In The Shadow Of The Epidemic

For gay men who are HIV-negative in a community devastated by AIDS, survival may be a matter of grief, guilt, anxiety, and isolation. In the Shadow of the Epidemic is a passionate and intimate look at the emotional and psychological impact of AIDS on the lives of the survivors of the epidemic, those who must face on a regular basis the death of friends and, in some cases, the decimation of their communities. Drawing upon his own experience as a clinical psychologist and a decade-long involvement with AIDS/HIV issues, Walt Odets explores the largely unrecognized matters of denial, depression, and identity that mark the experience of uninfected gay men. Odets calls attention to the dire need to address issues that are affecting HIV-negative individuals-from concerns about sexuality and relations with those who are HIV-positive to universal questions about the nature and meaning of survival in the midst of disease. He argues that such action, while explicitly not directing attention away from the needs of those with AIDS, is essential to the human and biological well-being of gay communities. In the immensely powerful firsthand words of gay men living in a semiprivate holocaust, the need for a broader, compassionate approach to all of the AIDS epidemic's victims becomes clear. In the Shadow of the Epidemic is a pathbreaking first step toward meeting that need.

By tracing the shadow of the epidemic over the last 30 years in Uganda and more broadly in the region, HIV and East Africa investigates the impact of the epidemic on people’s lives and livelihoods, placing the epidemic within the context of the social, political and economic changes that have occurred over the last three decades. Whilst it inevitably touches on loss and suffering, the message is also about managing the impact of an epidemic which has had a profound impact on many lives. When one looks for traces in southern Uganda, once thought to be the epicentre of the epidemic, it is hard to see any lasting impact at a community wide level. Delve deeper and there are scars to be found among families and patterns of change which are a direct result of the epidemic The book goes on to explore the effect of improved treatment and care on perceptions of the epidemic and concludes by putting HIV into the context of other disease outbreaks, reflecting on what we can learn from the history of other epidemics as well as the last 30 years of the HIV epidemic.

A moving exploration of how gay men construct their identities, fight to be themselves, and live authentically It goes without saying that even today, it’s not easy to be gay in America. While young gay men often come out more readily, even those from the most progressive of backgrounds still struggle with the legacy of early-life stigma and a deficit of self-acceptance, which can fuel doubt, regret, and, at worst, self-loathing. And this is to say nothing of the ongoing trauma wrought by AIDS, which is all too often relegated to history. Drawing on his work as a clinical psychologist during and in the aftermath of the epidemic, Walt Odets reflects on what it means to survive and figure out a way to live in a new, uncompromising future, both for the men who endured the upheaval of those years and for the younger men who have come of age since then, at a time when an HIV epidemic is still ravaging the gay community, especially among the most marginalized. Through moving stories—of friends and patients, and his own—Odets considers how experiences early in life launch men on trajectories aimed at futures that are not authentically theirs. He writes to help reconstruct how we think about gay life by considering everything from the misleading idea of “the homosexual,” to the diversity and richness of gay relationships, to the historical role of stigma and shame and the significance of youth and of aging. Crawling out from under the trauma of destructive early-life experience and the two epidemics, and into a century of shifting social values, provides an opportunity to explore possibilities rather than live with limitations imposed by others. Though it is drawn from decades of private practice, activism, and life in the gay community, Odets’s work achieves remarkable universality. At its core, Out of the Shadows is driven by his belief that it is time that we act based on who we are and not who others are or who they would want us to be. We—particularly the young—must construct our own paths through life. Out of the Shadows is a necessary, impassioned argument for how and why we must all take hold of our futures.

The Bushbuckridge region of South Africa has one of the highest rates of HIV infection in the world. Having first arrived in the area in the early 1990s, the disease spread rapidly, and by 2008 life expectancies had fallen by 12 years for men and 14 years for women. Since 2005, public health facilities have increasingly offered free HAART (highly active antiretroviral therapy) treatment, offering a degree of hope, but uptake and adherence to the therapy has been sporadic and uneven. Drawing on his extensive ethnographic research, carried out in Bushbuckridge over the course of 25 years, Isak Niehaus reveals how the AIDS pandemic has been experienced at the village-level. Most significantly, he shows how local cultural practices and values have shaped responses to the epidemic. For example, while local attitudes towards death and misfortune have contributed to the stigma around AIDS, kinship structures have also facilitated the adoption and care of AIDS orphans. Such practices challenge us to rethink the role played by culture in understanding and treating sickness, with Niehaus showing how an appreciation of local beliefs and customs is essential to any effective strategy of AIDS treatment. Overturning many of our assumptions on disease prevention, the book is essential reading for practitioners as well as researchers in global health, anthropology, sociology, epidemiology and scholars interested in public health and administration in sub-Saharan Africa.

