Monday, August 30, 2010

Nylon Feet Smelling Movies

sexual identities mobile populations at risk to vulnerable populations

By Manuel Antonio Velandia Mora
Spain, 08/30/2010

For those who like a teacher or staff member health research, plan and implement a strategy and informative, communicative or educational related to sexuality, it is necessary to understand them because, as we have shown previously, its epistemology, ontology and how also includes emotional and social relations experience determine the rationale and policies of this strategy.

understanding of sexuality is probably one of the most critical issues in the development of an Institutional Educational Project or CIE strategy, it is because in our environment is an ongoing conflict between a conservative way to view sexuality and a more open and based on the self as subject of human rights, ie as an individual premium in which self-determination in the construction of self and social relationships. Hence the need to understand before philosophical concepts underlying the comprehension of Sexualities.

The relationship between the autonomy, individuality and integrity
As Edmund Pellegrino (PAHO, 1990), until the early 70's it was considered that health in any process involving three players, each with its own moral significance in their ways. The user her / patient year was guided by the principle of "autonomy", he / professional (teaching or health team miembo) by "charity," society by "justice", however, intervention (-a) has changed in their professional morality, because it has changed its ethical foundation, now the range has shifted to the charity as the first principle of bioethics, it involves a more frank and open between those who participate in the IEP process and the actions ICE, and thus further respects the dignity of the / as users.

Any intervention to be considered ethical to respect three rights: autonomy, privacy and integrity, remembering that every autonomous decision is based on informed consent. The author then describes the relationship between these three elements and on certain moral values \u200b\u200band virtues that support decision-making and ethical act of individuals.

remember that autonomy is the power to govern themselves, such capacity for self-government is inherent in human beings is therefore only a quality of rational beings. They would be allowed to choose and act reasonably, that is based on reason. That decision is made on the basis of a personal assessment of future options, and these are assessed according to its own system values. Thus implies the possibility of thinking, feeling and make judgments about what it considers good for himself and this possibility may be affected by internal or external elements, such as conditions or brain dysfunction, age, coercion, deception and even even when the count full use of all powers, be impeded by the lack of relevant and appropriate.

For an act of an individual is autonomous, it must meet the criteria for informed consent, that is, be able to decide without internal or external constraints, with all the necessary information and according to the axiology, that is, the particular situation of the person who decides, it follows that the person should act based on what he considers best for itself and not by what others might regard as best for her . The self is so ingrained in humans that exercise is a moral law that it generates for herself and others regarding the duty of respect for autonomy. The principle of autonomy as Courtney Campbell, means "... we treat other people as ends in themselves, particularly in regard to freedom, freedom of action and self-determination ... "(PAHO, 1990). For more than the person considers beneficial decisions for others, these "benefactors" can not be excused in those profits to act, no matter how "friendly" their intentions.

consent only a legal issue is a moral issue, and even if the charity is too, considering the fact that the particular decision benefits the other person does not justify forgetting that is his decision to receive or not receive legal aid. Autonomy can not violate the agreements and demands of society to which the person belongs, because that violates the rights violation social, but it goes without saying that you can not exercise the right to autonomy if not recognized the right to privacy and the person is conceived as being full.

The invasion of integrity implies such an act penetrative genital oral practice, and the touch that makes a health care professional a patient's body, carries the possibility of understand that there are legitimate invasions integrity, need to be informed consent.

autonomy is subordinate to the integrity, eg no matter he /'s a user of a program to consider that abortion is a right decision or that you prefer artificial insemination, can not force the other person to agree with that assessment, let alone to practice. It requires mutual respect for integrity, that respect does not mean giving in to their own principles, for example, is known to a person living with HIV / AIDS, unprotected genital relations argues that its practices are placing at risk your partner, it is logical to understand that such actions violate the integrity of your partner, therefore, the therapist is obliged to denounce this attitude and do not imply a violation of integrity of that person, because their genital exercise is an act which exceeds its own autonomy in the exercise of violence to the integrity of your partner. Paternalism violates the integrity of the person.

A person, if desired, may assign its autonomy if it considers that its integrity is affected and can be improved with a particular procedure, in this particular case, the person may allow your therapist decide what is best ", just so, the therapist could pass their own barriers to decide on behalf of (-a) another / a, recalling that the decision so taken, is not made on behalf of (-a) patient, the patient, ie, not instead of it, but for the benefit of its own decision. The people involved in society generally and particularly for its decision it is limited for reasons of social justice.

Integrity is a matter of existence, being an attribute of human beings, integrity can not be restricted as it is part of us as same / as. It can not be restricted on grounds of age, or improper use full powers, is inalienable, can not be waived, because you can not alienate, assign or transfer, is inherent, because they are a way of be intrinsic to the subject.

All acts on sexuality is an ethical and is based on the virtue of integrity, to act fully, we need a high moral sensitivity and respect for individuality, integrity ( -a) a user of services and their autonomy.

Importantly, the way each person has the facts can "guide" the decision-making, can also achieve the social significance that may have to make a decision, the proper name who helps. Therefore, any action must be based on the virtue of fidelity to the trust in the therapist or counselor (-a), in virtue of the ability to give themselves and kept to a humanist content, in short, bioethics.

's speech sexualities
The development of sexuality and his performances have had a number of important points that have been modifying their experience and emotions that the subject in front of her experience. The man initially was understood as a male or female, male or female, and from means that understanding is only one alternative way to build your sexual identity and this "should be" heterosexual, experienced through relationships so macho, with a preponderance of male power and focus on phallocracy. This model considers that individuals' sexual identity is fixed and that they and what society thinks about them is immutable and that others see and explain what the other should be.

was therefore necessary to develop approaches such as feminism, the concept of gender, sexual and reproductive rights and therefore the recognition of the "mother singles, women as heads of household and owner of his body and genitals for these approaches to expand their horizon of understanding to what is called sexual and reproductive rights. In these, the vision of identity remains fixed, but extends to the recognition of the feminine world. Studies of late 19 th century allowed the question about heterosexuality and elaborations concerning homosexuality, but only until the mid 20 may be an approach to the understanding of the lesbian, and subsequently an approach to desire, eroticism and masculinity.

