title: Intentional seroconversion in the gay community: the social work role in assessment and intervention.
abstract: There is a reported increase of intentional seroconversion in the United States over the past several years in the gay community (Crossley, 2004; Trinufol, 2003). This article reports on a sample (n = 24) of men who identify their motivations behind their pursuit of seroconversion. Respondents were asked to identify what motivations were connected to their attempt to become seropositive. Three general variables emerged as potential indicators: (1) seeking relief from emotional HIV fatigue, (2) the wish to be closer with one's HIV positive partner, and (3) the expectation to become HIV positive. By identifying these possible motivations (both psychological and sociocultural), sex educators and therapists providing counseling to the gay male community may be better equipped to more effectively identify clients at high risk for intentional seroconversion. Recommendations for assessment and intervention with those at high risk for such behaviors are provided by the authors.
authors.affiliation: Wurzweiler School of Social Work, Yeshiva University, New York, New York 10033, USA. nlb@nyc.rr.com
authors.forename: Nancy L
authors.initials: NL
authors.lastname: Beckerman
authors.forename: Heidi
authors.initials: H
authors.lastname: Heft-LaPorte
authors.forename: Andrew
authors.initials: A
authors.lastname: Cicchetti
mesh_terms: D000328:Adult; D001294:Attitude to Health; D006679:HIV Seropositivity / Q000523:psychology*; D018451:Homosexuality, Male / Q000523:psychology*; D006801:Humans; D033182:Intention; D008297:Male; D008875:Middle Aged; D009042:Motivation; D024382:Professional Role; D012649:Self Concept; D012933:Social Identification; D012947:Social Work / Q000379:methods*; D047568:Unsafe Sex / Q000523:psychology* / Q000706:statistics & numerical data; D055815:Young Adult