Department of Political and Social Inquiry, Monash University, Melbourne, Australia.
Cult Health Sex. 2011 Aug;13(7):737-49. doi: 10.1080/13691058.2011.552986. Epub 2011 May 24.
This paper examines discourse on serodiscordant relationships in interviews with 16 HIV-positive and 3 HIV-negative gay men living in Scotland. Drawing on critiques concerning love, reason and HIV serostatus normativity, this paper supplies a much-needed insight into how gay men in serodiscordant relationships negotiate HIV prevention. Among other matters, some HIV-negative men were said to knowingly request risky sex with their HIV-positive partners as an expression of love. In some situations, the person without HIV claimed a normative serostatus that implied they could 'invest' more in the relationship by offering to have sexual intercourse that may expose them to HIV. Such dynamics expressed devotion on the part of the HIV-negative man, but implied obligation for the HIV-positive man. Based on these and other perspectives we argue for closer attention to gay men's subjectivity in the present circumstances of proliferating biomedical forms of HIV prevention; more thoroughly reflexive public health engagements with gay men's sexual cultures; and a research agenda for gay men that challenges HIV-serostatus normativity.
本文通过对 16 名 HIV 阳性和 3 名 HIV 阴性男同性恋者的访谈,考察了关于血清不一致关系的论述。本文借鉴了有关爱、理性和 HIV 血清阳性规范性的批评观点,深入探讨了血清不一致关系中的男同性恋者如何协商 HIV 预防问题。除其他事项外,一些 HIV 阴性男子据称明知故犯地要求与 HIV 阳性伴侣进行危险性行为,以此表达爱意。在某些情况下,没有 HIV 的人声称自己具有规范性的血清阳性状态,这意味着他们可以通过提供可能使自己感染 HIV 的性行为来更多地投资于关系。这些动态表达了 HIV 阴性男子的奉献精神,但暗示了 HIV 阳性男子的义务。基于这些和其他观点,我们主张在当前 HIV 预防的生物医学形式不断增多的情况下,更加关注男同性恋者的主体性;更深入地反思与男同性恋者性行为文化的公共卫生接触;以及为男同性恋者制定研究议程,挑战 HIV 血清阳性规范性。