HIV voluntary counselling and testing among recently initiated and traditionally circumcised men in the Eastern Cape Province of South Africa

HIV voluntary counselling and testing (VCT) is a cornerstone of the national strategic plan for HIV/AIDS treatment, care and support in South Africa. However, research shows that the utilisation of VCT services is disappointingly low, particular among males. This article focuses on the factors associated with the intention to test for HIV-infection among recently initiated and traditionally circumcised men in the rural areas of Eastern Cape Province, South Africa. Individual face-to-face interviews were conducted among 1656 sexually active men. Logistic regression analyses were used to explore the association between intention to test for HIV and psychosocial factors. Overall, 35.1% of the participants reported ever having tested for HIV. Intention to test for HIV was positively associated with perceived probability of getting an STI, positive attitudes towards gender-based violence, received general teachings about being a responsible man and highest grade passed. These findings provide specific information that can be used in the development of a focused cultural sensitive STI/HIV prevention programme aimed to increase VCT uptake among sexually active young men, which can be integrated into initiation and health education practices.     

Constructing useful connections? A matter of metaphor or reality?

Abstract

Eiser (1996) proposes a set of unifying principles which integrate the social and the individual and acknowledge the role of social reality. Yet he uses a connectionist model. This paper argues that his approach is neither new nor consistent and suggests that by confounding the metaphor of a system with the reality of neutral networks, Eiser's model is inherently incapable of achieving its aims and both maintains the psyche / social divide and privileges physical reality. It concludes that Eiser leaves us with a model which is neither metaphorically creative nor empirically useful.     

THE ELUSIVENESS OF MASCULINITY: PRIMORDIAL VULNERABILITY,LACK, AND THE CHALLENGES OF MALE DEVELOPMENT

Reaching beyond the Oedipus prototype to address the unrepresentable vulnerability founded on the boy's infantile helplessness in contact with the mother's body, the author aims to identify the inherent tensions and enigmas of being male. He proposes that both the repudiation of femininity and the overvaluation of phallicity are unconsciously constructed to withstand the fundamental deficiency grounded in the asymmetry of the boy's prephallic relation with his primary object. This bodily based primordial vulnerability, marked by absence and lack, remains elusive—an unsymbolizable experience that provides the archaic matrix for adaptive and defensive phallicism, the oedipal complex, and genital progression. A clinical vignette is presented to illustrate these concepts.     

关于病证结合的思考

在护理这样一个女性为主导的职业,社会偏见、传统观念的影响是导致男护士产生职业困惑的主要原因。从社会性别视角分析了这种原因的产生是由于社会性别定义与分工模式被内化的结果,并依此提出了加强护理宣传与护理教育改革、护理分工合理化等对策。     

Leonardo's Mona Lisa: Iconic Center of Male Melancholic Religion

In previous writings, I have argued that a three-to-five-year-old boy's emotional separation from his mother is the key experience in his development of a melancholic orientation to life, and that men's religious proclivities (based on honor, hope, and humor) reflect this emotional separation. In the present essay, I argue that Leonardo da Vinci's {Mona Lisa} is the iconic center of the religion of male melancholia, and thus displaces the Virgin Mary of traditional Christianity in this regard. I provide evidence in support of this argument by focusing on Walter Pater's essay on Leonardo da Vinci, and interpreting Vincent Peruggia's theft, Hugo Villegas's stoning, and Marcel Duchamp and others' humorous assaults on the dignity of Mona Lisa as expressions of male melancholia. I conclude that the painting aids in the difficult task of transforming melancholia into mourning.     

