DOCSLIB.ORG

The Medical Condom: Contentions, Challenges and Opportunities for Prep, HIV

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
The Medical Condom: Contentions, Challenges and Opportunities for Prep, HIV The Medical Condom: Contentions, Challenges and Opportunities for PrEP, HIV Prevention, Gay Sexuality and the Gay Male Body A dissertation presented to the faculty of the Scripps College of Communication of Ohio University In partial fulfillment of the requirements for the degree Doctor of Philosophy Dante E. Morelli August 2015 © 2015 Dante E. Morelli. All Rights Reserved. This dissertation titled The Medical Condom: Contentions, Challenges and Opportunities for PrEP, HIV Prevention, Gay Sexuality and the Gay Male Body by DANTE E. MORELLI has been approved for the School of Communication Studies and the Scripps College of Communication by Raymie E. McKerrow Charles E. Zumkehr Professor of Communication Scott Titsworth Dean, Scripps College of Communication ii Abstract MORELLI, DANTE E., Ph.D., August 2015, Communication Studies The Medical Condom: Contentions, Challenges and Opportunities for PrEP, HIV Prevention, Gay Sexuality and the Gay Male Body Director of Dissertation: Raymie E. McKerrow This project studies the phenomena of PrEP, gay health, gay sexuality and HIV/AIDS within the context of the gay male body. To understand all of these phenomena, and how they are mapped on the gay male body, this project will take interviews from 20 Gay Men in addition to various resources to help gain an understanding of this new HIV prevention measure (i.e. PrEP). This dissertation will also discuss the various challenges and opportunities associated with PrEP as it is introduced to the gay community. iii Dedication To my Life Partner, Jeffrey A. Wickersham, Ph.D. Thank you for all of the help and guidance during this journey. iv Acknowledgments First, and foremost, I would like to extend my sincere thanks to my committee – Dr. Raymie McKerrow, Dr. Austin Babrow, Dr. Laura Black and Dr. Gregory Janson. It is never easy for a doctoral student to leave a graduate program without having completed at least a dissertation. Their patience, kindness and guidance were encouraging throughout this process. I especially want to thank Dr. Raymie McKerrow who had incredible patience with me as I submitted drafts to him. Secondly, I would like to thank the School of Communication Studies at Ohio University for allowing their doctoral students to pursue topics and ideas that are personally meaningful. The faculty and students have allowed plenty of space at the “scholarly table” to explore and learn from one another in a way that is collegial and supportive – no person, nor idea, is treated with inferiority thanks to this embracing culture. I would also like to thank some personal friends who have been encouraging throughout this process. Dr. Tennley Vik and Dr. Rebecca Mercado Thornton have been a huge support especially when I needed it most. I would like to thank my office mates Dr. Josie DeGroot Brown and Dr. Anna Wiederhold for all of the great laughs and support. Special thanks to Dr. Keith Berry who talked me through my insecurities about writing, thinking and researching. He taught me that this project is “simply a moment in time.” I would also like to thank my colleagues in the Communication Department at Suffolk County Community College on Long Island, NY. I am also grateful that I was granted a sabbatical to finish this project. Also, I am thankful for the incredible students v at Suffolk who are curious about my project and ask for updates about the completion of this dissertation. I also want to thank all of the Gay Men who gave me their time as interview participants. It is not easy to put one’s self out there to talk about sexuality and sexual practices – I am honored that they let me into that part of their lives and trusted me with their stories. Their narratives are extraordinarily powerful and they are the centerpiece of this project. Finally, a sincere thanks to my life partner Dr. Jeffery Wickersham, an incredible researcher, who encouraged me to pursue this topic and guided me to many helpful resources I used in this project. vi Table of Contents Page Abstract .............................................................................................................................. iii Dedication .......................................................................................................................... iv Acknowledgments............................................................................................................... v List of Tables ..................................................................................................................... xi List of Figures ................................................................................................................... xii Chapter 1: Introduction ....................................................................................................... 1 Introduction ..................................................................................................................... 3 HIV Statistics .................................................................................................................. 4 HIV Care & Treatment ................................................................................................. 10 PrEP & HIV Prevention ................................................................................................ 16 HIV, MSM/G, & Barebacking ...................................................................................... 18 Conceptualizing PrEP ................................................................................................... 