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Published in: Sexuality Research and Social Policy 4/2017

16-01-2017

Confessional Technologies and the Will to Disclose: Mobilizing Emotions and Lived Experience in AIDS Service Organizations in Canada

Authors: Jennifer M. Kilty, Michael Orsini

Published in: Sexuality Research and Social Policy | Issue 4/2017

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Abstract

This research highlights how frontline workers in the HIV/AIDS sector in Canada mobilize the confessional as a technology of governance to encourage changes in the sexual health and safety and disclosure practices of HIV-positive men and women. The ways in which frontline workers counsel clients are especially important in light of Canada’s aggressive growth in criminal prosecutions against individuals for failing to disclose their HIV status to sexual partners. Drawing on 62 semi-structured interviews with AIDS service organization (ASO) staff from across Canada, we suggest that the work performed by ASO workers constitutes a form of bioethics on the ground, which is rooted in both the worker’s and the client’s lived experiences of HIV. It can be especially fraught if the lived experience is mobilized in ways that are ultimately disempowering for clients who do not relate to the individual’s disclosure narrative.

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Footnotes
1
It is important to note that 72% of Canadian nondisclosure cases between 1989 and 2010 involved heterosexual male perpetrators (Mykhalovskiy and Betteridge, 2012). While this might reflect law’s prejudice in terms of who is an ideal victim/perpetrator, it also suggests that men who have sex with men embrace neoliberal sexual health responsibilities more completely than do heterosexual couples, who appear to be more likely to seek punishment for and to feel wronged by nondisclosure.
 
