Part 2: Fear of contagion, fear of intimacy

In this second part of the trilogy, I review the concepts of panic, the Theory of Cognitive Dissonance, and how internally inconsistent opinions and attitudes can be made consistent (or consonant). The theory explains, in some measure, how AIDS has been socialized into our thinking about identity, and goes beyond a medical condition. The pervasive identification of gay men with HIV and AIDS has resulted for many in an over-identification with fears of contagion and on a societal level in a fear of all gays as pools of contagion. The conversion of dissonance to consonance has taken many forms; within the gay community it has resulted in the rejection of the "100% safe-100% of the time" safe-sex message, and the adoption (for many) of a new form of deviant label-someone who is not in conformity with the social norm of gay community sexual behavior. However, we shall see that this so-called norm is a sham-that many gay men do not, as a rule, practice safe(r) sex on a consistent basis. This information indicates that the educational efforts of the last decade have at best lost their potency, and at worst were less than efficacious to begin with. The dissonant messages have also informed both the construction of the gay community and its interpretation of what it means to be gay. The result has been a tri-lateral perception of HIV and AIDS as either a medical, political or a social phenomenon. This fragmented understanding has exacerbated the already polarized ASOs and GSOs in that each has determined its ideology based on a particular interpretation of HIV and AIDS. This polarization has been operationalized by the GSOs and ASOs primarily in the manner by which they define their target markets, and more importantly, in the manner by which they exclude certain gays from participation. At the extreme, some gay men feel entirely left out of the community, and are consequently unable to convert their dissonance regarding being gay into consonance, if only by developing some associational ties with the community. The central question of the sustainability of the gay movement is thus partly answered by restating the nature of the fractures in the community. Kiesler's determinants regarding change relate directly to the sustainability question-can GSOs and ASOs, given their pluralistic ideologies and constituencies, break free of the constraints that are posed by these determinants? Would the adherents and conscious constituents defect from their organizations, and form new ones (thus reifying the fractures that already exist)? On the other hand, is there a sense of community and identity that will function as a bonding agent to encourage coalition building and social reorganization? The matter may turn on the issue of selective rewards: can a coalition of ASOs and GSOs provide staff, volunteers and clients sufficient motivation for making the inevitable compromises? Given the selective nature of the rewards, as they now stand, the probability of being able to so do is remote. The influence of the non-gay community, as well as the attitudes and beliefs of the majority of gays who do not belong to any gay organizations, hampers success.     

Part 1: HIV as'the line in the sand'

There is a growing rift between HIV-positive and HIV-negative gay men, which finds expression in social, economic, structural and political divisiveness that, if not resolved, may 'kill' the "gay liberation movement." While disasters generally tend to create organizational solidarity, the AIDS crisis has operated in reverse, spawning a variety of competitive AIDS service organizations, alienating seropositive gays from the mainstream gay community, and in turn disenfranchising seronegative gay men as human and financial resources are redirected toward persons living with HIV and AIDS. Serostatus has become a social marker of societal status, operating in a bimodal discriminatory manner. Seronegative gay men experience discrimination from within the gay community as funding for and services to this sector diminish. Seropositive gay men (and the organizations that provide for some of their needs) have culturally, economically and socially dismissed the socio/psychological needs of seronegative gay men (survivor guilt, safer sex education, etc.) in favour of providing social and resource-based services to seropositive gay men. As the disparities in service and advocacy increase, the social distance between the gay movement and the AIDS movement correspondingly increases. If this trend continues, the social gap will serve further to push HIV-positive and HIV-negative gay men into polarized camps, resulting in a wider separation of the gay movement and the AIDS movement. The stigmatization of HIV-positive people will subsequently increase both within and outside the gay movement, and any ability to present a unified Gay Liberation front will correspondingly diminish. Additionally, the emergent notion within and without the gay communities that to be gay is to be HIV-positive will solidify. This will (a) further stigmatize all gay men in the eyes of the non-gay population, and (b) exacerbate the rift between HIV-positive and HIV-negative gay men within the gay community, reversing the stigma of HIV such that to be HIV-negative will be a marker of non-gay identity. In short, seropositivity will become the defining element of gayness.     

