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Gamma Project Newsletter |
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| "From the Editors Desk" | ![]() |
Then And Now |
| Bisexual Men:
The Issues |
Female Partners: The Issues |
|
| Conclusions | ||
| Home Page |
Welcome to the
April 2008
edition of the Gamma Project Newsletter. Gamma Project was
established in 1986 and our first newsletter was produced in 1987. When
I wrote it, it never
occurred to me that I would still be writing them 21 years later. Like
many others, I hoped that
a cure for HIV/AIDS coupled with an effective vaccine would render
agencies like ours redundant.
The HIV virus has turned out to be one of the most challenging that
science has had to
deal with and while we manage the disease it produces better than ever
before, we do not
seem to be any closer to an absolute cure than we were 25 years ago
when the virus was
first discovered.
It is for this reason that agencies that provide preventive education
continue to exist. And
they are needed, despite our best efforts to persuade men to behave
safely, there has been
an increase in the rate of HIV infection across the eastern seaboard of
Australia. Times
have changed and so has behaviour for a range of reasons which
need to be addressed.
This is not to say that this is easy to do, much of the change has
encouraged individuals to
move away from the education agencies for information and services.
In this edition of the newsletter we examine some of the changes which
provide us with
challenges which we must meet if we are to successfully deal with the
rising rates of HIV
infection and maintain a relevant and effective approach to HIV/AIDS
education.
Bill Palmer
The Franklin Centre
1B, Hamilton Street,
Mont Albert. Vic.
Australia 3127
I think that the proportion of men who
express a feeling of guilt about their extramarital
activity with other men has changed very little. Not surprising really
since most men
entered into marriage with the intention of remaining faithful to their
wives. Even those
who were aware of a same sex attraction at the time of their marriage
were generally
committed to a monogamous marriage. The fact that they cannot adhere to
this
commitment enhances the guilt and may well be a precursor to depression.
Fear of disclosure has also changed very little over the past 22 years
for this particular
group of men. They generally love their wives and want to maintain
their marriages.
Regardless of how they make sexual contact, they place a significant
emphasis on the
need for discretion. One change that we have observed is that more men
do give thought
to disclosing to their wives, often this is seen as a way of
alleviating guilt but it can also
be a genuine attempt to deal with a difficult issue honestly.
Isolation
While we still hear from bisexual men who feel isolated, this has
lessened somewhat over
the last number of years. This reduction has been in large part to the
internet. Men who
access the chat rooms will quickly find other bisexual men in that
environment with
whom they can exchange ideas and to some extent normalise their
feelings and
behaviours. Men in this situation really do need someone who can
understand their
position and offer reinforcement and lifestyle management strategies.
While in some
instances bisexual men get negative feedback from exclusively
homosexual men in this
environment this kind of response is also diminishing with time. This
is one of a number
of instances where I think the internet provides a very positive
service. It is interesting to
note that while internet use has assisted men in metropolitan areas
significantly it has had
less impact on men in rural areas.
Safe Sex Information
Clearly over the years the plethora of information regarding HIV/AIDS
has impacted and,
even though the issue of HIV has receded in the general media, it is
the case that few men
do not understand the mode of transmission of HIV. Back then we
produced pamphlets
which we needed to find appropriate outlets for. These days we have
safe sex information
appropriate to our target group posted on the internet. It is more
convenient, there are no
concerns that a wife might find the pamphlet, and it can be reviewed as
needed. And it is
used, our safe sex sites on the internet are accessed more frequently
than any other part of
the website. Where things have not changed very much are in the area of
other sexually
transmitted infections, knowledge levels have increased marginally but
there is still
significant ignorance regarding the incidence and transmission of these
infections. This is
worrying at a time when diseases such as syphilis are increasing at an
alarming rate.
Confusion
This is another parameter that has demonstrated little change over the
life of the project.
Many men do not recognise a same sex attraction until they are married.
Whether these
feelings have been repressed or are simply a late onset recognition of
same sex attraction
is difficult to say, but some men report same sex attraction in their
50's and 60's. It is
hardly surprising that these men find an attraction to male to male sex
disturbing and
confusing, particularly since most of them function quite adequately in
a heterosexual
context. These men are particularly likely to suffer from a sense
of isolation since they
tend to believe that they are the only person ever to have such an
experience.
Sexual Contact
Back in 1986 some 12% of callers in metropolitan areas and a slightly
higher percentage
of callers in rural areas were seeking a means of making sexual contact
with other men.
The decline in the number of metropolitan callers seeking this kind of
information has
been dramatic in recent years. It is quite rare for us to receive calls
from men in the
metropolitan area regarding venues where they might make sexual
contact.
There are two reasons for this and both relate to the internet. A
simple search on the
internet will show all of the gay bars, saunas and related venues in
Melbourne and most
of these venues will host a web site so that men can judge the
suitability of the venue to
their needs. The other option on the internet is the multitude of
sites, most of them
internationally based, which offer chat facilities which can be quite
specific to Melbourne
and it's suburbs. Here men can meet other gay and bisexual men for
friendship or sex in a
way which is simple and discrete. A significant amount of sexual
contact is achieved in
this way by both gay and bisexual men. While there are sites which list
specific country
locations in Victoria these are less popular with men in rural
communities probably
because the men fear exposure and "outing" within smaller communities.
While this method of achieving sexual contact is convenient and
discrete it is not without
problems. Most significant is the issue of safety. Many profiles will
state that the man is
"disease free" or "HIV negative and expect same" this quite often
means that they are
willing to participate in unprotected anal sex, a practice which makes
a nonsense of these
claims. However many bisexual men, particularly those who are new to
male to male sex
will believe these claims and may act accordingly. While I suspect that
a minority of
bisexual men are as gullible as this I have counselled men who have
participated in high
risk sex based on these kinds of assurances.
The other issue is one of trust, meeting others in a chat room on a
consistent basis tends
to establish an ongoing relationship between the men involved. Where
this leads to sex at
a later stage it can lead to a situation where an inappropriate degree
of trust is placed on
the partner. The notion that "he is a mate and would tell me if he was
positive" is alive
and well in such situations and insufficient discussion of sexual
history and risk factors is
less likely to occur before sex is initiated.
While some education agencies have addressed the issue through safe sex
messages
which are internet based it is difficult to gain access to the
commercial sites where men
are most likely to need the message reinforced and, given that the web
is an international
phenomenon there is little that can be done locally to compel the
carriage of safe sex
messages.
Support Services and Face to face
Counselling
The demand for services such our support group meetings has also
declined somewhat
over the years. This is in part due to the willingness of those who
require ongoing
counselling assistance to directly access mainstream psychological
services, and is a
function of a greater acceptance of homosexuality in society as a whole
and the existence
of a range of services which deal with the salient issues. Once again
the internet is often
used productively to interact with others in similar situations and it
offers the advantages
of anonymity and convenience.
Demand for face to face counselling has not declined to the same extent
and there is still
significant demand for such services. Dealing with acute problems is
best achieved
through this method and men generally recognise this and continue to
access the service.
These days it is more likely that the wife will be aware of the
situation and it is not
uncommon for wives to attend with their husbands for joint counselling
sessions, a
situation which was quite rare in the early years of the project.
Victoria when numbers are
falling in
other
states all suggest to me that the current State government in Victoria
is
simply
not addressing the issue of HIV in this State and it is time
that it
did.