Literature
go back to reference Adam, B. D., Globerman, J., Elliott, R., Corriveau, P., English, K., & Rourke, S. (2016). HIV-positive people’s perspectives on Canadian criminal law and non-disclosure. Canadian Journal of Law and Society, 31(1), 1–2 3.CrossRef Adam, B. D., Globerman, J., Elliott, R., Corriveau, P., English, K., & Rourke, S. (2016). HIV-positive people’s perspectives on Canadian criminal law and non-disclosure. Canadian Journal of Law and Society, 31(1), 1–2 3.CrossRef
go back to reference Adam, B. D., Corriveau, P., Elliott, R., Globerman, J., English, K., & Rourke, S. (2014). HIV disclosure as practice and public policy. Critical Public Health, 25(4), 386–397.CrossRefPubMedPubMedCentral Adam, B. D., Corriveau, P., Elliott, R., Globerman, J., English, K., & Rourke, S. (2014). HIV disclosure as practice and public policy. Critical Public Health, 25(4), 386–397.CrossRefPubMedPubMedCentral
go back to reference Adam, B. D., Husbands, W., Murray, J., & Maxwell, J. (2008). Silence, assent, and HIV risk. Culture, Health & Sexuality, 10(8), 759–772.CrossRef Adam, B. D., Husbands, W., Murray, J., & Maxwell, J. (2008). Silence, assent, and HIV risk. Culture, Health & Sexuality, 10(8), 759–772.CrossRef
go back to reference Bourne, A., Dodds, C., Keogh, P., Weatherburn, P., & Hammond, G. (2009). Relative safety II: risk and unprotected anal intercourse among gay men with diagnosed HIV. Technical report. London: Sigma Research. Bourne, A., Dodds, C., Keogh, P., Weatherburn, P., & Hammond, G. (2009). Relative safety II: risk and unprotected anal intercourse among gay men with diagnosed HIV. Technical report. London: Sigma Research.
go back to reference Caron, D. (2014). The nearness of others: searching for tact and contact in the age of HIV. Minneapolis: University of Minnesota Press. Caron, D. (2014). The nearness of others: searching for tact and contact in the age of HIV. Minneapolis: University of Minnesota Press.
go back to reference Cruikshank, B. (1993). Revolutions within: self-government and self-esteem. Econ Soc, 22(3), 327–344.CrossRef Cruikshank, B. (1993). Revolutions within: self-government and self-esteem. Econ Soc, 22(3), 327–344.CrossRef
go back to reference Cruikshank, B. (1999). The will to empower: democratic citizens and other subjects. Ithaca: Cornell University Press. Cruikshank, B. (1999). The will to empower: democratic citizens and other subjects. Ithaca: Cornell University Press.
go back to reference Dej, E., & Kilty, J. M. (2012). Criminalization creep: a brief discussion of the criminalization of HIV/AIDS non-disclosure in Canada. Canadian Journal of Law & Society, 27(1), 55–66.CrossRef Dej, E., & Kilty, J. M. (2012). Criminalization creep: a brief discussion of the criminalization of HIV/AIDS non-disclosure in Canada. Canadian Journal of Law & Society, 27(1), 55–66.CrossRef
go back to reference Dodds, C., & Keogh, P. (2006). Criminal convictions for HIV transmission: people living with HIV respond. Int J STD AIDS, 17(5), 315–318.CrossRefPubMed Dodds, C., & Keogh, P. (2006). Criminal convictions for HIV transmission: people living with HIV respond. Int J STD AIDS, 17(5), 315–318.CrossRefPubMed
go back to reference Dodds, C., Bourne, A., & Weait, M. (2009). Responses to criminal prosecutions for HIV transmission among gay men with HIV in England and Wales. Reproductive Health Matters, 17(34), 135–145.CrossRefPubMed Dodds, C., Bourne, A., & Weait, M. (2009). Responses to criminal prosecutions for HIV transmission among gay men with HIV in England and Wales. Reproductive Health Matters, 17(34), 135–145.CrossRefPubMed
go back to reference Douglas, M. (1966). Purity and danger: an analysis of the concepts of purity and taboo. New York: Praeger Press. Douglas, M. (1966). Purity and danger: an analysis of the concepts of purity and taboo. New York: Praeger Press.
go back to reference Fairclough, N.L. (1995). Critical discourse analysis: the critical study of language. Harlow: Longman. Fairclough, N.L. (1995). Critical discourse analysis: the critical study of language. Harlow: Longman.
go back to reference Foucault, M. (1978). The history of sexuality volume 1: an introduction. New York: Pantheon Books. Foucault, M. (1978). The history of sexuality volume 1: an introduction. New York: Pantheon Books.
go back to reference Foucault, M. (1980). Power/knowledge: selected interviews and other writings 1972–1977. New York: Vintage Books. Foucault, M. (1980). Power/knowledge: selected interviews and other writings 1972–1977. New York: Vintage Books.
