A Crisis of Meaning: How Gay Men Are Making Sense of AIDS

Hardcover | April 30, 1999

bySteven Schwartzberg

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For gay men, the demands of the AIDS epidemic are enormous and unrelenting. Regardless of HIV status, all are called on to maintain vigilant safety with sex, to face down a cultural stigma greater even than homophobia, and to somehow find a way to go forward in a world heavy with loss. Asexhaustion and grief threaten to overwhelm the activism and optimism of earlier years, and with new infections on the rise among young gay men, the challenge of finding meaning in a world turned upside down is more than an idle philosophical exercise. It is a matter of psychological and perhaps evenphysical survival. In this poignant and uncompromising new book, Dr. Steven Schwartzberg offers a ground-breaking perspective on how gay men (and particularly HIV-positive gay men) find ways to rebuild a world of meaning amid the trauma and uncertainty of the AIDS crisis. Eschewing both glib prescriptions forturning tragedy into triumph, and theoretical abstractions, Schwartzberg grounds his insights in his own experiences as a gay man and as a practicing psychotherapist, and in in-depth interviews with nineteen men living with HIV. Ranging in age from twenty-seven to fifty, the men include aconstruction foreman, a physician, an art historian, a waiter, a librarian, and a licensed massage therapist. With candor, insight, eagerness, and a remarkable ability to share of themselves, they speak eloquently about how HIV has affected their views of the world, their senses of themselves, andhow they live their lives. Interweaving the men's stories with observations from his research and clinical practice, Schwartzberg bears witness to the remarkable transformations some men have accomplished, and the anguish of meaninglessness that weighs others down. He strives to uncover why someview HIV as a catalyst for change or growth, while others see it only as punishment. And though he passes no judgment on the coping strategies he describes, Schwartzberg does insist on the vital necessity of balancing somber reality with healing, life-sustaining hope. He argues that men who opt fortoo much illusion and too little reality risk shoddy self-care and inadequate preparation for the future, while those who find no escape from reality may teeter into rage or suicidal despair. Beautifully written, with piercing awareness of the enormity of the challenges confronting individuals with HIV, this book celebrates the resilience of the human spirit. It is both a keen psychological guide and an elegiac chronicle of what life for many has become. Gently pointing the way toan oasis of growth, strength, and love that exists amid the epidemic's bleak terrain of loss, it is essential reading for people living with HIV, for their friends, families, and the mental health professionals who care for them, and for all gay men grappling with the enormous changes AIDS hasbrought to a community under siege.

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From Our Editors

For gay men, the demands of the AIDS epidemic are enormous and unrelenting. Regardless of HIV status, all are called on to maintain vigilant safety with sex, to face down a cultural stigma greater even than homophobia, and to somehow find a way to go forward in a world heavy with loss. At long last, current medical breakthroughs offer ...

From the Publisher

For gay men, the demands of the AIDS epidemic are enormous and unrelenting. Regardless of HIV status, all are called on to maintain vigilant safety with sex, to face down a cultural stigma greater even than homophobia, and to somehow find a way to go forward in a world heavy with loss. Asexhaustion and grief threaten to overwhelm the a...

Steven Schwartzberg is a psychologist at McLean Hospital and Instructor in Psychology in the Department of Psychiatry at Harvard Medical School. He has a private psychotherapy practice in Cambridge, Massachusetts.

other books by Steven Schwartzberg

Format:HardcoverDimensions:288 pages, 9.49 × 6.38 × 1.02 inPublished:April 30, 1999Publisher:Oxford University Press

The following ISBNs are associated with this title:

ISBN - 10:0195096274

ISBN - 13:9780195096279

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From Our Editors

For gay men, the demands of the AIDS epidemic are enormous and unrelenting. Regardless of HIV status, all are called on to maintain vigilant safety with sex, to face down a cultural stigma greater even than homophobia, and to somehow find a way to go forward in a world heavy with loss. At long last, current medical breakthroughs offer the hope of changing the face of the epidemic, but the psychological crisis continues. New infections are on the rise among young gay men. Exhaustion and grief threaten to overwhelm the activism and optimism of earlier years. In a world turned upside down, the challenge of finding meaning is more than an idle philosophical exercise. It is a matter of psychological and perhaps even physical survival. Dr. Steven Schwartzberg grounds his insights in his own experiences as a gay man and as a practicing psychotherapist, and in in-depth interviews with nineteen men living with HIV. Ranging in age from twenty-seven to fifty, the men include a construction foreman, a physician, an art historian, a waiter, a librarian, and a licensed massage

Editorial Reviews

"In cracking open a window, author and psycholtherapist Stephen Schwartzberg has illuminated thw hole house; his investigations of how 19 gay men have adapted to the AIDS empidemic and to their own positive HIV status engages what many of us--gay or not, positive or not--confront as we attemptto invest our lives with meaning."--Bay Area Reporter