Böcker av Graham Fordham

This book makes a critical examination of how anthropological and other interpretative social science research has been utilized in the field of HIV/AIDS studies. It argues that most research uncritically addresses the epidemic in terms of the questions and the research methods favored by biomedicine, and that the failure to draw on high-quality qualitative anthropological and other social science research in the modeling of the epidemic and in the design and implementation of AIDS control interventions has rendered these less successful than they might otherwise have been.

Drawing on the case of HIV/AIDS in Thailand, this book examines how anthropological and other interpretative social science research has been utilized in modeling the AIDS epidemic, and in the design and implementation of interventions. It argues that much social science research has been complicit with the forces that generated the epidemic and with the social control agendas of the state, and that as such it has increased the weight of structural violence bearing upon the afflicted. The book also questions claims of Thai AIDS control success, arguing that these can only be made at the cost of excluding categories such as intravenous drug users, the incarcerated, and homosexuals, who continue to experience extraordinarily high levels of levels of HIV infection. Considered deviant and undeserving, these persons have deliberately been excluded from harm reduction programs. Overall, this work argues for the untapped potential of anthropological research in the health field, a confident anthropology rooted in ethnography and a critical reflexivity. Crucially, it argues that in context of interdisciplinary collaborations, anthropological research must refuse relegation to the status of an adjunct discipline, and must be free epistemologically and methodologically from the universalizing assumptions and practices of biomedicine.

Following the detection of the first HIV infections in the early 1980s, by the 1990s Thailand was routinely depicted as having the world's fastest moving HIV/AIDS epidemic. However, by the early 2000's the bulk of scholarly and medical AIDS literature portrayed the epidemic as being largely under control, and claimed that Thai AIDS prevention efforts during the 1990s had been successful. Based on long-term ethnographic research conducted in Northern Thailand this book makes an in-depth study of the social construction of Thailand's HIV/AIDS epidemic over this period. In addition to his own field research the author draws on an extensive corpus of English and Thai language social science and medical HIV/AIDS literature to examine the modeling of Thailand's AIDS epidemic, and addresses concepts and issues such as risk groups, risk behaviour, alcohol use, gender and class, masculinity, the scapegoating of female prostitutes and men in the underclass, the reporting of the HIV/AIDS epidemic in Thailand's indigenous Thai language media, and sexual activity amongst Thai youth. The analysis demonstrates the contribution of anthropology as an interpretative social science, and the use of anthropological theory and research methods, to finding alternative ways of framing the problems of Thai AIDS and of posing new questions that will lead to more effective points of intervention. It emphasises the necessity for critically reflexive approaches that question the 'taken for granted' and demonstrates how qualitative research techniques guided by social theory have the potential to take account of local meanings in complex social contexts where traditional values and cultural practices are rapidly transforming due to economic and social change. The book offers a sustained and powerful criticism of the limitations of the normative model of the Thai AIDS epidemic and, in its aim of promoting critically reflexive AIDS research techniques in order to produce a better understanding of issues 'on the ground' and hence better health policy and more effective AIDS interventions, speaks not only to the Thai AIDS epidemic but to AIDS epidemics throughout Southeast Asia and elsewhere. This is the only English language study of Thailand's HIV/AIDS epidemic to draw on long-term qualitative research in Northern Thailand as well as on a broad range of Thai (and some Khmer language) materials. Its contextualised and subtly nuanced analysis of the AIDS epidemic and of the impact of AIDS control initiatives, in concert with the theoretical and methodological contributions it makes to AIDS research and policy and behavioural interventions, makes it a timely publication of vital interest to scholars in the social sciences, as well as to the members of non-governmental organisations and international organisations working in the HIV/AIDS, health and development fields.

Based on original research in Northern Thailand and drawing on the breadth of indigenous Thai language materials, this study offers a sustained and powerful criticism of the normative modeling of the Thai AIDS epidemic in order to elicit new and more effective points of intervention.