Does addiction to heroin undermine the voluntariness of heroin addicts' consent to take part in research which involves giving them free and legal heroin? This question has been raised in connection with research into the effectiveness of heroin prescription as a way of treating dependent heroin users. Participants in such research are required to give their informed consent to take part. Louis C. Charland has argued that we should not presume that heroin addicts are (...) competent to do this since heroin addiction by nature involves a loss of ability to resist the desire for heroin. In this article, I argue that Charland is right that we should not presume that heroin addicts are competent to consent, but not for the reason he thinks. In fact, as Charland's critics correctly point out, there is plenty of evidence showing that heroin addicts can resist their desire for heroin. These critics are wrong, however, to conclude from this that we should presume that heroin addicts are competent to give their voluntary consent. There are, I shall argue, other conditions associated with heroin addiction that might constrain heroin addicts' choice in ways likely to undermine the voluntariness of their consent. In order to see this, we need to move beyond the focus on the addicts' desires for heroin and instead consider the wider social and psychological circumstances of heroin addiction, as well as the effects these circumstances may have on the addicts' beliefs about the nature of their options. (shrink)

In our previous article on the question whether heroin addicts are able to give informed consent voluntarily to research on heroin-assisted treatment, we criticized the ongoing bioethical discussion of a flawed conceptualization of heroin addicts' options. As a participant in this discussion, Edmund Henden defends the conceptualization as sufficient for determining whether heroin addicts are able to give informed consent to the research on heroin-assisted treatment voluntarily. This discussion on research on heroin-assisted treatment seems (...) to go astray in several respects. In his reply to our article Henden maintains some of the biases, such as the necessity of abstinence in recovery, that seem to prevail in addiction research on a more general level as well. These biases run the danger of having implausible ethical implications on stakeholders in addiction research and treatment. In our reply to him, we will further clarify and discuss the importance of describing the relevant issues in plausible terms that do justice to the realities of the cases of informed consent in research on heroin-assisted treatment and also raise a wider issue of the ethics of wording as well as of the narrow scope, or ‘tunnel vision’, in addiction research as currently conducted. (shrink)

L’image des femmes dans les séries télévisées aux États-Unis a tellement été marquée par la sexualité libérée, le langage cru, les solidarités féminines et les introspections existentielles de Sex and the City et, dans une moindre mesure, d’Ally McBeal, que les séries antérieures pourraient, par un effet d’écrasement, apparaître comme une simple protohistoire de ces productions télévisuelles, et les séries suivantes comme des queues de comète. Pourtant, dès les années 1950, des politiques antisexistes affleurent, qui ne sont pas seulement les (...) germes annonciateurs des futures héroïnes, mais qui sont à la fois des médiatrices des agencements politiques de leur époque et de puissantes matrices des héroïnes libérées (mais angoissées) des années 1990. Critiques des politiques du care, du plafond de verre, des doubles standards d’un côté, mais aussi métaphores sexuelles, solidarités féminines et troubles dans le genre de l’autre, forment les nœuds narratifs de ces séries que seule une perspective anachronique pourrait disqualifier. (shrink)

This article discusses various ethical and philosophical aspects of heroin addiction. It arose as a result of the plan by the Amsterdam city council to supply free heroin to drug addicts. The objective of treatment of heroin addicts is ambivalent because what is in fact a socio-cultural problem is transformed into a medical problem. The characteristics of this treatment are made explicit through a philosophical analysis which sees the medical intervention as part of a strategy aimed at (...) achieving social normalisation. The reason why such a social control function is practised by physicians is discussed, as well as the reason why heroin users in particular are the object of such a process. In this paper, heroin addiction is considered primarily as a cultural problem. The consequences of this for treatment and ethics form the conclusion. (shrink)