20 Perception of PrEP. ................................................................................................... 27 Criticism & barriers of PrEP. .................................................................................... 28 Research Questions ....................................................................................................... 34 Chapter 2: Body Theory.................................................................................................... 39 The Body, Gay Health, & Sexuality ............................................................................. 39 Biopower: Disciplining Bodies ..................................................................................... 41 The Gay Male Body ...................................................................................................... 49 The Body & Corporeal Rhetoric ................................................................................... 57 Body Image, Mapping, & the Mobius Strip ................................................................. 60 PrEP & the Meaning of HIV/AIDS .............................................................................. 65 Conclusion .................................................................................................................... 67 Chapter 3: Contextualizing the Gay Male Body ............................................................... 68 Gay Health .................................................................................................................... 68 Other indicators of gay health. .................................................................................. 74 Navigating the Gay Male Body .................................................................................... 76 Talking about gay male bodies. ................................................................................ 79 Sexuality & gay male bodies. ................................................................................... 80 Gay Sexuality: Barebacking ......................................................................................... 85 vii The gay community & history of barebacking. ........................................................ 86 What is barebacking? ................................................................................................ 89 Technical definitions. ................................................................................................ 89 Barebacking as identity. ............................................................................................ 92 Why MSM/G bareback. ............................................................................................ 96 The prevalence of barebacking today. .................................................................... 101 Gay Men, barebacking, & the internet. ................................................................... 102 Gay Men & bareback pornography. .................................................................... 108 Resistance to Condoms & Criticism of Public Health Campaigns ............................. 112 Resistance & Criticism towards Barebacking ............................................................ 115 Conclusion .................................................................................................................. 115 Chapter 4: Method .......................................................................................................... 117 Why Interviewing? ..................................................................................................... 118 Participant Recruitment .............................................................................................. 122 Interview Data Collection ........................................................................................... 124 Interview Protocol ....................................................................................................... 125
Load more

Recommended publications
  • Exploring the Narratives of Prep Discontinuation Prep, the Acronym
    From training wheels to chemical condoms: exploring the narratives of PrEP discontinuation This paper explores experiences of PrEP, a HIV-prevention intervention, among bugchasers, gay men who eroticise HIV. While PrEP has been hailed as a ‘game changer’ in HIV-prevention, little attention has been paid to why and how some people may discontinue it in the face of HIV risk, such as bugchasers do. This paper relies on interview data with bugchasers themselves to discuss the process of discontinuation and its effects. The paper argues that, for these men, discontinuation is a fluid, complex and sometimes contradictory process. It also describes how participants perceived themselves as being at different stages of discontinuation. The paper also analysed how these men saw PrEP as a barrier to intimacy, risk and a tool to negotiate their desires and identity: through discontinuing PrEP, these men were able to reflect on and build their identities as bugchasers. Keywords: PrEP, HIV, sexual health, discontinuation, adherence. PrEP, the acronym for pre-exposure prophylaxis refers to the use of antiretroviral medication to prevent HIV infection in those at risk of it. Since the US Food and Drug Administration (FDA) approved it in 2012, PrEP has been hailed as a ‘game changer’ in HIV prevention and has become a ‘hot topic’ in debates around sexuality (Brady 2015; Rhoden-Paul 2019). While PrEP is available for a range of people, these debates have mostly crystallized around gay men’s use of it. PrEP, which has become the latest element in the toolbox of HIV prevention, is believed to have played a significant role in the 29% decrease in new infections among gay and bisexual men in London in 2016 (Brown, et al.