A further progress is made by moving from discussion of sexual and reproductive rights to sexual rights as human rights. In this understanding of identity is not considered fixed but is based on the concept of identity understood as moving process. Speaking of sexuality is no longer singular but of sexualities and suggesting that there are as many as subjects.

The world of possible identities then understand that in the same subject there are different identities: gender, human beings can be male, female or intersex (collecting itself both external genitalia or internal male or female) gender can be male, female or transgender identities of sexual orientation is that of heterosexual, bisexual, lesbian or homosexual; and sexual behavioral expressions or ways to obtain and provide pleasure.

Properties be being
A property of human systems is being unique. There is nobody like me, never has been nor will be, I'm so alone / I'm even a distinct / on of myself aa though essentially still me, for example, as change over time and I am different from a few years ago, a few weeks or a few minutes ago. Therefore, what each one / to experience, emotional and explains about their sexual orientation is equally unique.

Secondly, what the human system has lived long ago and unique , remember that I can not swim twice in the same river. First, because what I have experienced, such as swimming, is already done and I can not repeat because I do try it another time, space and conditions. It's been a while so the time is another, water is circulated therefore the river where swimming is different and I have spent some energy as a result I'm tired and the conditions in which they swim are diverse. From this logic does not speak of homosexuality, lesbianism, heterosexuality or bisexuality, but the gay, lesbian, heterosexual and bisexual. The plural reference and emphasizes the singularity, particularity and uniqueness of self and their experiences, as well as the fact that the particular process can not be repeated by another / a and that EFSA other / to experience, emotional and explained from of its uniqueness that makes it different / a.

In third instance, all person is in constant motion and thus constantly changing; All experience system in a continuous receive, transform and energize , leading us to accept that as a person not be finished but I am constantly developing: a dynamic be. In that sense, I'm not be terminated but a being who is being [1] . I'm not a complete being, I'm not finished home, I'm being a (a) be new / a at all times, this being the essence that makes dynamic my be. It is a sexual orientation differently, is the home, studio, church and community group as being influenced / as, interaffectivity editor and be interdependent with and the / as one / as, culture and society, everyone / to be experienced in daily life, in every time and space, from the links to be established as a result of the ecosystem.

In the fourth instance, be recognized as a historical implies that there is something in me that remains essentially: I've lived. Every situation we experience is what is experienced and transcended source. In fifth instance, although in essence am the same / a were generated in me a series of feasible changes learning from experiences and emotions, previous experiences, for that reason, I am evolutionary / a. If the reflections that I do are directly related to my experiencing of being being gay or lesbian, it was not necessarily always but I've been doing, explaining and exciting in that sexual orientation dynamically.

In sixth instance, I'm being future to the extent that we build from what "we want to" get to be reached to be, later in our lives. What I am still today, at this moment, in the here and now it is only possible from what I've been making but also made possible from what I, prospectively, I would be being as a person.

Ultimately beginning of the road or being built procedurally. What I'm doing can be seen as a itself, but everything is a part or process is one of the micro processes of one or more other major processes which in turn are part of another macro or other processes. Any process of a human being in relation to self and others / as human / as, involves interrelationships and interdependencies interaffectivity. Any involvement of a part of me, as a system, it affects me in my wholeness and integrity and in turn, affects the micro-groups or groups and macrogroups of which I am part, and consequently, affects society, but also everything it happens and in groups in which I am immersed affect me, resulting in this exchange a series of emergencies which are essentially what I "am being ", and last, what I experienced, exciting and explaining about myself and about society and culture which I am part.

In the process of socialization we learn the body, we experience sex and gender assume; elements that determine me as being sexuadoy are experiencing, excited and explain ecosystem. sexuality of each individual, among others, is determined by what he / the subject / to being as sexual being, ie their sexual orientation and behavioral expressions [2] (Alvarez-Gayou, 1992) or ways to get pleasure.

The body, although of biological origin, is affected by culture, time and space, for example, women with cellulite to plump and Rubens painted not represent the body built and rebuilt for women today, women Santander nor recognized in the body as a woman makes the Atlantic or Pacific coast. The body is modeled from a "social need" for that, so we do males or females diets, plastic surgery, exercise, exposure to sun or change the color of hair as well, we experience the body through the accessories and dresses that wrap or decorate as if they were their extension: wearing shoes with heels that lengthen, skirt or pants that make it a focal point for views and wishes, loose or tight clothes that make it sensual or go unnoticed.

Sex [3] , we usually understand it as a biological construction, but even before birth socially builds an explanation of sex for each person as male or female, in some cases construction is not supported in the actual existence of the biological. When you see a scanner of a pregnant woman if the product is brewing is a male, then from biological evidence is far from clear since it is only a superficial vision of human biology, properties are allocated in this case states that the male is strong, healthy, strong, resilient and is expected to remain so.

Socially, at par, is assigned to one sex person by observing their external genitals, not knowing if internally consistent with such allocation (expected to be the case). Sex assignment uses complementary to the allocation of roles-genital sex from the "ought" is assumed and expected of each sex are [4] . It has divided the world into extremes that complement ignoring the continuum that determines a number of intersexed, for example, some men may have two external genitalia that correspond to what we determine as the genitals of the male and female; also happens to be present in the internal genitalia of a mixture of both or some people to express an external genital does not correspond with the inmate, in short, so far, has been ranked 16 intersex or large variations between categories ends of the male-female continuum. Beings represent her, and socially guess them / as they are male or female pure / as of the kind, however much / as of us as we die without being able to demonstrate scientifically that we really are and what we assume others assume that we are.

Gender is a notion, a social and cultural construction of what "should being "and as a person should behave, but the genre is especially a particular building, from which a person assumes to act in a way that is called" gender role "is generally expected that accompanies that role their performance to a body that is responsible, that is, for example, a male body there could be a male role.

