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

Steven Schwartzberg (Author)

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Book Description

December 5, 1996
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. As exhaustion 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 even physical 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 for turning 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 a construction 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, and how 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 some view 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 for too 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 to an 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 has brought to a community under siege.

Editorial Reviews

Amazon.com Review

Psychotherapist Steven Schwartzberg's insight into the different "styles of adaptation" that gay men have developed to cope with the presence of the AIDS epidemic in their lives is framed by his intimate conversations with 19 men for whom the disease is a daily reality. Considering approaches that range from inner transformation to professed indifference, Schwartzberg holds back his judgment while stressing the importance of reaffirming life's meaning for both those dying and the community that survives them.

From Publishers Weekly

AIDS has established itself as our century's great health tragedy, and more information on it is always welcome, but this book contributes little to the current debate. The misstatements begin with its subtitle: it is based on interviews with 19 HIV-positive men done in 1990-1991 and thus in no way represents what gay men think today about the illness, which has evolved much in recent years. The subjects chosen by Harvard psychology professor Schwartzberg were furthermore limited in that they were asymptomatic. These outdated interviews might have retained some interest if presented in full, in Studs Terkel fashion. Instead the author chooses to scatter bits throughout the book to support his own conclusions. Schwartzberg makes the rather banal claim that "Reading this book is apt not to be a dispassionate experience." Nor was the author able to distance himself. While he declares that he himself is gay, the interview segments show him also to be quite judgmental: he is "outraged" because one man is depressed; he accuses another fatalistic interviewee of embracing "powerlessness." Oddest of all, he accuses another man, who simply answers his questions, of being "exhibitionistic." The author himself admits he did "not respond with enough sensitivity" in certain interviews, and the reader can only agree wholeheartedly. There is still a place for a major book of interviews with AIDS patients to supplement those already on bookshelves, but the present book, which lists Freud, Jung and Norman Cousins in the bibliography, is not that book.
Copyright 1996 Reed Business Information, Inc.

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Inside This Book (learn more)
First Sentence:
In June 1981, the weekly newsletter of the Centers for Disease Control noted an unusual medical occurrence. Read the first page
Key Phrases - Statistically Improbable Phrases (SIPs): (learn more)
own infection, symbolic immortality, other gay men
Key Phrases - Capitalized Phrases (CAPs): (learn more)
New York, Journey of Growth, King of Finland, Madame Zilensky, Body Positive, The Shattering of Meaning
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