University of Illinois at Chicago

H. Robert Malinowsky


ISSN 1068-4174

Number 21-October 1995

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Reviewed in this issue:

426. Chicago's War on Syphilis, 1937-1940; The Times, the Trib, and the Clap Doctor, with an epilogue on issues and attitudes in the time of AIDS, by Suzanne Poirier.
427. Susceptible to Kindness: Miss Evers' Boys and the Tuskegee Syphilis Study, a Production of the Educational Television Center, Media Services, Cornell University.
428. POZ, no. 8, June/July, 1995; no. 9, August/September, 1995.
429. Life Sentences: Writers, Artists, and AIDS, edited by Thomas Avena.
430. HIV, Perinatal Infections and Therapy: The Role of the Placenta, edited by Richard K. Miller, Henry A. Thiede.
431. When Antibiotics Fail: Restoring the Ecology of the Body, by Marc Lappe.
432. Women and Health: Feminist Perspectives, edited by Sue Wilkinson, Celia Kitzinger.
433. AIDS: Foundations for the Future, edited by Peter Aggleton, Peter Davies, Graham Hart.
434. Moral Threats and Dangerous Desires: AIDS in the News Media, by Deborah Lupton.
435. AIDS: Setting a Feminist Agenda, edited by Lesley Doyal, Jennie Naidoo, Tamsin Wilton.
436. Challenge and Innovation: Methodological Advances in Social Research on HIV/AIDS, edited by Mary Boulton.
437. How Long Has This Been Going On?, by Ethan Mordden.
438. Dictionary of Immunology, 4th edition edited by W. John Herbert, Peter C. Wilkinson, David I. Stott.
439. Power and Community: Organizational and Cultural Responses to AIDS, by Dennis Altman.
440. AIDS and HIV Programs and Services for Libraries, by W. Bernard Lukenbill.
441. Families, Illness, and Disability: An Integrative Treatment Model, by John S. Rolland.
442. Tired of Being Tired: Overcoming Chronic Fatigue and Low Energy, by Michael A. Schmidt.
443. Good Doctors, Good Patients: Partners in HIV Treatment, by Judith G. Rabkin, Robert H. Remien, Christopher R. Wilson.
444. Altering the Image of AIDS, by Maria de Bruyn.
445. About AIDS, by National Association of People with AIDS (NAPWA).

426. Chicago's War on Syphilis, 1937-1940: The Times, The Trib, and the Clap Doctor, with an Epilogue on Issues and Attitudes in the Time of AIDS, by Suzanne Poirier. 1995. University of Illinois Press, 1325 S. Oak St., Champaign, IL 61820. 271.p., illus., bibliog., index. ISBN 0-252-02147-9. $42.50. (Descriptors: Syphilis, Public Health, Sexually Transmitted Diseases, Prevention and Control)

"The story of the Chicago Syphilis Control Program embraces language, law, medicine, morals, people, and places. It demonstrates that the complex interrelationships of individuals and circumstances can abet or confound any organization's 'best laid plans'." Syphilis is a complex disease that goes through three stages with the first appearing during the first two to four weeks during which a chancre or hard-edged ulcer in the genital or oral area appears. The second stage includes extensive skin rashes and sometimes sore throat, fever, or hepatitis. The third stage or tertiary syphilis can occur years after the secondary stage and involves heart and nerve damage that ultimately causes death if untreated. The Chicago Syphilis Control Program began January 18, 1937. This book is both a history and a rhetorical analysis of the problems that were faced with sexually transmitted diseases in the late 30s. "Syphilis as a killer, however, was a major image in the antisyphilis campaign of the 1930s, as was the image of syphilis as inherent in illicit sexual promiscuity--and of promiscuity as inherently evil." Thus, the resemblance of the present day AIDS epidemic with all of its moral over- and undertones. Fear, moral judgment, and responsible action play a leading role in this book as they do in any book dealing with AIDS.

This is a book that will keep your attention. It includes the color of the times including the Tribune's effort to keep the public informed about a disease that many would only talk about behind closed doors. It provides an insight in how the "clap doctor", Ben Reitman, became a noted physician during this time. There are many issues brought out in this excellent book including mandatory testing, confidentiality, testing and insurance, sex education in schools, isolation and quarantine, relationships to class and race, statistical collection, prevention via mechanical or chemical means versus abstince, and the role of moral judgment. Reading the vivid accounts of how syphilis was fought will only strengthen the thoughts of those who are now fighting AIDS. The similarities are there with one exception, there is no vaccine, or medical treatment that will cure AIDS. People trying to write the history of the AIDS epidemic would do well to read this book and note that what is happening now has happened in the past with another disease.

This is an excellent book, one that will open your eyes to an era in Chicago that changed social life for everyone. A highly recommended book for all libraries.

