Particularity, Potentiation, Citizenship and Pragmatism

Davis, Mark M.; Squire, Corinne

doi:10.1057/9780230297050_10

Cited by 4 publications

(6 citation statements)

References 10 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Therapeutic citizenship is a process of discipline, at once enabling and constraining, making citizens as well as non‐citizens. It can ‘assist in making HIV technologies work effectively’ and it can ‘be a site for the exercise of disciplinary requirements on citizens’ (Davis and Squire : 195).…”

Section: Therapeutic Citizenship In the Field Of Hiv Treatmentmentioning

confidence: 99%

Negotiating access to medical treatment and the making of patient citizenship: the case of hepatitis C treatment

Rhodes

Harris

Martin

2013

Sociology Health & Illness

View full text Add to dashboard Cite

Drawing on qualitative interview accounts with people who have injected drugs, we deploy ideas of biological and therapeutic citizenship to explore how the negotiation of access to hepatitis C treatment enacts patient citizenship potential. We find that the patient citizenship made through hepatitis C treatment divides those who are deserving from those who are not, largely in relation to their presentations of self-control, responsibility and recovery regarding drug use. Accessing treatment requires that patients negotiate their entitlement by reflexively producing the patient citizen role expected of them. In this context of rationed treatment expectation, access to treatment is constructed in relation to gratitude rather than entitlement. Rationed treatment expectation also interplays with a utilitarian approach to hepatitis C expertise. Accounts of the bio-effects of hepatitis C and its treatment as uncertain further weaken the potential for shared illness identity and biosocial membership as well as contributing to treatment delay. We conclude that the construction of hepatitis C treatment as a negotiation of 'recovery towards normality' positions people who continue to use or inject drugs as beyond patient citizenship. Our findings underscore the situated limits of therapeutic and biological citizenship, emphasising that these processes are unavoidably forces of governance.

show abstract

Section: Therapeutic Citizenship In the Field Of Hiv Treatmentmentioning

confidence: 99%

Negotiating access to medical treatment and the making of patient citizenship: the case of hepatitis C treatment

Rhodes

Harris

Martin

2013

Sociology Health & Illness

View full text Add to dashboard Cite

show abstract

“…Much of the existing work in this field, including my own (Persson et al . forthcoming), focuses on how pharmaceutical citizenship and its allied discourse of ‘normalisation’ can be constrained by social and structural factors, especially in less developed settings, and how it can be transformative in ways that do not always empower, but instead differentiate, exclude and, indeed, marginalise people even further (Biehl , , Davis and Squire , Ecks and Sax , Nguyen ). Less attention has been given to what can manifest when pharmaceutical citizenship ‘works’, when it actually succeeds in transforming and demarginalising lives in some way.…”

Section: Introductionmentioning

confidence: 99%

‘The world has changed’: pharmaceutical citizenship and the reimagining of serodiscordant sexuality among couples with mixed HIV status in Australia

Persson

2015

Sociology Health & Illness

View full text Add to dashboard Cite

In this article, I revisit the question of whether HIV can ever be reimagined and re-embodied as a potentially non-infectious condition, drawing on a current qualitative study of couples with mixed HIV status (serodiscordance) in Australia. Recent clinical trials have consolidated a shift in scientific understandings of HIV infectiousness by showing that antiretroviral treatment effectively prevents the sexual transmission of HIV. Contrary to common critiques, I explore how the increasing biomedicalisation of public health and the allied discourse of 'normalisation' can in fact de-marginalise stigmatised relationships and sexualities. Invoking Ecks's concept of 'pharmaceutical citizenship', I consider whether the emerging global strategy of HIV 'treatment-as-prevention' (TasP) can open up new trajectories that release serodiscordant sexuality from its historical moorings in discourses of risk and stigma, and whether these processes might re-inscribe serodiscordant sexuality as 'normal' and safe, potentially shifting the emphasis in HIV prevention discourses away from sexual practice toward treatment uptake and adherence.

show abstract

“…The concept of biological citizenship has been taken up by a number of authors in relation to HIV prevention and treatment technologies (see for example Robins, 2005; Nguyen, 2005; 2007; Biehl, 2007; Davis and Squire, 2010) and is relevant here as it helps to elucidate how issues of responsibility play out in the context of HIV. Nguyen (2005; 2007) defines ‘HIV therapeutic citizenship’ as a set of rights and responsibilities of individuals living with HIV.…”

Section: Discussionmentioning

confidence: 99%

“…The dominant HIV prevention discourse is based on individualistic HIV prevention messages that imply that HIV infection is the result of their irresponsible or even immoral behaviours such as engaging unprotected sex or sharing injection equipment (Crawford, 1994). However, to be ‘worthy’ of support and treatment individuals living with HIV have to present themselves as responsible HIV citizens, that is individuals who do not engage in irresponsible behaviours (Robins, 2005; Nguyen, 2005; 2007; Biehl, 2007; Davis and Squire, 2010). Especially for the most marginalised people living with HIV, such as those who use drugs, this self-transformation into deserving HIV citizens is not easy and may, as highlighted by the above accounts, lead to the denial of responsibility for their HIV infection in order to present themselves as responsible HIV citizens.…”

Section: Discussionmentioning

confidence: 99%

“…We use an extended conception of HIV prevention strategies in which HIV prevention is considered not only in terms of behaviour, but also in terms of social and political interventions (Davis & Squire, 2010). We examine the ways in HIV prevention strategies engender particular ways of thinking about HIV, and give rise to particular HIV subjectivities.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

‘Because I’ve been extremely careful’: HIV seroconversion, responsibility, citizenship and the neo-liberal drug-using subject

Krüsi

McNeil

Moore

et al. 2016

Health, Risk & Society

View full text Add to dashboard Cite

In this article we examine how injection drug users who do not attribute their HIV infection to engaging in HIV risk behaviours take up and critique discourses of individual responsibility and citizenship relating to HIV risk and HIV prevention. We draw on data from a study in Vancouver, Canada (2006 – 2009) in which we interviewed individuals living with HIV who had a history of injection drug use. In this paper we focus on 6 cases studies of participants who did not attribute their HIV infection to engaging in HIV risk behaviours. We found that in striving to present themselves as responsible HIV citizens who did not engage in HIV risk behaviours, these participants drew on individually-focused HIV prevention discourses. By identifying themselves in these ways, they were able to present themselves as ‘deserving’ HIV citizens and avoid the blame associated with being HIV positive. However, in rejecting the view that they and their risk behaviours were to blame for their HIV infection and by developing an explanation that drew on broader social, structural and historical factors, these individuals were developing a tentative critique of the importance of individual responsibility in HIV transmission as opposed to dangers of infection from the socio-economic environment. By framing the risk of infection in environmental rather than individual risk-behaviour terms these individuals redistributed responsibility to reflect the social-structural realities of their lives. In this article we reflect on the implications of these findings for public health measures such as risk prevention messages. We note that it is important that such messages are not restricted to individual risk prevention but also include a focus of broader shared responsibilities of HIV.

show abstract

Particularity, Potentiation, Citizenship and Pragmatism

Cited by 4 publications

References 10 publications

Negotiating access to medical treatment and the making of patient citizenship: the case of hepatitis C treatment

Negotiating access to medical treatment and the making of patient citizenship: the case of hepatitis C treatment

‘The world has changed’: pharmaceutical citizenship and the reimagining of serodiscordant sexuality among couples with mixed HIV status in Australia

‘Because I’ve been extremely careful’: HIV seroconversion, responsibility, citizenship and the neo-liberal drug-using subject

Contact Info

Product

Resources

About