-Caveat Lector-

It's no wonder, that homosexuality was classified as a psychiatric illness in the past,
it should be re-instated as that.

> -Caveat Lector-
>
> Bug Chasers
> http://www.rollingstone.com/news/printer_friendly.asp?nid=17380&cf=
> 71878
> The men who long to be HIV+
> Photo Illustration by Matt Mahurin
>
> Carlos nonchalantly asks whether his drink was made with whole or skim
> milk. He takes a moment to slurp on his grande Caffe Mocha in a crowded
> Starbucks, and then he gets back to explaining how much he wants HIV,
> the virus that causes AIDS. His eyes light up as he says that the actual
> moment of transmission, the instant he gets HIV, will be "the most erotic
> thing I can imagine." He seems like a typical thirty-two-year-old man, but,
> in fact, he has a secret life. Carlos is chasing the bug.
>
> "I know what the risks are, and I know that putting myself in this situation
> is like putting a gun to my head," he says. Some of that mountain music
> that's so popular is playing, making the moment even more surreal as a
> Southern voice sings, "Keep on the sunny side of life" behind Carlos. "But I
> think it turns the other guy on to know that I'm negative and that they're
> bringing me into the brotherhood. That gets me off, too."
>
> I met Carlos in New York's Greenwich Village, the neighborhood where he
> usually hangs out. He is tall, with a large build, and plenty of gay men find
> him attractive. His longish, curly-wavy hair is jet-black with golden
> highlights, and his face is soft and just a bit feminine. He has a very
> appealing smile and laugh, and he's a funny guy sometimes. The
> conversation veers from the banal -- his fascination with the reality show
> The Amazing Race -- to his desire for HIV. Carlos' tone never changes when
> switching from one topic to the other.
>
> When asked whether he is prepared to live with HIV after that "erotic"
> moment, Carlos dismisses living with HIV as a minor annoyance. Like most
> bug chasers, he has the impression that the virus just isn't such a big deal
> anymore: "It's like living with diabetes. You take a few pills and get on with
> your life." Carlos spends the afternoon continually calling a man named
> Richard, someone he met on the Internet. They met on barebackcity.com
> about a year ago, while Carlos was still with his boyfriend. That boyfriend
> left because Carlos was having sex with other men and because he was
> interested in barebacking -- the practice of having sex without a condom.
> Carlos and Richard are arranging a "date" for later that day.
>
> Carlos is part of an intricate underground world that has sprouted, driven
> almost completely by the Internet, in which men who want to be infected
> with HIV get together with those who are willing to infect them. The men
> who want the virus are called "bug chasers," and the men who freely give
> the virus to them are called "gift givers." While the rest of the world fights
> the AIDS epidemic and most people fear HIV infection, this subculture
> celebrates the virus and eroticizes it. HIV-infected semen is treated like
> liquid gold. Carlos has been chasing the bug for more than a year in a
> topsy-turvy world in which every convention about HIV is turned upside
> down. The virus isn't horrible and fearsome, it's beautiful and sexy -- and
> delivered in the way that is most likely to result in infection. In this world,
> the men with HIV are the most desired, and the bug chasers will do
> anything to get the virus -- to "get knocked up," to be "bred" or "initiated
> into the brotherhood."
>
> Like a lot of sexual fetishes and extreme behaviors, bug chasing could not
> exist without the Internet, or at least it couldn't thrive. Prior to the
> advent of Web surfing and e-mail, it would have been practically impossible
> for bug chasing to happen in any great numbers, because it's still not
> acceptable to walk up to a stranger and say you want the virus. But the
> Internet's anonymity and broad access make it possible to find someone
> with like interests, no matter how outlandish. Carlos surfs online about
> twenty hours a week looking for men to have sex with, usually frequenting
> sites such as bareback.com and barebackcity.com, plus a number of
> Internet discussion groups. Most of the Web sites use the pretense that
> they actually are about barebacking, which is in itself risky and
> controversial but still a long way from bug chasing. For the Web sites, that
> distinction is at best razor-thin and more often just an outright lie. "We
> got Poz4Poz, Neg4Neg and bug chasers looking to join the club," the
> welcome page to barebackcity.com, which claims 48,000 registered users,
> up from 28,000 about a year ago, recently said. "Be the first to seed a
> newbie and give him a pozitive attitude!"