This volume examines responses to the epidemic of HIV/AIDS in Anglophone popular musicians and music video during the AIDS crisis (1981–1996). Through close reading of song lyrics, musical texts, and music videos, this book demonstrates how music played an integral part in the artistic-activist response to the AIDS epidemic, demonstrating music as a way to raise money for HIV/AIDS services, to articulate affective responses to the epidemic, to disseminate public health messages, to talk back to power, and to bear witness to the losses of AIDS. Drawing methodologies from musicology, queer theory, critical race studies, public health, and critical theory, the book will be of interest to a wide readership, including artists, activists, musicians, historians, and other scholars across the humanities as well as to people who lived through the AIDS crisis.

AIDS strikes most heavily at those already marginalized by conventional society. With no immediate prospect of vaccination or cure, how can liberty, dignity, and reasoned hope be preserved in the shadow of an epidemic? In this humane and graceful book, philosopher Timothy Murphy offers insight into our attempts—popular and academic, American and non-American, scientific and political—to make moral sense of pain. Murphy addresses the complex moral questions raised by AIDS for health-care workers, politicians, policy makers, and even people with AIDS themselves. He ranges widely, analyzing contrasting visions of the origin and the future of the epidemic, the moral and political functions of obituaries, the uncertain value of celebrity involvement in anti-AIDS education, the functional uses of AIDS in the discourse of presidential campaigns, the exclusionary function of HIV testing for immigrants, the priority given to AIDS on the national health agenda, and the hypnotic publicity given to "innocent" victims. Murphy's discussions of the many social and political confusions about AIDS are unified by his attempt to articulate the moral assumptions framing our interpretations of the epidemic. By understanding those assumptions, we will be in a better position to resist self-serving and invidious moralizing, reckless political response, and social censure of the sick and the dying.

Even in our modern progressive world, it's not easy to be a gay man. While young gay men often come out more readily, even those from the most liberal of backgrounds still struggle to accept themselves and experience stigma, shame and difficulties with intimate relationships. They also suffer from ongoing trauma wrought by the AIDS epidemic, something that is all too often relegated to history. Drawing on a lifetime's work as a clinical psychologist, Walt Odets uses the stories of his patients as well as the stories of his own deep relationships with other gay men to illuminate these difficulties and how they may be overcome. He explores everything from how defining gay men as merely "homosexuals" is reductive and damaging to their emotional lives, to the way stigma, shame and trauma continue to shift and follow gay men throughout their lives even as society becomes - on a surface level - more accepting. He shows us how a new way forward is possible through rejecting the currently-fashionable assimilation politics, learning to accept ourselves and others as they are, and independently inventing our own lives.

In 2008 it was believed that HIV/AIDS was without doubt the worst epidemic to hit humankind since the Black Death. The first case was identified in 1981; by 2004 it was estimated that about 40 million people were living with the disease, and about 20 million had died. Yet the outlook today is a little brighter. Although HIV/ AIDS continues to be a pressing public health issue the epidemic has stabilised globally, and it has become evident it is not, nor will it be, a global issue. The worst affected regions are southern and eastern Africa. Elsewhere, HIV is found in specific, usually, marginalised populations, for example intravenous drug users in Russia. Although there still remains no cure for HIV, there have been unprecedented breakthroughs in understanding the disease and developing drugs. Access to treatment over the last ten years has turned AIDS into a chronic disease, although it is still a challenge to make antiviral treatment available to all that require it. We also have new evidence that treatment greatly reduces infectivity, and this has led to the movement of 'Treatment as Prevention'. In this Very Short Introduction Alan Whiteside provides an introduction to AIDS, tackling the science, the international and local politics, the demographics, and the devastating consequences of the disease. He looks at the problems a developing international 'AIDS fatigue' poses to funding for sufferers, but also shows how domestic resources are increasingly being mobilised, despite the stabilisation of international funding. Finally Whiteside considers how the need to understand and change our behaviour has caused us to reassess what it means to be human and how we should operate in the globalizing world. ABOUT THE SERIES: The Very Short Introductions series from Oxford University Press contains hundreds of titles in almost every subject area. These pocket-sized books are the perfect way to get ahead in a new subject quickly. Our expert authors combine facts, analysis, perspective, new ideas, and enthusiasm to make interesting and challenging topics highly readable.