Community Cleavages: Gay and Bisexual Men’s Perceptions of Gay and Mainstream Community Acceptance in the Post-AIDS,Post-Rights Era

Changes in gay and bisexual men’s connectedness to the gay community are related to the declining public visibility of HIV/AIDS and greater acceptance for homosexuality and bisexuality in mainstream society. Little work, however, has focused on perceived acceptance for subgroups within the gay community or broader society. Using interviews (n = 20) and a survey (n = 202) of gay and bisexual men in a mid-sized Canadian city, we find perceived hierarchies of acceptance for the various subgroups as well as an age effect wherein middle-aged men perceive the least acceptance for all groups. These differences are linked with the uneven impact of social, political, and institutional changes relevant to gay and bisexual men in Canada.     

Moving Toward a Holistic Conceptual Framework for Understanding Healthy Aging Among Gay Men

In the last four decades, we have witnessed vast and important transitions in the social, economic, political, and health contexts of the lived experiences of gay men in the United States. This dynamic period, as evidenced most prominently by the transition of the gay rights movement to a civil rights movement, has shifted the exploration of gay men’s health from one focusing primarily on HIV/AIDS into a mainstream consideration of the overall health and wellbeing of gay men. Against this backdrop, aging gay men in the United States constitute a growing population, for whom further investigations of health states and health-related disparities are warranted. In order to advance our understanding of the health and wellbeing of aging gay men, we outline here a multilevel, ecosocial conceptual framework that integrates salient environmental, social, psychosocial, and sociodeomgraphic factors into sets of macro-, meso-, and micro-level constructs that can be applied to comprehensively study health states and health care utilization in older gay men.     

The relative importance of ethnicity and religion in predicting attitudes towards gays and lesbians

Using data from a sample of college students from several campuses throughout the United States, this research examines whether ethnic differences (African Americans versus European Americans) in attitudes toward gays and lesbians are a function of religious attendance. Multiple regressions were run separately for attitudes towards lesbians and attitudes toward gay men. When predicting attitudes toward lesbians, ethnic differences were present in the absence of religious attitudes; however, when religious attitudes were entered into the model, ethnic differences disappeared. In predicting attitudes toward gay men, ethnic differences were never present, while religious attitudes were always statistically significant. We conclude that differences in attitudes toward homosexuals in general, and gay men specifically, are not necessarily a function of ethnicity but possibly of religious attendance and the effect of the "Black church." We end with a discussion of the link between ethnicity, religion, HIV/AIDS, and heterosexism in the African American community.     

Gay, Orthodox, and trembling: the rise of Jewish Orthodox gay consciousness, 1970s-2000s

In 2001, the documentary movie, Trembling Before God, was played in Jewish and gay film festivals around the world, provoking strong emotional reactions. Trembling Before God comprises interviews with Orthodox Jewish gay and lesbian persons who vividly and movingly describe their struggles to live their lives as observant Jewish people, being faithful at the same time to their sexual desires and their religious tradition. Almost all the people interviewed in the movie expressed mixed emotions: love towards their tradition and attachment to their community of faith, coupled with resentment against a community, which in their eyes failed to respond with understanding to their emotional needs, thus adding to their pain. This article aims to modify the picture portrayed in the movie. The dilemmas and struggles of gays and lesbians who live their lives in Orthodox Jewish communities are indeed real. Orthodox gays and lesbians experience a greater dissonance between their sexuality and the values of their community and therefore face more anxieties and inner turmoils than gays and lesbians who live in more permissive environments. The struggles of gay and lesbian Orthodox Jews, however, are not necessarily greater than those of gays and lesbians who live their lives in other conservative communities. In fact, while it is almost impossible to be a sexually active gay or lesbian and a practicing Southern Baptist, Seventh-Day Adventist, Jehovah's Witness, or Mormon, it is not impossible for gays and lesbians to live their lives in an Orthodox Jewish environment. Amazingly, since the 1970s, thousands of gays and lesbians have given up on liberal environments and joined the ranks of traditionalist Jewish congregations.     