>
> Within this online community, bug chasers revel in their desires, using
> their own lingo about "poz" and "neg" men, "bug juice" and "conversion"
> from negative to positive. User profiles include names such as BugChaser21,
> Knockmeup, BugMeSoon, ConvertMeSir, PozCum4NegHole and GiftGiver.
> The posters are upfront about seeking HIV, even extremely enthusiastic,
> possibly because the Web sites are about the only place a bug seeker can
> really express his desires openly. Under turn-ons, a poster called
> PozMeChgo craves a "hot poz load deep in me. I really want to be
> converted!! Breed me/seed me!" Carlos' profile on one Web site lists his
> screen name as ConvertMe, and he says he wants a man "to fill me up with
> that poison seed." His AOL Instant Messenger name is Bug Juice Wanted.
>
> It's not uncommon to see people post replies to the profiles encouraging
> the men to seek HIV. One such comment reads, "This guy knows what he
> wants!! I would love to plant my seeds :)) Come and join the club. The
> more we are, the stronger we are." A Yahoo! spokeswoman confirms that
> the company shuts down such sites when it receives notice that the
> subscribers are promoting HIV infection or any other kind of harm to one
> another, but the company doesn't go looking for bug chasers in its
> thousands of discussion groups, most established by subscribers
> themselves. Recently, it was easy to find two discussion groups on Yahoo!
> that promoted bug chasing, one called barebackover50 and one called
> gayextremebareback. The first discussion group was established in 1998
> and had 1,439 members at the end of 2002. Yahoo! closed the group after
> Rolling Stone inquired about it.
>
> Condoms and safe sex are openly ridiculed on bug-chasing Web sites, with
> many bug chasers rebelling against what they see as the dogma of safe-sex
> education; constantly thinking about a deadly disease takes all the fun out
> of sex, they say, and condoms suck. Carlos agrees and says getting HIV will
> make safe sex a moot point. "It's about freedom," he says. "What else can
> happen to us after this? You can fuck whoever you want, fuck as much as
> you want, and nothing worse can happen to you. Nothing bad can happen
> after you get HIV."
>
> For some, the chase is a pragmatic move. They see HIV infection as
> inevitable because of their unsafe sex or needle sharing, so they decide to
> take control of the situation and infect themselves. It's empowering.
> They're no longer victims waiting to be infected; rather they are in charge
> of their own fates. For others, deliberately infecting themselves is the
> ultimate taboo, the most extreme sex act left on the planet, and that has
> a strong erotic appeal for some men who have tried everything else. Still
> others feel lost and without any community to embrace them, and they
> see those living with HIV as a cohesive group that welcomes its new
> members and receives vast support from the rest of the gay community,
> and from society as a whole. Bug chasers want to be a part of that club.
> Some want HIV because they think once they have it they can go on with
> a wild, uninhibited sex life without constant fears of the virus. Getting the
> bug opens the door to sexual nirvana, they say. Others can't stand the
> thought of being so unlike their HIV-positive lover.
>
> For Carlos, bug chasing is mostly about the excitement of doing something
> that everyone else sees as crazy and wrong. Keeping this part of his life
> secret is part of the turn-on for Carlos, which is not his real name. That
> forbidden aspect makes HIV infection incredibly exciting for him, so much
> so that he now seeks out sex exclusively with HIV-positive men. "This is
> something that no one knows about me," Carlos says. "It's mine. It's my dirty
> little secret." He compares bug chasing to the thrill that you get by
> screwing your boyfriend in your parents' house, or having sex on your
> boss' desk. You're not supposed to do it, and that's exactly what makes it
> so much fun, he says, laughing.
>
> Carlos carries another secret that he says heightens the thrill of pursuing
> HIV. Sometimes he volunteers in the offices of Gay Men's Health Crisis, the
> pre-eminent HIV-prevention and AIDS-activist organization in New York. And
> about once a month, he does outreach volunteering in which he goes to
> clubs to hand out condoms and educate men about safe sex.
>
> Carlos should meet Doug Hitzel, but he probably never will. A year ago they
> might have been online buddies, both sharing a passion for HIV that few
> others understood. Now Hitzel understands all too clearly what bug
> chasing can do to a young man's life, but it's too late for him. After six
> months of bug chasing, Hitzel succeeded in getting the virus. He's now a
> twenty-one-year-old freshman at a Midwestern university, so wholesome-
> looking you'd think he just walked out of a cornfield.
