This book examines the various psychosocial and sexual ordeals of African American people living with HIV or AIDS (PLWH/PLWAs) as depicted in African American literary narratives dealing with HIV/AIDS published from 1980 to 2010. Central to these texts are the psychosocial and sexual challenges faced by the African American PLWH/PLWAs and the various adaptive strategies they choose to come to terms with their HIV/AIDS identity. Although PLWH/PLWAs irrespective of race confront these brutal realities, the intersection of a mythologized black sexuality, homophobia and intra-community marginalization places African American PLWH/PLWAs in an unenviable position. While abjection and social death rupture the social self of PLWH/PLWAs, the ostracization they suffer as a result of their diagnosis affects their sexual self, leading to sexual death. In addition to illustrating the social and sexual issues of PLWH/PLWAs in relation to race, sexuality and gender, the African American HIV/AIDS literary narratives studied here also foreground various coping strategies conscripted by PLWH/PLWAs to surmount the onerous psychosocial and sexual challenges they face. In view of the above concerns, this study analyses social death, sexual death and coping in relation to HIV/AIDS at three levels, namely the intersection of blackness, sexuality and HIV/AIDS; the impact of such an intersection on the sexual life of black PLWH/PLWAs; and, finally, the envisioned coping strategies for affirmative survival. This book offers insightful critical analysis of HIV/AIDS literary narratives by celebrated authors such as Samuel R. Delany, Cheryl L. West, Essex Hemphill, Michael B. Hunter, Steven Corbin, Charlotte Watson Sherman, Sapphire, Pearl Cleage, Sheneshka Jackson, Gil R. Robertson, and Marvelyn Brown.