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In this together: The limits of prevention based on self-interest
and the role of altruism in HIV safety
Nimmons, D
Journal of Psychology & Human Sexuality [J. Psychol. Hum. Sex.].
Vol. 10, no. 3-4, pp. 75-87. 1998.
Both epidemiologically and psychologically, the reigning
self-interest paradigm of HIV prevention is growing increasingly
obsolete, which will likely only increase with wider use of
combination therapies. While self-interest notions form the core
of most American HIV prevention theory and practice, data indicate
that self-interest models increasingly fail both negative and
positive gay men. There is an urgent need for broader, more
emotionally-resonant prevention concepts. Diverse, consistent, and
significant data on behaviors including condom use, partner
choice, volunteerism, and caretaking imply that values of altruism
and other-centered motivators may play central, strong roles in
gay men's HIV safety decisions. Values of "prevention altruism"
remain little understood, researched, or appreciated. Data show
that sexual risk is inherently dyadic, gay men's risk is
increasingly relational, and a clear majority of gay men
consistently manage sexual risk. Yet we understand little of the
values of men who are largely safe, instead of those most risky,
and less about how their values of nurturance and caretaking,
ethics, hopes for collective survival, or relations with friends
and community help support them in staying safe. A wide range of
implications of prevention altruism are suggested and diverse
research directions proposed to define a new domain of "prevention
caretaking."
 Descriptors: Article Subject Terms Homosexuality | Human immunodeficiency virus | Prophylaxis | Psychology | Article Taxonomic Terms Human immunodeficiency virus
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