This book approaches the subject of AIDS pedagogy by analysing the complex links between representation or discourse, ideology, power relations and practices of self, understood from the perspective of embodiment. While there is a fairly large amount of literature available on the social, economic, psychological and policy dimensions of the epidemic, there is virtually nothing on its cultural politics. As a critique of the national AIDS pedagogy, this book attempts to fill the gap. It addresses important issues in cultural studies, body studies, medical humanities, disease control policy and behaviour change communication strategies. This book will be of interest to researchers and students of culture studies and social sciences, especially social anthropology, community health, health management. and gender studies.

First Published in 1989. Routledge is an imprint of Taylor & Francis, an informa company.

What do HIV-positive women in Nigeria face as they seek meaningful lives with a deeply discrediting disease? Kathryn A. Rhine uncovers the skillful ways women defuse concerns about their wellbeing and the ability to maintain their households. Rhine shows how this ethic of concealment involves masking their diagnosis, unfaithful husbands, and unsupportive families while displaying their beauty, generosity, and vitality. As Rhine observes, collusion with counselors and support group leaders to deflect stigma, secure respectability, and find love features prominently in the lives of ordinary women who hope for a brighter future as the HIV epidemic continues to expand.

What do HIV-positive women in Nigeria face as they seek meaningful lives with a deeply discrediting disease? Kathryn A. Rhine uncovers the skillful ways women defuse concerns about their wellbeing and the ability to maintain their households. Rhine shows how this ethic of concealment involves masking their diagnosis, unfaithful husbands, and unsupportive families while displaying their beauty, generosity, and vitality. As Rhine observes, collusion with counselors and support group leaders to deflect stigma, secure respectability, and find love features prominently in the lives of ordinary women who hope for a brighter future as the HIV epidemic continues to expand.

Being Positive gives us the clearest picture we have of what life is like for people who have been diagnosed HIV positive. Based upon unique in-depth interviews with a broad cross-section of patients, the book is remarkable for its candor and compassionate analysis. The people speak for themselves. "Through these pages," Robert Klitzman writes, "I have tried to present a picture-a group portrait-and a sense of the fabric and texture of these individual's lives. Their stories taught me much about how people find meaning and cope with apparently overwhelming difficulties." In looking for patterns in these lives, Dr. Klitzman has focused first on the problems these new patients face-the uncertainties, losses, and taboos; then on how they adapt-their new life in "HIV-land," their spiritual beliefs, work and volunteerism, family relations, drugs and sex, and denial psychology. Finally he considers the implications of this major new medical problem and how it has forced us to examine so many personal, political, and institutional issues surrounding illness and the threat of death. Being Positive is not only a humanizing antidote to statistical studies of HIV and AIDS, it is an important benchmark in understanding the lives and experiences of the people who are affected.

This open access book introduces the theoretical frameworks and academic debates concerning sexual cultural practices and HIV/AIDS in Africa. It shows how these frameworks have been applied in a practical sense in Africa to investigate sexual cultural practices and their link with HIV/AIDS. The author provides an overview of both the field of study and the methods used during fieldwork. Finally, it assesses the implications of the findings for the conceptualization and provision of current and future HIV/AIDS policies and programs in Africa. This monograph will appeal to policy makers and practitioners working in the field of HIV/AIDS in the Global South as well as academics and students.

This book demonstrates the political potential of mainstream theatre in the US at the end of the twentieth century, tracing ideological change over time in the reception of US mainstream plays taking HIV/AIDS as their topic from 1985 to 2000. This is the first study to combine the topics of the politics of performance, LGBT theatre, and mainstream theatre's political potential, a juxtaposition that shows how radical ideas become mainstream, that is, how the dominant ideology changes. Using materialist semiotics and extensive archival research, Juntunen delineates the cultural history of four pivotal productions from that period-Larry Kramer's The Normal Heart (1985), Tony Kushner's Angels in America (1992), Jonathan Larson's Rent (1996), and Moises Kaufman's The Laramie Project (2000). Examining the connection between AIDS, mainstream theatre, and the media reveals key systems at work in ideological change over time during a deadly epidemic whose effects changed the nation forever. Employing media theory alongside nationalism studies and utilizing dozens of reviews for each case study, the volume demonstrates that reviews are valuable evidence of how a production was hailed by society's ideological gatekeepers. Mixing this new use of reviews alongside textual analysis and material study-such as the theaters' locations, architectures, merchandise, program notes, and advertising-creates an uncommonly rich description of these productions and their ideological effects. This book will be of interest to scholars and students of theatre, politics, media studies, queer theory, and US history, and to those with an interest in gay civil rights, one of the most successful social movements of the late twentieth century.