>
> Hitzel's experience started when he moved from his home in Nebraska to
> San Francisco with his boyfriend. When that relationship broke up, Hitzel
> was at the lowest point in his life, and alone. He sought relief in drugs and
> sex, as much of each as he could get. At first, he started out just not
> caring whether he got HIV or not, then he found the bug-chasing
> underground and embraced it. He was sure he'd get HIV soon anyway. He
> thought he would always feel exactly like he did then; he was certain that
> ten, twenty, thirty years later he'd still be partying every night. It lasted
> only six months -- then Hitzel got sick with awful flulike symptoms and lost
> a lot of weight. A doctor's visit cleared him of hepatitis and other possible
> problems, but the clinic sent him home with an HIV test he could do
> himself. Hitzel waited before doing the test and decided to go home to
> Nebraska, to give up the bug chasing and the rest of the life that was
> killing him. Once he got home, he did the test and found out he was
> positive. He now wakes up each day with a terrible frustration that's just
> below the surface of his once sunny demeanor. He hates the medication
> he has to take every day, and he realizes that HIV affects nearly every part
> of his life. While he was bug chasing, Hitzel couldn't imagine ever wanting
> to be in a relationship again. But now that he's getting his life back in
> order, he realizes that being HIV-positive can be a roadblock to new
> relationships.
>
> "Whenever I have to deal with things like medication, days when I'm really
> down," Hitzel says, "I have to look myself in the mirror and say, 'You did
> this. Are you happy now?' That's the one line that goes through my head:
> 'Are you happy now?' " He says it with a snarl, full of anger. "Some days I
> feel really angry and guilty. I'm pretty much adjusted to the fact that this
> is my life, but about forty percent of the time I look at myself and say,
> 'Look what you've done. Happy now?' "
>
> Looking back on it, Hitzel says he was committing suicide by chasing HIV,
> killing himself slowly because he didn't have the nerve to do it quickly.
> Hitzel is ashamed and embarrassed that he actually sought HIV, but he's
> willing to tell his story because he hopes to dissuade others who are on
> the same path. He gets angry when he hears bug chasers talking in the
> same ways he talked a year earlier. The mention of "bug chasing" and "gift
> giving" sets him off.
>
> " 'Bug chasing' sounds like a group of kindergartners running around
> chasing grasshoppers and butterflies," Hitzel says, "a beautiful thing. And
> gift giving? What the hell is that? I just wish the terms would actually put
> some real context into what's going on. Why did I not want to say that I
> was deliberately infecting myself? Because saying the word infect sounds
> bad and gross and germy. I wanted it to be sexualized." He's particularly
> angered by the idea of HIV being erotic: "How about you follow me after I
> start new medications and you watch me throw up for a few weeks? Tell
> me how erotic that is."
>
> Though he's older, Carlos lives a life that has a lot in common with Hitzel's
> in San Francisco. Carlos estimates that he has had several hundred sex
> partners throughout his life, and he routinely hooks up with three or four
> guys a week, all of them HIV-positive or at least uncertain about their
> status.
>
> That's a common trait among bug chasers, says Dr. Bob Cabaj, director of
> behavioral-health services for San Francisco County and past president of
> both the Gay and Lesbian Medical Association and the Association of Gay
> and Lesbian Psychiatrists. Cabaj (pronounced suh-bye) calls bug chasing "a
> real phenomenon." Some bug chasers are more likely to have a defeatist
> attitude, to think they'll eventually get HIV anyway, whereas others are
> more likely to add the element of eroticizing HIV, Cabaj says: "For kids who
> have had a really hard time fitting in or being accepted, this becomes like
> a fraternity."
>
> As a public official, Cabaj is familiar with how the topic makes people
> uncomfortable. Most AIDS activists prefer to deny that the problem exists
> to any significant extent, he says: "They don't want to address that this is
> a real ongoing issue."
>
> When I asked about bug chasing, leaders of groups such as Gay Men's
> Health Crisis in New York, the San Francisco AIDS Foundation, the Stop
> AIDS Project, and the Gay and Lesbian Alliance Against Defamation weren't
> interested in providing much education or increasing public awareness. To
> the contrary, most were dismissive of the issue and some actively
> dissuaded me from writing the article at all. A spokeswoman for the Stop
> AIDS Project, Shana Krochmal, characterized bug chasing as "relatively
> minor acting-out" and aggressively encouraged me to drop the article idea
> altogether, saying the issue is "not big enough to warrant a trend story."