Some people may experience a situation that is called "gender dysphoria" in them their role, their acting, their performance of gender is not in line with your body: assume a performance female Although his body is or is assigned a male or a male performance even though his body is or is assigned to female. In this case we say that the person has abandoned its "gender assignment" and has taken a "genre of choice."

Not all people (intersex or not) assume a gender role different from their "gender assignment", who assume a "gender by choice" are called "transgender" in Colombia and "transgender" in the rest of the world.

transgender people accompany the chosen gender role with accessories, clothes and make-up (when it is deemed culturally necessary) characteristic of the genre that have "traveled." Can then arise people who experience a "transit identity of masculinity with femininity" (Velandia, 2006) and others experience a "transit identity of femininity to masculinity."

Men who take time or permanently for accessories, clothing and makeup of the female own but this is not your genre of choice, and this is a behavioral expression produces sexual pleasure and they therefore adopt it as part of their sexual identity are called "transvestite."

Sexology speaking, there is a name for women who take men's accessories and apparel, this is because the power of masculinity is such that it is considered socially and culturally acceptable that all women aspire and take certain elements representative of who holds power: male, masculine, macho and phallocratic. However, in some countries like Spain, the term applies also for women transvestite.

Everything has gone transgender identities of masculinity femininity (femininity or masculinity, is a transvestite, if we start from the English test-), \u200b\u200bbut not all / a transvestite is transgender. A transsexual man is a person who belongs to the male gender mentally as his chosen genre, despite being born with female anatomy.

A transsexual is a person who belongs to the female gender mentally as his chosen genre, despite being born with male anatomy. A transgender person is not want sex with characters who are born but you just want a body that is appropriate for their chosen gender. It is a transsexual and a person surgically, with application of hormones and / or tricks or fillers, processed or not his body, to approximate the desired body. (Velandia, 2007).

In the process of sexual identity construction people also determine the (s) of person (s) with whom (s) you want (n) carry out their desires, affections, genital and erotic , a process of identity construction is called "identity of sexual orientation (Velandia, 1999)

reflections that each person develops the results from what is being, so my thoughts and those of the / as other / as are as unique as each person who explains what is. The explanations about the world we, us / them as / as, our relationships are unique and different from other men / women. The biggest problem in the understanding of sexuality is that we fail to realize that compared to the same fact there are many verses, reflections and explanations (uni-verse) as there are human beings and as such, from the theory of language, that culture is built on Multiverse. I will not explain here the different theories on the origin of homosexuality or the few existing as to the origin of lesbians and I think "marry" one of them, I will refer only to the existing agreement in the international scientific community: the Homosexuality is not a disease, is a sexual orientation.

identity refers to how each person is assumed to herself and in relation to others and what society expects of him or her with reference to their sexual being, that is, with respect your body, sex and gender, as well as behavioral expressions and sexual orientation.

The "should be" socialized has built a social explanation of what is expected "should be", ie in this case, men or women. In our culture and society are male if male, male, heterosexual and therefore, in our culture, machismo and phallocratic. In this reason a woman if you're female, female, heterosexual and therefore, in our culture, dependent on the male and which recognizes the power that she must carry on the owner of the phallus. It is perhaps for this reason why some people wonder about the relationship between same sex in them who exercises a man or a woman, forgetting that you can not stop being or not is to assume what is considered a role " own "the other sex.

In everyday life people are struggling in a game system between the "ought", his "wanting to be" and what "being", the latter in the accommodation between these "ought" and "want to be." Identity as a sexual being is experienced in the game then three different conceptions that interaffectivity, interdependence and interrelated: what / as other / I'm identified as: social identity, what I'm being identified, particular identity, and what I am projecting from me because I want to project: identity of socialization. As social subjects are in a continuous movement between subidentidades that shape our identity, in this sense the social identities as both individuals are always moving.

sexual orientation [5] , whatever it is, does not appear in the overnight but is built like the body, sex and gender in the socialization process. It is homosexual or lesbian from himself / herself and in relation to sexuality (a) subject / to the I assume that I can exercise my desire, eroticism, affection, and genitalia. People forge a sexual orientation identity of lesbian or gay from the "ought" of what society expects them to be, that is heterosexual, the "wanting to be" refers to what I determined from the "duty "as I myself / to understand and I assume that would be my being and" being being "is the identity emerging from the interplay of" social identity ", the" distinct identity "and" identity of socialization. "

The lesbian sexual orientation is a cultural background where in the process of socialization, a woman (biological, chosen or transformed) experiences, emotions and explains their relationship as sexual persons to another women (biological, chosen or transformed) from lesbicodeseantes demonstrations, lesbicoeróticas, lesbicoafectivas and lesbicogenitales, but some women have a An experienced lesbian identity without lesbicodeseantes processes, lesbicoeróticas, lesbicoafectivas or lesbicogenitales (Velandia, 2007) .

The homosexual sexual orientation is a cultural background where in the process of socialization, a man (biological, chosen or transformed) experiences, emotions and explains their relationship as sexual persons to another man (biological, chosen or transformed) that guides their desires, affections, genital and erotic to another biological man, chosen or changed, but some men have a homosexual identity without Experienced processes homodeseantes, homoerotic homoafectivas or homogenital (Velandia, 2007).

The game of emergencies happen in all sexual identities and sexual orientations either, although for heterosexuals the gap between "ought" and "wanting to be" is much lower that sexual orientations considered marginal.

Some people experience some aspects of the lesbian or gay without being defined in a lesbian or gay sexual orientation, for that reason, now often speak men who have sex with men or women who have sex with other women to refer to those who still bigenitales and in some cases and even bieróticas and bideseantes biafectivas, we identified sexual orientation as heterosexual.

