legacy of the Past Gay Men in Mid-Life and the Impact of HIV/AIDS The Legacy of the Past Gay Men in Mid-Life And the Impact of HIV/AIDS By Spencer Cox Executive Director The Medius Institute For Gay Men’s Health The Medius Institute is a non-profit organization dedicated to improving the health, well-being, and longevity of gay men. The author is deeply indebted to Dr. Robert Kerzner and Dr. Walt Odets for their insights into these issues. See Kerzner RM. The adult life course and homosexual identity in midlife gay men. Annu Rev Sex Res. 2001;12:75-92 and Odets W. Survivor Guilt in HIV-Negative Gay Men. Hath Cont Ed for Psych. 4:15. 1994. Special thanks to Founding Sponsor Broadway Cares/Equity Fights AIDS, David Corkery and The Corkery Group, GlaxoSmithkline, Mark M. Sexton & W. Kirk Wallace, and New York’s Lesbian, Gay, Bisexual & Transgender Community Center. Also thanks to: Lynda Dee, Dr. Alan Downs, Dr. Anthony Gaudioso, Dr. Perry Halkitis, Michael Isbell, Michael Joyner, Jay Laudato, Mark Leydorf, Jon-David Nalley, Catherine McBride, Christopher Murray, David Nimmons, Laura Pinsky, Michele Pronko, David Richwine, Michael Shernoff, John Sirabella, Tom Viola, John Voelcker, Dr. Barbara Warren, Dr. Ron Winchell, and Mark Woodcock. The Medius Institute for Gay Men’s Health. 305 W. 45th St. Suite 4I. New York, NY 10036. Phone: (646) 873-3550. e-mail: [email protected] web site: www.mediusinstitute.org 2 Our lifetime as gay men has been bewildering, to be honest. But we dealt with it through this terrible plague as well, this hideous illness that struck so many people down. And the current younger generation I don't think even understands what we went through, what we witnessed. For me that's the fuel. The ashes of all the people I loved who are dead keep me going. I promised one of my best friends that I would not give up. And that's still very much a part of my identity. I am a child of the plague and I will never, never forget that. For some of us, that changed us forever. It gave us a sort of intensity and drive that the younger generation cannot know because they are lucky enough to have escaped it. Writer Andrew Sullivan in Soul Searching: Andrew Sullivan’s Quest to Reclaim Conservativism. Metro Weekly. November 9, 2006 Introduction The current generation of American gay men in mid-life has experienced remarkable losses. From the late 1970s until the end of 1999, when effective anti-HIV regimens became widely available, the AIDS epidemic ravaged America’s gay communities: the Centers for Control and Prevention (CDC) estimate that more than 267,500 men who have sex with men died of AIDS in the United States during those early years.1 Following the terrorist attacks of September 11th, 2001, there was immediate recognition of the urgent need for immediate and ongoing mental health evaluation and treatment for those exposed to and/or affected by the event.2 In contrast, for gay men who lived for decades through an epidemic that killed hundreds of thousands of friends and family members, no systematic effort has been made to treat -- or even to identify -- the long-term psychological effects associated with such traumatic experiences and painful memories. Self-harming behaviors have been identified in other survivors of mass trauma, and have also been associated with AIDS-related bereavement.3,4,5,6 Specifically, a number of risks have been identified for gay men in mid-life, defined roughly as thirty-five to fifty-five years of age, that may be directly or indirectly associated with traumatic experiences, including: • Depression and anxiety • Drug and alcohol addiction • Sexual risk-taking • Partner violence • The inability to positively imagine or plan for the long-term future 1 Centers for Disease Control and Prevention. HIV/AIDS Surveillance Supplemental Report. Vol. 8, No 1. 2001. Includes MSM and MSM/IDU. 2 Resnick H, Galea S, et al. Research on Trauma and PTSD in the Aftermath of 9/11. PTSD Res Quart. 15(1) Winter 2004. 3 Krystal H & Danieli Y. Holocaust Survivor Studies in the Context of PTSD. PTSD Res Quart. 5(4) Fall 1994. 4 Martin, J., and L. Dean, "Effects of AIDS-Related Bereavement and HIV-Related Illness on Psychological Distress Among Gay Men: A 7-Year Longitudinal Study, 1985-91," Journal of Consulting and Clinical Psychology 61 (1993), pp. 94-103. 5 Pfefferbaum B & Doughty DE. Increased alcohol use in a treatment sample of Oklahoma City bombing victims. Psychiatry. 2001 Winter; 64(4):296-303 6 Bremner JD, Southwick SM et al. Chronic PTSD in Vietnam combat veterans: course of illness and substance abuse. Am J Psychiatry. 