Abstract
The psychodynamics involved in barebacking and safer sex have changed over the last 20 years. At the start of the AIDS epidemic, gay men experienced multiple deaths and were terrified by a new, mysterious, and untreatable disease. Today, young gay men have not usually had this experience. They therefore are less afraid of HIV and may consider the strict use of condoms as more restrictive and denying of intimacy and pleasure than older gay men. A more sex-positive approach to HIV prevention is described.

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