Gagnon Marilou, Holmes Dave
School of Nursing, Faculty of Health Sciences, University of Ottawa, Ottawa, ON, Canada.
Nurs Philos. 2016 Oct;17(4):250-61. doi: 10.1111/nup.12136. Epub 2016 Jul 20.
Each of the antiretroviral drugs that are currently used to stop the progression of HIV infection causes its own specific side effects. Despite the expansion, multiplication, and simplification of treatment options over the past decade, side effects continue to affect people living with HIV. Yet, we see a clear disconnect between the way side effects are normalized, routinized, and framed in clinical practice and the way they are experienced by people living with HIV. This paper builds on the premise that new approaches are needed to understand side effects in a manner that is more reflective of the subjective accounts of people living with HIV. Drawing on the work of Deleuze and Guattari, it offers an original application of the theory of 'assemblage'. This theory offers a new way of theorizing side effects, and ultimately the relationship between the body and antiretroviral drugs (as technologies). Combining theory with examples derived from empirical data, we examine the multiple ways in which the body connects not only to the drugs but also to people, things, and systems. Our objective is to illustrate how this theory dares us to think differently about side effects and allows us to originally (re)think the experience of taking antiretroviral drugs.
目前用于阻止HIV感染进展的每种抗逆转录病毒药物都会引发其自身特定的副作用。尽管在过去十年中治疗选择有所扩展、增加且简化,但副作用仍在影响着HIV感染者。然而,我们看到在临床实践中副作用被正常化、常规化以及被界定的方式与HIV感染者对副作用的体验方式之间存在明显脱节。本文基于这样一个前提,即需要新的方法来以更能反映HIV感染者主观描述的方式理解副作用。借鉴德勒兹和瓜塔里的著作,本文对“装配”理论进行了原创性应用。该理论为副作用以及最终身体与抗逆转录病毒药物(作为技术)之间的关系提供了一种新的理论化方式。将理论与来自实证数据的例子相结合,我们考察了身体不仅与药物而且与人和事物以及系统相联系的多种方式。我们的目的是说明这种理论如何促使我们以不同的方式思考副作用,并使我们能够以新颖的方式(重新)思考服用抗逆转录病毒药物的体验。