Presenter Information

Tao Ming, Hans HUANG (黃道明)

Location

嶺南大學林柄炎樓地下MBG07 / Main Building MBG07, Lingnan University

Start Date

25-5-2014 10:30 AM

End Date

25-5-2014 11:00 AM

Description

One defining character of HIV care in Taiwan is that it’s built as an integral part of the punitive regime of HIV control, a regime buttressed by stigmatizing public health measures such as name-based reporting, quarterly tracking, mandatory testing, and above all, criminalization of HIV transmission. Within this context, transnational technologies of care and prevention have come to be assembled in specific ways. Notably, a new apparatus of the hospital-based HIV case management program was installed in 2005 as the state’s attempt to tighten its control over the drug-using HIV population. With its increasing link to the burgeoning local AIDS service industry, the apparatus has emerged as the pivot of HIV governance of late. In this paper, I take this AIDS case management industry to task. Focusing on Taiwan Lourdes Association, a key player in the industry, and its empowerment program for people with HIV, I show how the new positive identity it fosters comes to align with the state’s biopolitical project of responsibilisation. I then use a high-profile case of HIV criminalization involving gay sex parties and ‘poz-poz sex’ to demonstrate how the industry operates as a gated community that sequesters bad, viral sex. By attending to the violence of the therapeutic apparatus and in particular the neoliberal yet self-purifying culture of compassion it enacts, I hope to elucidate the liminal politics of shame that forms a halo around progression of HIV rights in Taiwan today.

自1990年來,台灣的公衛體制就以種種強化愛滋污名的高壓手段,諸如具名通報、定期追蹤、強制篩檢、愛滋罪刑化,把感染者當嫌疑犯列管。2005年,為強化對非法用藥感染人口的管控,台灣當局在醫療院所施行「愛滋個案管理」制度,晚近愛滋列管的重心於是逐漸轉移至照護領域。另一方面,倡議愛滋人權的民間愛滋團體不但避談列管體制的暴力,更與這個新興的醫療監控體制密切結合,形成新興的愛滋個管服務產業。跨國愛滋照護與防治技藝因而在這樣脈絡下而有了特殊的在地組裝。本文將以愛滋個管服務產業中身居要角的台灣露德協會為例,探究它與全球愛滋人權論述接軌的陽性培力計畫,如何造就了與個管體制之正規導向對齊的新好感染者主體,並藉由對晚近一個涉及性愛派對用藥的重大愛滋事件來彰顯此刻的愛滋人權如何奠基於後冷戰時期的性戒嚴「例外狀態」運作。我將論證,做為將感染者責任化的生命政治計畫,台灣愛滋個管服務產業是個有門禁管制的溫馨社群,它將道德不馴的感染者(感染者間的用藥與無套性交)排除於外。我的分析將關注環繞於性和用藥的污名,揭示愛滋列管體制的新道德威權如何以自我淨化的溫馨關懷進行治療支配,同時也詰問現下先行排除愉悅的愛滋人權格局。

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Recommended Citation

黃道明 (2014,5月)。 慢性病的檢疫隔離與與道德重整: 醫療治理、治療公民權與台灣愛滋列管產業 = HIV care as moral quarantine: Medical governance, therapeutic citizenship and the making of the AIDS surveillance industry in Taiwan。發表於新自由主義下的新道德國際研討會,嶺南大學,香港。

 
May 25th, 10:30 AM May 25th, 11:00 AM

慢性病的檢疫隔離與與道德重整 : 醫療治理、治療公民權與台灣愛滋列管產業 = HIV care as moral quarantine : medical governance, therapeutic citizenship and the making of the AIDS surveillance industry in Taiwan

嶺南大學林柄炎樓地下MBG07 / Main Building MBG07, Lingnan University

One defining character of HIV care in Taiwan is that it’s built as an integral part of the punitive regime of HIV control, a regime buttressed by stigmatizing public health measures such as name-based reporting, quarterly tracking, mandatory testing, and above all, criminalization of HIV transmission. Within this context, transnational technologies of care and prevention have come to be assembled in specific ways. Notably, a new apparatus of the hospital-based HIV case management program was installed in 2005 as the state’s attempt to tighten its control over the drug-using HIV population. With its increasing link to the burgeoning local AIDS service industry, the apparatus has emerged as the pivot of HIV governance of late. In this paper, I take this AIDS case management industry to task. Focusing on Taiwan Lourdes Association, a key player in the industry, and its empowerment program for people with HIV, I show how the new positive identity it fosters comes to align with the state’s biopolitical project of responsibilisation. I then use a high-profile case of HIV criminalization involving gay sex parties and ‘poz-poz sex’ to demonstrate how the industry operates as a gated community that sequesters bad, viral sex. By attending to the violence of the therapeutic apparatus and in particular the neoliberal yet self-purifying culture of compassion it enacts, I hope to elucidate the liminal politics of shame that forms a halo around progression of HIV rights in Taiwan today.

自1990年來,台灣的公衛體制就以種種強化愛滋污名的高壓手段,諸如具名通報、定期追蹤、強制篩檢、愛滋罪刑化,把感染者當嫌疑犯列管。2005年,為強化對非法用藥感染人口的管控,台灣當局在醫療院所施行「愛滋個案管理」制度,晚近愛滋列管的重心於是逐漸轉移至照護領域。另一方面,倡議愛滋人權的民間愛滋團體不但避談列管體制的暴力,更與這個新興的醫療監控體制密切結合,形成新興的愛滋個管服務產業。跨國愛滋照護與防治技藝因而在這樣脈絡下而有了特殊的在地組裝。本文將以愛滋個管服務產業中身居要角的台灣露德協會為例,探究它與全球愛滋人權論述接軌的陽性培力計畫,如何造就了與個管體制之正規導向對齊的新好感染者主體,並藉由對晚近一個涉及性愛派對用藥的重大愛滋事件來彰顯此刻的愛滋人權如何奠基於後冷戰時期的性戒嚴「例外狀態」運作。我將論證,做為將感染者責任化的生命政治計畫,台灣愛滋個管服務產業是個有門禁管制的溫馨社群,它將道德不馴的感染者(感染者間的用藥與無套性交)排除於外。我的分析將關注環繞於性和用藥的污名,揭示愛滋列管體制的新道德威權如何以自我淨化的溫馨關懷進行治療支配,同時也詰問現下先行排除愉悅的愛滋人權格局。