1996 Mar; 153(3):369-75 1 There is no question that, at the time, massive bereavement produced traumatic symptoms. In 1993, researchers at the Columbia School of Public Health attempted to quantify the psychological impact of AIDS-related bereavements. In a group of 746 gay men, scientists found “a direct dose-response relation between bereavement episodes and the experience of traumatic stress response symptoms, demoralization symptoms, and sleep disturbance symptoms.”7 In this study, recreational drug use and sedative use also increased in proportion to the number of bereavement episodes. Drug and alcohol use are common responses to trauma. For instance, after September 11, 2001, sustained increases were seen in use of cigarettes, alcohol and marijuana among residents of Manhattan living below 110th Street; these increases were associated with post-traumatic symptoms and depression.8 Researchers find very high rates of recreational drug use among urban gay men: more than 50 percent of respondents in the Gay Urban Mens’ Health Study said they used recreational drugs.9 Almost 20 percent reported recent “frequent” use of powder drugs (ecstasy, ketamine, cocaine).10 While frequent or heavy drug use is not confined to gay men in mid-life, these men use and abuse recreational drugs in substantial numbers.11,12,13 7 Martin, 1993. Ibid. 8 Resnick 2004. ibid. 9 Stall R, Paul JP et al. Alcohol Use, Drug Use and Alcohol-related Problems Among Men Who Have Sex With Men: The Urban Men’s Health Study. Addiction. 96(11). Nov 2001. p. 1589 10 Stall 2001. Ibid. 11 Sexual behavior patterns of methamphetamine-using gay and bisexual men. Subst Use Misuse. 2005;40(5):703-19 12 Patterson TL, Semple SJ et al. Methamphetamine-Using HIV-positive Men Who Have Sex With Men: Correlates of Polydrug Use. J Urban Health. 2005 Mar;82(1 Suppl 1):120-6. 13 Halkitis PN, Green KA & Mourgues P. Longitudinal investigation of methamphetamine use among gay and bisexual men in New York City: findings from Project BUMPS. J Urban Health. 2005 Mar;82(1 Suppl 1):i18-25. 2 In addition, there is evidence that, in gay men, traumatic bereavement is associated with risky sexual behavior. Men who have sex with men and who lost a friend or relative in the September 11th attacks were significantly more likely to report unprotected anal intercourse, and more sexual partners after the disaster than those who did not.14 And there is compelling evidence of ongoing, increased risky sexual behavior among gay men: since 1999, dramatic increases in rates of syphilis have been reported among American men who have sex with men.15 Rates of new HIV infections in men who have sex with men in the United States are rising, and studies show that risk-taking is frequent among middle-aged gay men. Of newly reported HIV cases among men who have sex with men in New York City in 2004, the majority were in men over 30, and more than a third were in men over 40. 16,17 The development of effective HIV therapy seems to have interrupted the study of the psychological impact of the AIDS epidemic: very little research is available from the late 1990s onward. However, these current data on risk behaviors among gay men in mid-life offer ample cause for questions and concerns. Gay men now in mid-life came of age before or during the dark early days of the epidemic, and have survived to see the dramatic amelioration of its effects in the United States. It would be surprising if such experiences did not have long-standing effects on the lives of survivors. While it is by no means certain that current high-risk behaviors are related to the traumatic survival of AIDS-related loss, the question certainly merits more detailed exploration than it has been given. 14 Chiasson MA, Hirshfield S et al. Increased high risk sexual behavior after September 11 in men who have sex with men: an Internet survey. Arch Sex Behav. 2005 Oct;34(5):527-35. 15 Division of STD Prevention. Sexually Transmitted Disease Surveillance 2004 Supplement: Syphilis Surveillance Report. Atlanta: US Department of Health and Human Services, Centers for Disease Control and Prevention; 2005. Online at http://www.cdc.gov/std/Syphilis2004/SyphSurvSupp2004.pdf. Accessed 30 Jul 2006. 16 Centers for Disease Control and Prevention. HIV/AIDS Surveillance Report, 2004. Vol. 16. Atlanta: US Department of Health and Human Services, Centers for Disease Control and Prevention; 2005 17 Torian L. Director, HIV Surveillance and Epidemiology Program, Department of Health and Mental Hygiene, City of New York. Personal Communication. Dec 7 2004 3 The History of Loss From 1979 until the late 1990s, urban gay men experienced unprecedented losses to HIV/AIDS. Unlike “normal” bereavements, these men often experienced multiple, repeated losses on an almost unimaginable scale: As of 1994, up to 60 percent of gay men reported annual losses, and a third of these bereaved individuals described the multiple loss of family, friends, and neighbors.