427. Susceptible to Kindness: Miss Evers' Boys and the Tuskegee Syphilis Study, filmed by the Media Services, Cornell University. 1993. Cornell University, Media Services Resource Center, 7-8 Business and Technology Park, Ithaca, NY 14850. VHS. 45min. $89.50. (Descriptors: Syphilis, Education)

A study guide is included: Study Guide for Discussion Leader, by Larry I. Palmer, 23p.

This play by David Feldshuh is based on James Jones' book, Bad Blood!: The Tuskegee Syphilis Experiment. It was filmed during an Illusion Theatre production of the play at Cornell University's Center for Theatre Arts, August 22-31, 1991. The play has 7 characters of which one is white. The main character is Eunice Evers, a nurse who acted as mother to the 400 men in the study that ran from 1932 to 1972. These men were never told that they were the subjects of a study nor were they told the exact nature of their disease. Even after penicillin was discovered to combat the disease in 1946, they were purposely not given the drug in order to chart their health. In 1973 a civil rights attorney brought a 1.8 billion dollar class action suit against the government with the government settling out of court to pay $37,500 to each survivor and a lesser amount to families of the men who died. Each survivor also received free medical care for the rest of his life.

The play is about four of these men, nurse Evers, Dr. Eugene Brodus (an African-American doctor) and Dr. John Douglas (a white doctor). The video analyzes the play, pointing out the way things were said, what was said, jargon used, and showing how VD was understood during that time. It is a study of ethical dilemmas, actually a moral dilemma. It clearly shows how serious the disease was as well as the racial tensions of the time. As a result, the fight against AIDS in the African-American communities is difficult because individuals are skeptical of what the government has in mind. The idea that there is a white conspiracy to inject AIDS into all blacks still exists throughout the country. The video attempts to get the viewers to think about what happened then and try to show that it is not that way now with the AIDS epidemic. "The video thus brings viewers to the present day reality of AIDS, recent revelations of human radiation experiments, nations of racial tensions, and what is appropriate for particular individuals to say." This is an excellent video to study. It does not include the entire production of the play. Highly recommended for all academic and medical libraries.

428. POZ, Number 8, June/July, 1995 and number 9, August/September, 1995. POZ Publishing, Inc., 349 W. 12th St., New York, NY 10014. bimonthly. Write for subscription information. (Descriptors: Drugs, Treatments, Alternative Treatments, Social Issues, Political Issues)

This periodical was originally reviewed as number 342 in issue number 17, May, 1995, of the AIDS Book Review Journal. These two new issues are listed to alert readers to the articles and profiles that they contain. Number 8 has the following key articles: "Down for the count: HIV positive boxers on the ropes," "Second wave, second thoughts: Prevention activism moves to the fore as safer sex is scrutinized," "His mind's eye: John Dugdale's words and pictures hypnotize," and "AIDS' next frontier: Biotechs try to change how the system works." Profiles include Michael Pleasants, Ryan Findlay, Rory Kennedy/Vanessa Fadim, and Scott O'Hara.

Number 9 has the following key articles: "The Lady is a Champ: Actress/Lawyer/Activist Ilka Tanya Payan is a fighter," "Women on the verge: The needs of HIV positive women are not being addressed," "Expecting the worst: One thing gets policymakers interested in the lives of women with HIV--pregnancy," and "Some of our best friends: PAWS/LA keeps pets and their PWAs together." Profiles include Linda Grinberg, Denise Khan, and Tory Dent.

This is still a highly recommended journal for all HIV positive individuals. It is upbeat and full of much information and news.

429. Life Sentences: Writers, Artists, and AIDS, edited by Thomas Avena. 1994. Mercury House, 201 Filbert St. Ste 400, San Francisco, CA 94133. 282p. ISBN 1-56279-063-3, 1-56279-051-Xpbk. $27.50, $14.95pbk. (Descriptors: AIDS and the Arts)

Thomas Avena states in the introduction: "I wanted to bring together a disparate group of writers and artists, having in common seropositivity for HIV or an extensive commitment to confronting the plague. I wanted to examine the fear of disease, the avoidance or indulgence of the sexual, and, most importantly, the divestiture of the body and the implications of such loss for those who struggle to create." This is a book about the life sentence of death by a disease that is devastating to the arts. It is about anger, survival, and death as well as about the multiplicity of responses that those in the arts are able to put forth. AIDS is the material and foreboding figure in all of the presentations in this book. These are personal experiences that are powerful to make you sit up and think. There is an interview of Marlon Riggs who filmed Tongues Untied; as well as interviews of phtographer Nan Goldin; vocalist and composer Diamanda Galas; and author Edmund White. Other presentations are: "Last Time" by William Dickey; "Vital Signs" by Essex Hemphill; "Marinol" by Thomas Avena; "Meditations in Zurich" by Bo Huston; "Jade," "Poem for a Poem," and "What Silence Equals" by Tory Dent; "The New Eyes" by Adam Klein; "Spiral" by David Wojnarowicz; "Invoking Diamanda" by Michael Flanagan; "The Second Month of Mourning" by Tony Kushner; and "In the Post Office," "Postscript: The Panel" by Thom Gunn.

