Hutchinson Phil, Dhairyawan Rageshri
Faculty of Health, Psychology and Social Care, Manchester Metropolitan University, Manchester, UK.
Department of Integrated Sexual Health, Barking and Dagenham, Havering and Redbridge University Hospital Trust, Outpatients East, Manchester, UK.
Med Humanit. 2017 Dec;43(4):225-230. doi: 10.1136/medhum-2016-011179. Epub 2017 Aug 8.
It is a distinctive feature of HIV that its pathology cannot be adequately grasped separate from a number of psychosocial factors, and stigma is widely seen as the most prominent. We argue that it is equally important to have an adequate understanding of shame, as the emotional response to stigma. We have identified five ways shame might negatively impact upon attempts to combat and treat HIV, which emerge from the stigma HIV carries and STI-stigma in general. In this paper, we draw out four insights from philosophical work on emotions and shame which we propose will improve understanding of shame and stigma. We conclude by briefly discussing how these insights might shed light on the negative role shame can play for a person living with HIV engaging with, or being retained in, care. We conclude by proposing further study.
人类免疫缺陷病毒（HIV）的一个显著特征是，若不考虑一些社会心理因素，就无法充分理解其病理，而耻辱感被广泛视为最突出的因素。我们认为，同样重要的是要充分理解羞耻感，因为它是对耻辱感的情绪反应。我们已经确定了羞耻感可能对防治HIV的努力产生负面影响的五种方式，这些方式源于HIV本身所带有的耻辱感以及一般性传播感染（STI）的耻辱感。在本文中，我们从关于情感和羞耻感的哲学著作中提炼出四点见解，我们认为这些见解将增进对羞耻感和耻辱感的理解。我们最后简要讨论这些见解如何能够阐明羞耻感对于感染HIV的人接受治疗或持续接受治疗可能产生的负面作用。我们最后建议进行进一步研究。
