Abstract
Gay men with AIDS are stigmatized both as homosexual and as diseased. The author relates the social theory of stigma to the experience of gay men with AIDS. Social misperception fuels the scapegoating of gay men with HIV. By blaming the victim, society contains its own terror but deepens the isolation of the victim. The impact of this stigmalization on the esteem of PWAs and their support systems is explored. Clinical and political implications are drawn. Clinically, the probable transference and countertransference manifestations of stigma are revealed. Humane and protective policies for gay PWAs are recommended as critical in the effort to combat the destructive impact of stigma.