Persson Asha, Newman Christy E, Ellard Jeanne
a Centre for Social Research in Health , UNSW Australia , Kensington, Sydney , NSW , Australia.
b Australian Research Centre in Sex, Health & Society , La Trobe University , Melbourne , Australia.
Med Anthropol. 2017 Nov-Dec;36(8):699-713. doi: 10.1080/01459740.2017.1298594. Epub 2017 Feb 28.
With recent breakthroughs in HIV treatment and prevention, the meanings of HIV-positivity and HIV-negativity are changing at biomedical and community levels. We explore how binary constructions of HIV serostatus identities are giving way to something more complex that brings both welcome possibilities and potential concerns. We draw on research with couples with mixed HIV status to argue that, in the context of lived experiences, serostatus identities have always been more ambiguous than allowed for in HIV discourse. However, their supposed dichotomous quality seems even more dubious now in view of contemporary biomedical technologies. Invoking the anthropological concept of "borderlands," we consider how biomedicine is generating more diverse serostatus identities, widening the options for how to live with HIV, and eroding the stigmatizing serostatus binary that has haunted the epidemic. But we also ask whether this emerging borderland, and its "normalizing" tendencies, is concomitantly giving rise to new and troubling binaries.
随着近期在艾滋病病毒治疗和预防方面取得的突破，艾滋病病毒呈阳性和呈阴性在生物医学及社区层面的意义正在发生变化。我们探讨了艾滋病病毒血清学状态身份的二元构建如何让位于更为复杂的情况，这既带来了令人欣喜的可能性，也引发了潜在的担忧。我们借鉴了对艾滋病病毒感染状况不同的伴侣进行的研究，认为在实际生活经历的背景下，血清学状态身份一直比艾滋病话语所允许的更为模糊。然而，鉴于当代生物医学技术，它们所谓的二分性质现在似乎更值得怀疑。援引人类学的“边境地带”概念，我们思考生物医学如何正在产生更多样化的血清学状态身份，拓宽与艾滋病病毒共存的选择，并削弱困扰该流行病的污名化血清学二元划分。但我们也会问，这个新兴的边境地带及其“常态化”趋势是否同时正在催生新的、令人不安的二元划分。