> Krochmal cautioned against focusing on "just a bunch of really vocal guys
> who want to continue this image of being reckless, hedonistic gay men
> who will do anything to get laid. I think that does a disservice to the
> community at large." The San Francisco AIDS Foundation labeled the issue
> "sensational" and would not provide further comment. GLAAD spokeswoman
> Cathy Renna was more helpful, saying she had heard enough about bug
> chasing to be concerned, emphasizing that her group's focus would be
> whether people use bug chasing as an easy way to disparage all gays and
> lesbians as sex-crazed and reckless. "The vast majority of the gay
> community would be just as surprised and appalled by this as anyone
> else," she says.
>
> At GMHC, where Carlos is one of more than 7,000 volunteers, spokesman
> Marty Algaze calls bug chasing "one of those very underground subcultures
> or fetishes that seems to have sprung up in recent years." The assistant
> director of community education at GMHC, Daniel Castellanos,
> acknowledges that bug chasing exists but claims there's not much need to
> discuss it because it involves such a small population. But would he try to
> talk a bug chaser out of trying to get HIV? "If someone comes to me and
> says he wants to get HIV, I might work with him around why he wants to do
> it," he says. "But if in the end that's a decision he wants to make, there's a
> point where we have to respect people's decisions."
>
> Cabaj, the San Francisco psychiatrist, says those arguments sound familiar.
> Then, without being asked, he adds, "But I don't know if it's an active
> cover-up." He pauses for a moment, then continues, "Yeah, it's an active
> cover-up, because they know about it. They're in denial of this issue. This
> is a difficult issue that dredges up some images about gay men that they
> don't want to have to deal with. They don't want to shine a light on this
> topic because they don't want people to even know that this behavior
> exists."
>
> Public-health officials also tend to dismiss the bug-chasing phenomenon,
> he adds, assuming that it is just an aberration practiced by a few, nothing
> more than a curiosity. Cabaj adamantly disagrees, though he admits
> numbers are very hard to come by. Some men consciously seek the virus,
> openly declaring themselves bug chasers, he says, while many more are
> just as actively seeking HIV but are in denial and wouldn't call themselves
> bug chasers. Cabaj estimates that at least twenty-five percent of all newly
> infected gay men fall into that category.
>
> With about 40,000 new infections in the United States per year, according
> to government reports, that would mean around 10,000 each year are
> attributable to that more liberal definition of bug chasing. Doug Hitzel says
> he fits that description. Though he now says he was a bug chaser for six
> months, he explains that he would not have admitted it to anyone outside
> the subculture, and he sometimes even lied to himself about what he was
> doing. Even if you consider only the number of self-proclaimed bug chasers
> and not the overall group of men seeking HIV, Cabaj still sees cause for
> concern because of the way one bug chaser's quest can spread the virus
> far beyond his own life. "It may be a small number of actual people, but
> they may be disproportionately involved in continuing the spread of HIV,"
> he says. "That's a major issue when you're talking about how to control the
> spread of a virus. A small percentage could be responsible for continuing
> the infection. The clinical impact is profound, no matter how small the
> numbers."
>
> The problem is not restricted to any one community. Cabaj's counterpart
> in Boston reports a similar experience with bug chasers. Dr. Marshall
> Forstein is medical director of mental health and addiction services at
> Fenway Community Health, an arm of Beth Israel Deaconess Medical Center
> that specializes in care for gay and lesbian patients. Forstein is on the
> medical-school faculty in psychiatry at Harvard University and chaired the
> American Psychiatric Association's Commission on AIDS for eleven years. He
> says bug chasers are seen regularly in the Fenway health system, and the
> phenomenon is growing. He adds that bug chasers can be found in any
> major city, though officials might be reluctant to discuss the issue either
> because it is unseemly or because it has escaped their notice. A
> spokesman for the Los Angeles County Department of Health confirms that
> bug chasers are known in its health system. Public-health officials in New
> York refused multiple requests for comment.