Load more

Recommended publications
  • 2008 Annual Report GMHC Fights to End the AIDS Epidemic and Uplift the Lives of All Affected
    web of truth 2008 annual report GMHC fights to end the AIDS epidemic and uplift the lives of all affected. From Crisis to Wisdom 2 Message from the Chief Executive Officer and the Chair of the Board of Directors 3 From Education to Legislation 4 From Baby Boo to Baby Boom 6 From Connection to Prevention 8 From Hot Meals to Big Ideals 10 The Frontlines of HIV Prevention 12 Financial Summary 2008 14 Corporate & Foundation Supporters 15 The Founders’ Circle 17 Individual Donors 18 The President’s Council / Friends for Life / Allies Monthly Benefactors / Partners in Planning Event Listings 23 House Tours / Fashion Forward / Savor Toast at Twilight / AIDS Walk 2008 GMHC fights to end the AIDS epidemic and uplift the lives of all affected. Gender 76% Male 23% Female 1% Transgender Race/Ethnicity 31% Black 31% White 30% Latino 3% Asian/Pacific Islander 5% Other/Unknown Sexual Orientation 56% Gay/Lesbian 9% Bisexual 35% Heterosexual Age 19% 29 and under 21% 30–39 33% 40–49 27% 50 and over Residence 14% Bronx 20% Brooklyn 47% Manhattan 12% Queens 1% Staten Island 6% Outside NYC 1 from crisis to wisdom HIV is a disease that thrives in darkness. In For 27 years, GMHC has born witness to HIV silence. In apathy. It thrives when connections from its frontlines. And in those 27 years, remain unseen—when the links between we’ve charted a pandemic that changes con- individuals and communities…between social tinuously and profoundly. Its demographics lives and sexual lives remain broken and have changed. Its challenges have changed.
    [Show full text]
  • Commentary Unprotected: Condoms, Bareback Porn, and the First Amendment
    Commentary Unprotected: Condoms, Bareback Porn, and the First Amendment Bailey J. Langnert ABSTRACT In November 2012, Los Angeles County voters passed Measure B, or the Safer Sex in the Adult Film Industry Act. Measure B mandated condom use by all porn performers in adult films produced within county borders and created a complex regulatory process for adult film producers that included permitting, mandatory public health trainings, and warrantless administrative searches. Shortly after its passage, Vivid Entertainment filed a lawsuit to enjoin the enforcement of Measure B, arguing that the Measure violated their First Amendment right to portray condomless sex in porn. In December 2014, the Ninth Circuit upheld the district court's decision upholding the constitutionality of Measure B. Notably, the mainstream discourse surrounding the Measure B campaign, as well as the legal arguments put forth in the lawsuit, focused exclusively on straight pornography while purporting to represent all porn. As a result, an entire genre of condomless pornography went unrepresented in the discussion: bareback porn, which portrays intentional unprotected anal sex between men. Excluding bareback porn from the lawsuit represented a missed opportunityfor Vivid in its challenge of Measure B. There are several political messages underlying bareback porn unique to that genre that might have resulted in the t The author received a law degree from the University of California, Berkeley, School of Law (Boalt Hall) in 2015. As a law student, the author worked as a Teaching Assistant in the First Year Legal Writing Program and served as a Senior Board Member of the Boalt Hall Women's Association.
