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M94A1850.TXT
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1994-10-24
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Document 1850
DOCN M94A1850
TI The reliability of accounts of the HIV male who claims to maintain a
heterosexual relationship.
DT 9412
AU Pucheu D; Verissimo J; Sion F; Morais de Sa CA; Gaffree and Guinle
University Hospital, Rio de Janeiro, Brazil.
SO Int Conf AIDS. 1994 Aug 7-12;10(1):437 (abstract no. PD0357). Unique
Identifier : AIDSLINE ICA10/94370725
AB OBJECTIVE: Investigating and evaluating, through psychological
interviews, the accounts of HIV-positive males who claim to have been
contaminated through strictly heterosexual relationships. METHOD: 18
low-income. HIV positive men, within the age bracket 25 to 55, were
interviewed at least five times, while undergoing treatment at the
Immunology Division of Clinica Medica B at Hospital Universitario Gafree
e Guinle. The semi-structured interviews aimed at investigating the
sexual lives of the subjects, during the last 7 years and followed the
conceptual framework of psychoanalysis. RESULTS: 100% of the men in the
first interview declared to have contracted HIV through sexual
relationships with prostitutes. As the bonding with the therapist became
stronger, 5 men (27%) revealed they usually had sex with transvestites,
2 (11.1%) affirmed they prostituted themselves for other men and 3
(16.6%) of them exposed some sort of homosexual desires and experiences.
8 men (44%) reached the end of the interviews affirming to have led a
strictly heterosexual sex life. 100% of the men who admitted having had
any type of homesexual experience claimed to play an active part in such
experiences. From the 18 subjects, 10 were married and 8 were single.
From the 8 men who related having had sexual relationships with
transvestites, 50% were married. CONCLUSION: The dread of disclosing a
homosexual behavior regardless of its frequency constructed a denial
mechanism in the subjects. With denial, subjects made use of a
stereotyped criteria to talk about their homosexuality, making a point
of eliciting their role of the active partner. Moreover, it was through
denial that the subjects disclosed their views of what it is to be male
and female in the world, as they reinforced the sexual stereotype and
tried to fit the male role. It was fundamental to elicit that since the
male homosexual relationships are a source of humiliation, they are
denied by males. The patient-therapist bond played a decisive role in
the establishment of more reliable accounts, regarding HIV
contamination, through sexual practices. Thus, it was through the strong
patient-therapist bond that we accessed the more subjective and
unconscious aspects of these men's experiences.
DE Adult Bisexuality Female Homosexuality Human HIV
Infections/*TRANSMISSION Male Middle Age Prostitution *Sex Behavior
Truth Disclosure MEETING ABSTRACT
SOURCE: National Library of Medicine. NOTICE: This material may be
protected by Copyright Law (Title 17, U.S.Code).