This is a must read book full of the deeper insights of those who contributed to its making. Highly recommended for all libraries. "Life Sentences addresses ... loss, as it chronicles the effort to recognize, beyond hysteria, the integrity of the mortal body--even as that body changes. For though there is no way to prepare for the uncertainty of living with this disease and its bewildering manifestations, this living in uncertainty, this state of radical doubt, parallels, even represents, the engagement with life."

430. HIV, Perinatal Infections and Therapy: The Role of the Placenta, edited by Richard K. Miller, Henry A. Thiede. 1994. University of Rochester Press, 34-36 Administration Bldg., University of Rochester, Rochester, NY 14627. 614p., illus., bibliog., index. (Trophoblast Research, v.8) ISBN 1-878822-45-4. $135.00. (Descriptors: Perinatal Infections, Cell Regulation, Placental Pathology) (141 contributors to this volume)

The papers in this book are the result of the 12th Rochester Trophoblast Conference held September 30-October 4, 1992, in Rochester, NY. "The role of the placenta in the vertical transmission of HIV was a central focus of the Conference." There is a lot of interest in what part the placenta plays in the transmission of the HIV virus from the mother to the infant. There are less than 18% of the children born to an HIV-positive mother that are positive themselves. So far, there is no real concrete evidence as to why except that the placenta may well limit the passage of the virus as well as being a site for concentrating the virus. "In ancient Egypt the placenta was believed to be the seat of the external soul." and "On ceremonial occasions a standard representing the royal placenta was carried protectively in procession in front of the Pharaoh." The papers are presented within five different categories: "Perinatal Infections: HIV and Therapy," "Perinatal Infections: Hematogenous and Non-Hematogenous," "Cell Regulation: Genes, Hormones, and Immunology," "Cell Regulation: Implantation, Growth Factors, and Cytokines," and "Cell Regulation: Transport." A total of 44 papers are presented in this volume.

Some of the papers are: "Vertical Transmission of HIV," "Anti-HIV Monoclonal Antibodies Cross-React with Normal Human Trophoblast," "Anti-HIV Therapy and the Placenta," Hematogenous Infections of the Placenta," "The Eight Most Frequent Blood-Borne Infectious Agents Affecting the Placenta and Fetus," "Placental Pathology of Congenital Syphilis," "New Methodologies for the Pathologic Diagnosis of Placental Infections," "Human Trophoblast Cell Surface Molecules," "Biochemical Screening for Down Syndrome," "Trophoblastic Neoplasia," "Role of Uterine Cytokines in Pregnancy," "Autocrine and Paracrine Control of Placental Blood Flow," and "Is There Morphological Evidence of the Existence of Transtrophoblastic Channels in Human Placental Villi?" These are all highly technical papers for the researcher. It should also be pointed out that much research has taken place since 1992 that strengthens some of the research that was reported at this conference. All medical libraries should have copies of this book.

431. When Antibiotics Fail: Restoring the Ecology of the Body, by Marc Lappe. 1995. North Atlantic Books, PO Box 12327, Berkeley, CA 94712. 246p., bibliog., index. ISBN 1-55643-191-0. $14.95. (Descriptors: Antibiotics, Drug Resistance in Microorganisms, Antibiotic Effectiveness)

The focus of this book is the warning "that antibiotics could kill off micro-organisms necessary to fight infection in the healthy body, lowering the immune system's resistance." There has been a startling increase in the diseases that were once treated with antibiotics, thus indicating that we become immune to the antibiotics. What these drugs do to the healthy immune system is still being studied. "Many antibiotics, in addition to fostering antibiotic resistance, are strongly immunosuppressive. This is especially true of the broad-spectrum cephalosporins such as cephalexin. It may be this combination of factors that accelerates the progression of AIDS in those with an extensive history of antibiotic use." This book looks at what can be done to correct the misuse of antibiotics over the years since their use began in the 1950s. There is so much to consider when looking at this problem, including the fact that what works to the health advantage in one individual may be life threatening in the next. We are seeing strains of gonorrhea that are resistant to penicillin, there is an increase in Chlamydia , candida and gential herpes, and the fact that many diseases brought on by the HIV virus were once quickly killed by antibiotics. Many antibiotics can destroy "good bacteria" in the body. "New strategies, both political and medical, are now critical, policies that reestablish the wisdom of the body and protect the public as a whole, and future generations of mammals, from the long-term consequences of a hit-and-run solution to a complex and many-levelled problem."