It may be in part or in whole of the lesbian or gay experience it in one, two, three or four following options, ie as homoerotic or lesbicoerotica, homogenital or lesbicogenital, homoafectivo or lesbicoafectiva, lesbicodeseante homodeseante or not assumed and / herself as gay or lesbian. This assumption refers what I call sexual orientation identity . What follows is a proposal for the analysis on the construction of identity including sexual orientation in four stages at the end of an overlap with the next and overlaps in the previous. This analysis can also display the identity of sexual orientation is mobile.

Stages in building the identity of homosexual or lesbian sexual orientation

Coming In : The first stage in building the identity of sexual orientation (Velandia, 1999), has been called the coming In , which translates to internalize, enter yes same / a. The individual begins awareness of their desire for another person of the same sex. The coming in is the most difficult moment in the construction of the identity of sexual orientation so much, that many people can stay in this stage for years, even decades and beyond to the other stages.

The shame of being different or thought seems to be a fundamental element of identity construction particular sexual orientation. The closure is common and recognized both different from the "ought to" and to confront the model. While the person is being embarrassing can never transcend its process and self-repression, guilt and allow the heterorepresión, stigma and discrimination.

general, who is coming in as a lesbian or homosexual is in a different building process of a person builds a heterosexual identity. They feel they are the only people going through such circumstances. As teenagers or young adult, to be attracted / as for others of the same sex or engaging in activities to which the "ought" of gender identity considers that the conduct is "inappropriate" becomes unstable emotionally. The fear of being sick as, abnormal results were doubts and contradictions which do not initially try to get answers. Consult dictionaries and encyclopedias in words such as homosexual or lesbian, hide information from newspapers or magazines on the subject, to read later and carefully, and feel annoyed / as when, in his presence, the media refer to the subject.

learn to recognize the "cloud" or socially tags used to attack those who are considered to have a different behavior to stigmatize. Those who discriminate are not always fully know its meaning, such as other children and adolescents, but acknowledge the effects they have on the emotional charge of the stigmatized person. Los / as labeled, does not initially recognize the meaning of the label but often suffer from the violence that is exercised with their use. To the extent that they were understanding the contents of labels, are marginalized in the group activities at school and in the family even being participants in a meeting, every time someone talks about homosexuality or lesbian feel your heart rate speeds up, your hands sweat and I tremble voice. Adults remember that being under the care they were called the / as labeled, and that they felt they were doing anything different than what others did and girls under.

When people are close sharply "mannered" this will produce a contradiction, are afraid to come to "be like that person" but also feel a great attraction for her. Observers were made aware of their own mannerisms and make clear where, there is the fear to act in groups or doing other activities of daily life in which they believe that such mannerisms can be noted. They worry about the feeling they arouse in others and often confronted with regard to doing those activities or totally isolated. Very little / as they decide to talk to their parents, spiritual guides and teachers, or resort to therapy for fear of being violated, used and even sexually or physically assaulted.

not recall being "wanted" in its childhood genital contact with someone of the same sex, at best, approximations recall the pleasure of a fragrance, to feel closer to the person or want some "friction" of skin. People who are awakened sensations, described as "almost love" were generally those who in their daily lives admired for some reason, some learners may remember with particular fondness for teachers and school television characters . Openness to others / as on the subsequent step in the construction of sexual orientation identity.

Coming Out : The second stage of construction of the identity of sexual orientation is the Coming Out, a term that translates as "get out". It is the process by which the individual seeks out self to another / as, motivated in seeking to consolidate its unique identity sexual orientation, approaching theoretical and experiential situations that facilitate the understanding of individual dynamics. For those who think of a homosexual, lesbian or bisexual, the process generally involves first opening towards other and girls with the same orientation, a situation that is easier for heterosexual, as this is the "ought."

Looking spaces which enable them to discuss your situation with learners friends of the school, neighborhood, school or workplace who believe and feel they can trust. When you do find three types of responses, censorship, acceptance or "compassion." The group of people around it, usually consisting of heterosexual, with surprise and curiosity takes the statement. This "letting" provides an aid to self-esteem to the extent that the person no longer feels isolated in the world, but poses no real solutions to their genital needs, emotional and erotic, which even when / a reassuring him / her to take a look for spaces where you can meet, or at least curiosity.

The coming out often experience it in a double or triple life: permissive closed space (bar, sauna, video, apartment) and the intimate spaces (family, school, work). In the enclosed space, sometimes illegal, the person will recognize themselves, find "friends" or just people who watch, learn to cope with "natural", although they have still much fear of being identified / as and even be-recognized by others as well including frequent these places.

habit of reading scientific literature, go to the theater, movies, access the Internet and find many other situations related to the issue of sexual orientation, including access to professional sexual therapy psychology as a way to find answers to your questions. Who has gone through these experiences, he feels more relaxed / a about himself / herself even if they are authorized to make proper contact and genital erotic occasional lie about their personal data such as located / ace.

in their families prefer to avoid any approach to the subject and thus evade answering any doubt or question. Their answers are often evasive or negative. Initially identified tend to have doubts about your sexual orientation, it's / leads as to make excuses and explanations that deny the truth. The vast majority prefer to have a "break" with her family and isolated rather than accept the reality that is imposed upon herself / himself lesbian or gay. This makes it easier to establish a pair bond, although also the formalization of a relationship leads to "cut umbilical cord. "

By linking with someone who has a private space open to other / similar as to sexual orientation and / or permissive people, they find life there models that help them consolidate their "wanting to be" . Access to a treatment group or a specialized professional / a in this area, with a positive handling of homosexuality and lesbian, facilitates the process of coming out because they can assume your identity with greater ease and less conflict. ; are few people who decide to move forward in their process to disclose their orientation sexual.

Established Itself: Third stage whose name translates to "set himself / herself." Process in which a person seeks to consolidate a particular sexual orientation, which usually involves you, when you belong to a sexual minority, to make a statement thereof, in the family environment, education and employment. Her sexuality becomes focus of its existence. Thus there is often permanent reaffirmation of guidance, without implying that those who choose to reach this stage do "vox populi" it.