Sir—In their editorial, Hall, Carter & Morley [1] present an incorrect interpretation of my central argument. The point of my paper [2] is that there are solid reasons to suspect that the capacity of heroin addicts to consent to heroin therapy is compromised because of their addiction. As one medical commentator on my paper states, if active heroin addicts can give voluntary and competent consent to heroin therapy without any problems, then we need a new conceptualization (...) of addiction: they are not addicted, almost by definition [3]. Yet obviously there are problems and grey zones. The solution is to investigate the issue empirically in order to determine the extent of the problem. (As we have done for consent to research on depression and other mental illnesses.) Ultimately, the question can only be solved on a case by case basis, using standardized assessment tools adapted for this purpose. The MacArthur Competence Assessment Tool (MaCAT‐T) is the particular assessment tool I chose to discuss. [4] It is the most promising candidate available, and it has proved its merits in the areas of depression and schizophrenia. -/- At no point do I condemn heroin therapy and endorse an abstinence model of treatment, as the authors state. On the contrary, I note the success of heroin therapy and make suggestions about how to facilitate the consent process. Ironically, it may be Hall et al . who have oversimplified the issues. What we need here are empirical studies on the decisional capacity of heroin addicts to consent to heroin therapy. Only then will we be able to refute the naive view they have no ‘free will’, or say how much they have; but really my paper is not about ‘free will’ at all. This is a philosophical concept. The topic I chose to discuss is ‘decisional capacity’, also called ‘mental competence’. This is a clinical concept with complex legal and ethical associations that often vary across jurisdictions. My point was that although the Swiss Heroin Trials were approved in Europe, they probably would not be approved in Canada or the United States under existing regulations. Interested readers might want to consider the wide variety of reactions to my paper, published in the same issue [5]. Unfortunately, the editorial by Hall et al . does little to advance this debate. (shrink)

This study seeks to understand a diaspora community narrative of rape and abduction suffered during the genocidal massacre of 1915 in the Ottoman Empire and its aftermath. Based on interviews with 50 Aramean, Assyrian and Chaldean migrants in Sweden, Germany and the Netherlands, whose families are from the village of Bote, known as one of the ‘killing fields’ in southeast Turkey, the article explores the ways in which descendants remember the ‘forgotten genocide’ of Aramean, Assyrian and Chaldean communities in 1915. (...) The research reveals that the descendants of survivors make sense of the sexual violence experienced in Bote mainly through a religious narrative and that, for them, the genocide is, in spite of all the sufferings the males had to go through, a feminized event. In their gendercide narrative, the abducted and raped women are identified as the ‘heroines’ of the genocide. (shrink)

Après l’Odyssée d’Homère et les Argonautiques d’Apollonios de Rhodes, les romans grecs offrentassurément les plus célèbres des récits de voyage de la littérature grecque de l’Antiquité. Cinq romans ont été composés entre le ier et le iiie siècles après J.-C. et nous ont été conservés par l’intermédiaire de manuscrits médiévaux. Dans ces textes, les héroïnes sont embarquées dans une navigation périlleuse qui sera l’occasion d’une mise à l’épreuve des qualités qui leur seront utiles à leur retour pour accomplir leur destin (...) d’épouses et de mères. Ce type de voyage au long cours n’a guère de correspondant réel dans la société grecque. Mais, par le roman, celles-ci accèdent à un statut nouveau dans l’histoire de l’imaginaire grec et prennent place à côté des plus grands héros de la mythologie. (shrink)

In response to widespread concern about illegal drug use and the associated risk of the spread of HIV/AIDS, a study was undertaken to examine whether it was, in principle, feasible to conduct a trial providing heroin to dependent users in a controlled manner. Such a trial involves real ethical issues which are examined in this paper. The general issues examined are: should a trial be an experiment or an exercise in public policy?; acts and omissions; countermobilization; termination of a (...) trial, and payment for drugs and for a trial. The specific issues examined are: selection of trial participants; privacy; issues for staff working on a trial; coupling the trial with other treatment, and issues for researchers. A number of alternative approaches to the various ethical issues are presented and discussed. (shrink)

This article examines continuity and change in Star trek’s expression of the American Frontier Myth, moving from an American ideal of imperialist expansion across an unlimited feminized landscape and destruction of Indians and animals in the myth’s early form, to one of benevolent redemption of the Other as misguided or evil alien in the unlimited expanse of outer space in early Star Trek. Analysis of symbol and narrative in Star Trek Voyager show further change, as feminist and environmental ethics are (...) included. Now, movement is toward earth rather than away from it, raced and gendered Others are often internalized rather than projected onto Indians and aliens, and nature is vulnerable and spiritual rather than unlimited and inert. Though women and nature are still linked and idealized as selfless givers, progress is also made as women gain equal rank and air time and men take on some traditionally feminine roles. (shrink)

