“…This pattern of secrecy, due to fear of rejection, unresolved feelings of guilt or shame, or estranged relationships, can continue throughout their adult lives. As a result, friends, frequently other men who are gay, become primary caregivers during periods of illness (Hayes, Chauncey, & Tobey, 1990;Wolfe, 1992;Zich & Temoshek, 1987). In addition, many men who are gay have suffered multiple losses of friends or lovers dying from AIDS-related illnesses.…”