At this stage, some learners tend to rationalize their speech understanding with regard to sexual orientation and even progress in building a political discourse about sexual minorities participating in discussion groups in which working for human rights and sexual. Initially, they have difficulties to understand and work together with other learners who are in similar process, and people of the opposite sex with similar sexual orientation. Even more so when access organizations "transvestites " [6] , transsexual, transgender or sexual trabajadoræs [7] , probably because this / as have constructed a discourse about their particular identity and sexual orientation are different and difficult to understand other options in the broad spectrum of sexual diversity.

As people take more time in this stage are realizing that the emphasis put on it explicit that there is no longer necessary. The vast majority continue to live their daily life and transform him so that it rotates less on about their homosexuality or lesbianism and increasingly around their needs in other areas who are now returning to be important. The latter possibility opens the way to the last stage in the construction of the particular identity of sexual orientation.

Self Made : It has been nominated by Velandia (1999a, 1999b) the last step. In this fourth point, the guidelines no longer the existential axis to be just one element in the everyday, making them / as same / as in / as makers of their own existence. This suggests that at that time were built fully as people whose emotional stability motivates them to make fully public their sexual orientation and experiences of two ways: by becoming champion / as the causes for sexual rights and their homosexuality or lesbian living in a free and peaceful but a little noise outside the gay world. Couples tend to build very stable and economic activities "liberal", in which sexual orientation does not make them subjects' exclusion.

Regardless of the stage in the construction of the identity of a person's sexual orientation can move sexual orientation to another and start construction there in the first stage of this guidance, hence the identity of sexual orientation also can be considered a mobile identity.

Bibliography:
· Velandia Mora, Manuel Antonio (2007). Diversities and Identities sex traffic. New definitions for sexual orientation and identity transitions. http://manuelvelandiaautobiografiayarticulos.blogspot.com/2008/03/diversidades-e-identidades-sexuales.html
· Velandia Mora, Manuel Antonio (2006). Mobile sexual identities: The right to be still or emotional ability, theoretical and experiential understanding of masculinities In: Knowledge, culture and sexual rights in Colombia. Ed: Third World Editors, Latin American Center for Sexuality and Human Rights (CLASDH) and the Centre for Social Studies National University of Colombia (CES), Bogotá.
· Velandia Mora, Manuel Antonio (2004). Education Module V Sexual and Reproductive Health HIV AIDS (Prevention and Control) . Gobernación de Santander Department, Ministry of Health - Special Projects UDES University of Santander, Educational Plan for Sexual Health and Reproductive Health IEC Strategy. Bucaramanga, Colombia.
· Velandia Mora, Manuel Antonio (2000). Manual pre and post test counseling on HIV / AIDS , Ministry of Health / Institute National Health, Colombia, 2002.
· Velandia Mora, Manuel Antonio. Characterization ethnographic women exercising sexual work in Bogotá, Colombia. Ministry of Health, Colombia.
· Velandia Mora, Manuel Antonio (1999a). Ethics, sexuality and human rights, human rights / as: sexual rights. In, Latin American Journal of Sexology. Special edition. Volume 13. 1, 2 and 3. P. 20 to 29 and p. 84 to 90. Bogotá.
· Velandia Mora, Manuel Antonio (1999b). Process of building the identity of sexual orientation. In, And if the body screams ... Let us Marica. Editorial equilateral, Bogotá.
· Velandia Mora, Manuel Antonio (1998). "Human rights are also sex, sexual rights are human too." In, Mourning, Memory and repair . Ombudsman / Fundación Manuel Cepeda Vargas. Colombia.
· Velandia Mora, Manuel Antonio (1996). Tolerance and sexual minorities. En, Pastoral Xaverian. Volume 3, Numbers ½. P. 83 to 90. Bogotá. 1996.


[1] Be still: To demonstrate the continuing dynamism of the human being and stress its non-permanent construction will be referred to as "what is" but what the subject "is being. "
[2] Behavioral Sexual Expression (ECS): A term coined by the Mexican Institute of Sexology, seeking to use descriptive language, purpose and scientific rather than judgmental, derogatory, sexist and discriminatory that had been enacted. The ECS considered sexually healthy behavioral encompass all expressions of sexuality that make up the expressive universe of l @ s @ s human beings in the pursuit of pleasure and the exercise of her eroticism, such as voyeurism, exhibitionism, masochism, transvestism.
[3] Sex as biological category, in the case of humans, refers to a point located in a continuous which are the opposite ends reproductive functional and differentially characterize the formation of sexual organs, reproductive system and secondary traits.
[4] Socially when referring to sex, the definition tends to focus on so-called reproductive capacity: The male is reproductive end that places the sperm, the female reproductive end that provides the egg.
[5] sexual orientation, is defined in relation to the sexuality of l (a) sujet @ with which I assume I can carry four elements: desire, eroticism, affectivity, genitalia. The person could have an orientation without an identity.
[6] The transgender people who work in Colombia sexually prefer calling themselves as transvestites (written with "ns" before the "v") and do not recognize as its own international name transvestites, as they do not recognize the name for themselves transgender.
[7] Sexual Trabajadoræs are seniors who in the course of their work, more or less consciously permanent and offer their genitalia or their erotic skills on to others in the same or different sex, in exchange for a monetary reward or patronage, seeking thereby to meet their needs basic and / or your family, unable to get a job. These people were not officially identity (they have a relationship with his office not unlike that of any other worker, is not always like what they do, paying fair value as they get in return or considered acceptable or appropriate alternative livelihood).
is necessary to start from the consideration that the exercise of sex work involves you working women sexual relationships with users of their services in a business relationship in which she is assumed to be good but at the Once the source of income in seeking achieve an appropriate level of life and a job in which the type of service provided is often an obstacle to maintaining your health.
An important distinction to use the definition of sex work is not to be referred to indiscriminately as a synonym for office work, but refer only to work and not to trade, because it is considered that a office is a productive activity that is exercised for pay and whose exercise produces enjoy the person who runs it, as he feels and assumes that the work activity is guided by its principles and in line with their life plan. The work, by contrast, is an activity that is not considered rewarding for the worker (a) and that its exercise does not incorporate the characteristics mentioned above as belonging to the definition of activity. We will use the concept of work for some women even though their work is a profession (Velandia, 2000).