Providing heroin to heroin addicts taking part in medical trials to assess the effectiveness of the drug as a treatment alternative, breaches ethical research standards, some ethicists maintain. Heroin addicts, they say, are unable to consent voluntarily to take part in these trials. Other ethicists disagree. In our view, both sides of the debate have an inadequate understanding of voluntariness. In this article we therefore offer a fuller conception, one which allows for a more flexible, case-to-case approach (...) in which some heroin addicts are considered capable of consenting voluntarily, others not. An advantage of this approach, it is argued, is that it provides a safety net to minimize the risk of inflicting harm on trial participants. (shrink)

In 1878 two ‘Nightingale’ nurses arrived in the British colony of Ceylon to initiate a training programme for indigenous women in the skills and values of what was then termed ‘scientific nursing’. These two women were the first of a succession of British women who went to the colony to nurse in its hospitals and to train Ceylonese women for the profession. Using the official records of the colonial government held in the National Archives, Kew and the records of the (...) Overseas Nursing Association in the Rhodes House Collection, Oxford, this paper explores both the professional and social experiences of these women. This paper also analyses the role that these representatives of the colonial state played in the development of an indigenous nursing profession and concludes that their presence in the colony ultimately left an ambiguous legacy. In their role as trainers of indigenous women, they furthered the development and spread of a Western nursing profession in the colony's hospitals. At the same time, however, their continuing dominance of training and the positions of responsibility was an inhibiting factor in the ability of indigenous nurses to organise and professionalise. Whereas the doctors, trained in the colony's Medical College, achieved registration as early as 1905, the nurses had to wait until 1949, a year after independence, before their qualification was recognised and protected. Nursing remained throughout the colonial period therefore, even more so than at the metropolitan centre, the ‘Cinderella’ of the medical professions. (shrink)

Heroin prescription involves the medical provision of heroin in the treatment of heroin addiction. Rudimentary clinical trials on that treatment modality have been carried out and others are currently underway or in development. However, it is questionable whether subjects considered for such trials are mentally competent to consent to them. The problem has not been sufficiently appreciated in ethical and clinical discussions of the topic. The challenges involved throw new light on the role of value and accountability (...) in contemporary discussions of mental competence. (shrink)

Resumen: Este artículo se propone examinar la caracterización ficcional de la mujer filósofa durante el siglo XVIII, concentrándose en la novela Histoire de Juliette, ou les prospérités du vice de Donatien Alphonse François de Sade. Sostendremos como hipótesis que las heroínas filósofas de Histoire de Juliette se habrían construido a base de la exaltación de la figura de la hetaira de la Grecia Clásica. Analizaremos dos referencias a las hetairai que aparecen en la obra: la caracterización de Clairwil, una de (...) las tutoras libertinas de Juliette, y la participación de Aspasia, Phryné y Lais como parte del séquito de libertinas de la protagonista de la novela.: This article aims at examining the fictional characterization of women philosophers during the eighteenth century, focusing on Donatien Alphonse François de Sade’s novel, Histoire de Juliette, ou les prospérités du vice. We seek to show that the marquis’s heroines philosophers in Histoire de Juliette are modeled after the figure of the hetaira in Classical Greece. We analyze two sets of references to the hetairai that appear in the aforementioned novel: the description of Clairwil, one of Juliette’s libertine tutors and partners, and the participation of Aspasie, Phryné and Lais in Juliette’s libertine entourage. (shrink)

In this study, we examine the accounts of 30 white middle- and upper-class female heroin/methadone users. Using a resistance framework, we note that these women recall their initial heroin use in ways that suggest rejection of restrictive gender and class expectations. Using a dynamic view of resistance, we begin to understand how these women attempt to resist the dominant discourse through their heroin use and to reinterpret their experiences with heroin.

Avant le début des années 1990, les héroïnes étaient souvent considérées comme des versions affadies d’une catégorie générique bien plus glorieuse, celle des héros grecs. A la limite l’héroïsme ne se pensait même pas au féminin. Depuis, deux livres ont corrigé la perspective en faisant valoir l’importance des cultes dirigés vers des personnages féminins tout en tentant de souligner les spécificités de ce type d’héroïsme en Grèce ancienne. En choisissant de travailler sur les héroïnes cultuell...

