Green Adam Isaiah, Halkitis Perry N
Department of Sociology, University of Toronto, Toronto, Ontario, Canada.
Cult Health Sex. 2006 Jul-Aug;8(4):317-33. doi: 10.1080/13691050600783320.
This paper draws on 49 qualitative interviews to explore the contextual antecedents of methamphetamine use in a sample of gay and bisexual Manhattan men. The paper distinguishes itself from the public health literature on crystal methamphetamine use in this population by shifting the analytic focus from individual-level factors of drug use to the role of social context. While individual-level factors--including self esteem and social awkwardness--are related to methamphetamine use, we argue that these factors arise in and are exacerbated by interactional pressures attendant to Manhattan's gay sexual subculture, which revolve around the expectation of peak sexual performance. Because methamphetamine is associated with increased self-esteem, increased libido, greater sexual endurance, diminished sexual inhibition, and a higher threshold for pain, the drug is used strategically by gay and bisexual men to negotiate sexual sociality and increase sexual pleasure. Hence, we suggest that there exists an elective affinity between Manhattan's gay sexual subculture and the particular pharmacological effects of methamphetamine-whereby the former strongly favours the latter as a systematic pattern of response. In turn, this relationship is linked to unsafe sexual practices or the social conditions that put gay men 'at risk of risk' of HIV infection.
本文通过对49人进行定性访谈，探讨了曼哈顿男同性恋者和双性恋者样本中使用甲基苯丙胺的背景因素。本文与关于该人群使用冰毒的公共卫生文献有所不同，它将分析重点从药物使用的个体层面因素转移到了社会背景的作用上。虽然个体层面的因素——包括自尊和社交尴尬——与使用甲基苯丙胺有关，但我们认为这些因素产生于曼哈顿同性恋亚文化所伴随的互动压力之中，并因这些压力而加剧，这种亚文化围绕着对达到性高潮表现的期望。由于甲基苯丙胺与自尊增强、性欲增强、性耐力增强、性抑制减弱以及疼痛阈值提高有关，男同性恋者和双性恋者会策略性地使用这种药物来协商性社交并增加性快感。因此，我们认为曼哈顿同性恋亚文化与甲基苯丙胺的特定药理作用之间存在一种选择性亲和关系——前者强烈倾向于将后者作为一种系统性的反应模式。反过来，这种关系又与不安全的性行为或使男同性恋者面临感染艾滋病毒“风险之风险”的社会状况相关联。
