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Abstract
In the third decade of the AIDS epidemic and AIDS prevention programs that stressed always using a condom, research has confirmed that gay men are having sex without condoms in alarming numbers, a practice that is known as barebacking. There are many challenges for therapists working with clients who discuss having unprotected sex, including managing the strong feelings that arise while hearing reports of high-risk sexual activity. This article discusses one therapist's approach to working with men who bareback. It makes some suggestions for use in clinical work with this population, including appropriate contexts within which barebacking can be discussed.