Marie Durand n’est pas très connue en dehors du monde protestant. Elle a passé 38 ans emprisonnée dans la Tour de Constance à Aigues-Mortes parce que son frère était un pasteur clandestin du xviiie siècle. Elle est surtout connue depuis le livre de Benoît en 1884. Mais c’est au début du xxe siècle qu’elle devient une personnification de la résistance pacifique au nom des droits de la conscience et de la tolérance et qu'elle accède à un statut d'héroïne. Cela permet (...) aussi à la Réforme un renouveau moral et spirituel. La référence à Marie Durand s'accentue en 1945 et culmine lors des cérémonies de 1968. Elle symbolise ainsi le protestantisme toujours persécuté, mais luttant de manière non-violente pour maintenir la foi. (shrink)

This paper addresses Rousseau's contribution to educational practice by illustrating the ways in which his notion of amour-propre distorts the teacher-student relationship in Muriel Spark's novel, The Prime of Miss Jean Brodie. Though some of Rousseau's pedagogical methods may appear impractical and problematic, his insights into the psychological distortions of amour-propre bear directly on teaching because it is such an important instance of the relationship between self and others. The protagonist, Jean Brodie, is shown to be not only an inadequate (...) teacher but a morally destructive one as well because she violates the teacher-student relationship by both encouraging amourpropre among her students and using those same students primarily to satisfy her own need for power and self-aggrandizement. Her eventual ruin at the hands of her “best” student results from the amour-propre both share. Miss Brodie's failure illustrates the dangers of looking at teaching as self-expression, personal fulfillment etc., to the extent of forgetting what it actually is — the careful addressing of students' experience both as individuals and as learners. (shrink)

This article examines Lincoln Clarkes’ photographic series Heroines, exploring the ways in which it demonstrates that available models for writing about photography are insufficient. The author argues that the Heroines series’ blurs the boundaries between commercial, documentary and fine art photography. The article examines how these images supplement a tradition of documentary after postmodernism and its critique of representation. Heroines evidences an as-yet uncategorizable form, one that brings into relief the ways in which certain theories of photography fail to explain (...) and fully interpret such photographs. On this basis, the article argues that the importance of Heroines lies ultimately in how it suggests new strategies of evaluating the political work of photography in the aftermath of identity politics. (shrink)

Sibilla Aleramo (1876-1960) est considérée en Italie et à l’étranger comme une héroïne du féminisme italien, tant pour certains épisodes de sa vie personnelle que pour son activité de journaliste et de romancière. Si ce statut d’héroïne n’est pas usurpé, il doit néanmoins beaucoup à la pratique autobiographique de Sibilla Aleramo : en (ré)écrivant son histoire dans le roman Une femme (1906), elle a construit son propre mythe, se posant comme une figure héroïque du féminisme, valorisée notamment par les féministes (...) italiennes dans les années 1970. (shrink)

This paper was presented at the First Conference of the ISSEI ‘Turning Points in History’, 26–30 September 1988. It belongs to Theme 1, ‘Comparative History of European Revolutions’.

