Intimacy, Pleasure, Risk, and Safety: Discussion of Cheuvront's “High-Risk Sexual Behavior in the Treatment of HIV-Negative Patients”

Blechner, Mark J.

doi:10.1300/j236v06n03_03

Cited by 24 publications

(13 citation statements)

References 2 publications

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“…One prevention alternative that meets this goal is negotiated safety (Kippax et al 1993). Blechner (2002) similarly proposes that HIV prevention messages emphasize that monogamous, committed, sexual relationships without constraints of safer sex might be a possibility for gay men. Such messages may also help increase men's sense of self-efficacy for LHRB and favorably influence their perceptions of benefits and barriers of HIV prevention methods.…”

Section: Discussionmentioning

confidence: 99%

Barebacking among MSM Internet Users

Berg

2007

AIDS Behav

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This theory-driven study explored the phenomenon barebacking among Men who have Sex with Men (MSM) Internet users. Two hundred and forty men were recruited online and asked to complete a web-based survey. Forty percent of men in this geographically diverse sample reported engaging in bareback sex. Consistent with other research, findings demonstrate that compared with non-barebackers, men who engage in bareback sex are more likely to use alcohol in sexual contexts, use the Internet to meet sex partners, engage in any unsafe sex, and report higher degree of sexual sensation seeking. They are also more likely to report lower perception of safer sex social norms and lower self-efficacy for limiting HIV risk. Lack of concept discrimination between unprotected anal intercourse and barebacking suggests barebacking is a neologism that serves as a manifestation of the changing nature of sexual risk taking among some MSM. Opportunities for reducing the rate of HIV transmission among MSM are suggested.

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Section: Discussionmentioning

confidence: 99%

Barebacking among MSM Internet Users

Berg

2007

AIDS Behav

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“…Some psychologists (Blechner, 2002;Crossley, 2002Crossley, , 2004Forstein, 2002) and social researchers (Holmes & Warner, 2005;Riggs, 2006) view barebacking as culturally situated in an oppressive society in which some gay men feel the need to assert the transgressional aspects of their non-normative sexuality. In effect, according to Crossley and Forstein, barebacking is an unconscious representation of gay men's protest against antiseptic views of sex.…”

Section: Macro Levelmentioning

confidence: 99%

“…Advice to counselors and clinicians working with barebackers was offered from a psychodynamic perspective in an issue of the Journal of Gay & Lesbian Psychotherapy (Blechner, 2002;Cheuvront, 2002;Drescher, 2002;Forstein, 2002;Orange, 2002). A later issue of this journal was released in 2005 as a book entitled Barebacking: Psychosocial and Public Health Approaches, edited by Halkitis, Wilton, and Drescher (2005b).…”

Section: Preventionmentioning

confidence: 99%

Barebacking: A Review of the Literature

Berg

2009

Arch Sex Behav

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This article synthesizes the peer-reviewed literature about barebacking, an HIV risk behavior that is generally understood as intentional unprotected anal intercourse between men where HIV transmission is a possibility. Of the 42 academic reports identified in the Anglophone literature, the greatest attention is given to U.S. publications and empirical projects. The variable nomenclature about barebacking is recognized and it is concluded that although epidemiological data suggest prevalence of barebacking varies across regions, time, and serostatus, the majority of men who have sex with men (MSM) do not intentionally seek out condomless anal sex. Findings show that macro-, meso-, interpersonal-, and intrapersonal level factors, such as homonegativity, community norms, partner intimacy, and drug use, converge to influence the likelihood that an individual will bareback. A conceptual framework to examine the reciprocal and dynamic relationships sustaining barebacking is proposed. In examining the theoretical and methodological limitations of the research about barebacking, the atheoretical nature of the studies, failure to report analyses conducted, and suboptimal measures are included among the study constraints. Furthermore, in research to date, the majority of participants have been white, urban, and gay-identified; thus, more research is needed to capture the viewpoints of diverse MSM communities. There has also been an overly individualistic focus on barebacking which needs to be tempered by greater consideration of the impact of macro- and meso-level factors upon MSM's behavior. With respect to programmatic responses, more culturally bound strategies are called for.

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“…Their findings suggest that the meanings people attach to sex play an important role in the specific practices in which they engage (Remien et al, 1995;Rhodes & Cusick, 2000;Worth, Reid, & McMillan, 2002). These studies have led to the hypothesis that men in HIV-discordant couples face a challenge because of at least two different types of risks: On the one hand, men need to evaluate the risk of infection or re-infection if they do not wear condoms; on the other hand, they need to evaluate how they feel about losing intimacy and mutual connection by wearing condoms to reduce their health risk (Blechner, 2002;Gold, Skinner, & Ross, 1994;Rosenthal, Gifford, & Moore, 1998). The decision seems to be difficult even for well-informed men, as emotional factors are present.…”

Section: Literature Reviewmentioning

confidence: 99%

The Effect of HIV-Discordance on the Sexual Lives of Gay and Bisexual Men in Mexico City

Nieto-Andrade

2009

Journal of Homosexuality

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Drawing upon 44 in-depth interviews with men in HIV-discordant gay couples (only one man is HIV-positive) in Mexico, I explore whether being aware of the risk of primary infection or re-infection leads to protected sex. The results have policy implications, as the findings show that a significant number of men have participated in unprotected sex. An explanation is that these men perceive unprotected sex as an expression of commitment to their relationship. On the other hand, those who reported always using protection during sex perceive that guarding each other's health provides mutual benefit and shows their commitment to their relationship.

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Intimacy, Pleasure, Risk, and Safety: Discussion of Cheuvront's “High-Risk Sexual Behavior in the Treatment of HIV-Negative Patients”

Cited by 24 publications

References 2 publications

Barebacking among MSM Internet Users

Barebacking among MSM Internet Users

Barebacking: A Review of the Literature

The Effect of HIV-Discordance on the Sexual Lives of Gay and Bisexual Men in Mexico City

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