This book is a successor to the earlier and widely-used Business Organization. In this book the author helps the student to develop his or her own critical and conceptual understanding of the subject. As the author reviews the various approaches - classical, human relations, behavioural science, systems and contingency theories - he shows that none of them offers a simple progression from error to truth, but that all of them combine to contribute to a broader view of the field. The final chapter summarizes the author's viewpoint, applying the different approaches to a particular case study.

This book provides a comprehensive overview of the most important themes in German HIV/AIDS prevention and care from the beginning of the epidemic to the present. Multidisciplinary in approach, it highlights the unique contributions of Germany to AIDS work, making available for the first time knowledge which can be applied to other countries as well as to other fields of public health practice. Topics discussed include: *structural prevention, a concept which unites political and behavioural change *the synchronistic relationship between AIDS policy and gay politics *the dominance of love and intimacy over other 'risk factors' *an approach to prevention among drug users which emphasis human rights and accepts the using behaviour *a unique partnership between public authorities and the voluntary sector *services for women working in cross-national border prostitution *an AIDS survivor syndrome among gay men *HIV in the context of emotional risks taken by women in relationships. In addition, specifically German themes are described, including special needs of gay men from the former East Germany, the difficulties of providing adequate outpatient care for people with HIV/AIDS and the history of the AIDS prevention debate in Germany. The book offers medical, nursing, public health, sociological, psychological and social work perspectives on the German response to AIDS.

This book studies the role of civil society organisations in the fight against HIV/AIDS in Russia. It looks at how Russia's HIV/AIDS epidemic has developed into a serious social, economic and political problem, and how according to the United Nations Programme on HIV/AIDS (UNAIDS), Russia is currently facing the biggest HIV/AIDS epidemic in all of Europe with an estimated number of 980,000 people living with HIV in 2009. The book investigates civil society organisations' contribution to social change and civil society development in post-Soviet Russia, and thus situates a specific type of civil society actors into a broader socio-political context and questions their ability to represent civic interests, particularly in the field of social policy-making and health. This allows for a better understanding of the dynamics of state-society relations in present-day Russia, and gives insight into the ways HIV/AIDS NGOs in Russia have used transnational ties in order to exert influence on domestic policy-making in the field of HIV/AIDS.

This book discusses the significance of late twentieth century and early twenty first century American fiction written in response to the AIDS crisis and interrogates how sexual identity is depicted and constructed textually. Pearl develops Freudian psychoanalytic theory in a complex account of the ways in which grief is expressed and worked out in literature, showing how key texts from the AIDS crisis by authors such as Edmund White, Michael Cunningham, Eve Sedgwick - and also, later, the archives of The ACT UP Oral History Project - lie both within the tradition of gay writing and a postmodernist poetics. The book demonstrates how literary texts both expose and construct personal identity, how they expose and produce sexual identities, and how gay and queer identities were written onto the page, but also constructed and consolidated by these very texts. Pearl argues that the division between realist and postmodern, and gay and queer, respectively, is determined by whether the experience expressed and accounted is mediated through the psychoanalytic categories of mourning or melancholia, and is marked by a kind of coherence or chaos in the texts themselves. This study presents an important development in scholarly work in gay literary studies, queer theory, and AIDS representation.

Heterosexual Africa? The History of an idea from the age of exploration to the age of AIDS explores the historical processes by which a singular, heterosexual identity for Africa was constructed. Epprecht argues that Africans, just like people all over the world, have always had a range of sexualities and sexual identities. Heterosexual Africa? aims to understand an enduring stereotype about Africa and Africans. It asks how Africa came to be defined as a "homosexual-free zone" during the colonial era, and how this idea not only survived the transition to independence but flourished under conditions of globalisation and early panicky responses to HIV/AIDS. In this timely volume, Epprecht examines a number of issues concerning sexuality and the construction of sexual identities that have largely been overlooked by studies of African ethnology in the past.