    [Show full text]
  • Living on the Edge: Gay Men, Depression and Risk-Taking
    Living On the Edge Gay Men, Depression And Risk-Taking Behaviors By Spencer Cox Executive Director The Medius Institute For Gay Men’s Health 12/20/2012 1 The Medius Institute is a non-profit organization dedicated to improving the health, well-being, and longevity of gay men. Special thanks to Founding Sponsor Broadway Cares/Equity Fights AIDS, David Corkery and The Corkery Group, Glaxo-Smithkline, and the Richard E. Lynn and Joe Evall Foundation. Also thanks to: Lynda Dee, Dr. Alan Downs, Dr. Anthony Gaudioso, Dr. Perry Halkitis, Michael Isbell, Michael Joyner, Dr. Robert Kerzner, Jay Laudato, Mark Leidorf, Jon-David Nalley, Catherine McBride, Christopher Murray, David Nimmons, Laura Pinsky, Michele Pronko, David Richwine, Michael Shernoff, John Sirabella, Tom Viola, John Voelcker, Dr. Barbara Warren, Dr. Ron Winchell, and Mark Woodcock. The Medius Institute for Gay Men’s Health. 305 W. 45th St. Suite 4I. New York, NY 10036. Phone: (646) 873-3550. e-mail: [email protected] Table of Contents: Executive Summary 1 Introduction 4 Gay Men and Depression 8 An Overview of Depression 10 Depression and Substance Abuse 14 Depression and Sexually Transmitted Diseases 21 Depression and HIV-positive Men 24 Discussion 27 Summary of Recommendations 31 Executive Summary The incidence of mood and anxiety disorders, and particularly of depression, dysthymia and generalized anxiety disorder, are substantially higher among gay men than in the population of men as a whole. The most reliable estimates suggest that gay men are about three times more likely than the general population to experience depression. In some gay men – particularly urban gay men – there seems to be a set of risk- taking behaviors that are highly associated with each other, and with depression.
    [Show full text]
  • 2004 Spring Season Comedie-Franc;Aise
    2004 Spring Season Comedie-Franc;aise Photo, Claudine Doury A Hearty Invalid By Leslie (Hoban) Blake Imagine a scenario in which a 51-year-old actor-playwright, at the height of his fame, is playing a hypochondriac in his latest satire-this one about medical quackery-when he collapses onstage and dies. Unbelievable? Well, in 1673 that's exactly what happened to Jean Baptiste Poquelin-better known as Moliere­ when he was starring in his final play, La Malade Imaginaire (The Imaginary Invalid). Ironically, Moliere actually was something of a hypochondriac, and his critique of the medical profession is as timely today as it was then. Pick up a newspaper or watch late-night infomercia ls, and you'll find phony doctors and pills that promise life-altering changes, not unlike the shams and fake miracle cures encountered by lead character Argan. So it's fitting that the darkness behind his final play is as alive as the humor in Comedie-Fran<;aise's production (Harvey Theater, June 9-13). It's only the fourth time in 25 years that the esteemed French theater has visited New York, and for director Claude Stratz, it's his first staging of a Moliere play. "I'd read all of his works and dreamed of directing one of his plays," says the handsome Swiss director, who is also director of the French National Academy of Dramatic Art (Conservatoire National Superieur d'art Dramatique). "While they're called comedies, I wanted to make sure to capture the underlying melancholic strain that also exists, especially in The Imaginary Invalid." 16 Comedie-Frangaise That melancholic strain is indeed captured with film-noir lighting and music.