This book discusses the problems that have developed from the over-use of antibiotics. It covers the ways antibiotics work, why there is resistance, inappropriate use, antibiotics in the feedlots, nonantibiotic remedies, new approaches to controlling bacteria, and reactivating the body's own natural defenses. This book will make you think about being treated with antibiotics. It should, however, not cause you to stop their use all together. We still need them for certain diseases, but what we do not need is the hap-hazard use of them to the point that our bodies begin to put up a defense to their effectiveness. There is something to be said in "letting some things run their course." This is a recommended book for all medical and academic libraries.

432. Women and Health: Feminist Perspectives, edited by Sue Wilkinson, Celia Kitzinger. 1994. Taylor & Francis Inc., 1900 Frost Road, Ste 101, Bristol, PA 19007. 209p., bibliog, index. (Gender & Society: Feminist Perspectives on the Past and Present) ISBN 0-7484-0148-2, 0-7484-0149-0pbk. $75.00, $27.00pbk. (Descriptors: Women, Reproductive Health) (Contributors: Lesley Doyal, Elizabeth Ettorre, Ellen M. Goudsmit, Hilary Graham, Janet Holland, Kate Hunt, Celia Kitzinger, Jane Littlewood, Pat Spallone, Meg Stacey, Rachel Thomson, Rose Wiles, Sue Wilkinson)

This book began as a result of a 1992 Annual Conference of the British Psychological Society. The papers cover several fields, including psychology, sociology, social policy, social anthropology, and economics. It also "demonstrates the development of feminist theorising and activism in relation to health over the past decade." The 11 chapters provide a good sample of British feminist work on women and health: "All in Her Mind! Stereotypic Views and the Psychologisation of Women's Illness," "Young Women and Safer (Hetero)Sex," "I'm Not Fat, I'm Pregnant," "Reproductive Health and Reproductive Technology," "Waged Work and Well-being," "What Can She depend On? Substance Use and Women's Health," "Surviving by Smoking," "Towards a Feminist Approach to Breast Cancer," "A Cure for All Ills," "Widows' Weeds and Women's Needs: The Re-Feminisation of Death, Dying and Bereavement," and "Feminist Reflections on the General Medical Council." A recommended book for all medical and academic libraries, especially those with a women's studies program.

433. AIDS: Foundations for the Future, edited by Peter Aggleton, Peter Davies, Graham Hart. 1994. Taylor & Francis Inc., 1900 Frost Road, Ste 101, Bristol, PA 19007. 217p., bibliog., index. (Social Aspects of AIDS) ISBN 0-7484-0227-6, 0-7484-0228-4pbk. $75.00, $27.50pbk. (Descriptors: Social Aspects, Safer Sex, Ghana, Kenya, Outreach, Gay Men) (Contributors: Peter Aggleton, Augustine Ankomah, Michael Bartos, Peter Davies, Katie Deverell, Tom Doyle, Nicholas Ford, David Goss, Gill Green, Ford Hickson, Julian V. Hows, Charles Nzioka, Alan Prout, Tim Rhodes, Neil Small, Derek Adam-Smith, Austin Taylor-Laybourn, Peter Weatherburn, Jeffrey Weeks, Daniel Wight, Carla Willig)

This book presents key papers held at the seventh conference on Social Aspects of AIDS, South Bank University, London, July, 1993. "Central amongst the issues examined was the extent to which adequate foundations for the future had been laid in community and voluntary sector responses, in health care policy and intervention, and in safer sex promotion." The 14 chapters provide some excellent insights on what needs to be done: "An Anatomy of the HIV/AIDS Voluntary Sector in Britain," "The Changing Context of Health Care in the UK," "Empowerment or Disempowerment," "Outreach, Community Change and Community Empowerment," "Project Male-Call: Class Differences in Sexual Practice," "Community vs Population: The Case of Men who Have Sex with Men," "Assimilating Safer Sex: Young Heterosexual Men's Understanding of Safer Sex," "Marital Discourse and Condom Use," "Sexual Exchange: Understanding Pre-Marital Heterosexual Relationships in Urban Ghana," "Positive Sex: Sexual Relationships Following an HIV-Positive Diagnosis," "A Telling Tale: AIDS Workers and Confidentiality," "AIDS Policies in Kenya," "Issues for HIV Prevention with Men Who Have Sex With Men," and "Selling Safer Sex: Male Masseurs and Escorts in the UK."

This is a very good book covering many of the issues that are being discussed in 1995, including the critical issue of education and knowledge of safer sex practices, especially in Third World countries. Since the papers are based on research, some of which is ongoing, they become very important for others doing similar research. This is a recommended book for all medical and academic libraries.