The treatment of HIV is perhaps the most demanding and complex aspect of work for today's health care provider. Often the first decision providers and patients make is whether or not to test for the virus; this is only the first in a series of involved--and often troubling--decisions confronting both provider and patient. HIV Care considers many of the diverse elements affecting and affected by this illness, from its physical and neuropsychological manifestations to its legal and financial implications. Addressing concerns about HIV testing, the authors introduce a practical risk assessment tool and discuss some of the subjects and approaches germane to pre- and posttest counseling. Medical management is surveyed, exploring not only traditional therapies but experimental and complementary ones such as acupuncture, exercise, and diet. The psychological, psychosocial, and spiritual impacts of HIV are also considered, often generating conflicting perspectives. Finally, pragmatic issues including housing and home care, financial assistance, and legal issues pertaining to the counseling of HIV-positive patients are presented. Appendixes record laws related to HIV by state, catalog available legal assistance, and list state and national resources for HIV patients. Offering a thorough look at the most recent developments in HIV treatment, this handbook will serve as a powerful reference guide for practitioners in primary care, nursing, and public health, or anyone working with HIV patients. "The authors have compiled an extremely useful and easy-to-use handbook that should be on the desk of all primary care providers who treat HIV-positive individuals. Of particular interest are the legal issues where the state laws for each state are outlined concerning reporting, informed consent, confidentiality, affirmative duty to disclose, quarantine, mandatory testing, and transmission crime. This is a highly recommended book for all medical, public, and academic libraries; but especially for the professional primary care provider. It answers many questions for those who have not had the years of experience of dealing with HIV-positive patients." --AIDS Book Review Journal

During the first decade of this millennium, many thousands of people in Uganda who otherwise would have died from AIDS got second chances at life. A massive global health intervention, the scaling up of antiretroviral therapy (ART), saved them and created a generation of people who learned to live with treatment. As clients they joined programs that offered free antiretroviral medicine and encouraged "positive living." Because ART is not a cure but a lifelong treatment regime, its consequences are far-reaching for society, families, and individuals. Drawing on personal accounts and a broad knowledge of Ugandan culture and history, the essays in this collection explore ART from the perspective of those who received second chances. Their concerns about treatment, partners, children, work, food, and bodies reveal the essential sociality of Ugandan life. The collection is based on research undertaken by a team of social scientists including both Western and African scholars.
"Contributors." Phoebe Kajubi, David Kyaddondo, Lotte Meinert, Hanne O. Mogensen, Godfrey Etyang Siu, Jenipher Twebaze, Michael A. Whyte, Susan Reynolds Whyte

This book challenges the conventional security-based international policy frameworks that have developed for dealing with HIV/AIDS during and after conflicts, and examines first-hand evidence and experiences of conflict and HIV/AIDS. Since the turn of the century international policy agenda on security have focused on HIV/AIDS only as a concern for national and international security, ignoring people's particular experiences, vulnerabilities and needs in conflict and post-conflict contexts. Developing a gender-based framework for HIV/AIDS-conflict analysis, this book draws on research conducted in Burundi to understand the implications of post-conflict demobilization and reintegration policies on women and men and their vulnerability to HIV/AIDS. By centring the argument on personal reflections, this work provides a critical alternative method to engage with conflict and HIV/AIDS, and a much richer understanding of the relationship between the two. International Security, Conflict and Gender will be of interest to students and scholars of healthcare politics, security and governance.

Based on interviews with women who are HIV positive, this sobering pandemic brings to light the deeply rooted and complex problems of living with HIV. Already pushed to the edges of society by poverty, racial politics, and gender injustice, women with HIV in South Africa have found ways to cope with work and men, disclosure of their HIV status, and care for families and children to create a sense of normalcy in their lives. As women take control of their treatment, they help to determine effective routes to ending the spread of the disease.

