Struggling to care: A discursive-material analysis of negotiating agency among HIV-positive MSM
Struggling to care: A discursive-material analysis of negotiating agency among HIV-positive MSM
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DOI：
10.1177/1363459315628040
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发表时间：
2017-11-01
期刊：
影响因子：
2.1
通讯作者：
Ofreneo, Mira Alexis P.
中科院分区：
文献类型：
--
作者：
Canoy, Nico A.;Ofreneo, Mira Alexis P.
一个话语-物质主义的能动性框架主张在文化话语、经济和具体物质结构中的能动性的相互构成。了解艾滋病毒阳性的男性在菲律宾与男性发生性关系的谈判机构相对于更广泛的社会结构，我们利用福柯的照顾自我定位机构与自我，他人和更广阔的世界的关系。使用20名菲律宾艾滋病毒阳性男性与男性发生性关系的叙述数据，我们分析了艾滋病毒阳性的谈判机构嵌入在罗马天主教独特的话语地形和发展中国家的经济物质。阐述了代理谈判的三个主要过程：（1）在与自我的关系中质疑精神自我和性身体，（2）在与他人的关系中导航人际关系的限制，以照顾给予，（3）在与更广阔的世界的关系中，在医疗保健中恢复人类尊严。理论见解的话语和材料的治疗宪法的话语和材料的挑战进行了讨论。
A discursive-materialist framework of agency asserts the mutual constitution of agency within cultural discursive, economic, and embodied material structures. Understanding how HIV-positive men who have sex with men in the Philippines negotiate agency vis-a-vis wider social structures, we utilized Foucault's care of the self to locate agency in relationships with the self, others, and the broader world. Using data from narratives of 20 Filipino HIV-positive men who have sex with men, we analyzed the negotiation of agency as HIV-positive as embedded in the unique discursive terrain of Roman Catholicism and the economic materiality of a developing country. Three main processes of negotiating agency are elaborated: (1) questioning the spiritual self and the sexual body in the relationship with the self, (2) navigating interpersonal limits to care giving in the relationship with others, and (3) reclaiming human dignity in health care in the relationship with the broader world. Theoretical insights on the discursive and material constitution of healing in light of discursive and material challenges are discussed.