The interaction of drag queens and gay men in public and private spaces

This study examines the issue of internal segregation within the gay community, focusing on the ways by which the drag queen subculture is distanced from larger mainstream gay society. Through the use of institutional ethnography, symbolic interactionism, and a naturalist approach to sociology, the researchers sought to understand the subjective experience of the drag queen, in particular how drag queens perceive their interactions with mainstream gay society. Data for this study were collected through a series of observations conducted in a variety of spatial contexts and interviews with 18 drag queens. Findings indicate that spatial distance between the drag queens and the mainstream gay men is dependent on both the social context and the level of professionalization of the drag queen. Although drag queens' perceptions of their status in the gay community are also dependent on the latter, discussions of relationship difficulties and the quest for a long-term romantic partner illustrate that discrimination within the gay community is both widespread and complex.     

A double epidemic: crystal methamphetamine drug use in relation to HIV transmission among gay men

Emerging research on methamphetamine use among gay men suggests that growth in the use of this drug could present serious problems for HIV/AIDS prevention within the gay community. This article summarizes current studies on the extent, role, and context of methamphetamine use among gay men and its relationship to high risk sexual behaviors related to HIV transmission. Methamphetamine is often used by gay men to initiate, enhance, and prolong sexual encounters. Use of the drug is, therefore, associated with particular environments where sexual contact among gay men is promoted, such as sex clubs and large "circuit" parties. Research with gay and bisexual men indicates that methamphetamine use is strongly associated with risky sexual behaviors that may transmit HIV. This relationship, coupled with emerging evidence that methamphetamine use is on the rise among gay men, suggests that the drug could exacerbate the HIV/AIDS epidemic among this community. The article offers recommendations for further research and suggestions for prevention programs regarding methamphetamine use by gay men.     

Sexual orientation and education politics: gay and lesbian representation in American schools

In what has sometimes provoked a "culture war" over America's schools, gays and lesbians have sought an expanded voice in the making of education policy. This paper explores the factors that promote gay representation on school boards, how this variable in turn influences gay representation in both administrative and teaching positions, and how all three forms of gay representation relate to school board policies regarding sexual orientation education. Three of the four models drawn from the social movement literature help to explain gay school board representation. In a manner similar to other minority groups, gay representation on school boards directly or indirectly promotes the appointment of gays to administrative and teaching positions and the adoption of policies that address the problems faced by gay and lesbian students in the public schools.     

Cultural value orientations, internalized homophobia, and accommodation in romantic relationships

In the present study, we examined the impact of cultural value orientations (i.e., the personally oriented value of individualism, and the socially oriented values of collectivism, familism, romanticism, and spiritualism) on accommodation (i.e., voice and loyalty, rather than exit and neglect, responses to partners' anger or criticism) in heterosexual and gay relationships; and we examined the impact of internalized homophobia (i.e., attitudes toward self, other, and disclosure) on accommodation specifically in gay relationships. A total of 262 heterosexuals (102 men and 162 women) and 857 gays (474 men and 383 women) participated in the present study. Consistent with hypotheses, among heterosexuals and gays, socially oriented values were significantly and positively related to accommodation (whereas the personally oriented value of individualism was unrelated to accommodation); and among gays in particular, internalized homophobia was significantly and negatively related to accommodation. Implications for the study of heterosexual and gay relationships are discussed.     

Gay men with AIDS: perceptions of social support and adaptational outcome

Using a multivariate design, this study examined social support as a mediating variable between the stressor of AIDS and adaptational outcome in a culturally and socioeconomically diverse sample of 60 urban gay men with AIDS. Whereas earlier studies have suggested that social support for gay men with AIDS is often lacking or ineffective, findings in this study indicated that family of origin and friends may provide more support to gay men with AIDS than has been generally recognized. Both family of origin and friend support were strongly correlated with positive outcomes, indicating that social support was not only forthcoming but was also effective. The relationship between family of origin support and positive outcomes was particularly strong.     

Community in gay male experience and moral discourse

The three sociological conceptions of community are outlined: the imagined community, community as friendship, and community as local organizations or groups. The extent to which gay men in New York City experience a gay community in each of these ways is investigated by means of in-depth interviews. The type of moral discourse utilized by the gay men interviewed is also discussed. Finally, gay men in New York City are compared to the new Russian Jewish community in Brooklyn as to which is more "postmodern."     

