Guilberly is using this image to discuss the divide between the "competing HIV prevention discourses" that frame the pursuit of safe ways to engage in casual sex. This image directly confronts and contests the idea that sexually active gay men should be silent and ashamed. I think there is plenty to work with here for opening up the concept of toxicity, but I would like to know more about what Guilberly thinks personally. Is it the coerced silence that Guilberly finds to be toxic? If so, perhaps that could be indicated in the title of this particular artifact?