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Sex is the most common way people contract HIV<br />

worldwide, yet frank discussion and information about<br />

how to have sex and stay healthy (much less enjoy<br />

yourself or give pleasure to others) are largely missing<br />

from health resources and HIV prevention campaigns.<br />

At the same time, sexually explicit and mainstream<br />

media, along with moralistic institutions and political<br />

figures, are the loudest voices telling people how<br />

and what kind of sex they should (or should not) be<br />

having. This usually boils down to a narrow list of sexual<br />

practices reserved for the young, the healthy, the<br />

married and the heterosexual among us, and rarely<br />

involves safer-sex practices, such as condom use or<br />

non-penetrative sex, except for abstinence.<br />

On the racier side of things, most sexually explicit<br />

media also present a narrow view of who has (or<br />

should be having) sex, and very rarely feature<br />

condoms or non-penetrative sex as something<br />

normal and sexy. Add to this the dominant fear- and<br />

disease-based messages about sex and safer sex<br />

coming from the HIV prevention and health sectors,<br />

and it is not surprising that few people find safer sex<br />

appealing, and even fewer have the information<br />

they need to pursue their own or their partners’ sexual<br />

pleasure without risking their health.<br />

There is an enormous gap between people’s desires<br />

and sexual behaviours, and the information they<br />

have access to about how to act on those desires<br />

in a healthy way. The health and HIV prevention<br />

sectors have a great opportunity to fill that gap with<br />

information about safer sex which reflects people’s<br />

real sex lives and desires. For this to happen, those of<br />

us in the health world have to face the erotophobia 1<br />

that plagues much of our work. Why are so many<br />

people and organizations who want to improve<br />

sexual health and well-being afraid to talk about<br />

or create programmes to address people’s desires<br />

and real sex lives? And if ‘sex sells’ everything from<br />

toothpaste to cars, why are we not mobilizing the<br />

power of sex and desire to promote safer sex as a<br />

force for good?<br />

These are key questions for the health sector as we<br />

mark a quarter century of the AIDS pandemic; but if<br />

we wait to find the answers and for a paradigm shift<br />

to occur, many more people will have been harmed.<br />

In the meantime, we can explore and learn from the<br />

ways that people are using the power of pleasure and<br />

eroticism to promote safer sex and well-being. This can<br />

become a basis from which to explore what works<br />

with different populations, and how we might adapt<br />

existing approaches to meet people’s real needs.<br />

Background<br />

The Global Mapping of Pleasure was first published<br />

in 2004, with the support of CARE International/<br />

CARE Cambodia, as a training tool for sexual health<br />

educators in Cambodia. It was researched and<br />

written on a shoestring, in just ten days, yet has been<br />

widely referenced in the media and health sector 2 .<br />

To date, it is the only resource available that explores<br />

pleasure-focused approaches to safer sex worldwide.<br />

As The Pleasure Project has worked to promote and<br />

advocate for a more sex-positive, erotic approach<br />

to safer sex and HIV prevention over the past<br />

four years, we realized the need to update The<br />

Global Mapping to include the many pioneering<br />

organizations and individuals we have met since<br />

that first edition was published. With support<br />

and funding from the Realising Rights Research<br />

Programme Consortium, we were able to widen our<br />

search for organizations that eroticize safer sex, and<br />

to produce this updated edition.<br />

1<br />

Erotophobia is a psychology term that describes sexuality on a personality scale. Erotophobes score high on the end of the scale characterized<br />

by expressions of guilt and fear about sex. Erotophobes are less likely to talk about sex, have more negative reactions to sexually explicit material,<br />

and have sex less frequently and with fewer partners over time. In contrast, erotophiles score high on the opposite end of the scale. Erotophilia is<br />

characterized by expressing less guilt about sex, talking about sex more openly, and holding more positive attitudes toward sexually explicit material.<br />

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