go back to reference Foucault, M. (1985). The history of sexuality volume 2: the use of pleasure. New York: Vintage Books. Foucault, M. (1985). The history of sexuality volume 2: the use of pleasure. New York: Vintage Books.
go back to reference Foucault, M. (1986). The history of sexuality volume 3: the care of the self. New York: Vintage Books. Foucault, M. (1986). The history of sexuality volume 3: the care of the self. New York: Vintage Books.
go back to reference Foucault, M. (1987). The ethic of care for the self as a practice of freedom: an interview with Michel Foucault on January 20, 1984. Philosophy & Social Criticism, 12(2–3), 112–131. Foucault, M. (1987). The ethic of care for the self as a practice of freedom: an interview with Michel Foucault on January 20, 1984. Philosophy & Social Criticism, 12(2–3), 112–131.
go back to reference Foucault, M. (1988). Technologies of the self. In L. Martin, H. Gutman, & P. Hutton (Eds.), Technologies of the Self (pp. 16–49). Massachusetts: Massachusetts Press. Foucault, M. (1988). Technologies of the self. In L. Martin, H. Gutman, & P. Hutton (Eds.), Technologies of the Self (pp. 16–49). Massachusetts: Massachusetts Press.
go back to reference Galletly, C. L., DiFrancisco, W., & Pinkerton, S. D. (2009). HIV-positive persons’ awareness and understanding of their state’s criminal HIV disclosure law. AIDS Behavior, 13(6), 1262–1269.CrossRefPubMed Galletly, C. L., DiFrancisco, W., & Pinkerton, S. D. (2009). HIV-positive persons’ awareness and understanding of their state’s criminal HIV disclosure law. AIDS Behavior, 13(6), 1262–1269.CrossRefPubMed
go back to reference Green, G. & Sobo, E.J. (2000). The endangered self: managing the social risks of HIV. London: Routledge. Green, G. & Sobo, E.J. (2000). The endangered self: managing the social risks of HIV. London: Routledge.
go back to reference Heimer, C. A. (2013). ‘Wicked’ ethics: compliance work and the practice of ethics in HIV research. Soc Sci Med, 98, 371–378.CrossRefPubMed Heimer, C. A. (2013). ‘Wicked’ ethics: compliance work and the practice of ethics in HIV research. Soc Sci Med, 98, 371–378.CrossRefPubMed
go back to reference Hochschild, A. (1979). Emotion work, feeling rules, and social structure. Am J Sociol, 85(3), 551–575.CrossRef Hochschild, A. (1979). Emotion work, feeling rules, and social structure. Am J Sociol, 85(3), 551–575.CrossRef
go back to reference Hunt, A. & Wickham G. (1994). Foucault and the law. London: Pluto Press. Hunt, A. & Wickham G. (1994). Foucault and the law. London: Pluto Press.
go back to reference Kilty, J.M. (2014). Dangerous liaisons, a tale of two cases: constructing women accused of HIV/AIDS non-disclosure as threats to the (inter)national body politic, within the confines: women and the law in Canada (pp. 271–292). Toronto: Women’s Press. Kilty, J.M. (2014). Dangerous liaisons, a tale of two cases: constructing women accused of HIV/AIDS non-disclosure as threats to the (inter)national body politic, within the confines: women and the law in Canada (pp. 271–292). Toronto: Women’s Press.
go back to reference Kinsman, G. (1996). ‘Responsibility’ as a strategy of governance: regulating people living with AIDS and lesbians and gay men in Ontario. Econ Soc, 25(3), 393–409.CrossRef Kinsman, G. (1996). ‘Responsibility’ as a strategy of governance: regulating people living with AIDS and lesbians and gay men in Ontario. Econ Soc, 25(3), 393–409.CrossRef
go back to reference Klitzman, R., & Bayer, R. (2003). Tell it slant: sex, disclosure, and HIV. Stud Gend Sex, 4(3), 227–262. Klitzman, R., & Bayer, R. (2003). Tell it slant: sex, disclosure, and HIV. Stud Gend Sex, 4(3), 227–262.
go back to reference Lincoln, Y.S. and Guba, E.G. (1985). Naturalistic inquiry. Newbury Park: Sage Publications. Lincoln, Y.S. and Guba, E.G. (1985). Naturalistic inquiry. Newbury Park: Sage Publications.
go back to reference Lupton, D. (1994). Moral threats and dangerous desires: AIDS in the news media. London: Taylor & Francis. Lupton, D. (1994). Moral threats and dangerous desires: AIDS in the news media. London: Taylor & Francis.
go back to reference Lupton, D. (1995). The imperative of health: public health and the regulated body. London: Sage Publications. Lupton, D. (1995). The imperative of health: public health and the regulated body. London: Sage Publications.
go back to reference Lupton, D. (2003). Medicine as culture: illness, disease and the body in western societies. Thousand Oaks: Sage Publications. Lupton, D. (2003). Medicine as culture: illness, disease and the body in western societies. Thousand Oaks: Sage Publications.