>
> One standout in public-health circles is the Miami-Dade County Health
> Department in Florida, which is taking steps specifically to address bug
> chasing. Evelyn Ullah, director of its office of HIV/AIDS, readily admits that
> bug chasing is "a definite problem" in the Miami area, having become more
> common and more visible in the past few years. Miami health officials
> regularly monitor Internet sites for bug chasing in their community, and
> they keep track of "conversion parties," in which the goal is to have
> positive men infect negative men. The health department also is launching
> new outreach efforts that include going online to chat with bug chasers
> and others pursuing risky sex.
>
> Cabaj and Forstein stress that more should be done, particularly on a
> national level. For starters, federal health officials will have to familiarize
> themselves with the problem. Dr. Robert Janssen, director of the division
> of HIV/AIDS Prevention at the Centers for Disease Control and Prevention
> in Atlanta, says he has never seen the Web sites that promote bug chasing
> and does not know of any organized efforts to spread the virus. There is
> virtually no research on people who intentionally seek HIV, he says, but he
> notes that several studies have shown a growing complacency among gay
> men and the population in general about the risk of HIV and a
> misconception that HIV infection is completely manageable. Ongoing
> outbreaks of syphilis and gonorrhea (which Carlos recently had) in large
> cities indicate a tendency to forgo condom use, he says. Recent data from
> the CDC show that syphilis rates among men in the United States rose 15.4
> percent between 2000 and 2001, which the researchers attribute to
> outbreaks among gay and bisexual men in several U.S. cities. Janssen says
> the CDC has not addressed bug chasing in any way but might if researchers
> determine that it is a significant method of spreading the virus. "I'm
> interested that you're saying there's that much out there on the Web and
> that it's easy to find," Janssen says. "If we can confirm that it's happening
> to any real degree beyond just an anecdote here and there, we may need
> to address it."
>
> What frustrates health-care professionals the most, Forstein says, is that
> "gay men who are doing this haven't a clue what they're doing," he says.
> "They're incredibly selfish and self-absorbed. They don't have any idea
> what's going on with the epidemic in terms of the world or society or what
> impact their actions might have. The sense of being my brother's keeper is
> never discussed in the gay community because we've gone to the extreme
> of saying gay men with HIV can do no wrong. They're poor victims, and we
> can't ever criticize them."
>
> Furthering the epidemic doesn't bother Carlos. Bug chasing requires a
> great deal of self-delusion, and he easily acknowledges the contradictions
> in what he's doing. He notes that while he seeks HIV, he doesn't eat junk
> food or smoke, and that he drinks only socially. "I take care of myself," he
> says proudly. He also notes the hypocrisy in his doing volunteer work at
> GMHC, in which he tells other men to use condoms and practice safe sex,
> while he's hunting for partners for his secret hobby. The conflict doesn't
> bother him in the least.
>
> Forstein says that attitude is disastrous for gay men. "We're killing each
> other," he says. "It's no longer just the Matthew Shepards that are dying at
> the hands of others. We're killing each other. We have to take
> responsibility for this as a community."
>
> After several phone calls to work out a time, Carlos is ready to go see
> Richard. He's had sex with Richard about thirty times in the past year.
> "Knowing he's positive just makes it more fun for me," he says. "It's erotic
> that someone is breeding me." Richard is in the entertainment business, in
> his mid- to late forties.
>
> "Lots of guys want to know who breeds them," Carlos continues. "When I
> have sex, I like to always make it special, a really good time, something
> nice and memorable in case that is the one that gives it to me."
>
> Carlos offers, not for the first time, to have me come along and watch him
> and Richard have sex, but I decline. In the taxi to Richard's place, the
> conversation falls silent. He hasn't been tested in a couple of years, and
> he's reluctant to get a test now. He might very well be positive already.
> But as long as he doesn't know for sure, he can always hope that tonight is
> the night he gets the virus. Every date is potentially The One. Stepping out
> of the cab into the rain, I ask what he will do if he finds out one day that
> he has succeeded in being infected -- ending the fun of being a bug
> chaser. He stops, then says he might move on to being a gift giver: "If I
> know that he's negative and I'm fucking him, it sort of gets me off. I'm
> murdering him in a sense, killing him slowly, and that's sort of, as sick as it
> sounds, exciting to me."
>
> GREGORY A. FREEMAN
> (February 6, 2003)
>

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