Jones Charlotte, Young Ingrid, Boydell Nicola
Somatechnics. 2020 Aug;10(2):172-194. doi: 10.3366/soma.2020.0312.
Discourses of pre-exposure prophylaxis (PrEP) revel in its radical potential as a global HIV prevention technology, offering a promise of change for the broader landscape of HIV prevention. In 2018, the British Broadcasting Corporation (BBC) aired , a documentary focused on the 'battle' to make PrEP available in England. In this article we explore how the BBC documentary positions PrEP, PrEP biosexual citizen-activists, as well as the wider role of the NHS in HIV prevention and the wellbeing of communities affected by HIV in the UK. We consider how biosexual citizenship (Epstein 2018) is configured through future imaginaries of hope, and the spectral histories of AIDS activism. We describe how crafts a story of PrEP activism in the context of an imagined gay community whose past, present, and hopeful future is entangled within the complexities and contractions of a state-funded health system. Here, PrEP functions as a 'happiness pointer' (Ahmed 2011), to orient imagined gay communities towards a hopeful future by demanding and accessing essential medicines and ensuring the absence of needless HIV transmissions. This biomedical success emerges from a shared traumatic past and firmly establishes the salvatory trajectory of PrEP and an imagined gay community who have continued to be affected by HIV. However, campaigns about the individual's right to access PrEP construct the availability and consumption of PrEP as an end goal to their activism, where access to PrEP is understood as an individual's right as a pharmaceutical consumer.
暴露前预防(PrEP)的相关论述热衷于将其作为一种全球艾滋病毒预防技术的激进潜力,为更广泛的艾滋病毒预防格局带来变革的希望。2018年,英国广播公司(BBC)播出了一部纪录片,聚焦于在英格兰推广PrEP的“斗争”。在本文中,我们探讨BBC纪录片如何定位PrEP、双性恋公民活动家,以及英国国民医疗服务体系(NHS)在艾滋病毒预防和受艾滋病毒影响社区福祉方面的更广泛作用。我们思考双性恋公民身份(爱泼斯坦,2018年)是如何通过希望的未来想象以及艾滋病激进主义的幽灵历史构建而成的。我们描述了该纪录片如何在一个想象中的同性恋社区背景下塑造PrEP激进主义的故事,这个社区的过去、现在和充满希望的未来交织在国家资助的医疗体系的复杂性和矛盾之中。在这里,PrEP起到了“幸福指针”(艾哈迈德,2011年)的作用,通过要求并获取基本药物以及确保避免不必要的艾滋病毒传播,引导想象中的同性恋社区走向充满希望的未来。这种生物医学上的成功源于共同的创伤过去,并坚定地确立了PrEP以及一个持续受艾滋病毒影响的想象中的同性恋社区的救赎轨迹。然而,关于个人获取PrEP权利的运动将PrEP的可及性和使用构建为其激进主义的最终目标,在这种情况下,获取PrEP被理解为个人作为药品消费者的权利。