Develop a positive working relationship between researchers and community groups focusing on HIV/AIDS prevention, and discover how to evaluate HIV/AIDS programs! An indispensable manual for everyone involved with HIV/AIDS research, prevention techniques, and the needs of individuals with HIV/AIDS, HIV/AIDS Prevention: Current Issues in Community Practice covers everything from the likelihood of condom usage by college women to the psychological effects on minority men infected with the HIV/AIDS virus. Essential reading for psychologists, research scientists who work with communities or who are involved in AIDS prevention programs, and for care takers of people with HIV/AIDS, Contemporary Topics in HIV/AIDS Prevention covers the necessary collaborative steps needed to create a positive researcher/community based organization (COB) partnership that will benefit researchers and those affected by the disease. In HIV/AIDS Prevention, you will examine many different models designed to effectively foster a positive researcher/CBO relationship while learning how to overcome problems you may encounter when researching a social issue or working with a researcher. This book also explains how and why many HIV prevention programs have been poorly evaluated due to a lack of funds and social politics. In addition, you will discover how you can obtain and/or perform a true evaluation of an HIV prevention program. In HIV/AIDS Prevention, you will explore many important issues and factors that help create successful programs, including: factors necessary for valid HIV/AIDS prevention program evaluations assessments of coping strategies, psychological variables, and the physical well-being of African- American and Latino men living with HIV/AIDS steps for the collaborative process between researchers and community groups making a good match between community-based organizations and researchersHIV/AIDS Prevention gives you pertinent information and guidelines for selecting a community-based organization to work with and the steps to creating a successful relationship. This book will give you the strategies and information you need in order to give pastoral support and prevention education to at-risk individuals. You will discover what is necessary for a true HIV/AIDS prevention program evaluation.

Based on interviews with women who are HIV positive, this sobering pandemic brings to light the deeply rooted and complex problems of living with HIV. Already pushed to the edges of society by poverty, racial politics, and gender injustice, women with HIV in South Africa have found ways to cope with work and men, disclosure of their HIV status, and care for families and children to create a sense of normalcy in their lives. As women take control of their treatment, they help to determine effective routes to ending the spread of the disease.

For three decades post-apartheid, the HIV/AIDS epidemic from first acknowledgement to its management as a chronic disease, demanded unparalleled attention. This was nowhere more evident than in South Africa. This book explores how the state responded to its responsibilities to defend and protect (human) security. Linking this to the role of the state as sovereign protector and provider of security, it applies the findings to the broader re-interpretation of sovereign responsibility in the 21st Century. This book does not seek to absolve the South African state of its responsibility to respond. Moreover, it argues that although the state, the government, before, during, and after the transition to democracy, was aware of and acknowledged the threat - political, economic and social - posed by the epidemic, it nonetheless chose not to make the epidemic a priority policy issue. As a result, it argues that the South African HIV/AIDS case illustrates the tension inherent between a state's ultimate sovereign responsibility to respond and its tactical dependence on external contributors to meet the demands of all of its constituents.

For young gay men who came of age in the United States in the 1980s, the HIV/AIDS epidemic was a formative experience in fear, hardship, and loss. Those who were diagnosed before 1996 suffered an exceptionally high rate of mortality, and the survivors - both the infected individuals and those close to them - today constitute a "bravest generation" in American history. The AIDS Generation: Stories of Survival and Resilience examines the strategies for survival and coping employed by these HIV-positive gay men, who together constitute the first generation of long-term survivors of the disease. Through interviews conducted by the author, it narrates the stories of gay men who have survived since the early days of the epidemic; documents and delineates the strategies and behaviors enacted by men of this generation to survive it; and examines the extent to which these approaches to survival inform and are informed by the broad body of literature on resilience and health. The stories and strategies detailed here, all used to combat the profound physical, emotional, and social challenges faced by those in the crosshairs of the AIDS epidemic, provide a gateway for understanding how individuals cope with chronic and life-threatening diseases. Halkitis takes readers on a journey of first-hand data collection (the interviews themselves), the popular culture representations of these phenomena, and his own experiences as one of the men of the AIDS generation. This riveting account will be of interest to health practitioners and historians throughout the clinical and social sciences - or to anyone with an interest in this important chapter in social history.