    [Show full text]
  • Heterosexual Transmission of Hiv Infection
    r HETEROSEXUAL TRANSMISSION OF HIV INFECTION Allison Greenspan, MPH Kenneth G. Castro, MD Division of HIV/AIDS, Center for Infectious Diseases Centers for Disease Control, Atlanta, Georgia A s the epidemic of acquired immunodeficiency women who use IV drugs remain the primary source for syndrome (AIDS) in the United States enters its second heterosexual transmission in the United States, important decade, it is marked by a widening geographic focus, questions remain about the efficiency of heterosexual changing demographics, and shifts in the relative impor- HIV transmission in this country and its reach beyond tance of different modes of transmission of the human the immediate sexual partners of IV drug users and other immunodeficiency virus (HIV). As part of this evolving persons at high risk. picture, concern about the extent and impact of the heterosexual transmission of HIV continues to evoke Heterosexually-Acquired AIDS Cases considerable interest and debate. U.S. AIDS cases, which have been reported from all Although most cases of AIDS in the United States 50 states, the District of Columbia, and four U.S. territo- still occur in homosexual or bisexual men and intrave- ries, exceeded 100,000 during the summer of 1989 and nous (IV) drug users, the number of cases of heter- continue to increase. While the responsibility for AIDS osexually-transmitted AIDS has been increasing steadily case surveillance rests with individual city, state, and ter- and more rapidly than cases in any of the other trans- ritorial health departments, which determine their own mission categories. Since currently reported cases of disease reporting requirements, the CDC supports volun- AIDS are the result of infections with HIV that took tary AIDS surveillance and compiles national AIDS case place an average of 10 years ago, these observed trends statistics.
    [Show full text]
  • Jounal of Gay and Lesbian Studies.Pdf
    Journal of Gay & Lesbian Social Servicesä eHAWORTH® Electronic Text is provided AS IS without warranty of any kind. The Haworth Press, Inc. further disclaims all implied warranties including, without limitation, any implied warranties of merchantability or of fitness for a particular purpose. The entire risk arising out of the use of the Electronic Text remains with you. In no event shall The Haworth Press, Inc., its authors, or anyone else involved in the creation, production, or delivery of this product be liable for any damages whatsoever (including, without limitation, damages for loss of business profits, business interruption, loss of business information, or other pecuniary loss) arising out of the use of or inability to use the Electronic Text, even if The Haworth Press, Inc. has been advised of the possibility of such damages. EDITOR JEANE W. ANASTAS, MSW, PhD, Professor and Director, PhD Program, New York University School of Social Work, New York, NY FOUNDING EDITOR JAMES J. KELLY, LCSW, PhD, Associate Vice President, Extended and Continuing Education, California State University, Hayward, CA FOUNDING HONORARY EDITOR RAYMOND M. BERGER, PhD, Professor (retired), Department of Social Work, California State University, Long Beach, CA EDITORIAL ADVISORY BOARD E. MICHAEL GORMAN, PhD, MPH, MSW, Assistant Professor, College of Social Work, San Jose State University, San Jose, CA GERALD MALLON, DSW, Assistant Professor, Hunter College School of Social Work, New York, NY JAMES I. MARTIN, PhD, Associate Professor, New York University School of Social Work, New York, NY WILLIAM MEEZAN, DSW, Ohio State University, College of Social Work, Columbus, OH JULIO MORALES, PhD, Professor Emeritus, School of Social Work, University of Connecticut, West Hartford, CT CAITLIN RYAN, ACSW, Director of Policy Studies, Research Institute on Sexuality, Social Inequality and Health, San Francisco State University, San Francisco, CA CAROL T.
    [Show full text]
  • Condoms, Bareback Porn, and the First Amendment Bailey J
    LANGNER_TO PRODUCTION (EJD EIC EDITS) 199 EDITED (DO NOT DELETE) 7/25/2015 11:29 AM Commentary Unprotected: Condoms, Bareback Porn, and the First Amendment Bailey J. Langner† ABSTRACT In November 2012, Los Angeles County voters passed Measure B, or the Safer Sex in the Adult Film Industry Act. Measure B mandated condom use by all porn performers in adult films produced within county borders and created a complex regulatory process for adult film producers that included permitting, mandatory public health trainings, and warrantless administrative searches. Shortly after its passage, Vivid Entertainment filed a lawsuit to enjoin the enforcement of Measure B, arguing that the Measure violated their First Amendment right to portray condomless sex in porn. In December 2014, the Ninth Circuit upheld the district court’s decision upholding the constitutionality of Measure B. Notably, the mainstream discourse surrounding the Measure B campaign, as well as the legal arguments put forth in the lawsuit, focused exclusively on straight pornography while purporting to represent all porn. As a result, an entire genre of condomless pornography went unrepresented in the discussion: bareback porn, which portrays intentional unprotected anal sex between men. Excluding bareback porn from the lawsuit represented a missed opportunity for Vivid in its challenge of Measure B. There are several political messages underlying bareback porn unique to that genre that might have resulted in the † The author received a law degree from the University of California, Berkeley, School of Law (Boalt Hall) in 2015. As a law student, the author worked as a Teaching Assistant in the First Year Legal Writing Program and served as a Senior Board Member of the Boalt Hall Women’s Association.
