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首页> 外文期刊>The Journal of medical humanities >Problematising the Discourse of 'Post-AIDS'
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Problematising the Discourse of 'Post-AIDS'

机译：有问题的“艾滋病效率”

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This paper reflects on the meanings of 'post-AIDS' in the Global North and South. I bring together contemporary arguments to suggest that the notion of 'post-AIDS' is, at best, misplaced, not least because its starting point remains a biotechnical one. Drawing on aspects of the sub-Saharan African experience, this essay suggests that, despite significant shifts in access to antiretroviral therapy (ART), HIV continues to be fundamentally shaped by economic determinants and social and cultural practices. In this essay, I question the certainty of the discourse of (Western biomedical) 'positive progress' (Johnson et al. 2015), which underpins the 'post-AIDS' narrative, and suggest that living with HIV and AIDS in our contemporary global context is a life lived with ongoing complexity, stigma and chronicity. I suggest that HIV in the Global North shares many characteristics with HIV in the Global South yet differs in significant ways, not least in the fact that a resource-rich context generates an environment where health and social care support is possible, and, mostly, usual. In both contexts, however, the experience of living with a highly stigmatized illness with no cure in both the Global South and North suggests that this is a point of shared experience.
机译：本文反映了“全球南北”艾滋病效率“的含义。我汇集了当代论证，表明“艾滋病效率”的概念，并非最不重要的是，因为它的起点仍然是生物技术之一。绘制撒哈拉以南非洲经验的各个方面，这篇论文认为，尽管获得抗逆转录病毒治疗（ART）的重大转变，但艾滋病毒继续被经济决定因素和社会和文化惯例的根本形式。在本文中，我质疑（西方生物医学）“积极进展”（Johnson等，2015年）的话题，这是“艾滋病效率的叙事”，并建议在我们当代全球化艾滋病毒和艾滋病背景是生活中持续复杂，耻辱和慢性的生活。我建议全球北方的艾滋病毒在全球南部的艾滋病毒患有许多特征，但在很大程度上不同，尤其是资源丰富的上下文产生健康和社会护理支持的环境，而且主要是，通常。然而，在这两种情况下，在全球南北和北方没有治愈的高度耻辱的疾病中生活的经验表明这是一个共享经验的观点。

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