Should HIV status ever be disclosed?

This is a question often debated among therapists in situations where an identifiable potential partner can be identified. For instance, here is a case where a husband’s sexual activities will be made a part of an action by an ex-wife where the husband may have (alleged by the ex-wife) infected her with the virus.

If you were a friend of this couple and you knew one of them had HIV, would you tell the other? If you were their marriage counselor? Recently, on the BoxTurtleBulletin blog, Daniel Gonzales said that HIV status should never be disclosed. His advice was in contrast to advice given on a gay dating website (although I don’t fully agree with the advice columnist either) Essentially, the question posed by the scenario was this: If a friend knows the HIV+ status of someone who might be a dating or sex partner, should the knowing friend warn the unsuspecting friend? The gay dating website published advice suggesting that the friend should be warned. Daniel said the unknowing friend should not have been told.

I disagree with Daniel. I would probably inform a friend about much less, if I knew it. And certainly in this case, I believe that such disclosures should be made where there is a clearly identified partner. I sometimes link to Box Turtle Bulletin when Jim and the gang discuss research since he often provides thoughtful commentary and analysis of research on gay related issues. However, I strongly disagree here. While I do not think that HIV status should always be disclosed, and I am sensitive to the issue of stigma, but, in a case like this, I cannot understand why privacy should trump safety. I do not believe it does.

UPDATE: Jim Burroway posted a lengthy response to the dust-up over the advice on his blog regarding HIV+ disclosure. I still disagree and left a comment about it there:

Bottom line, if I knew two friends who might hook up and I knew one of them had a disease that could be spread via intimate contact, I would tell my unsuspecting friend as well as the friend who had the condition that I was going to do so. Sure, I might have to deal with fall out; but I believe I might have to deal with a different kind of fall out if I say nothing.

Christian Post covers MRSA controversy

Today’s Christian Post has an article by Lillian Kwon regarding recent responses to the Annals of Internal Medicine article regarding MRSA among gay men. Yours truly is quoted:

While Throckmorton believes it’s good to give warning to groups at greater risk of infection, he said the latest study to him is “just a warning about sexual purity” in general.

Referencing a comment made on his blog, Throckmorton said, “When you single out one group, the unintended consequence is people in other groups would say ‘it’s not a health hazard for me’ when it’s the behavior that’s the issue, not the social group identified with.”

The discussion on this issue has been vigorous and I hope helpful to inform an accurate picture of the situation.

Ex-gay ministry may have been casualty of political endorsement

First, the Donnie McClurkin kerfuffle and now the Rev. Kirbyjon Caldwell endorsement. That is not a sentence, but I’ll bet a few Barack Obama supporters muttered that and more after it was recently learned that Rev. Caldwell’s church promoted Metanoia (ex-gay) Ministry on it’s church website. In a Politico.com article, Rev. Caldwell said this about the ministry:

By Monday, Caldwell’s church, Windsor Village United Methodist in Houston, scrubbed its Web site of any reference to the gay conversion program, Metanoia Ministry.

In a Politico interview Tuesday, Caldwell said his 14,000-member church – one of the largest United Methodist congregations in the country – is not affiliated with Metanoia.

“I got to tell you, this is going to sound real stupid, but I didn’t know it was on our website,” Caldwell said. “I was surprised and embarrassed by it. I’m embarrassed from the standpoint that I should have known. We have 120 ministries at the church. You can’t be on top of everything.”

When asked if he opposed such programs, Caldwell said: “It’s not a ministry of the church. It is not supported financially by the church. It is not located at the church. That is pretty much where I am with it.”

The Google cache of that website is here. I have written Barbara Hicks to find out if she still is affiliated with Metanoia and how the ministry functioned. Rev. Caldwell’s statements are curious in light of the Metanoia webpage. The webpage looks and sounds like the reader is to get the impression the ministry is a part of the church.

UPDATE: The cache has been removed but here is a saved web capture and a pdf file of the Metanoia Ministry and the Windsor Avenue church.

McCain wins South Carolina; Romney and Clinton win Nevada

No, this is not a political blog but I will get into the race more as 2008 moves along. I watched lots of coverage of the South Carolina race, where the AP called the state for McCain about 10 minutes ago. McCain has to feel pretty good about his showing; he carried independents, split conservatives and was respectable among Evangelicals. Where is Huckabee’s next victory, outside of Arkansas? I don’t see a place where he would do better than South Carolina, a state where he had some natural advantages.

How about a McCain-Huckabee ticket?