434. Moral Threats and Dangerous Desires: AIDS in the News Media, by Deborah Lupton. 1994. Taylor & Francis Inc., 1900 Frost Road, Ste 202, Bristol, PA 19007. 186p., bibliog, index. (Social Aspects of AIDS) ISBN 0-7484-0179-2, 0-7484-0180-6pbk. $75.00, $25.00pbk. (Descriptors: Social Aspects, Media Coverage)

This book intends to show how the news media can shape our view of AIDS, both for the good and for the bad. "Few other diseases this century have been greeted with quite the same degree of fear, loathing, and prejudice against those who develop it." In order to understand the disease, it has to be reported in such a way that the public will read about it in an understanding way so that fear and anger are not encouraged. The book focuses on the newspaper reporting of AIDS. It shows that the language and discourses used to describe the disease are vital to the way one looks at the disease through a layperson's eyes. "The book is interdisciplinary: the perspectives of the history of medicine, textual analysis, media and cultural studies, medical anthropology and the sociology of health and illness all find some expression within."

The 7 chapters cover: "AIDS as News," "Analysing News," "The Early Years of AIDS Reporting," "The Grim Reaper Period of AIDS Reporting," "AIDS Reporting in 1990," "AIDS, Textuality and Ideology," and "Epilogue: AIDS as News in the Second Decade." It shows how the reporting was initially a gay disease, then a disease of everyone, and now just another disease. "Apathy and complacency may dominate, and continuing efforts to maintain high levels of awareness may be thwarted." AIDS activists need to watch the news coverage and be prepared to counter "inaccurate and stigmatized representations of the disease, and to be ready to challenge the opinions of those who seek to take control of public debates on AIDS-related issues." This is a very interesting book to read, one that all media personnel should be aware of. The need for continued reporting of AIDS progress is paramount to there being continued efforts to stop the disease. Apathy and complacency will certainly not help. Highly recommended for all libraries.

435. AIDS: Setting a Feminist Agenda, edited by Lesley Doyal, Jennie Naidoo, Tamsin Wilton. 1994. Taylor & Francis Inc., 1900 Frost Road, Ste 101, Bristol, PA 19007. 208p., bibliog., index. (Feminist Perspectives on the Past and Present) ISBN 0-7484-0162-8, 0-7484-0163-6pbk. $75.00, $27.00. (Descriptors: Women, Social Aspects, Safer Sex) (Contributors: Judy Bury, Kate Butcher, Sally Dowling, Lesley Doyal, Sheila Henderson, Janet Holland, Jenny Kitzinger, Michelle McCarthy, Jennie Naidoo, Caroline Ramazanoglu, Diane Richardson, Sue Scott, Sue Sharpe, Rachel Thomson, Tamsin Wilton)

This is a book about feminism and AIDS written by feminist scholars and women engaged more directly in AIDS work as well as health promoters, educators, and doctors. They provide "a complex picture of gender, sexuality and the various oppressions which intersect with them to keep women marginalized, silenced and at risk." The first section, "HIV/AIDS and Women" has 3 chapters--"HIV and AIDS," "Women and HIV/AIDS: Medical Issues," and "AIDS: Issues for Feminism in the UK." The second section: "The Disputed Body" covers "Desire, Risk and Control," "Feminism and the Erotics of Health Promotion," "and "Visible and Invisible Women in AIDS Discourses." Section 3--"Masculinities/Femininites" includes "Women Have Feelings Too," and "Achieving Masculine Sexuality." The final section--"Live Issues for a Feminist Agenda," has four chapters covering "Feminists, Prostitutes and HIV," "Inclusions and Exclusions: Lesbians, HIV and AIDS," "Against All Odds: HIV and Safer Sex," and "Time for a Makeover? Women and Drugs in the Context of AIDS." These are hard hitting papers provide much food for thought. There has to be better reporting about AIDS and women so that they do not continue to be second class patients. This book is intended to provide a basis for future research in these areas. Any medical or academic library will want copies for their collections.

436. Challenge and Innovation: Methodological Advances in Social Research on HIV/AIDS, edited by Mary Boulton. 1994. Taylor & Francis Inc., 1900 Frost Road, Ste 101, Bristol, PA 19007. 264p., bibliog., index. (Social Aspects of AIDS) 0-7484-0197-0, 0-7484-0198-9pbk. $75.00, $28.00pbk. (Descriptors: Social Aspects, Research) (Contributors: Marina Barnard, Mildred Blaxter, Michael Bloor, Mary Boulton, Glynis M. Breakwell, Stefano Campostrini, Anthony P.M. Coxon, Peter Davies, Chris R. Fife-Schaw, Janet Holland, Margaret Johnston, Jenny Kitzinger, Neil McKeganey, David McQueen, Ian S. Peers, Helen Pickering, Robert Power, Caroline Ramazanoglu, Sue Scott, Sue Sharpe, David Silverman, Rachel Thomson, Kaye Wellings)

