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Briefly - CD8 T cells - The Body

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wholistic PictuRe<br />

sue salTmarsh<br />

self-identity<br />

someTImes <strong>The</strong> ways we humans haVe of seParaTIng<br />

ourselves into “us” or “them” seem endless. <strong>The</strong>re are the<br />

obvious—physical characteristics, race, age, etc.—and the notso-always-obvious—religion,<br />

educational background, political<br />

philosophy, etc.—and the sometimes-hidden—sexual orientation,<br />

HIV or other medical status, financial status, etc. I could break it<br />

down to pet preference, sports team affiliation, even what you like<br />

on your pizza. <strong>The</strong> fact is that we, as a species, are widely varied<br />

in our plumage, habits, and habitats and yet we are also one big<br />

(dysfunctional) family.<br />

When I first heard the ubiquitous,<br />

public health-speak “MSM,” I thought it<br />

was a joke. I mean, really. And we’re all so<br />

used to “LGBT” by now that even straight<br />

politicians use it. But recently, an e-mail<br />

appeared with the following: LGBTQI2-S<br />

(Lesbian, Gay, Bisexual, Transgender,<br />

Questioning, Intersex, and Two-Spirited).<br />

Seriously???<br />

I understand that, for academic and<br />

clinical purposes, perhaps such strings of<br />

letters and numbers might provide a way to<br />

categorize people that cuts down on word<br />

count and typing effort, but it seems to me<br />

it also obscures the fact that the people<br />

being categorized are indeed people.<br />

I’ve often argued that the recent<br />

advances in civil rights for gay and lesbian<br />

people are because the younger generation<br />

(and those of us oldies with open minds)<br />

understands that being gay is not entirely<br />

about what you do with your genitalia, but<br />

more about how you live your life and who<br />

you choose to live it with.<br />

Back in the ‘80s, when Carol Shaw<br />

began a movement towards fat acceptance<br />

with BBW (Big Beautiful Woman)<br />

magazine, I weighed over 300 pounds.<br />

Even then, though I indulged occasionally<br />

in the fantasy presented by BBW, I knew<br />

the difference between fantasy and reality.<br />

I refused to be called a BBW—the notion<br />

that all large women are beautiful is as<br />

absurd as the idea that all women of any<br />

size are beautiful (let’s face it, ladies, some<br />

of us must rely on having, as my grandmother<br />

put it, “other things to recommend<br />

you”)—and I refused to define myself by<br />

my weight. I was, and am, a lot more than<br />

numbers on a scale (or a glucose meter,<br />

for that matter), just as my dear friend Sal,<br />

who calls himself “a big ‘mo,” is way more<br />

than an “MSM.”<br />

Some maintain that those to whom the<br />

MSM label refers are completely oblivious<br />

to the fact that it is applied to them by<br />

social workers, medical providers, counselors,<br />

and academics. But if they do know<br />

and they accept it, what does that say<br />

about their self-identity? If they somehow<br />

prefer those three letters to the other<br />

three, is it any wonder that it’s their very<br />

population that is seeing the highest incidence<br />

of new infections? No matter how<br />

they think of themselves on the categorization<br />

continuum, too many either don’t<br />

know or don’t want to know their HIV<br />

status, perhaps in part because they don’t<br />

even fully know or accept themselves.<br />

How do we as a society hope to<br />

achieve true acceptance of all varieties of<br />

humankind when we insist on inventing<br />

“dividers” that keep us from knowing and<br />

appreciating ourselves and each other?<br />

I’ve never slept with a woman, mostly<br />

because I find my “sisters” to be way less<br />

trustworthy than the men in my life, but<br />

once in the summer of 1982, while working<br />

at a regional theatre, I got drunk at a wrap<br />

party with a woman named Nan and we<br />

had a lovely long kiss. I had no inclination<br />

to go further, but I’ll tell you this much—if<br />

we had indeed spent the night in orgasmic<br />

bliss together, there is no way on Earth I<br />

would ever allow “WSW” to define me.<br />

In the end, aren’t we all basically PSP<br />

(People Who Have Sex with People), even<br />

if only with ourselves?<br />

Breathe deep, live long.<br />

POsitiVElyAwARE.COM sEPtEMBER+OCtOBER 2011 | 45

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