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In this section, Callen and Berkowitz elaborate on the multifactorial mannequin to provide a basis for later purposes of protected intercourse practices. On the time when How one can Have Sex in an Epidemic was written, there was no consensus on the reason for AIDS, however two main theories existed: the "new agent idea," which was increasingly the scientific consensus, and the "multifactorial concept," which Callen, Berkowitz and Sonnabend adopted as their foundation for sexual training round AIDS transmission prevention. The authors introduce the two presiding theories of AIDS transmission and current their arguments for the multifactorial mannequin. Although the multifactorial model had been criticized for failing to account for the sudden appearance of AIDS, the authors use the truth that the rate of CMV infections in urban sexually active gay males rose considerably in last decade as proof of the "new" part that accounts for the speedy improve in AIDS circumstances. As David France later recounted, the authors actively tried to avoid condescension or arrogance in their writing (although Callen himself had acknowledged that telling people the way to have sex is inherently an arrogant factor to do), as a substitute attempting to determine a dialogue, "queen to queen," between themselves and the people for whom they created the manual.