Shelly Martinez- Jewyl D'nyle

Counselling HIV / AIDS: Why it

By Manuel Antonio Velandia Mora
Spain, 30/08/2010

Given that the HIV / AIDS continues to increase, and is engaging people increasingly younger, more women and people belonging to sexual minorities, besides being present in populations traditionally understood as those with increased susceptibility (transgender sex workers) is necessary to create the conditions for health professionals working in public institutions and private institutions that make the overall system of social health insurance are properly trained and emotionally prepared to withstand those who in their work need your professional support in both pre-and posttest as some special counseling, such as the use of inhibiting drugs.

support to those affected by HIV and AIDS is not very different from that provided to those who show other STDs or diseases in its last stage may come to mean death, but from the very beginning of the HIV pandemic, who are its bearers, have been constantly violated / as both people in the community like that / as who are part of health teams.

standard was expected to contribute to reducing stigma and discrimination against carriers of the virus. Despite the existence of ethical and legal instruments, those affected by this disease are still violated their fundamental rights, which has motivated the filing of a large number of guardianships, through whose fault want their rights respected .
The pre-and post test must be performed by a physician or a (a) professional member / a interdisciplinary team working on AIDS, who will be properly trained every day for this task. Although there respective rule and sanction, so far have not brought criminal charges guardianships or the violation of the right to counseling.

currently support and counseling is from five areas have been providing to know: the lines of support and information, support groups and self-advocacy, programs for pre and post test counseling, counseling programs and psychological therapies and support, and counseling programs in other areas such as sexuality, family, death and mourning, as well as legal, spiritual and occupational.

Support and counseling provided by adequately trained personnel, improved comprehensive care, increasing welfare rates and quality of life for people living with HIV or AIDS and also obtained as a result a decrease in the volume of people infected with HIV and those affected directly and indirectly by the infection.

Bibliography
Velandia Mora, Manuel Antonio (2002). Vital alternative. Manual pre-and post-test counseling on HIV and AIDS. Ministry of Health, AIDS Program / Fondation-Fondation let's support Support Colombian AIDS, Hepatitis and STDs. Bogota, Colombia.
Velandia Mora, Manuel Antonio (2002). District Department of Health / Foundation-let's support Colombian Foundation Support in AIDS, Hepatitis and STDs. Bogota, Colombia. Workshops and training for health professionals from public and private institutions that make up the social security system in general to carry out health pre and post test for the diagnosis of HIV / AIDS.

What Does Thumb And Pinky Rings Mean

AIDS Basics What is counseling

By Manuel Antonio Velandia Mora
Spain, 30/08/2010
To handle every situation in life, you have to know beforehand. The more you know, the more we dominate. Therefore, any person living with HIV or AIDS, if you want to achieve proper management of their infection, you should be aware that the more you know about it be more appropriate management. It is important to consult with individuals and institutions that have good management information and are able to do so.
is essential to know at least what the infection, how it spreads, how is not passed, what are the ways of transmission and risk behaviors, etc., and identify the cofactors of risk, what is re-infection and superinfection, which treatments are available and which can be accessed in the country. Needless to know what rights and obligations of those affected by the infection, how and when informing the partner, family and their leaders in the workplace. Learn, especially how to play a positive style of life (do it in the best possible conditions), where and with whom they obtain services.
remember and clarify, then, some concepts already known.
AIDS: Acquired Immunodeficiency Syndrome
Syndrome: a set of symptoms, signs and conditions that are present in a person affected by the virus, but not so specific as to be called disease.
Immune deficiency: the inability of the immune system to function normally; makes people who have it more susceptible to certain diseases, which are not normally affect them.
Acquired a situation that is congenital or inherited.
HIV (human immunodeficiency virus) retrovirus family virus and lentivirus subfamily [1] , which causes AIDS.

Transmission chain
For a person becoming infected with HIV requires the virus was transmitted from the body of a person who is infected previously. The process for infection to occur is called the chain of transmission. The infection can be avoided only by breaking one link. This means that even when condoms are effective, are not the only possibility to prevent.

Steps transmission chain
1. Agent: organism causing the infection in the case of AIDS is HIV (human immunodeficiency virus).
HIV has a simple structure but complex at the same time, by its own possibilities. The sheath covering the core is composed of proteins. The nucleus contains genetic information of the virus and reverse transcriptase. HIV is called 'ret rovirus [2] because the multiplication process will be explained below, makes the molecules of genetic information, RNA (acid ribonucleic) into DNA (acid deoxyribonucleic) by a viral enzyme called reverse transcriptase.
tissue in the immune system, HIV replicates or multiplies continuously at high levels and from the very moment when infection occurs. Initially, it was believed that this were so, it was thought that the virus remained dormant (asleep) for a long time, ie latency and therefore had no manifestations of the disease. Nor was how to measure the concentration of virus in the body.

2. Reservoir host: reservoirs of HIV are macrophages, glial cells and nervous system such as helper lymphocytes in the immune response. The host is the body which houses the microorganism. HIV is only possible to the human host, which means that men and women can be affected by the virus, of all ages, of all sexual orientations, any creed, ethnicity, social or economic position in all around the world.

3. Exit doors: are secretions or body fluids in which the organism is hosted and, leaving our body, have contact with the front doors of the other person, through a transmission path.
enough is required (seed) of the microorganism to be infectious secretion. "The efficiency of transmission is variable and depends on the infectivity of the transmitter, receiver susceptibility, the specific mechanisms of transmission and possibly the type of virus ... Likewise, the exact number of exposures necessary for efficient transmission. "

secretions that transmit HIV are: pre-ejaculatory fluid (lubricant [3] of the penis) and semen in men, in women, vaginal secretions, menstruation, vaginal secretion and lubrication. It is considered that human milk is potentially infectious. Both men and women living with HIV or AIDS, blood is the vehicle of transmission, so are the cerebrospinal fluid and bone marrow. The virus is not transmitted through excretions, sweat, urine, tears, feces [4] , Saliva, ear wax, snot, because in these the presence of virus excretion is minimal or nonexistent.