These papers are the result of a meeting held in May, 1992, at Harrogate where 40 British, European and American researchers "in the social and behavioural sciences, as well as those involved in policy, planning and evaluation, to discuss methodological aspects of social research in relation to HIV/AIDS." It is a book of methodologies developed in HIV/AIDS research. It is intended to bring together the advances made so that others can use them. The 5 sections cover "Research Design, Theoretical Frameworks and the Research Question," "Samples and Populations," " Methods of Data Collection," "Evaluating Health Education Interventions," and "A Feminist Approach to Social Research on HIV/AIDS." The editors stress that "while the emphasis in this book is on the methods the researchers have developed, it is often in the substantive findings of their studies, and their contribution to our understanding of the epidemic, that the methods have proved their worth." A highly recommended book for anyone who is just beginning to do research. There is a great deal to be learned from those who have contributed to this book. It is recommended for all medical and academic libraries.

437. How Long Has This Been Going On?, by Ethan Mordden. 1995, Villard Books, 201 E 50th St., New York, NY 10022. 590p. ISBN 0-679-41529-7. $25.00. (Descriptors: Gay Men)

Here is a tantalizing story of gay America from east to west and north to south. Mordeen has done an exceptionally good job of providing the reader an insight to gay life from the late 1940s to the present day. Although this is a fictionalized account, it is one that many individuals will be able to relate to in their own lives. There are many who feel that being gay is something that is acquired and not something you are born with. This book answers the title with a resounding MANY YEARS! It is a funny yet provocative book, covering gay life from before World War II to the present day. In these pages one can find something for every gay and lesbian. You will read about an acerbeic lesbian bar owner, a handsome policeman who becomes a porno star, a drag queen who spins many of the tales in the book, a pair of high school jocks and their straight female friend, a child with AIDS, and as many other characters as anyone would want to know.

This is a must read book about the bars of post-World War II underworld, the Stonewall riots of 1969, and the gay pride parades that have become so important today. It shows everyone that gays and lesbians do make a difference, they do have confidence, and they do have a great amount of self-esteem. Once you start reading, you will not want to put this book down until the last page has been read. Highly recommended for all libraries, including school libraries, even though there will be many who will want the book banned from the bookshelves.

438. Dictionary of Immunology, 4th edition edited by W. John Herbert, Peter C. Wilkinson, David I. Stott. 1995. Academic Press, 525 B St., Ste. 1900, San Diego, CA 92101. 171p., illus. ISBN 0-12-752025-2. $30.00. (Descriptors: Immunology, Dictionaries)

Immunology is that branch of biology that is concerned with the acquired resistance of animals or hosts to the infection with microorganisms. This new edition of a well-known dictionary has been completely revised with over one third of the previous entries being replaced and the remaining brought in line with the new advances in a fast developing field of science. It includes new material on cell membrane proteins, cytokines, and other major interest molecules. For those working on HIV/AIDS research, having an up to date dictionary of immunology is very important. This dictionary should prove to be a valuable addition to all public, medical, and academic libraries.

439. Power and Community: Organizational and Cultural Responses to AIDS, by Dennis Altman. 1994. Taylor & Francis Inc., 1900 Frost Road, Ste 101, Bristol, PA 19007. 179p., bibliog., index. (Social Aspects of AIDS) ISBN 0-7484-193-8, 0-7484-194-6pbk. $54.50, $19.95pbk. (Descriptors: Social Aspects, Legal Aspects)

This book "charts the emergence and development of the community sector response, illustrating the factors that led affected individuals and communities to organize, question, challenge and re-define initial governmental responses to the epidemic." It looks at the activities of community based organizations (CBOs) in Europe, the Americas, Africa, South Asia, South East Asia, Australia, and the Pacific. It brings to light the many tensions that are present around the world: "tensions between activism and service provision, between altruism and self-help, between volunteer participation and management control, between fluidity of function and increasing bureaucratization." It is one of the first books to delve so deeply into how diverse the voluntary and community sector have responded to HIV/AIDS.

The 8 chapters cover: "HIV and Community," "The Emergence of a Non-Government Response to AIDS," "What Do CBOs Do?," "The Changing Pandemic," "The Evolution of the Community Sector," "Expertise and Professionalism: Who Owns AIDS?," "The International Dimension," and "Overview: CBOs as Subversive." Altman stresses that all of the AIDS organizations that he worked with had a personal and close connection to the disease through individuals who worked and then died of AIDS. He also points out that the book cannot possibly show a full overview since it is estimated that there are over 16,000 non-governmental groups in the United States alone that are doing some kind of AIDS/HIV work. Unfortunately the number of comparable organizations in other countries around the world is far less because some of these governments are still deciding whether or not to recognize AIDS as a disease to be reckoned with. This is an excellent book for anyone who is studying the social aspects of AIDS/HIV. So much as been accomplished by the organizations in the United States and this is fully discussed in this book. Highly recommended for all libraries.

