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|a Living with HIV and Dying with AIDS
|b Diversity, Inequality and Human Rights in the Global Pandemic
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|a There is now a vast literature on HIV and AIDS but much of it is based on traditional biomedical or epidemiological approaches. Hence it tells us very little about the experiences of the millions of people whose living and dying constitute the reality of this devastating pandemic. Doyal brings together findings from a wide range of empirical studies spanning the social sciences to explore experiences of HIV positive people across the world. This will illustrate how the disease is physically manifested and psychologically internalised by individuals in diverse ways depending on the biological, social, cultural and economic circumstances in which they find themselves. A proper understanding of these commonalities and differences will be essential if future strategies are to be effective in mitigating the effects of HIV and AIDS. Doyal shows that such initiatives will also require a better appreciation of the needs and rights of those affected within the wider context of global inequalities and injustices. Finally, she outlines approaches to address these challenges. This book will appeal to everyone involved in struggles to improve the well-being of those with HIV and AIDS. While academically rigorous, it is written in an accessible manner that transcends specific disciplines and, through its extensive bibliography, provides diverse source material for future teaching, learning and research
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|a Cover -- Contents -- Introduction and Acknowledgements -- 1 Posing the Problems -- Understanding the Biological Foundations -- Taking a Historical View: Comparisons with the Black Death -- Bringing in the Social Sciences: Adding Value -- Inequality and Disadvantage: A Conceptual Framework -- Poverty and 'Structural Violence' in the Pandemic -- Outline of the Book -- Where Are We Now in the Pandemic? -- 2 Mapping the Pandemic -- Differences between Epidemics and their Populations -- Diversity within Positive Populations: Developing an Eco-Social Approach -- Sex and Gender: Nature or Nurture? -- 'Race' and Ethnicity: Biological or Social? -- Sexuality and Sexual Identity: Making the Connections -- A Brief Note about Ageing -- Putting the Pieces Together: Introducing Intersectionality -- Conclusion -- 3 A Biographical Overview -- Mind and Body: Symptoms and Constraints -- Making Sense of Long-Term Illness: Changing Identities -- Deconstructing Stigma -- Diagnosis, Disruption and Disclosure -- Moving on from the Diagnosis -- Positive Activism -- The Shadow of Death -- Conclusion -- 4 Depending on Health Care for Survival -- Who Gets Access to ART? -- Beginning the Journey: Who Tests? -- ART: Patterns of Acceptance and Retention -- Constraints on Successful Treatment -- Making Sense of Medicines and their Effects -- Managing Hope and Insecurity -- 'Therapeutic and Bio-Political Citizenship': Tensions and Contradictions -- Conclusion -- 5 Challenging Livelihoods -- Working in 'Welfare' States -- Working in the Global South -- Measuring the Impact on Livelihoods: The Broader Context -- Sustaining Social Reproduction: Gender Divisions and Intergenerational Bargains -- Coping or Not? -- Conclusion -- 6 Changing Sexual Lives -- Broader Perspectives on Sex -- Constraints of Poor Mental and Physical Health on Sexual Activity
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|a Loss of Sexual Feelings after Diagnosis? -- Routes Back to 'Normality'? -- Searching for a New Partner? -- Disclosure within Sexual Relationships -- Sex as Risk Taking -- Health and the Ethics of Sex -- Conclusion -- 7 Shaping Reproductive Futures -- Reproduction: Paths to Pregnancy -- Making Reproductive 'Choices' -- To Conceive or Not to Conceive? -- Where is the M in PMTCT? -- Continuing with a Positive Pregnancy -- Contradictions of Positive Parenting -- Moving through Motherhood -- Conclusion -- 8 Human Rights: Paths to Cosmopolitanism -- Human Rights: An Overview -- Constraints on the Human Rights Approach in Practice -- First Principles: What Are 'Human Rights'? -- Good Reasons to Believe in the Universality of Human Rights -- Challenges to the Universality of Human Rights -- Cosmopolitanism and Human Rights: The Way Forward -- What about 'Exceptionalism' in the Context of Human Rights? -- Conclusion -- 9 Back to the Future -- The Challenges of Funding: Past, Present and Future -- Reshaping the Research Agenda: Bringing the Social and the Biomedical Together -- Putting Fairness into Resource Allocation: Substantive versus Procedural Justice -- Saving Life and Preventing Death -- Reframing Human Rights in the Context of Globalisation -- Human Rights, Health and Development: Poverty and Inequality -- What about the Money? -- Conclusion -- References -- Index
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|a AIDS (Disease) -- Government policy -- Comparative studies
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|a AIDS (Disease) -- Political aspects -- Comparative studies
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|a HIV infections -- Government policy -- Comparative studies
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|a HIV infections -- Political aspects -- Comparative studies
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|a AIDS (Disease) ; Government policy ; Comparative studies
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|a AIDS (Disease) ; Political aspects ; Comparative studies
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|a HIV infections ; Government policy ; Comparative studies
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|a HIV infections ; Political aspects ; Comparative studies
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