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Graham Fordham - HIV/AIDS and the Social Consequences of Untamed Biomedicine: Anthropological Complicities

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Drawing on the case of HIV/AIDS in Thailand, this book examines how anthropological and other interpretative social science research has been utilized in modeling the AIDS epidemic, and in the design and implementation of interventions. It argues that much social science research has been complicit with the forces that generated the epidemic and with the social control agendas of the state, and that as such it has increased the weight of structural violence bearing upon the afflicted.

The book also questions claims of Thai AIDS control success, arguing that these can only be made at the cost of excluding categories such as intravenous drug users, the incarcerated, and homosexuals, who continue to experience extraordinarily high levels of levels of HIV infection. Considered deviant and undeserving, these persons have deliberately been excluded from harm reduction programs.

Overall, this work argues for the untapped potential of anthropological research in the health field, a confident anthropology rooted in ethnography and a critical reflexivity. Crucially, it argues that in context of interdisciplinary collaborations, anthropological research must refuse relegation to the status of an adjunct discipline, and must be free epistemologically and methodologically from the universalizing assumptions and practices of biomedicine.

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HIVAIDS and the Social Consequences of Untamed Biomedicine Drawing on the case - photo 1
HIV/AIDS and the Social Consequences of Untamed Biomedicine
Drawing on the case of HIV/AIDS in Thailand, this book examines how anthropological and other interpretative social science research has been utilised in modelling the AIDS epidemic and in the design and implementation of interventions. It argues that much social science research has been complicit with the forces that generated the epidemic and with the social control agendas of the state, and that as such it has increased the weight of structural violence bearing upon the afflicted.
The book also questions claims of Thai AIDS control success, arguing that these can only be made at the cost of excluding categories such as intravenous drug users, the incarcerated, and homosexuals, who continue to experience extraordinarily high levels of HIV infection. Considered deviant and undeserving, these persons have deliberately been excluded from harm reduction programs.
Overall, this work argues for the untapped potential of anthropological research in the health field, a confident anthropology rooted in ethnography and a critical reflexivity. Crucially, it argues that in context of interdisciplinary collaborations, anthropological research must refuse relegation to the status of an adjunct discipline and must be free epistemologically and methodologically from the universalising assumptions and practices of biomedicine.
Graham Fordham is a social anthropologist who has extensive experience researching the Thai and other Southeast Asian AIDS epidemics. He currently teaches in the College of Medicine, Biology and Environment at the Australian National University in Canberra.
Routledge Studies in Anthropology
1 Student Mobility and Narrative in Europe
The New Strangers
Elizabeth Murphy-Lejeune
2 The Question of the Gift
Essays across Disciplines
Edited by Mark Osteen
3 Decolonising Indigenous Rights
Edited by Adolfo de Oliveira
4 Traveling Spirits
Migrants, Markets and Mobilities
Edited by Gertrud Hwelmeier and Kristine Krause
5 Anthropologists, Indigenous Scholars and the Research Endeavour
Seeking Bridges Towards Mutual Respect
Edited by Joy Hendry and Laara Fitznor
6 Confronting Capital
Critique and Engagement in Anthropology
Edited by Pauline Gardiner Barber, Belinda Leach, and Winnie Lem
7 Adolescent Identity
Evolutionary, Cultural and Developmental Perspectives
Edited by Bonnie L. Hewlett
8 The Social Life of Climate Change Models
Anticipating Nature
Edited by Kirsten Hastrup and Martin Skrydstrup
9 Islam, Development, and Urban Womens Reproductive Practices
Cortney Hughes Rinker
10 Senses and Citizenships
Embodying Political Life
Edited by Susanna Trnka, Christine Dureau, and Julie Park
11 Environmental Anthropology
Future Directions
Edited by Helen Kopnina and Eleanor Shoreman-Ouimet
12 Times of Security
Ethnographies of Fear, Protest and the Future
Edited by Martin Holbraad and Morten Axel Pedersen
13 Climate Change and Tradition in a Small Island State
The Rising Tide
Peter Rudiak-Gould
14 Anthropology and Nature
Edited by Kirsten Hastrup
15 Animism and the Question of Life
Istvan Praet
16 Anthropology in the Making
Research in Health and Development
Laurent Vidal
17 Negotiating Territoriality
Spatial Dialogues Between State and Tradition
Edited by Allan Charles Dawson, Laura Zanotti, and Ismael Vaccaro
18 HIV/AIDS and the Social Consequences of Untamed Biomedicine
Anthropological Complicities
Graham Fordham
First published 2015
by Routledge
711 Third Avenue, New York, NY 10017
and by Routledge
2 Park Square, Milton Park, Abingdon, Oxon OX14 4RN
Routledge is an imprint of the Taylor & Francis Group, an informa business
2015 Taylor & Francis
The right of Graham Fordham to be identified as author of this work has been asserted in accordance with sections 77 and 78 of the Copyright, Designs and Patents Act 1988.
All rights reserved. No part of this book may be reprinted or reproduced or utilised in any form or by any electronic, mechanical, or other means, now known or hereafter invented, including photocopying and recording, or in any information storage or retrieval system, without permission in writing from the publishers.
Trademark Notice: Product or corporate names may be trademarks or registered trademarks, and are used only for identification and explanation without intent to infringe.
Library of Congress Cataloging-in-Publication Data
Fordham, Graham, author.
HIV/AIDS and the social consequences of untamed biomedicine :
anthropological complicities / by Graham Fordham.
p. ; cm. (Routledge studies in anthropology ; 18)
Includes bibliographical references and index.
I. Title. II. Series: Routledge studies in anthropology; 18.
[DNLM: 1. Anthropology, CulturalThailand. 2. HIV Infections
epidemiologyThailand. WC 503.4 JT3]
614.599392009593dc23
2014019272
ISBN: 978-1-138-79722-2 (hbk)
ISBN: 978-1-315-75729-2 (ebk)
Typeset in Sabon
by Apex CoVantage, LLC
Contents
APN+Asia Pacific Network of People Living with HIV/AIDS
ARTAntiretroviral therapy
ARV(s)Antiretroviral(s)
AusAIDAustralian Agency for International Development
BBVsBlood-borne virus
BCBehavioural change
BCCBehavioural change and communication
BMABangkok Metropolitan Administration
CBOCommunity based organisation(s)
CSWCommercial sex worker
DFIDDepartment for International Development
EECEuropean Economic Community
HAARTHighly active antiretroviral therapy
IDU(s)Injecting/injection drug user(s)
IECInformation, education, and communication
IOInternational organisation
KABPKnowledge, attitude, belief, practice
KAPKnowledge, attitude, practice
MDGMillennium Development Goal(s)
MNSMasters in Nursing Science
MOPHMinistry of Public Health
MPHMaster of Public Health
MSMMen who have sex with men (regardless of self-identification as gay, bisexual, transsexual, or heterosexual)
MTCTMother-to-child transmission
NAPACThai-Australia Northern AIDS Prevention and Care Program
NAPHANational Access to Antiretroviral Program for People Living with HIV/AIDS
NGONongovernmental organisation
PABAPeople affected by AIDS
PEERParticipatory ethnographic evaluation and research
PHAPeople living with HIV/AIDS
PLHAPeople living with HIV/AIDS
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