Transcendence among gay men: Implications for HIV prevention

This article presents a critique of HIV prevention research and practice with gay men in light of reports that HIV seroprevalence appears to be increasing in this population. Central to this critique is the possibility that people may have a need for transcendence, which some gay men might seek to satisfy through sexual experience. Theories underpinning HIV prevention generally do not account for such nonrational aspects of sexuality, and they fail to acknowledge the impact of differential values on people's health behaviours.