ManagingDesire.org

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Managing Desire: HIV Prevention Strategies for the 21st Century

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The professionalization of HIV knowledge has created barriers separating the people targeted for interventions and the experts who design interventions. The professionalization of AIDS knowledge creates an over-reliance on expert, directive knowledge. Consumers of HIV prevention must develop critical skills to analyze the often contradictory risk information provided by AIDS experts. Counselors, outreach workers and prevention educators are not adequately trained and high rates of burnout reveals a need for more professional support and continuing education.

HIV prevention is counseling and community based education that aims to empower people to reduce the harm in their behavioral environment. The practice of harm reduction is not based on a body of knowledge, so much as a set of skills. These skills include active listening, analyzing behavior in a non-judgmental way, making appropriate analogies to produce insight, and modeling pragmatic attitudes that help to reduce harm.

Prevention education has for too long been conceived as simply providing knowledge. We all know that ignorance is not the cause of risky behavior. Too little attention has been given to the role of transgressive desire in relation to prevention advice. Prevention messages can reinforce oppressive categories of guilt and innocence in relation to HIV risk and testing negative can serve to rationalize risky behaviors.