"This topic is significant for two reasons: (1) AIDS and the Church's response to it will continue to create conflict and force issues regarding moral deliberation to the forefront of theological ethics; (2) the Church's use of power and its openness to transformation in light of the tension between the ecclesiology of Vatican II and the positions taken by the present magisterium will continue to be an issue for North American Catholics. This book bridges the disciplines of sociology and theology in a useful way.

"The development of theory together with the author's willingness to let readers hear the voices of the priests on the front line of AIDS ministry make for a very compelling narrative. No one else has done anything like this. The topical importance of AIDS needs no underscoring. Little field work on pastoral ministry in the AIDS context exists. This is a pathbreaking study and could be a landmark for many years to come.

"Ideas like limited accommodation as neutralizing change, and a statement that negotiation on practical implementation of teachings can itself be a buffer against more radical change—these are most valuable insights into how organizations maintain themselves in turbulent environments. The entire range of interplay between authority structure and lower-line professional is wonderfully explored and reflected upon." — Patrick McNamara, The University of New Mexico

"Kowalewski emphasizes and describes how pastoral care at the local level can have the ironic effect of legitimating and sustaining power structures, thus revealing the unexpected ways in which power is wielded." — Ralph F. Smith, Wartburg Theological Seminary