Green Adam Isaiah
Soc Stud Sci. 2016 Apr;46(2):210-35. doi: 10.1177/0306312715624982.
Abstract In this article, I draw from an ongoing ethnographic study of HIV prevention for gay, bisexual, and 'men who have sex with men' to develop an institutional analysis of HIV behavioral intervention science and praxis. I approach this analysis through the lens of the social worlds framework, focusing on the institutional arena in which HIV behavioral interventions are devised and executed. Toward this end, I focus on two fundamental points of contention that lie at the heart of the prevention enterprise and put its social organization in high relief: (1) conceptions of health and lifestyle practices and (2) attributions of expertise. These core contentions reveal less the steady advance of normal science than an arena of actors ensconced in boundary work and jurisdictional struggles over how to engineer behavior change and reduce the scale of the HIV epidemic. Their resolution, I argue, has occurred in a historically contingent process determined by the political economy of the US HIV prevention arena and the differential structural location of its social worlds.
摘要 在本文中，我借鉴了一项正在进行的针对男同性恋者、双性恋者和“与男性发生性关系的男性”的艾滋病毒预防人种志研究，以对艾滋病毒行为干预科学与实践进行制度分析。我通过社会世界框架的视角来进行这一分析，重点关注设计和实施艾滋病毒行为干预的制度领域。为此，我聚焦于预防事业核心的两个基本争议点，这凸显了其社会组织：（1）健康观念与生活方式实践；（2）专业知识归属。这些核心争议揭示出，与其说是常规科学的稳步推进，不如说是一个行动者的领域，他们深陷于关于如何促成行为改变及降低艾滋病毒流行规模的边界工作和管辖权斗争之中。我认为，它们的解决是在一个由美国艾滋病毒预防领域的政治经济及其社会世界的不同结构位置所决定的历史偶然过程中发生的。
