In this paper, we contrast two emergences of the concept of ‘uninfectious’ (that pharmaceuticals can render someone living with HIV non-infectious) in HIV. First, using Novas’ framing of ‘political economies of hope’, we describe the deployment of ‘uninfectious’ as part of global health campaigns. Second, we draw on Raffles’ (International Social Science Journal, 2002, 54, 325) concept of ‘intimate knowledge’ to theorise our own account of ‘uninfectious’ through a re-analysis of qualitative data comprising the intimate experiences of people living with or around HIV collected at various points over the last 25 years. Framed as intimate knowledge, ‘uninfectious’ becomes known through people’s multiple engagements with and developing understandings of HIV over a prolonged period. As contingent and specific, intimate knowledge does not register within the biomedical/scientific ontological system that underpins discourses of hope employed in global campaigns. The concept of intimate knowledge offers the potential to critique discourses of hope in biomedicine problematising claims to universality whilst enriching biomedical understandings with accounts of affective, embodied experience. Intimate knowledge may also provide a bridge between different epistemological traditions in the sociology of health and illness.

中文翻译：

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用亲密的知识缓和希望：对比 HIV 中“非传染性”概念的出现

在本文中，我们对比了 HIV 中“非传染性”（即药物可以使 HIV 感染者具有非传染性）概念的两种出现。首先，使用诺瓦斯的“希望政治经济”框架，我们将“非传染性”的部署描述为全球卫生运动的一部分。其次，我们借鉴了莱佛士的（国际社会科学杂志）, 2002, 54, 325) “亲密知识”的概念，通过对定性数据的重新分析，将我们自己对“非传染性”的解释理论化，这些数据包括过去 25 年在不同时间点收集的 HIV 感染者或周围人的亲密经历. “非传染性”被定义为亲密知识，通过人们长期与艾滋病毒的多次接触和对艾滋病毒的理解而为人所知。作为偶然的和具体的，亲密的知识并没有在支撑全球运动中使用的希望话语的生物医学/科学本体论系统中注册。亲密知识的概念提供了批判生物医学中希望的话语的潜力，即对普遍性的主张提出问题，同时通过对情感的、具体化的经验的解释来丰富生物医学的理解。