    [Show full text]
  • Adam4adam Asianfriend Dearly Beloved Bitch Behind Bars The
    #1035 nightspots February 2, 2011 Adam4Adam AsianFriend Dearly Beloved Bitch Behind Bars 2 The Tongue Upright Citizen Chica Grande Jeepers Piepers 5sum Bent Boriqua Mr. Perfect Stranglers 5 1 Minerva Wrecks Circuit Daddy The Continental Shameless Boi-lesque ASS Da Gay Mayor Adam5Adam 1 Happy The richness Valentines, of Amanda Nightspots-style. Lepore. page 13 page 11 That Guy by Kirk Williamson In lieu of my column this week... [email protected] JOSEPH J. MAGGIO Joseph J. Maggio, age 58, passed away suddenly at his home on January 17. Best Friend and life partner of Jimmy Keup, Joe was the love of his life. Devoted son to the late Tina Riotto and the late Bartolo Maggio; brother of Maria (David) Guzik; and uncle to Mathew. Joe was a graduate of St. Partrick High School, received his Bachelor’s degree from Loyola University and his Master’s degree from Northeastern University. He began his long career as a teacher at Notre Dame High School for Girls in 1977. For the last 20 years, Joe taught math at St. Ignatius College Prep, and was honored to serve as coach of their Math Team. Among his other passions in life were real estate development, The Jackhammer Bar and The Ashland Arms Guest House. A Celebration of Life will take place Sat., February 12, 2011, from 2-4 p.m. at Unity in Chicago, 1925 W. Thome Avenue, Chicago, IL 60660. The celebration will then move to Jackhammer, 6406 N. Clark St. Donations to Alzheimer’s Association would be appreciated. PUBLISHER Tracy Baim ASSISTANT PUBLISHER Terri Klinsky nightspots MANAGING EDITOR
    [Show full text]
  • Slang Terms and Code Words: a Reference for Law Enforcement
    UNCLASSIFIED Slang Terms and Code Words: A Reference for Law DEA Enforcement Personnel Intelligence DEA-HOU-DIR-022-18 July 2018 ReportBrief 1 UNCLASSIFIED UNCLASSIFIED DEA Intelligence Report Executive Summary This Drug Enforcement Administration (DEA) Intelligence Report contains new and updated information on slang terms and code words from a variety of law enforcement and open sources, and serves as an updated version to the product entitled “Drug Slang Code Words” published by the DEA in May 2017. It is designed as a ready reference for law enforcement personnel who are confronted with hundreds of slang terms and code words used to identify a wide variety of controlled substances, designer drugs, synthetic compounds, measurements, locations, weapons, and other miscellaneous terms relevant to the drug trade. Although every effort was made to ensure the accuracy and completeness of the information presented, due to the dynamics of the ever-changing drug scene, subsequent additions, deletions, and corrections are inevitable. Future addendums and updates to this report will attempt to capture changed terminology to the furthest extent possible. This compendium of slang terms and code words is alphabetically ordered, with new additions presented in italic text, and identifies drugs and drug categories in English and foreign language derivations. Drug Slang Terms and Code Wordsa Acetaminophen and Oxycodone Combination (Percocet®) 512s; Bananas; Blue; Blue Dynamite; Blueberries; Buttons; Ercs; Greenies; Hillbilly Heroin; Kickers; M-30s;
    [Show full text]
  • Affirmative Action for Lesbians and Gay Men: a Proposal for True Equality of Opportunity and Workforce Diversity
    Affirmative Action for Lesbians and Gay Men: A Proposal for True Equality of Opportunity and Workforce Diversity Jeffrey S. Byrnet The status quo that privileges certain groups over others cannot be changed, except self-consciously.... We cannot ensure that our institu- tions reflect the ideals of equality, fairness, and equal opportunity which are part of our culture without affirmative action.' [Gay and lesbian people] don't need affirmative2 action-we're already here. We need the freedom to be visible. Despite the prominence of both "affirmative action" and "gay and lesbian rights"' at the center of the civil rights debate in the United States, remarkably little thought has been given to affirmative action for lesbians and gay men.4 When the issue of affirmative action for gay and lesbian people is raised at all, it is almost always mentioned as a feared result of enacting antidiscrimination laws ,5 is occasionally cited briefly in a footnote, 6 or is simply presented t Law Clerk to Chief Justice Joseph P. Warner, Massachusetts Appeals Court. J.D., Harvard Law School, 1992; A.B., Boston College, 1989. The views expressed in this article are my own. My thanks to Bill Rubenstein for his guidance on this article and to David Chamy for helpful comments on an earlier draft. I also thank Peter M. Cicchino, Elizabeth F. Mason, Brian N. Eisen, and Trenton H. Norris for their challenging questions and insightful suggestions. Bryan Tramont has been a remarkably talented and sensitive editor. Most of all, I am grateful to Bruce Deming for his encouragement, sagacity, and spirit.
