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Culture, Cognition, and Disinhibition: Notes on Sexuality and Alcohol in the Age of AIDS (Acquired Immune Deficiency Syndrome)

NCJ Number
110619
Journal
Contemporary Drug Problems Volume: 14 Issue: 3 Dated: (Fall 1987) Pages: 435-460
Author(s)
C Reinarman; B C Leigh
Date Published
1987
Length
26 pages
Annotation
A literature review is used to examine the physiological, psychological, cognitive, and cultural bases for the link between alcohol and drug use and disinhibited sex, which can transmit the AIDS (acquired immune deficiency syndrome) virus.
Abstract
This study was prompted by recent evidence of an association among homosexual men between alcohol and drug use and encounters involving unsafe sexual practices (Stall et al. 1986). The literature review examined the relevant dimensions of the drinking and disinhibition literatures, and this report sketches the theoretical significance of such mediating cultural variables as expectancies, attributions, and situational exigencies that apparently affect the alcohol-sexuality nexus. The study concludes that cognitive factors pertaining to the interaction between social-psychological set and situational and cultural setting are largely responsible for the transformation of alcohol from a central nervous system depressant to a sexual stimulant, thus acting to construct persons' perceptions of their own physiology. This finding implies that public health interventions designed to alter expectancies regarding the influence of alcohol on sexual appetites can reduce the likelihood that drinking will lead to unsafe sexual practices. 5 notes and 80 references.