This paper reports of recurrent themes of concern about AIDS expressed
by health care professionals participating in small group sessions. T
hree dominant themes emerged: fear of contagion, homophobia, and attac
hment and loss. For each of these themes the possible meanings are exp
lored. Fear of contagion was the dominant theme and is discussed as bo
th a possible expression of displaced homophobia and a 'catastrophic'
risk factor (extreme negative consequence). The need of health care pr
ofessionals to see themselves as 'different' from the person with AIDS
is also discussed. Professionals also discussed the emotional burden
of caring for young patients often similar in age to themselves. It is
suggested that hospital policy makers need to accept the reality of s
taff concerns and provide adequate forums for expression of concerns s
ince without an opportunity for thoughtful discussion, health care pro
fessionals may espouse the 'correct' position and attitude, but believ
e and practise something else.