440. AIDS and HIV Programs and Services for Libraries, by W. Bernard Lukenbill. 1994. Libraries Unlimited, PO Box 6633, Englewood, CO 80155-6633. 262p., illus., bibliog., index. ISBN 1-56308-175-X. $29.50. (Descriptors: Special Collections, Informational Sources, Policies, Resources, Legal Aspects, Social Aspects, Youths)

"This book is an attempt to look critically at the information and educational issues that librarians must confront when they are faced with providing appropriate resources, services, and programs for a wide variety of people who are or will be seeking help from them." It is intended to provide school, public, and academic libraries with information on what is available in the areas of consumer health, community education, and related types of information. There is a minimum of medical and technical information. There is a great amount of information in this volume that can help libraries provide the educational resources that are needed every day of the year by thousands of individuals. Although there are some factions in the U.S. that believe anyone associated with the dissemination of AIDS information should be picketed and harassed, libraries have to take a firm stand on the right of information for everyone, even though they may be picketed and harassed by the likes of Reverand Phelps of Topeka, KS.

Topics covered in this excellent book include: social and cultural effects of HIV and AIDS on libraries; dissemination of information and the resulting possible censorship; cooperation; models for collection development, services, and programming; models for helping and supporting clients; services for children and adolescents; training for library staff; and steps in planning for HIV/AIDS information services and programs. Lukenbill has done an excellent job in bringing a wide range of services to the attention of the reader. He does this in a well structured text that is easy to read, follow, and understand. Any library will find much in this book to help them with an AIDS/HIV education program. The problem of safer sex education is treated extremely well, pointing out the problems with some of the erotic literature that is needed to get the point across to the reader. A highly recommended book for all libraries.

441. Families, Illness, and Disability: An Integrative Treatment Model, by John S. Rolland. 1994. BasicBooks/HarperCollins, 10 #. 53rd St., New York, NY 10022. 320p., bibliog., index. (Families and Health Series) ISBN 0-465-02915-9. $35.00. (Descriptors: Medical Care, Families, Psychological Aspects, Family Relationships)

"This book was inspired by strong feelings about the unmet needs of families living with illness and disability." The importance of the family in the time of illness and disability should be self-evident. The fact is, however, it is a complex problem that has no real solutions. Just defining the word family has its problems--household, legal, biological, blended, or extended. Part 1--"The Experience of Illness and Disability"--contains two chapters: "The Psychosocial Typology of Illness" and "The Time Phases of Illness." The second part--"The Family System Response"-- provides chapters on "Overview of Family Dynamics with Chronic Disorders," "Multigenerational Experiences with Illness, Loss, and Crisis," "Chronic Disorders and the Life Cycle," "Family Health and Illness Belief Systems," and "Anticipatory Loss in Physical Illness." The last part--"Assessment and Treatment Guidelines"--covers "Treatment Issues with Families," "In Sickness and in Health: Helping Couples Master the Challenges," and "Personal and Larger System Interface Issues for Clinicians."

Rolland covers all diseases, giving examples of how each affects the family. In the case of AIDS there is always the moral judgment that is passed making families feel like undesirables when they try to receive the proper health treatment. Clinicians have to be careful when they are treating families with AIDS/HIV so that this moral justice is not the major factor. Rolland uses many examples of how to cope with these problems. His discussions are well written and can be understood by any educated person. It is the medical profession, however, that will benefit the most from this book. Individuals who are treating illnesses and disabilities, especially those that are life threatening should make this book required reading. Compassion is sometimes lacking, this book will help bring that compassion back. Highly recommended for public, medical, and academic libraries.

442. Tired of Being Tired: Overcoming Chronic Fatigue and Low Energy, by Michael A. Schmidt. 1995. Frog, Ltd./North Atlantic Books, PO Box 12327, Berkeley, CA 94712. 333p., bibliog., index. ISBN 1-883319-16-1. $14.95. (Descriptors: Fatigue, Chronic Fatigue Syndrome)

This is a book for those who suffer from fatigue, low vitality, and chronic tiredness. Fatigue can be the result of many things, including a side affect of AIDS/HIV. Schmidt discusses the more common causes of fatigue and provides some suggestions for possible remedies, keeping in mind that a physician should always be consulted. Some of the causes that are discussed include intestinal problems, food, vitamins, minerals, blood sugar disorders, elevated blood fats, overweight, underlean, thyroid and adrenal problems, fitness factor, athletic fatigue, chronic muscle pain, infections, antibiotic overuse, terminal illnesses such as cancer, heart, or lung diseases, prescription drugs, airborne allergy, light, circumstantial fatigue, depression, stress, and motherhood. Obviously, some of these are treated in more detail than others but each provides some very good observations.