    [Show full text]
  • Guide to the AIDS Activist Videotape Collection
    The New York Public Library Humanities and Social Sciences Library Manuscripts and Archives Division AIDS Activist Videotape Collection, 1983-2000 James Wentzy and Melanie A. Yolles 2002 AIDS Activist Videotape Collection, p. 2 Table of Contents SUMMARY ....................................................................................................................... 3 HISTORICAL NOTE....................................................................................................... 4 BIOGRAPHICAL NOTE ................................................................................................ 5 SCOPE AND CONTENT NOTE .................................................................................... 6 ORGANIZATION NOTE................................................................................................ 6 CONTAINER LIST.......................................................................................................... 7 JAY CORCORAN................................................................................................................... 7 PETER FRIEDMAN ................................................................................................................ 7 Fighting in Southwest Louisiana ..................................................................................... 7 Silverlake Life: The View From Here, 1989-1992 ............................................................. 7 STUART GAFFNEY...............................................................................................................
    [Show full text]
  • 115 Timothy Lunceford
    A PROGRAM OF MIX – THE NEW YORK LESBIAN & GAY EXPERIMENTAL FILM FESTIVAL Interviewee: Timothy Lunceford Interview Number: 115 Interviewer: Sarah Schulman Date of Interview: April 24, 2010 © 2013 The New York Lesbian & Gay Experimental Film Festival, Inc. ACT UP Oral History Project 1 Interview of Timothy Lunceford April 28, 2010 SARAH SCHULMAN: So the way we start is you tell me your name, your age, today’s date, and where we are. TIM LUNCEFORD: You mean the address. SS: In general. TL: New York City. SS: Yeah. So tell me. What’s your name? TL: Okay. Timothy Lunceford. SS: How old are you? TL: I’m 53. SS: What’s today’s date? TL: Twenty-eighth of April. SS: 2010. TL: 2010. SS: And where are we? TL: We’re in New York City. SS: On amazing Charles Street, where you live. TL: Yes. SS: Yes. Okay, good. So where were you born, Tim? TL: I was born in Atlanta, Georgia. SS: In the city itself, or – TL: I was born in the city, yes. SS: What were your parents doing at the time? Timothy Lunceford Interview 2 April 28, 2010 TL: My father was in the military, about to leave the military. What had happened; my parents were living in France, with my father in the military. My mother got pregnant, and she had some problems with her pregnancy. And then with not any knowledge of Europe or whatever, and having a baby, they decided to return to the States. I found them on immigration papers at Ellis Island, coming back.
    [Show full text]
  • Assessing the Expressiveness of Bareback Pornography
    \\jciprod01\productn\N\NYU\88-5\NYU507.txt unknown Seq: 1 24-OCT-13 12:55 WRAPPED IN AMBIGUITY: ASSESSING THE EXPRESSIVENESS OF BAREBACK PORNOGRAPHY CHRISTOPHER A. RAMOS* Contrary to popular belief, pornography has not won the culture war. Far from enjoying the spoils of victory, pornography instead faces legislative ire up to the point of absolute prohibition. On November 6, 2012, close to fifty-six percent of voters approved the County of Los Angeles Safer Sex in the Adult Film Industry Act (“Measure B”), completely prohibiting “bareback”—or condom-free—por- nography production. An intuitive response to such an imposition is to raise a First Amendment claim. However, bareback pornography has yet to receive explicit pro- tection by any legislature or court. This Note takes a step toward assessing bareback pornography’s First Amendment status by first arguing that bareback pornography is sufficiently expressive to merit First Amendment protection under traditional the- oretical justifications, doctrine, and emerging arguments for an expanded interpre- tation of First Amendment protection. This Note then argues that Measure B is a content-based restriction on protected expression and, therefore, should receive the Court’s most demanding scrutiny. Under such a test, Measure B should be deemed unconstitutional. INTRODUCTION ................................................. 1840 R I. “WHERE IN THE CONSTITUTION DOES IT SAY THAT?“ BAREBACK PORNOGRAPHY’S ABILITY TO INVOKE FIRST AMENDMENT PROTECTIONS ............................. 1843 R A. Three Canonized Theories .......................... 1845 R 1. Political Expression Facilitating Self-Government ................................ 1845 R 2. Marketplace of Ideas ............................ 1849 R 3. Individual and Communal Fulfillment .......... 1852 R B. Two Additional Justifications ....................... 1857 R 1.