go back to reference Miller, J. (2005). African immigrant damnation syndrome: the case of Charles Ssenyonga. Sex Res Soc Policy, 2(2), 31–50.CrossRef Miller, J. (2005). African immigrant damnation syndrome: the case of Charles Ssenyonga. Sex Res Soc Policy, 2(2), 31–50.CrossRef
go back to reference Mykhalovskiy, E. (2011). The problem of ‘significant risk’: exploring the public health impact of criminalizing HIV non-disclosure. Soc Sci Med, 75(5), 668–675.CrossRef Mykhalovskiy, E. (2011). The problem of ‘significant risk’: exploring the public health impact of criminalizing HIV non-disclosure. Soc Sci Med, 75(5), 668–675.CrossRef
go back to reference Mykhalovskiy, E., & Betteridge, G. (2012). Who? What? Where? When? And with what consequences? An analysis of criminal cases of HIV non-disclosure in Canada. Canadian Journal of Law and Society, 27(1), 31–53.CrossRef Mykhalovskiy, E., & Betteridge, G. (2012). Who? What? Where? When? And with what consequences? An analysis of criminal cases of HIV non-disclosure in Canada. Canadian Journal of Law and Society, 27(1), 31–53.CrossRef
go back to reference Nguyen, V. K. (2004). Antiretroviral globalism, biopolitics and therapeutic citizenship. In A. Ong & S. J. Collier (Eds.), Global assemblages: technology, politics and ethics as anthropological problems (pp. 124–144). Malden: Blackwell. Nguyen, V. K. (2004). Antiretroviral globalism, biopolitics and therapeutic citizenship. In A. Ong & S. J. Collier (Eds.), Global assemblages: technology, politics and ethics as anthropological problems (pp. 124–144). Malden: Blackwell.
go back to reference Nguyen, V.K. (2010). The republic of therapy: triage and sovereignty in West Africa’s Time of AIDS. Durham: Duke University Press. Nguyen, V.K. (2010). The republic of therapy: triage and sovereignty in West Africa’s Time of AIDS. Durham: Duke University Press.
go back to reference Nguyen, V. K. (2013). Counselling against HIV in Africa: a genealogy of confessional technologies. Culture, Health & Sexuality, 15(S4), S440–S452.CrossRef Nguyen, V. K. (2013). Counselling against HIV in Africa: a genealogy of confessional technologies. Culture, Health & Sexuality, 15(S4), S440–S452.CrossRef
go back to reference O’Byrne, P. (2012). Criminal law and public health practice: are the Canadian HIV disclosure laws an effective HIV prevention strategy? Sexuality Research and Social Policy, 9(1), 70–79.CrossRef O’Byrne, P. (2012). Criminal law and public health practice: are the Canadian HIV disclosure laws an effective HIV prevention strategy? Sexuality Research and Social Policy, 9(1), 70–79.CrossRef
go back to reference Rose, N., & Novas, C. (2006). Biological citizenship. In A. Ong & S. J. Collier (Eds.), Global assemblages: technology, politics and ethics as anthropological problems (pp. 289–305). Malden: Blackwell. Rose, N., & Novas, C. (2006). Biological citizenship. In A. Ong & S. J. Collier (Eds.), Global assemblages: technology, politics and ethics as anthropological problems (pp. 289–305). Malden: Blackwell.
go back to reference Serovich, J. M., Oliver, D. G., Smith, S. A., & Mason, T. L. (2005). Methods of HIV disclosure by men who have sex with men to casual sexual partners. AIDS Patient Care STDs, 19(12), 823–832.CrossRefPubMedPubMedCentral Serovich, J. M., Oliver, D. G., Smith, S. A., & Mason, T. L. (2005). Methods of HIV disclosure by men who have sex with men to casual sexual partners. AIDS Patient Care STDs, 19(12), 823–832.CrossRefPubMedPubMedCentral
go back to reference Simoni, J., & Pantalone, D. (2004). Secrets and safety in the age of AIDS. Topics in HIV Medicine, 12(4), 109–118.PubMed Simoni, J., & Pantalone, D. (2004). Secrets and safety in the age of AIDS. Topics in HIV Medicine, 12(4), 109–118.PubMed
go back to reference van dijk, T. A. (1993). Principles of critical discourse analysis. Discourse and Society, 4(2), 249–283.CrossRef van dijk, T. A. (1993). Principles of critical discourse analysis. Discourse and Society, 4(2), 249–283.CrossRef
go back to reference van dijk, T. A. (2001). Discourse, ideology and context. Folia Linguistica, 35(1), 11–40. van dijk, T. A. (2001). Discourse, ideology and context. Folia Linguistica, 35(1), 11–40.
Metadata
Title
Confessional Technologies and the Will to Disclose: Mobilizing Emotions and Lived Experience in AIDS Service Organizations in Canada
Authors
Jennifer M. Kilty
Michael Orsini
Publication date
16-01-2017
Publisher
Springer US
Published in
Sexuality Research and Social Policy / Issue 4/2017
Print ISSN: 1868-9884
Electronic ISSN: 1553-6610
DOI
https://doi.org/10.1007/s13178-016-0269-2

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