Exploring the mechanisms and strategies used in different cultures across Hispano-America and the Caribbean to narrativise, represent and understand HIV/AIDS as a social and human phenomenon, this book examines a wide range of cultural, artistic and media texts, as well as issues of human phenomenology, to understand the ways in which HIV positive individuals make sense of their own lives, and of the ways in which the rest of society sees them. Drawing on a variety of cultural texts from cinema, television, photography and literature, the author considers the manner in which contemporary cultural forms have shaped a body of public opinion in response to the social and cultural impact of HIV/AIDS, re-interpreting the condition in the light of advances in treatment. With attention to both the temporality and spatiality of production, this book examines whether heterosexual and homosexual, and masculine and feminine bodies are narrativised in the same manner, considering the question of whether representations foster discrimination of any kind. The book also asks whether representations across Latin America are homogenous or varied according to national, social or cultural context, and explores the commonalities between the representations of HIV/AIDS in Hispano-America and the Caribbean and other global narratives. A detailed study of the various representations of HIV/AIDS and the construction of public opinion, this book will appeal to scholars of cultural, media and film studies, the sociology of health, the body and illness, and Latin American and Caribbean Studies.

South and East Asia may well become the epicentres of the global HIV/AIDS pandemic. More than three-quarters of a million people are now estimated to be living with HIV/AIDS in China. In 2009, AIDS had already become the leading cause of death by infectious disease. Yet, even despite China's recent economic and social progress, a number of development issues - not least the emergence of glaring inequalities - have also emerged. The expansion of the HIV/AIDS epidemic is also an important longer term development challenge. This book analyses China's HIV/AIDS epidemic, with particular attention to the nature and impact of current economic and social changes and how these changes may be driving the epidemic. It examines aspects of income and gender inequality; rural-urban migration; commercial sex work; healthcare and civil society organizations. Health care reforms and the role of NGOs are also considered as well as general government policy. Overall, this book provides a full discussion of the most critical aspects of the current HIV/AIDS situation in China and its impact on Chinese society.

There is now a vast literature on HIV and AIDS but much of it is based on traditional biomedical or epidemiological approaches. Hence it tells us very little about the experiences of the millions of people whose living and dying constitute the reality of this devastating pandemic. Doyal brings together findings from a wide range of empirical studies spanning the social sciences to explore experiences of HIV positive people across the world. This will illustrate how the disease is physically manifested and psychologically internalised by individuals in diverse ways depending on the biological, social, cultural and economic circumstances in which they find themselves. A proper understanding of these commonalities and differences will be essential if future strategies are to be effective in mitigating the effects of HIV and AIDS. Doyal shows that such initiatives will also require a better appreciation of the needs and rights of those affected within the wider context of global inequalities and injustices. Finally, she outlines approaches to address these challenges. This book will appeal to everyone involved in struggles to improve the well-being of those with HIV and AIDS. While academically rigorous, it is written in an accessible manner that transcends specific disciplines and, through its extensive bibliography, provides diverse source material for future teaching, learning and research.

In some parts of South Africa, more than one in three people are HIV positive. Love in the Time of AIDS explores transformations in notions of gender and intimacy to try to understand the roots of this virulent epidemic. By living in an informal settlement and collecting love letters, cell phone text messages, oral histories, and archival materials, Mark Hunter details the everyday social inequalities that have resulted in untimely deaths. Hunter shows how first apartheid and then chronic unemployment have become entangled with ideas about femininity, masculinity, love, and sex and have created an economy of exchange that perpetuates the transmission of HIV/AIDS. This sobering ethnography challenges conventional understandings of HIV/AIDS in South Africa.

The need and ability for social health and business professionals to work together has emerged in the form of public-private partnerships (PPP). PPPs exist to combat HIV/AIDS globally, but little comprehensive documentation exists about how and why HIV/AIDS PPP programs were created. In Analysis of Experience, Muhiuddin Haider and Ahila Subramanian examine the landscape and benchmarks of HIV/AIDS PPP programs. Haider and Subramanian's study is one of the first to provide effective protocols, which will ensure quality service in these programs, while giving insight to global health and business professionals engaged in mutually beneficial enterprises.