    [Show full text]
  • Neuropsychiatric Predictors of Occupational Persistence in HIV/AIDS." (2009)
    University of Louisville ThinkIR: The University of Louisville's Institutional Repository Electronic Theses and Dissertations 8-2009 Neuropsychiatric predictors of occupational persistence in HIV/ AIDS. Stephan L. Buckingham University of Louisville Follow this and additional works at: https://ir.library.louisville.edu/etd Recommended Citation Buckingham, Stephan L., "Neuropsychiatric predictors of occupational persistence in HIV/AIDS." (2009). Electronic Theses and Dissertations. Paper 174. https://doi.org/10.18297/etd/174 This Doctoral Dissertation is brought to you for free and open access by ThinkIR: The University of Louisville's Institutional Repository. It has been accepted for inclusion in Electronic Theses and Dissertations by an authorized administrator of ThinkIR: The University of Louisville's Institutional Repository. This title appears here courtesy of the author, who has retained all other copyrights. For more information, please contact [email protected]. NEUROPSYCHIATRIC PREDICTORS OF OCCUPATIONAL PERSISTENCE IN HIV/AIDS by Stephan L. Buckingham B.S., Murray State University, 1982 M.S.S.W., University of Louisville, 1983 A Dissertation Submitted to the Faculty of the Graduate School of the University of Louisville in Partial Fulfillment of the Requirements for the degree of Doctor of Philosophy Kent School of Social Work University of Louisville Louisville, Kentucky August 2009 Copyright 2009 by Stephan 1. Buckingham All rights reserved I NEUROPSYCHIATRIC PREDICTORS OF OCCUPATIONAL PERSISTENCE IN HIV/ AIDS by Stephan L. Buckingham B.S., Murray State University, 1982 M.S.S.W., University of Louisville, 1983 A Dissertation Approved on July 27, 2009 By the following Dissertation Committee: Anna ~ Fa~, Ph.D., Chair Ruth Huber, Ph.D.
    [Show full text]
  • Sex in an Epidemic
    SEX IN AN EPIDEMIC A documentary by Jean Carlomusto 70 Minutes Video, Color, USA, 2010 Contact: Vanessa Domico Phone: 917.520.7392 vdomico@outcast‐films.com 1 SEX IN AN EPIDEMIC Fascinating, informative doc… Festival Screenings Community Screenings Frameline San Francisco LGBT Film Festival AID Atlanta Newfest LGBT Film Festival AIDS Center of Queens County Jacob Burns Film Center AIDS Services Monadnock Region Austin LGBT Film Festival Amethyst Women's Project Berlin AIDS Festival Boston Public Health Commission Brisbane LGBT Film Festival Brotha's and Sista's Florence Queer Film Festival Cascade AIDS Project ImageOut Rochester LGBT Film Festival CHIP Children's Hospital Indianapolis LGBT Film Festival Colorado AIDS Project Milwaukee LGBT Film Fest Dunshee House SASG Out on Film Atlanta Gateway Film Cente Pittsburgh LGBT Film Society Harlem United Tampa LGBT Film Festival HIV Story Project Kansai Queer Film Festival In Our Own Voices Mezipatra Czech LGBT Film Festival Seattle HIV Trials Unit Teatri di Vita Performing Arts Center WORLD 2 SEX IN AN EPIDEMIC Short Synopsis By focusing specifically on the need for honest comprehensive sex education, this engaging documentary provides a sociocultural perspective on the history of the HIV/AIDS epidemic and its ongoing impact on the most effected populations including the gay, African‐American and Latino communities. Incorporating interviews and media footage from the earliest days of the AIDS panic through the present, SEX IN AN EPIDEMIC reminds us that, though the world has been living with the realities of HIV/AIDS for nearly 30 years, ignorance and prejudice about the disease must still be combated.
    [Show full text]