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AIDS education for gay men: towards a more cognitive approach.

机译：对男同性恋者的艾滋病教育：朝着更加认知的方向发展。

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摘要

An approach to AIDS education is presented that focuses on the thinking processes which accompany gay men's decisions to engage in high-risk sex. It is proposed that: (1) at the time they are deciding to have high-risk sex, gay men generally engage in an 'internal dialogue' that justifies this decision to themselves; (2) the AIDS-related thinking underpinning such self-justifications can differ appreciably from the AIDS-related thinking that takes place outside the sexual context; and (3) AIDS education can profitably exploit this difference between 'heat of the moment' and 'cold light of day' thinking. Evidence supporting these proposals is drawn from studies in which gay men who had engaged in unprotected anal intercourse recalled the occasion concerned in detail, including any self-justifications they had used; and from controlled intervention studies, in which gay men who had engaged in unprotected anal intercourse were confronted with the thinking they had employed in the heat of the moment.
机译：提出了一种艾滋病教育方法，重点关注与同性恋男子做出高风险性决定相关的思维过程。建议：（1）在决定要进行高危性行为时，男同性恋者通常会进行“内部对话”，以证明这一决定对他们自己是合理的; （2）支撑这种自我辩护的与艾滋病有关的思想可能与在性背景之外发生的与艾滋病有关的思想明显不同; （3）艾滋病教育可以有益地利用“当下热”和“当日冷”的思维之间的差异。支持这些建议的证据来自研究，这些研究涉及从事无保护的肛门性交的男同性恋者详细回顾了有关场合，包括他们曾经使用过的任何自称理由;以及来自受控干预研究的结果，那些从事不受保护的肛门性交的男同性恋者面对了他们在当下最激烈的时候所采用的思想。

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