4. Routes of transmission: are the ways by which the virus coming from an infected person gets into the bloodstream of another is not, and the infected or reinfected [5] (acquire a different strain of virus). The routes of transmission are:
Via
sexual in any erotic or genital contact involving fluid mixture in which one contains the virus, there is the possibility that it enters the body of another person. Contacts can be penetrative or oral (penis-vagina-mouth-anus) from man to woman, woman to man, man to man and woman to woman;
blood or parenteral route, by through blood transfusion or any of its derivatives. Also by the transplantation of organs or tissues from a person carries. A health care professional or anyone handling biological material can become infected if it complies with appropriate standards of work (biosecurity) and exposed accidentally (punctures, contact with an open wound) to fluids (secretions) a person living with HIV or AIDS. Even when talking about accidental way, this really is a parenteral transmission;
Vertical transmission when the virus is transmitted from a woman carrying her baby, it can be during pregnancy, childbirth or lactation;
Conduct risk: they are situations that a person is not properly controlled. For example, you can control the risk of infection through blood transfusion, in which case the risk behavior is not to require the national seal of quality blood, which ensures that the blood or its derivatives, have been previously analyzed for the presence of HIV and microorganisms that cause syphilis, Chagas, hepatitis B, C and D. You can prevent sexual transmission risk if you put a barrier between the genitals of the two people in order to avoid the exchange of infectious fluids.
risk behavior would not use condoms and oral barriers. Another risk behavior is not properly implementing biosafety regulations knowing they can reduce the risk of infection through accidental parenteral.

5. gateways : are the physical spaces a person who can enter secretions containing the virus. The entrance doors, in descending order of risk are: the bloodstream, the anal mucosa, placenta, vaginal mucosa, oral mucosa and skin with continuity.
mucosal features: mucosal tissues are characterized by soft and moist. All mucous membranes are susceptible to infection. They are the eyes, nose, mouth, penis, the vagina and rectum.
rectal mucosa, rectal tissue is epithelium [6] so cylindrical, single layer. It has a high blood supply, is very fragile and rich in CD4 cells or T4 cells, receiving the virus [7] . It has no natural lubrication. As the completion of the large intestine is absorbing. All these conditions make the right of where the body that by its own terms is more susceptible to viral entry.
vaginal mucosa, the tissue of the vagina is a flat epithelium with several layers, elastic and somewhat fragile. At menopause, has a lower blood supply. It has natural lubrication, which facilitates the movement of the penis during genital. There is compelling. These conditions make the vagina is less susceptible than the straight entry of the virus, but the fact that women do not consider them vulnerable increases the risk.

Reporting requirements:
1. that a person is infected, can infect, secretions, tissues and organs must contain the virus;
2. must enter the body with a minimal amount of virus;
3. the virus must penetrate the body so that it reaches the bloodstream.
The penis abrasions or sores on the penis, especially in the glans, which occur during masturbation, oral practice or insight into the movements of intercourse and contact with the hair genital facilitate exit and entry of the virus.
When HIV enters the bloodstream, it attaches to the CD4 cell surface and penetrates inside. Once there, the virus particle or virion [8] decomposes and releases its genetic material, which consists of two molecules of RNA (ribonucleic acid).
It contains all the viral genes necessary for replication (viral replication or multiplication), ie, to form new decks and virions.

Cofactors associated with risk of infection
situations are presented in the body and facilitate entry of the virus. Some of these cofactors are
· The presence of mucosal lesions, or skin, caused mainly by the manifestations of sexually transmitted diseases that cause ulcerative lesions character ( syphilis, herpes, genital ulcers) and the trauma that causes inadequate penetration (without sufficient lubrication, the use of blunt objects)
· High levels stress caused by emotional conflicts, emotional, occupational, economic or otherwise;
· Improperly balanced diets;
· repeated penetrative relations genitals without adequate protection;
· ; time exposure;
· inadequate genital hygiene;
· In women, pregnancy (because the defense system, adapting to the pregnancy, lowers their defense as a means of not rejecting the fetus in training);
· The use of psychoactive drugs or substances that affect the defense system;
· ; In general, all conditions that damage the immune system response of the organism;
· use of immunosuppressive drugs.

6. Susceptibility: ability of a body to support a modification or receive some effect or action. With regard to HIV infection, it was felt that all men and all women, regardless of their sexual orientation, age, creed, color, race, religious or political, were susceptible to acquiring the virus (universal susceptible).
Recently, however, has been known that there is a characteristic genetic alteration in a gene called CKR-5 (coreceptor greater for virus entry into the cell), which prevents, in some people, that your body recognizes the virus because they have no receptors for this and therefore avoids being infected, ie who has the disorder has a kind natural immunity.
chain of virus replication can be broken by a series of medications called angiotensin [9] . The transcriptase [10] act within the infected cells, preventing the virus to use a portion of its structure, reverse transcriptase, and generates virions which then circulate in the bloodstream to infect new cells.
protease inhibitors [11] act on one of the proteins of the virions, with defective structure. So avoid that can infect new cells.
If people are not using antiretroviral medications your infection can progress to AIDS, although some who use them do because when you begin treatment with these drugs had already progressed some infections or Simply put, the stage of disease is so advanced that do not achieve the desired effect.

