There is little research on how nationalism is adopted and deployed to foster but also to challenge sex-, gender- and HIV-related stigma in Thailand and other nation states across Southeast Asia. The available literature highlights how self-help groups for Thai people with HIV function as communities of practice, as sites of learning, and for gaining and preserving knowledge (Tanabe 2008, Liamputtong 2009, 2014). This article contributes to the literature by demonstrating how collectives of same-sex-attracted men and male-to-female transgender people living with HIV (PLHIV) in Thailand learn and teach each other how to alleviate social and personal barriers that impede access to health care. The study adopted qualitative research methods and interviewed 22 participants in five cities in Thailand. This article highlights how collective action, which adopts and reinterprets the symbols and metaphors of Thai nationalism, acts as a ‘deviance disavowal’ strategy (Davis 1961). By deploying Thai nationalism, same-sex attracted men and transgender PLHIV reposition ‘spoiled identities’ and break through the stigma they report after HIV diagnosis. Describing mechanisms of ‘deviance disavowal’ in Thailand may provide an opportunity to deploy strategies to manage stigma that interferes with access to health care in Thailand, and in other nation states, and may be applicable to other stigmatised groups and illnesses.

关于如何采用和部署民族主义来促进和挑战泰国和东南亚其他民族国家的性、性别和艾滋病毒相关污名的研究很少。现有文献强调了泰国艾滋病病毒感染者的自助团体如何作为实践社区、学习场所以及获取和保存知识（Tanabe 2008, Liamputtong 2009, 2014）。本文通过展示泰国同性吸引的男性和男性对女性的跨性别 HIV 感染者 (PLHIV) 如何相互学习和教导如何减轻阻碍获得健康的社会和个人障碍，从而为文献做出贡献关心。该研究采用定性研究方法，采访了泰国五个城市的 22 名参与者。这篇文章强调了集体行动如何，它采用并重新解释了泰国民族主义的象征和隐喻，是一种“否认偏差”的策略（Davis 1961）。通过部署泰国民族主义，同性吸引了男性和跨性别 PLHIV 重新定位“被宠坏的身份”，并打破了他们在 HIV 诊断后报告的污名。描述泰国的“偏差否认”机制可能会提供一个机会来部署策略来管理妨碍泰国和其他民族国家获得医疗保健的污名，并且可能适用于其他被污名化的群体和疾病。同性吸引男性和跨性别 PLHIV 重新定位“被宠坏的身份”，并打破他们在 HIV 诊断后报告的污名。描述泰国的“偏差否认”机制可能会提供一个机会来部署策略来管理妨碍泰国和其他民族国家获得医疗保健的污名，并且可能适用于其他被污名化的群体和疾病。同性吸引男性和跨性别 PLHIV 重新定位“被宠坏的身份”，并打破他们在 HIV 诊断后报告的污名。描述泰国的“偏差否认”机制可能会提供一个机会来部署策略来管理妨碍泰国和其他民族国家获得医疗保健的污名，并且可能适用于其他被污名化的群体和疾病。