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两个关于疾病、意识形态和亲密身份的故事:1980 - 1995年南非的性取向政治与艾滋病

Two tales about illness, ideologies, and intimate identities: sexuality politics and AIDS in South Africa, 1980-95.

作者信息

Tsampiras Carla

出版信息

Med Hist. 2014 Apr;58(2):230-56. doi: 10.1017/mdh.2014.7.

DOI:10.1017/mdh.2014.7
PMID:24775431
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4006140/
Abstract

This article focuses on the micro-narratives of two individuals whose responses to AIDS were mediated by their sexual identity, AIDS activism and the political context of South Africa during a time of transition. Their experiences were also mediated by well-established metanarratives about AIDS and 'homosexuality' created in the USA and the UK which were transplanted and reinforced (with local variations) into South Africa by medico-scientific and political leaders.The nascent process of writing South African AIDS histories provides the opportunity to record responses to AIDS at institutional level, reveal the connections between narratives about AIDS and those responses, and draw on the personal stories of those who were at the nexus of impersonal official responses and the personal politics of AIDS. This article records the experiences of Dennis Sifris, a physician who helped establish one of the first AIDS clinics in South Africa and emptied the dance floors, and Pierre Brouard, a clinical psychologist who was involved in early counselling, support and education initiatives for HIV-positive people, and counselled people about dying, and then about living. Their stories show how, even within government-aligned health care spaces hostile to gay men, they were able to provide support and treatment to people; benefited from international connections with other gay communities; and engaged in socially subversive activities. These oral histories thus provide otherwise hidden insights into the experiences of some gay men at the start of an epidemic that was initially almost exclusively constructed on, and about, gay men's bodies.

摘要

本文聚焦于两个人的微观叙事,他们对艾滋病的反应受到其性取向、艾滋病维权行动以及南非转型时期政治背景的影响。他们的经历还受到美国和英国所构建的关于艾滋病和“同性恋”的既定元叙事的影响,这些元叙事被医学科学和政治领袖移植到南非并得到强化(有当地的变体)。撰写南非艾滋病历史的初期过程提供了一个机会,来记录机构层面上对艾滋病的反应,揭示关于艾滋病的叙事与这些反应之间的联系,并借鉴那些处于客观官方反应与艾滋病个人政治核心位置的人的个人故事。本文记录了丹尼斯·西夫里斯和皮埃尔·布鲁阿尔德的经历,前者是一名医生,他帮助建立了南非最早的一批艾滋病诊所之一,并让舞池变得冷清;后者是一名临床心理学家,他参与了针对艾滋病毒呈阳性者的早期咨询、支持和教育倡议,并为人们提供临终咨询,随后又提供关于生存的咨询。他们的故事展示了,即使在对男同性恋者充满敌意的、与政府结盟的医疗保健空间内,他们仍能够为人们提供支持和治疗;受益于与其他同性恋社群的国际联系;并参与具有社会颠覆性的活动。因此,这些口述历史为一些男同性恋者在这场最初几乎完全围绕男同性恋者身体构建且关于男同性恋者身体展开的流行病初期的经历提供了 otherwise hidden insights(此处otherwise hidden可能有误,推测可能是otherwise hidden,意为“其他隐藏的见解”)。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/35a6/4106000/b2aa05c66da9/S0025727314000076_fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/35a6/4106000/b2aa05c66da9/S0025727314000076_fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/35a6/4106000/b2aa05c66da9/S0025727314000076_fig2.jpg

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Assessing the impact of national anti-HIV sexual health campaigns: trends in the transmission of HIV and other sexually transmitted infections in England.评估国家抗艾滋病毒性健康运动的影响:英格兰艾滋病毒及其他性传播感染的传播趋势
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