Strain‐specific aggressive behavior of male mice submitted to different husbandry procedures

Severe aggression within groups of male laboratory mice can cause serious welfare problems. Previous experiments have shown that the transfer of specific olfactory cues during cage cleaning and the provision of nesting material decrease aggression and stress in group‐housed male mice. In this study, the combined effect of these husbandry procedures was tested for their long‐term effect on aggression in two strains of male mice (BALB/c and CD‐1). We used postcleaning aggressive behavior, wound counts, and testosterone levels as indicators of aggressiveness. Physiological responses to social challenge were investigated through urinary corticosterone and adrenal tyrosine‐hydroxylase measurements. Furthermore, the aggression‐modulating effects of two enrichment items (ShepherdShack/DesRes and PVC tube) were explored. Marked differences were found between the two strains. CD‐1 mice were more aggressive, had higher testosterone levels but lower corticosterone levels, and had fewer wounds than BALB/c mice. However, in neither of the two strains was long‐term enrichment with nesting material and its transfer after cage cleaning effective in lasting reduction of intermale aggression. This may be explained by the fact that aggression levels were generally low. It seems that housing mice in small, socially stable groups or keeping social disturbances to a minimum considerably modulates aggression in group‐housed male mice. Mice of both strains housed in cages enriched with nesting material had lower urinary corticosterone levels than standard‐housed mice. We therefore conclude that the long‐term provision of nesting material, including the transfer of nesting material during cage cleaning, may enhance the welfare of laboratory mice. Aggr. Behav. 29:69–80, 2003. © 2002 Wiley‐Liss, Inc.     

Diagnosing a male hysteric: Don Juan-type

The aim of this paper is to provide a clinical account of a male hysteric, Don Juan-type, taken from the early stages of treatment. The patient presented with a relationship problem but there soon emerged a form of compulsive sexuality or hypersexuality in his love relations that became a central feature of the clinical picture. This hypersexuality expressed itself in a compulsive need to stage, or to stage-manage, interpersonal scenaria of a sexual or sexualised nature. These scenaria, which were repeated in different variations and with different personnel, are seen by the author as a dramatisation of the primal scene with the patient taking up the position of the oedipal father. Explanations for the disappearance of male hysteria are given, including a new theory which claims that an imbalance in psychoanalytic theory itself led to the feminisation of hysteria. This critique allows certain forms of hypersexuality in men to be promoted as a form of hysteria, the most common example being Don Juanism-a form of compulsive sexuality that encompasses normative, conversion and character features. The paper also examines the male hysteric's developmental agenda. What the patient's compulsive sexual tableaux exposed was that he had never faced a separation that was not a triangular experience. This meant that his separations were experienced as two developmental agonies telescoped into one-separation (pre-oedipal) and exclusion (early oedipal). This combination, the author suggests, is so frightening in a particular group of men as to explain the choice of hysteria as opposed to some other choice of neurosis.     

Conceptual and Application Issues: Emotionally Focused Therapy With Gay Male Couples

Therapists working with couples are likely to see gay male couples in their practice yet there is a lack of training to prepare therapists to work with gay couples. Emotionally Focused Therapy (EFT) is an empirically supported approach to couples therapy and offers a clear structure and map for working with gay male couples. This article reviews some of the issues that are specific to EFT work with gay men. Given the range of minority stressors that gay men contend with EFT is particularly appropriate for work with gay male couples because of the focus on the attachment bond. Building a secure relationship is an important source of resilience that can buffer against prejudice and discrimination and provide a secure base for individual and couple exploration.     

交往不良同伴对男性未成年犯攻击行为的影响:道德推脱的中介作用

以社会学习理论为基础,运用问卷调查法,通过对368名男性未成年犯的调查,分析了交往不良同伴对攻击行为的影响以及道德推脱在这一影响过程中的中介作用。结果发现:(1)交往不良同伴与男性未成年犯的道德推脱存在显著正相关(γ=0.29, p<0.001),与攻击行为也存在显著正相关 (γ=0.32, p<0.001),同时,道德推脱与攻击行为存在显著正相关 (γ=0.45, p<0.001);(2)交往不良同伴会对男性未成年犯的攻击行为产生显著的正向影响(γ=0.34, p<0.001),道德推脱也会对攻击行为产生显著的正向影响(γ=0.44, p<0.001),同时,道德推脱在交往不良同伴影响攻击行为的过程中发挥着部分中介作用。