    [Show full text]
  • Semen Arousal: Its Prevalence, Relationship to HIV Risk Practices
    C S & lini ID ca A l f R o e l s Klein, J AIDS Clin Res 2016, 7:2 a e Journal of n a r r DOI: 10.4172/2155-6113.1000546 c u h o J ISSN: 2155-6113 AIDS & Clinical Research Research Article Open Access Semen Arousal: Its Prevalence, Relationship to HIV Risk Practices, and Predictors among Men Using the Internet to Find Male Partners for Unprotected Sex Hugh Klein* Kensington Research Institute, USA Abstract Purpose: This paper examines the extent to which men who use the Internet to find other men for unprotected sex are aroused by semen. It also looks at the relationship between semen arousal and involvement in HIV risk practices, and the factors associated with higher levels of semen arousal. Methods: 332 men who used any of 16 websites targeting unprotected sex completed 90-minute telephone interviews. Both quantitative and qualitative data were collected. A random sampling strategy was used. Semen arousal was assessed by four questions asking men how much they were turned on by the way that semen smelled, tasted, looked, and felt. Results: 65.1% of the men found at least one sensory aspect of semen to be “fairly” or “very” arousing, compared to 10.2% being “not very” or “not at all” aroused by all four sensory aspects of semen. Multivariate analysis revealed that semen arousal was related to greater involvement in HIV risk practices, even when the impact of other salient factors such as demographic characteristics, HIV serostatus, and psychological functioning was taken into account. Five factors were found to underlie greater levels of semen arousal: not being African American, self-identification as a sexual “bottom,” being better educated, being HIV-positive, and being more depressed.
    [Show full text]
  • Gay Subculture Identification: Training Counselors to Work with Gay Men
    Article 22 Gay Subculture Identification: Training Counselors to Work With Gay Men Justin L. Maki Maki, Justin L., is a counselor education doctoral student at Auburn University. His research interests include counselor preparation and issues related to social justice and advocacy. Abstract Providing counseling services to gay men is considered an ethical practice in professional counseling. With the recent changes in the Defense of Marriage Act and legalization of gay marriage nationwide, it is safe to say that many Americans are more accepting of same-sex relationships than in the past. However, although societal attitudes are shifting towards affirmation of gay rights, division and discrimination, masculinity shaming, and within-group labeling between gay men has become more prevalent. To this point, gay men have been viewed as a homogeneous population, when the reality is that there are a variety of gay subcultures and significant differences between them. Knowledge of these subcultures benefits those in and out-of-group when they are recognized and understood. With an increase in gay men identifying with a subculture within the gay community, counselors need to be cognizant of these subcultures in their efforts to help gay men self-identify. An explanation of various gay male subcultures is provided for counselors, counseling supervisors, and counselor educators. Keywords: gay men, subculture, within-group discrimination, masculinity, labeling Providing professional counseling services and educating counselors-in-training to work with gay men is a fundamental responsibility of the counseling profession (American Counseling Association [ACA], 2014). Although not all gay men utilizing counseling services are seeking services for problems relating to their sexual orientation identification (Liszcz & Yarhouse, 2005), it is important that counselors are educated on the ways in which gay men identify themselves and other gay men within their own community.
    [Show full text]
  • Bear Movement by Matthew D
    Bear Movement by Matthew D. Johnson Encyclopedia Copyright © 2015, glbtq, Inc. Entry Copyright © 2004, glbtq, inc. Pedro Veral, Mr. Reprinted from http://www.glbtq.com International Bear 2006, on the cover of A Bear's Life, one of several Less a unitary social movement than an alternate mode of gay male identification, the magazines serving the Bear Movement has inspired an increasing number of organizations, events, Bear community. publications, and resources around the United States (and expanding overseas via the Courtesy A Bear's Life. Internet) dedicated to affirming and eroticizing large-bodied, hirsute gay men, known as Bears. Origins and Development Bear culture has its origins in informal "chubby and chubby-chaser" networks among gay men in the late 1960s and early 1970s. Big men and their admirers played a role in the increasing diversification and specialization of identity-based gay organizations in the mid-1970s. The first chapter of Girth and Mirth, now an organization with chapters in cities worldwide, was founded in 1976. The Bear phenomenon may rightly be seen as an outgrowth of this organization as well as the informal friendship and sex networks that inspired it. Bears, properly speaking, made their debut in the gay male collective consciousness with the appearance of specialty erotic magazines in the late 1980s and early 1990s. Bear magazine was the first to utilize the name. Like other specialty erotic publications of the period, Bear had its origins as a small-format, photocopied fanzine, which was later transformed into a full-sized glossy magazine produced by the commercial San Francisco pornography outlet, Brush Creek Media.
