Monday, February 16, 2009

What Is HIV/AIDS Denialism?

"Denialism is the term used to describe the position of governments, political parties, business groups, interest groups, or individuals who reject propositions on which a scientific or scholarly consensus exists. Such groups and individuals are said to be engaging in denialism when they seek to influence policy processes and outcomes by using rhetorical tactics to give the appearance of argument or legitimate debate, when in actuality there is none. The term was first used in the sense of 'holocaust denialism', but the usage has broadened to include AIDS denialism, climate change denialism, and evolution denialism."


AIDS denialism actively propagates myths, misconceptions, and misinformation to distort and refute reality. Denialism is the outright rejection of science and medicine. It involves actively contradicting and disregarding medical advice. It is steady state. Denialism is not open to criticism, and evades modification. Denialism is only open to additional evidence supporting its tenets and such evidence most often comes from the misuse of science and from pseudoscience. AIDS denialists, often for the sake of personal preservation or recognition, hold fast to old ideas in the face of new evidence.

One feature of denialism is the tendency to think of the denialist position as beleaguered, and under attack and in a minority that has to stave off the assaults of the vast wrong-thinking majority. As a consequence, those involved in denialism often, in the other justifications for their position, declare their strong allegiance to the principle of free speech. Interestingly, then, denialists often set themselves up as plucky underdogs, battling for their right to speak the truth against a tide of misinformation and, as often as not, conspiracies aimed at keeping them silent.


Deniers and denialists are both terms that describe people who refuse to accept the historical reality of Nazi Germany and the Holocaust. There are also 9/11 denialists and those who deny that man ever walked on the moon. Denialism emerges from defiance against objective historical records or, in the case of AIDS, defiance against established science. Still, those who doubt that the Holocaust or 9/11 ever happened do not identify themselves as “denialists” but rather “truth seekers”.

It is plain to see, however, that HIV/AIDS denialists represent just one variant of the broader phenomenon of denialism, sharing common characteristics with Holocaust Deniers, 9/11 Truthers, and others who refuse to accept an indisputable historical record. At the core of denialism is mistrust–in the case of HIV/AIDS, the mistrust is of science and medicine. Scholars have identified the characteristics of political extremists and fringe groups that promote Holocaust denialism. These same characteristics apply equally well to HIV/AIDS denialism.

Like other extremist groups, denialists hold an absolute certainty that they are the sole bearers of “The Truth.” For HIV/AIDS denialists, the truth is that HIV is a harmless virus that cannot possibly cause disease, and that anti-HIV medications amount to nothing more than poison, DNA terminators that can themselves cause AIDS. Second, extremist groups believe that governments are under the control of conspiring forces. In the case of HIV/AIDS denialism, the power of Big Pharma and the medical establishment have corrupted the National Institutes of Health and biomedical sciences in general. A third characteristic of extremists is a hatred for its opponents, often seen as conspiring with their enemies. HIV/AIDS denialists attack the most visible scientists; especially those who are widely exposed in the media as well as those who have publicly debunked their rhetoric. Fourth, extremists deny basic civil liberties to those whose views they see as their enemies. Ironically, denialists censor science by cherry-picking results of research while claiming to be the victims of censorship themselves, and often claiming that their rights to free expression are being systematically thwarted. Finally, denialists, as do extremists, indulge in irresponsible accusations and character assassination. As expected, denialists refer to AIDS scientists and medical specialists as Nazis, the mafia, and murderers.

Psychologist Michael Shermer is the leading authority on Holocaust denialism and he has found that Holocaust deniers’ “fallacies of reasoning are eerily similar to those of other fringe groups, such as creationists”. Remarkably, these same personality features that Shermer describes in holocaust deniers are immediately recognizable among HIV/AIDS denialists. First, denialism concentrates on opponents’ weak points without making definitive statements about their own position. In HIV/AIDS denialism, without a shred of credible evidence to the contrary, there is an incessant call for the one study that proves HIV causes AIDS while not recognizing the thousands of studies that accumulate to irrefutably show that HIV causes AIDS. Even knowing the complexity of HIV and the barriers it poses to vaccines, Peter Duesberg looked me dead in the eyes and said that failure to achieve an HIV vaccine means that an infectious agent cannot be the cause of AIDS. Second, denialists exploit errors made by AIDS scientists, implying that a few errors detected in a mass of work calls into question the entire scientific enterprise.

Holocaust and HIV/AIDS denialism share other common features. For both, millions of people died with the vast majority of Holocaust historians and AIDS scientists confirming the causes. The enormity of human suffering caused by the Holocaust and that of a plague like AIDS offers a platform for denialism. Another commonality is that conspiracy theories drive both Holocaust and HIV/AIDS denialism. There are striking similarities in rhetoric, using selected excerpts from credible documents and calling for a debate on matters for which there is universal agreement. Denialist groups of all types claim mounting controversy and the need for a debate. Both Holocaust and HIV/AIDS denialism have established their own publication outlets, such as the Journal for Historical Review for Holocaust denialism and Continuum magazine in HIV/AIDS denialism. There are full-length films produced by both movements, The Truth behind the Gates of Auschwitz, produced by David Cole for Holocaust denialism and HIV=AIDS: Fact or Fraud, produced by Gary Null and The Other Side of AIDS produced by Eric Paulson and Robert Leppo for HIV/AIDS denialism. The major deniers of the Holocaust are knowledgeable of World War II history and on the fringes of academia, just as the major HIV/AIDS denialists are well versed in the science of AIDS. Denialists of all types seize opportunities by political leaders who express support for their denialism, as has occurred in 2006 by Iran's President Mahmoud Ahmadinejad expressing doubt that the Holocaust occurred and President Thabo Mbeki of South Africa expressing doubt that HIV causes AIDS.

My book Denying AIDS and this blog are intended to debunk AIDS denialism and open access to the facts surrounding the human tragedy of HIV/AIDS.

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