Feminist collectives or private owners: both used media to advance lesbian goals

From the 1970s in Australia, feminist collectives published lesbian magazines that challenged gay male thinking, the women’s movement, and mainstream society. From the late 1980s such publishing ventures were increasingly undertaken by privately-owned publishing businesses. Responding to change around them, the political project for these private media ventures shifted from radical restructuring of society to promotion of lesbian community. Their publishers developed synergies with this developing community that expanded advertising revenues and distribution, and assisted the growth of both community and the publications. This led to greater readership reach and a range of relationships with mainstream businesses that further built community and made lesbians more visible.     

The gay cousin: learning to accept gay rights

In 1996-97 the author interviewed 73 civic leaders in Hamilton, Ontario, Canada, on their attitudes toward gay rights. Twelve respondents opposed gay rights, 40 were moderately favorable to gay rights, and 21 were strongly favorable. Almost all favored basic equality rights (education, housing, employment), and only 10 said they had difficulty with gay sexuality. Twenty-seven volunteered a concern with gay "flaunting," but this did not mean that they necessarily opposed gay rights. Respondents had the most difficulty accepting the rights of gays to marry and to adopt children, although almost all of those who opposed gay marriages agreed with the idea of a legal domestic partnership. Most agreed that children should be taught about homosexuality in schools. These 73 civic leaders reflect the rapidly changing attitudes to gay rights in Canada as a whole. Their more favorable attitudes were often a consequence of learning that someone close to them was gay or lesbian. They also responded to changes in religious teaching. Most respondents, including recent immigrants, were influenced by the dominant Canadian values of equality, respect for privacy, and respect for diversity. In general, the process these civic leaders were undergoing was one of humanizing gays, no longer thinking of them as the Other. In their view, human rights for gays did not mean mere formal equality, but rather concern and respect for gays.     

"Fag church": men who integrate gay and Christian identities

It is usually assumed that being gay or lesbian and being Christian is contradictory. The eight men who participated in this qualitative inquiry demonstrate otherwise. I investigated the ways in which these men integrated their gay and Christian identities meaningfully into their lives. From the interview data, I discerned and describe in this paper a variety of strategies that these men adopted in order to facilitate identity integration of seemingly mutually exclusive identities. In the bid for social and political equality with heterosexuals, gays and lesbians typically have not received support from Christians, at least not from politically active Christians, many of whom participate in explicitly antigay campaigns. Given such a contentious context, I discuss the personal and political implications of integrating gay and evangelical Christian identities.     

Memoir and performance: social change and self life-writing among men who are gay pornography producers and actors

Identity may be understood both as a life-story, either told or written as memoir or autobiography, and also as a practice such as producing or acting in gay pornographic film, but always within the context of social and historical change. Study of the memoirs of gay men who have been actors and/or producers of gay pornographic films across three generation cohorts provides an opportunity for understanding the interplay of social change and life circumstances in making gay identity. This perspective on identity is illustrated through the study of the memoirs of three men from different cohorts who have produced and acted in gay pornographic films: Wakefield Poole, born in 1936; Scott O'Hara, born in 1961; and Aaron Lawrence, born in 1971. Differences in style and content of both memoir and practice in gay pornographic films reflect changing social expectations regarding men who have sex with men following the emergence of the gay rights movement and the AIDS epidemic.     

Social Networks and Unobserved Heterogeneity in Risk for AIDS

As a sexually transmitted disease, AIDS spreads along social networks; consequently,it is reasonable to propose to utilize these networks in teaching people to avoid practices that put them at increased risk of contracting AIDS. Most obviously, homosexual men are both at relatively high risk of contracting AIDS, and in many urban areas have well crystallized community structures and high social connectivity. We present evidence suggesting that using such social networks can have the unanticipated consequence of reaching a set of men who are at relatively low risk. Evidently, there is great unobserved heterogeneity among the population in terms of risk, and while this heterogeneity is not captured by conventional measures of risk behavior, it is closely linked to network processes.     

Integrating identities

Lesbians and gays who become step parents undergo a series of identity transitions. Previous models typically used to describe gay and lesbian identity formation lack attention to later life transitions. I argue that these models provide little understanding of the experiences of lesbians and gays who integrate their lesbian/gay identity with a step parent status. This transition is more complex than that experienced by either their partners (previously married biological parents) or by heterosexual step parents.