This article suggests that a parallel exists between the practice of tattooing and the injection of heroin as both activities are represented in a body of literature here called `Junk Narratives'. These texts include William Burroughs' Junky, Irvine Welsh's Trainspotting, Jerry Stahl's Permanent Midnight and David Foster Wallace's Infinite Jest. In these books, act and meaning, as in life, are inseparable: tattoos can be interpreted, but that they are tattoos, that they have been indelibly inscribed into the flesh, is (...) also stressed. In these books tattoos are represented as, in addition to whatever specific interpretive significance can be attached to them, visible markers of the hatred junkies feel for their own bodies. It will be suggested throughout the article that the body in these texts is always a source of shame and horror. Tattoos in these books do not decorate a body, rather they visibly emphasize its pathetic corporeality: no flesh, no image. The central dynamic of these texts is toward the transcendence of the body by the injection of heroin, a use of the needle which mimics the practice of tattooing and stresses the subservient, inessential nature of the body. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Reconsidering Buster Keaton’s HeroinesBarbara E. SavedoffIt has become commonplace to acknowledge that art tends to reflect the prejudices and presuppositions of the age in which it is produced. Such acknowledgement can serve not only to place the prejudicial attitudes expressed by artists and authors in their proper context, it can also reassure us that we have avoided the same prejudices, or at least, that we have achieved a greater (...) awareness of and sensitivity to them. But we should not be too easily reassured by these thoughts of our own enlightened progress, for the prejudices that we think we discover in works of art may sometimes be of our own making.Prejudice is, at least in part, a problem of distorted perception. Freeing oneself of prejudice is thus not simply a matter of disposing of false beliefs; it requires new habits of perception—becoming able to see what one could not see before. Since habits of perception can be deeply ingrained, we may find it difficult to recognize their persistence. Therefore even as we attempt to repudiate prejudicial attitudes, we may find ourselves misled by their continuing distortion of our vision. This can lead not only to continuing bias on our part, it can also lead to unwarranted charges of bias against others. For instance, the distorted vision that can pervade our evaluation of people in real life can also pervade our evaluation of characters in films or novels. When this happens, we may unfairly charge the film or novel with the perpetuation of negative stereotypes. There are also other ways in which we may be misled by our own biases. For example, if we expect to find negative stereotypes in the products of a given age, this may lead us to see the stereotypes that we anticipate—whether they are really there or not. The work of art can thus become a mirror of our own prejudices and preconceptions. [End Page 77]This is, I believe, what has occurred with much of the criticism of the portrayal of women in Buster Keaton’s films. Critical essays, commentaries, and even film-schedule blurbs tend either to downplay the strengths of the heroines in his films or brand them unfairly as stupid and incompetent. This unjust characterization of the heroines has become an unquestioned myth planted early in the minds of Keaton’s audiences. For example, some prints of The General contain an “educational” introduction which, among other things, describes Annabelle as yet another one of Keaton’s scatter-brained heroines. 1 The audience is thus primed to see Keaton’s heroines in this light.In my discussion I will expose the gap between the myths surrounding Keaton’s heroines and the actual characterization of those heroines in the films. I will then explore possible explanations for the durability of the myths by looking at whether there is something about Keaton’s films that provokes these prejudicial readings.IKeaton’s short film, The Balloonatic, begins in an amusement park with the hero vainly pursuing one woman after another until he is finally given a black eye by a young woman he has annoyed with his attentions. Discouraged, he wanders over to watch the launching of a hot air balloon, where he is given a pennant to attach to its top. His task completed, he finds himself atop the runaway balloon. When his rash attempt to shoot a bird perched on the balloon brings him rapidly back down to earth, he discovers himself stranded in the wilderness.The hero quickly sets out to adapt to his wilderness environment, but he is thwarted in his efforts by his inexperience and incompetence in the role of outdoorsman. He tries to fish, but when he casts his line, he catches the hook on his pants. He then dams up a stream so that he can pick up the stranded fish, but unbeknownst to him, they fall through a hole in his creel as soon as he puts them in. When he finally does realize what is happening, his dam breaks and he is carried helplessly down stream by the rush of water. Later in the film, we see the hero trying to... (shrink)

Graphical AbstractThis commentary discusses the novelty of the preclinical opioid choice model published in Heinsbroek et al., Nat Commun, 2021, and the potential influence of altitude on the reported findings. The studies were performed in the Mile High City of Denver, Colorado, where a unique subpopulation of heroin-choosing rats were noted.

This paper discusses three adaptations of Shakespeare's history plays written during the 1720s. These texts, I contend, counter claims that positive representations of women during this period were confined to the domestic sphere. In these plays women are active participants in the public realm of politics and commerce. The heroines of Ambrose Philips? Humfrey Duke of Gloucester (1723), Aaron Hill's King Henry the Fifth (1723) and Theophilus Cibber's King Henry the Sixth (1724), rather than being driven by love and domestic (...) duty, act on political motivation. Patriotism, which characterises these women, is the primary political slogan of all three plays. These female protagonists exemplify the value of a patriotic political conduct that crosses party lines. Their unpartisan or universal brand of patriotism anticipates the opposition views expressed by Bolingbroke in the following decade. This paper also addresses the broad consensus amongst Feminist critics that women in adaptations of Shakespeare provide little more than mere ?breeches roles? titillation. The histories of Philips, Hill and Cibber represent heroines who, no less than their male counterparts, exercise control during political crises. These women are not objects of titillation but subjects for emulation. (shrink)

