ABSTRACT

The discourse of Undetectability, referring to the effect of HIV viral suppression on forward sexual transmission, is at the heart of the current paradigm of Treatment-as-Prevention and is invested with hopes of eliminating stigma. But ethnographic examination of the way HIV-positive gay and bisexual men in four major Indian cities experience Undetectability reveals a more complicated picture. Rather than resolve the problem of HIV stigma, Undetectability enables new ways of managing it, including ethical non-disclosure in the face of social danger. This reveals three paradoxes inherent in the universalism of Treatment-as-Prevention and its reliance on biomedical solutions.

摘要

无法检测到的话语，指的是 HIV 病毒抑制对向前性传播的影响，是当前“治疗即预防”范式的核心，并寄希望于消除污名。但是，对印度四个主要城市的 HIV 阳性男同性恋和双性恋男性经历不可检测性的方式进行的民族志研究揭示了一个更复杂的情况。与解决艾滋病毒耻辱问题相比，不可检测性启用了新的管理方法，包括面对社会危险时的道德保密。这揭示了以治疗为预防的普遍主义及其对生物医学解决方案的依赖所固有的三个悖论。