The last part of the book provides some information on how to improve your energy level, including detoxification and breath and energy. In the case of breathing, it is pointed out that this is one of the most powerful energizing forces that is available to us since oxygen is critical to the generation of energy within the cells. "When you breathe more deeply and slowly, the release of pent-up feelings begins to occur." Traditional Chinese medicine is also discussed as a possible treatment for fatigue. The main theme throughout the book, however, is "wholeness and balance." This is an excellent book to read and contemplate. It may not provide all the answers, but it will give peace of mind to many who may have problems. Recommended for home use and all libraries.

443. Good Doctors, Good Patients: Partners in HIV Treatment, by Judith G. Rabkin, Robert H. Remien, Christopher R. Wilson. 1994. NCM Publishers, 200 Varick St., New York, NY 10014. 201p., bibliog., index. ISBN 0-9643884-0-5. $15.00. (Descriptors: Doctor-Patient Relationship)

The purpose of this well written book is "to provide for patients, their loved ones, and the professionals and volunteers who work with people with HIV illness some understanding of the characteristics of effective physicians and effective patients." It "presents the opinions of HIV-positive patients and their physicians, often in their own words, about what they believe to be the important characteristics of the good or successful patient and physician, the nature of the doctor-patient relationship, and the expectations each has of the other." The real value of this excellent book is this relating of experiences of both patients and doctors. There is so much to learn from others and the authors have brought this together in a volume that will be very useful for all HIV-positive individuals and their families.

It describes what a good patient is from the physician's point of view and from the patient's point of view. It also provides some information on what makes a good HIV specialist, the doctor-patient relationship, treatment strategies, learning to live with HIV, and the role of the counselor. Living with HIV is a very stressful process and any advice that others can give based on their own lives is extremely helpful. There should be more accounts such as this. A highly recommended book for all libraries.

444. Altering the Image of AIDS, edited by Maria de Bruyn. 1994. VU University Press/Paul & Company Publishers Consortium, PO Box 442, Concord, MA 01742. 130p., illus. (Primary Health Care Publications, no. 8) ISBN 90-5383-259-9. $16.00. (Descriptors: Social Aspects of AIDS, Vietnam, Zambia, Turkey, Indonesia) (Contributors: Maria de Bruyn, Ivan Wolffers, Patricia Koster, Oliver Kanene, Rosalia Sciortino, Ali Kaan Orban, Kus Hardjanti, Luis-Christian Rodriguez, International Federation of Red Cross and Red Crescent Societies)

This small book outlines how important it is for organizations that represent potential patients and non-governmental organizations (NGOs) to work together in providing health care to HIV/AIDS patients. The book focuses on three topics "1) factors which may influence how HIV/AIDS is discussed and portrayed, 2) experiences of NGOs in this field and 3) ways in which NGOs and people living with HIV/AIDS can collaborate with the media."

The image of AIDS that is presented by the media is extremely important in how well informed the public will be. A poorly presented program on AIDS will only strengthen the myths and nothing is gained, but a well planned program will provide the necessary information at the right level so that those who listen or see will understand and react favorably. The authors point out some of the problems in such countries as Vietnam, Zambia, Indonesia, and Turkey. It is the role of the non-governmental agencies that play the key roles in many of these countries since the government may not officially recognize the problem. These agencies, then, will have to alter the image of AIDS if the necessary education is successful. Recommended for all academic and medical libraries.

445. About AIDS, by National Association of People with AIDS (NAPWA). 1994. New Readers Press, PO Box 131, Syracuse, NY 13210-0131. 127p., illus. (FYI: For Your Information) ISBN 1-56420-019-1. $5.95. (Descriptors: Adult Readers, Adolescents, Popular Works)

This is a well-written, general book about AIDS for teenagers and young adults. It talks about AIDS in terms that are easily understood covering Prevention, Testing, Treatment, and Other Things You Should Know. The book stresses that anyone can get AIDS if they do not take the proper precautions. It makes some positive statements that others may say are dangerous such as safe body fluids are saliva, tears, sweat, and urine. The use of condoms is recommended and their use is shown. In the chapter on taking care of yourself it is stressed that you stay healthy in all ways. Keeping a positive attitude is very important. The book does not go into great detail but, rather, gives the facts in as simple terms as possible in order to get the point across. It is done extremely well and is a recommended book for all school and public libraries.

[ AIDS BOOK REVIEW JOURNAL | UIC University Library ]

Last updated:10/24/95