McCoy Liza
Department of Sociology, University of Calgary, Calgary, Alberta, Canada.
Sociol Health Illn. 2009 Jan;31(1):128-46. doi: 10.1111/j.1467-9566.2008.01120.x.
This article examines the everyday work of participating in pharmaceutical treatment for HIV infection in the context of urgent calls for adherence. Drawing on interviews and focus-group conversations with people taking antiretroviral drugs, the analysis explicates the work that goes into striving for adherence. What comes into view is a form of time work that brings about a temporary alignment between the inner experience of time, standard clock time, and the requirements of the medication schedule. Time work is largely cognitive; the pills, however, must actually be swallowed to complete the dose, occasioning, for some people, additional work to suppress or refashion emotional responses of anger and resistance. Both the time work and the emotional work of taking antiretroviral drugs draw people into forms of self work, including self-examination and self-adjustment, as they develop strategies for 'doing adherence'.
本文在迫切呼吁坚持服药的背景下，探讨了参与艾滋病毒感染药物治疗的日常工作。通过对服用抗逆转录病毒药物的人群进行访谈和焦点小组对话，分析阐述了为实现坚持服药所付出的努力。呈现出的是一种时间管理工作，它使时间的内心体验、标准时钟时间与服药时间表的要求暂时达成一致。时间管理工作主要是认知层面的；然而，药物必须实际吞咽下去才能完成剂量，这就使得一些人需要额外努力来抑制或重塑愤怒和抵触等情绪反应。服用抗逆转录病毒药物的时间管理工作和情绪管理工作都促使人们进行自我管理，包括自我审视和自我调整，因为他们要制定“坚持服药”的策略。