    [Show full text]
  • Sexual Adventurism Cover 2
    Sexual AdventurismAdventurism among Sydney gay men Gary Smith Heather Worth Susan Kippax Sexual adventurismadventurism among Sydney gay men Gary Smith Heather Worth Susan Kippax Monograph 3/2004 National Centre in HIV Social Research Faculty of Arts and Social Sciences The University of New South Wales Copies of this monograph or any other publication from this project may be obtained by contacting: National Centre in HIV Social Research Level 2, Webster Building The University of New South Wales Sydney NSW 2052 AUSTRALIA Telephone: (61 2) 9385 6776 Fax: (61 2) 9385 6455 [email protected] nchsr.arts.unsw.edu.au © National Centre in HIV Social Research 2004 ISBN 1 875978 78 X The National Centre in HIV Social Research is funded by the Commonwealth Department of Health and Ageing and is affiliated with the Faculty of Arts and Social Sciences at the University of New South Wales. CONTENTS ACKNOWLEDGMENTS ii report summary 1 KEY FINDINGS 1 Part 1 Sexual adventurism and subculture 1 Part 2 Sexual practice and risk 1 Part 3 Drug use 2 RECOMMENDATIONS 3 introduction 5 background and method 7 BACKGROUND 7 Defining ‘culture’ and ‘subculture’ 8 METHOD 9 Recruitment and data analysis 9 The sample 9 thematic analysis 11 PART 1 SEXUAL ADVENTURE AND SUBCULTURE 11 Adventurism as non-normative sex 11 Individual and group change over time 13 Adventurous spaces for sex 15 Transgression 15 A subculture of sexual adventurism 16 PART 2 SEXUAL ADVENTURISM AND SAFE SEX 19 Casual sex, adventurism and risk 20 HIV-negative men and unsafe sex 20 HIV-positive men and unsafe sex 22 Disclosure of HIV status: a double bind 25 PART 3 DRUG USE AND ADVENTUROUS SEX 26 Managing drug use 27 Sexual safety and drug use 29 REFERENCES 31 i ACKNOWLEDGMENTS This report is the product of the efforts many people.
    [Show full text]
  • Anal Lickfest Review Reviewed: 12/05/2006 (Updated: 09/02/2007) Porn Reviews Bisexual Reviews Adult Reviews
    Anal Lickfest Review Reviewed: 12/05/2006 (Updated: 09/02/2007) Porn Reviews Bisexual Reviews Adult Reviews Introduction Some sites are hard to figure out just from their name alone. Anal LickFest is not one of them. This site offers all the anilingus, felching, and oral ass play that any enthusiast could ever ask for. These are gorgeous sluts getting interviewed as they eat ass and earn a well felched cumshot! Adult Review Ever wonder what happened to Khan Tusion and the rest of the guys from the Meatholes site when it stopped updating? The production crew from Meatholes is still active and their current project sets a new standard for backdoor filth! If you were a Meatholes member in the past, joining up to see what the guys have gotten into now is something you will want to consider doing. Anal Lickfest includes all the psychodrama and interview expertise that only Khan Tusion can provide. His pre-shoot talks with the ladies about to perform for Anal Lickfest are worth the price of admission all by themselves. He gets them to use their real names, finds out their nicknames and even gets some of these gals to tell you what high-school they really went to! Perhaps you'll see someone you recognize. Each scene features two stunning starlets who spend some couch time with Khan answering questions about their private lives, what their parents do for a living and more. When Khan finds a juicy nugget that strikes a nerve he delves deeper and the scene only gets hotter.
