In the mid-1990s new treatment options introduced a new era of AIDS. This book is a sophisticated study of the shaping of this new era. Well informed by ethnographic as well as statistical data, it reveals the complex and ambiguous processes of change in the field of HIV/AIDS and beyond. The investigation leads from the changing conceptions of disease and body to the re-defined roles of patients and physicians, and eventually treats the shifts in the production and diffusion of knowledge that the health care system underwent. In doing so, the book captures the new era of AIDS from multiple perspectives and through the voices of physicians as well as people with HIV. It offers an accessible and engaging account of the wide-ranging responses this illness caused.
As an original and timely contribution to questions of considerable currency in medicine and the social sciences, the book meets the interests of specialists, professionals, researchers and students alike.
Acknowledgements. Introduction. 1: Methods and Study Populations. 1.1. Methods: Narratives and Numbers. 1.2. Study Populations. 2: Bodies and Boundaries. The Immunity Reduction of Opressed People; M. Pedrini. 2.1. Self. 2.2. Time. 2.3. Body. 3: Translating Medicine to Ordinary People. A Balancing Act; A. Meier. 3.1. Consuming Medicine. 3.2. Social Science and Medicine. 3.3. Interacting from Equal to Equal? 3.4. Authority Outsourced. 4: Hit Early and Hard? One Day Things Were Good; J. Dijon. 4.1. Usage of Antiretroviral Treatment. 4.2. The Promise of Power. 4.3. Negotiating Treatment. 4.4. Sharing Uncertainty. 4.5. Treating the Compliant Patient. 4.6. Anticipating the New Realism. 5: Fighting over Patients and Power. From My Worm's-Eye View; M. Mader. 5.1. Struggles at the Interface. 5.2. Knowledge is Power is Money. 5.3. Who Cures? Who Cares? 6: Evidence vs. Experience. Twenty Years from Now We Might Be Judged; L. Granges. 6.1. Science and Art. 6.2. Evidence-Based Medicine. 6.3. The View from Below. 6.4. The Voice of Experience. 6.5. The Medium is the Message. 6.6. State-of-the-Art Ignorance. 6.7. Who Controls Medicine? 6.8. Evidence-Based Medicine as a Trojan Horse? 7: Conclusions. References. Index.