Stages of HIV replication
1. HIV enters the CD4 cell.
2. HIV is a retrovirus. This means that their genetic information is stored in a single-stranded RNA (ribonucleic acid) rather than double-stranded DNA (deoxyribonucleic acid), as in most organisms. To replicate, HIV uses an enzyme called reverse transcriptase, by which converts its RNA into DNA.
3. HIV DNA enters the CD4 cell nucleus and inserted into the DNA chain of the cell, then tells the cell to produce many copies of the original virus and copies of the foil.
4. Protease through new viral particles are assembled that allow cells to infect other CD4 cells.

antiretroviral agents for HIV
non-nucleoside reverse transcriptase inhibitors (NNRTIs)
are the latest generation of antiretroviral drugs. Acting on the same stage as nucleoside analogues, but they do a completely different way: stop HIV replication, reverse transcriptase directly isolating, which prevents the conversion of RNA into DNA.
nucleoside analogues
effective are the first class of antiretroviral drugs. Work incorporated into the DNA of the virus and thus stop the construction process. The resulting DNA is incomplete and can not create new virus.
Protease
protease inhibitors work in the last stage of virus replication cycle. Prevent the possibility that the virus's genetic information is assembled and prevent the virus is successfully removed the infected CD4 cell.
Fusion Inhibitors
These are drugs that inhibit or prevent the binding of HIV to lymphocytes have receptors on their surface, that is, proteins for which HIV has a high affinity .
The process of fusion of HIV to infect the cell is very complex, involving not only those proteins or receptors that the cells have on their surface, but also proteins of the virus itself and the lymphocyte cell membrane. So when the virus is anchored to the cell membrane it undergoes a series of changes that make it permeable to the virus and it manages to get inside.
FIs they do is prevent or hinder the anchoring of the virus into the cell and thereby prevent the lymphocyte membrane becomes permeable to the virus. If the virus does not accomplish its goal of entering the cell, can not reproduce and their life cycle stops.

Type
function
reverse transcriptase inhibitors Nucleoside analogues (NA) also known as nucleoside analogues
It's the kind of antiretroviral (ARV) oldest, the AN block HIV's ability to copy the DNA of a cell needs to make copies of itself.
reverse transcriptase inhibitors Non-nucleoside (NN)
The NN block the same protein as the AN, although its chemical composition is different. If not used in combination with AN, the patient develops resistance to them very quickly.
protease inhibitors (PI)
PIs block protease, an enzyme that HIV needs to make copies of itself. As a group, the PIs are very potent and relatively well tolerated.
fusion inhibitors (FIs)
is the class ARV drugs most recent, the IF prevent HIV from entering healthy cells of the body. This drug should be administered by subcutaneous injection.

Bibliography:
Main source: Velandia Mora, Manuel Antonio (2002). Vital alternative. Manual pre-and post-test counseling on HIV and AIDS. Ministry of Health, AIDS Program / Foundation-let's support Colombian Foundation Support in AIDS, Hepatitis and STDs. Bogota, Colombia.
Jaime Sepúlveda et al (1989). AIDS, science and society in Mexico, Mexico: Fondo de Cultura Economica.
drug classes. infosidas.es


[1] Lentivirus : retroviruses are a family of viruses, there is a named subtype of lentiviruses, ie, viruses that act continuously, but slowly.
[2] For the virus to infect lymphocytes, to insert its genetic code in the genetic code of cells, thus making the two codes are consistent and that the virus can multiply at the expense of information of lymphocytes . Once this happens, the lymphocyte is destroyed and, thus, the defense system is progressively compromised. HIV's genetic code is composed of RNA and DNA is transformed by the action of reverse transcriptase.
[3] Lubricant: a physiological mechanism that facilitates genital relationships mechanical act of penetration and is produced by the same agency to safeguard the integrity of the mucosa.
[4] fecal matter containing the virus, however, certain particles may contain blood, which can reach the bloodstream during a relationship anal sex with an infected person and cause infection.
[5] Reinfect: a person already infected can become infected again with a variant strain of the virus, the same or different from what you have in your body and thus further complicate the disease process, especially when reinfection occurs with resistant virus antiretroviral drugs, as in this case the person is also resistant to those drugs.
[6] epithelium: layer of cells lining the external cavity, the ducts of the body and skin.
[7] lymphocytes or T cells, are a type of blood cell (WBC), in whose development the thymus is involved. They are responsible, in part, to carry out specific cellular response of the body's defense system or immune system to antigens. Antigen is known as the body any foreign substance. Mobilized antigen specific cellular immune response every time you enter the body.
[8] virions: virus in the process development. It is now known that after a day and a half of the initial infection, large amounts of new virions are released from a CD4 cell, which eventually dies. The infected CD4 have an average life of 1.6 days. These virions are removed from the plasma after a life of six hours. After this time, begins a new cycle of infection of CD4 cells. It is estimated that 99% of HIV found in blood plasma comes from the cycle. It is estimated that every day there are 10 billion or more new HIV (virions) in the infected person and, in turn, more than 2 billion CD4 cells die and are replaced by the immune system.
[9] inhibitors: drugs that adversely affect the replication of the virus.
[10] Reverse Transcriptase: allows the virus enters the cell to transcribe its RNA genetic code (which is inscribed the HIV genetic code) deoxyribonucleic acid (DNA). This enzyme converts the single-stranded RNA molecule (the virus's genetic material) in a double strand of DNA that is introduced in the genetic material of infected CD4 cell. The DNA copy serves as a template for the replication of HIV DNA, which is assembled as a new viral particle. To infect a lymphocyte, the virus must insert its code, consisting of RNA, the genetic code of lymphocytes. This provides that the two codes are consistent and that the virus can multiply at the expense of the replication machinery of the cell. Once this happens, the lymphocyte is destroyed and, thus, the defense system is progressively compromised.
[11] Protease is a part of the structure of the virus, which is necessary for it to play. Breeding occurs in several stages and all must be completed when new virus. Once the new viral particles mature, bulge (cross) the wall of the cell surface and continue to infect other CD4 cells, repeating the replication process. During one of these stages, some of the proteins needed to create the new virus as part of a long chain. The chain must be cut before they move to the next stage of virus replication. An enzyme called a protease, acts as a 'scissors' cutting charge chain protein. If the scissors are damaged (is inhibited), the virus can not assemble.