    [Show full text]
  • Implementing Comprehensive HIV and STI Programmes with Men Who
    IMPLEMENTING COMPREHENSIVE HIV AND STI PROGRAMMES WITH MEN WHO HAVE SEX WITH MEN: PRACTICAL GUIDANCE FOR COLLABORATIVE INTERVENTIONS For more information, contact: Implementing Comprehensive United Nations Population Fund 605 Third Avenue HIV and STI Programmes with New York, NY 10158 USA Men Who Have Sex with Men www.unfpa.org PRACTICAL GUIDANCE FOR COLLABORATIVE INTERVENTIONS Empowered lives. Resilient nations. Implementing Comprehensive HIV and STI Programmes with Men Who Have Sex with Men PRACTICAL GUIDANCE FOR COLLABORATIVE INTERVENTIONS Empowered lives. Resilient nations. Recommended citation: United Nations Population Fund, Global Forum on MSM & HIV, United Nations Development Programme, World Health Organization, United States Agency for International Development, World Bank. Implementing comprehensive HIV and STI programmes with men who have sex with men: practical guidance for collaborative interventions. New York (NY): United Nations Population Fund; 2015. © United Nations Population Fund 2015 The designations employed and the presentation of material in maps in this publication do not imply the expression of any opinion whatsoever on the part of UNFPA concerning the legal status of any country, territory, city or area or its authorities, or concerning the delimitation of its frontiers or boundaries. Cover photograph courtesy of Nadia Rafif, The Global Forum on MSM & HIV. Layout L’IV Com Sàrl, Villars-sous-Yens, Switzerland. Contents Acknowledgements ............................................................... vii Acronyms
    [Show full text]
  • Food Diet for Transgender Before Hormone Replacement Therapy
    ====================================================================== Language in India www.languageinindia.com ISSN 1930-2940 Vol. 19:1 January 2019 India’s Higher Education Authority UGC Approved List of Journals Serial Number 49042 ===================================================================== Food Diet for Transgender before Hormone Replacement Therapy Dr. K. Sindhu, Asst. Professor and M. Aravindh, Ph.D. Scholar ======================================================================= This paper describes some of the healthcare needs of transgender people before hormone replacement therapy. Gender identity is one of the most important concerns of human psychology. Sexual identity causes big humiliation for transgenders. They need steady help and support from the health care centers. The situation still gets worst when they do not get sufficient support from their own kin, as well as society. “In a survey, 28 percent of participants (transgender people) reported postponing medical care due to discrimination from their health care providers, while 19 percent reported being refused medical care completely” (Breeding Zachari). Lack of knowledge about the gender identity disorder and absence of defined conventions in the society may be the major attributes for this problem. Transgender people are already in a constant inner conflict between soul and body. This conflict with the society leads to hampered communications and miscellaneous relationships within family, friends and colleagues. Transgender people are often rejected by their parents, peers, and marginalised in the society. They are frequently not engaged in necessary mental and physical health care due to barriers arising from both their gender minority status and the barriers associated with homelessness. In order to improve transgender individuals’ health, a rightly dosage of food is must. It is important to understand the conditions for which this population is most at risk, the role of food during the hormone therapy.
    [Show full text]
  • Gaydar: Eye-Gaze As Identity Recognition Among Gay Men and Lesbians
    60 Sexuality & Culture / Winter 2004 GAYDAR: EYE-GAZE AS IDENTITY RECOGNITION AMONG GAY MEN AND LESBIANS Cheryl L. Nicholas University of Oklahoma 1310 W. Boyd, Norman, OK 73069 ([email protected]) This paper examines eye-gaze associated with identity recognition among gay men and lesbians. Eye-gaze is argued to be crucial to forces that either trigger or reinforce one gay person’s perception of another person’s gay iden- tity during social encounters. “Gaydar” is the folk concept used within the gay and lesbian culture to name this identity recognition device. An ethnography on Gaydar conducted over a period of three years reveals that eye-gaze in relation to Gaydar includes two different variations of visual contact, the direct and the broken stare. These types of gaze can be accentuated by the presence of other forms of nonverbal communication such as posture, ges- tures, and smiles. Consciousness in relation to eye-gaze is also discussed to be a distinct trigger and reinforcer of gay and lesbian identity recognition. Gay identity lacks defining phenotypical characteristics. As such, gay and lesbian group affiliation is ascertained on the basis of the participative behavior around shared systems of meanings among group members. Along with verbal communication, non-verbal behavior acts as one of the primary tools of identity recognition within the gay community. The folk concept used within the gay community to name the recognition of verbal and non-verbal be- havior associated with gay identity is “Gaydar.” Originating as a pun borrowed from the term “radar,” the tag Gaydar suggests that members of the gay and lesbian culture along Sexuality & Culture, Winter 2004, Vol.
    [Show full text]