A discursive approach to disinhibition theory: The normalization of unsafe sex among gay men

A discursive approach to disinhibition theory: The normalization of unsafe sex among gay men
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DOI:
10.1177/1049732307311362
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发表时间:
2008-02-01
影响因子:
3.2
通讯作者:
Myers, Ted
Myers, Ted
中科院分区:
医学2区
文献类型:
--
作者:
Aguinaldo, Jeffrey P.;Myers, Ted

文献摘要

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艾滋病毒研究和预防通常引用去抑制理论来解释男同性恋者感染艾滋病毒的原因。通过对男性谈论娱乐物质使用和安全性行为的定性访谈数据的分析,我们从话语的角度对去抑制理论的概念进行了质疑。从这个角度来看,我们不是将谈话视为通向某种假定存在于谈话之外的东西的途径或资源,而是作为一种针对其互动语境而设计的行动形式。我们展示了男性如何通过构建普遍和普遍的去抑制来使不安全的性行为正常化。在这样做的过程中,这些男性对他们自己在使用物质时使用避孕套的经历承担了责任。我们的分析表明,男性表现出的担忧是为了避免对参与无保护措施的性行为进行个人化解释。这可能解释了为什么基于这些非常个性化的解释,一些男同性恋者可能会抵制艾滋病毒预防运动。
HIV research and prevention commonly cite disinhibition theory as an explanation for HIV infection among gay men. Analyzing qualitative interview data in which men talk about recreational substance use and their safer sex practices, we interrogate the concept of disinhibition theory from a discursive perspective. From this perspective, we treat talk not as a route or resource to something presumed to lie beyond the talk, but as a form of action designed for its interactional context. We demonstrate how the men normalize unsafe sex through constructions of disinhibition as common and widespread. In doing so, the men manage accountability for their own experiences with foregoing condom use while using substances. Our analysis demonstrates the men's displayed concerns to avoid individualized explanations for having engaged in unprotected sex. This may explain why some gay men may resist HIV prevention campaigns, based on these very individualized explanations.