Can heroin addicts give consent to research on trials in which heroin is prescribed to them? Analyses of addicts and informed consent have been objects of debate in several articles. Informed consent requires the agent not only to be competent but also to give consent voluntarily. This has been questioned because of alleged features of heroin addiction. Until recently the discussion has focused on heroin addicts' desires for heroin, whether these are irresistible and thus pose (...) a problem for giving consent. Still, in light of empirical evidence, there seems to be a consensus more or less that the problem is not whether the addicts can resist their desire for heroin. A recent article concentrates specifically on heroin addicts' false assumptions of options and voluntariness. We argue that the prevailing framing of the options in this discussion in terms of heroin and access to it is problematic. The way in which the options are typically laid out suggests an assumption that participation in the research is allegedly based on the addicts' views on using the drug. We argue that this way of presenting the options is, first, a mismatch to the studies carried out and, second, symptomatic of potential misconceptions about heroin addiction and addicts. Furthermore, we also suggest that the account of voluntariness needs to be realistic in order for subjects to be able to give consent voluntarily in actual situations, and for medical research to carry out studies on improving outcomes in addiction treatment in an ethical way. (shrink)

In 1995, the Dutch Minister of Health proposed that a randomized clinical trial (RCT) with heroin-maintenance for severe abusers be conducted. It took nearly four years of lengthy debates before the Dutch Parliament consented to the plan. Apart from the idea of prescribing heroin, the minister and her scientific advisers had to defend the quite high material and non-material costs that would arise from employing the randomized controlled design. They argued that the RCT represented the truly scientific approach (...) and was the royal way to unambiguous results. In the present article, I question this common dual justification of RCTs. First, I situate the historical origins and the basic assumptions of the ideal experiment in 20th-century economic liberalism. Secondly, using the Dutch heroin experiment as an example, I discuss human-science experimentation as an attempt to create reality rather than merely record it. Finally, I discuss some surprising responses by heroin users. These responses display the assumptions of RCTs discussed in the historical section, and underline the importance of the culture of heroin use. In the epilogue, I suggest that cultural aspects of heroin consumption can best be studied by thorough ethnographic research. (shrink)

Star Wars Episode VII: The Force Awakens is not the hero’s journey as George Lucas previously conceptualized it. Instead, the story line of The Force Awakens leads me to believe that it creates a new iteration of the hero myth. It follows the contemporary heroine’s journey while conforming to the essential construct of the hero monomyth. First, the contemporary heroine’s journey focuses primarily on the greater good and secondarily on her own personal journey, which is the converse of the traditional (...) hero’s journey. Second, the contemporary heroine’s self is awakened and called to adventure in a different way than the traditional hero. Third, the traditional hero receives guidance on his journey, while the contemporary heroine pushes ahead alone, striving to save her society from despair. (shrink)

Critics generally have not warmed to Heroides 8. Jacobson opined that the poem is ‘not very successful’ and claimed that the lengthy argumentation is ‘rather boring, not to say sometimes silly and annoying’, while Palmer described it as ‘the feeblest and least poetical of all the Heroides’. However, scholars have largely neglected some typically Ovidian cleverness and complexity in kaleidoscopic play with character. Ovid's Hermione is Hermione, but she also takes on the guise of other mythological heroines, and she represents (...) a complete inversion of an earlier depiction of Hermione. All of this gives the poem a distinct intellectual appeal to supplement the emotional impact, with witty touches to ensure that the epistle is not mawkish. (shrink)

Ces dernières années ont été marquées par un regain d’intérêt pour les héros. Deux expositions récentes en témoignent : Héros et merveilles autour de l’œuvre de Jacques Le Goff dans l’été 2007 à l’abbaye de Fontevraud et Héros, d’Achille à Zidane à la Bibliothèque nationale de France en 2007-2008. Les héros évoqués étaient, dans les deux cas, très majoritairement masculins : bien peu de femmes dans le Panthéon de Jacques le Goff et Jeanne d’Arc presque seule au milieu des héros (...) masculins à... (shrink)

The relationships between female sex workers and their noncommercial male partners are typically viewed as sites of HIV risk rather than meaningful unions. This ethnographic case study presents a nuanced portrayal of the relationship between Cindy and Beto, a female sex worker who injects drugs and her intimate, noncommercial partner who live in Tijuana, Mexico. On the basis of ethnographic research in Tijuana and our long-term involvement in a public health study, we suggest that emotions play a central role in (...) sex workers’ relationships and contribute in complex ways to each partner's health. We conceptualize Cindy and Beto's relationship as a “dangerous safe haven” in which HIV risk behaviors such as unprotected sex and syringe sharing convey notions of love and trust and help sustain emotional unity amid broader uncertainties but nevertheless carry very real health risks. Further attention to how emotions shape vulnerable couples’ health remains a task for anthropology. (shrink)