Abstract
This article presents a case study of an episode of service delivery in which a gay man sought counseling in relation to his sexuality from an AIDS service organization. The design was based on institutional ethnography, a research approach that focuses on discovering links between the experiences of marginalized people and the influence of oppressive ideologies on social institutions. Using a narrative approach to data analysis, I show concretely how this man was effectively prevented from accessing help by the silence of his social worker and the agency in relation to issues of same-sex sexual orientation. The study demonstrates the complexity and subtlety of the social relations that allow heterosexism to shape the delivery of social services. Implications for future research are identified.
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