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Barebackers engage in unprotected intercourse because they prefer the sensation of it but generally prefer to avoid contracting STIs.

While actual activity is the same for both groups the two do not share the same psychology.

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Bugchasing is the practice of pursuing sexual activity with HIV-positive individuals in order to contract HIV.

Other bug chasers were so overwhelmed by the anxiety of contracting HIV that they thought it would be a relief from that anxiety to become HIV-positive and "get it over with." And most recently, Dr. They claimed that individuals who look for HIV are more likely sex addicts. Le Blanc (2007) conducted an exploratory study involving survey responses from self identified bug chasers, one of the first published studies involving direct responses from this identified group.

These individuals have exhausted the sexual high they previously derived by performing other sexual risk taking behaviors, and now turn to bug chasing to achieve the risk-oriented high. His findings challenge "common sense" and research findings regarding bug chasers.

In his more recent research, he gave a strong analysis of what bug chasers and gift givers resemble in their behaviors, attitudes, and demographics. Parsons concluded that bug chasing and gift giving might occur among a select few individuals.

However, the BBC also described bugchasing as more internet fantasy than reality, saying that, "Dyer finds that the overwhelming majority of the talk is pure fantasy." The article also quotes Will Nutland, head of health promotion at Terrence Higgins Trust, as saying, "The concepts of 'gift giving' and 'bug chasers' are definitely based more in fantasy than reality" as well as Deborah Jack, chief executive of the National AIDS Trust, who said, "There is very little evidence of people trying to get infected with HIV." In the Showtime series Queer as Folk a former student of Professor Ben Bruckner asked Ben to infect him with HIV, wanting to experience "the gift".

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Although these two groups share some of the same practices, namely unprotected anal intercourse (UAI), there are distinctions that differentiate bug chasing..though all bug chasers are indeed barebackers, not all barebackers are bugchasers.

In simple terms, bugchasers engage in unprotected intercourse, and seek out partners with HIV, because they desire infection.

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