Based on the analysis of a French pre-exposure prophylaxis trial (Ipergay), and focusing on the communication strategies used to recruit volunteers, this article explores the figure who serves to justify the trial and who shapes the way in which populations concerned by this prevention tool are targeted. We show that this figure is that of the fallible man, a classic in moral philosophy: while aware of what is good or right for him, he is unable to put this knowledge into practice. The targeting of fallible men makes sense in the context of a resurgence of high-risk behaviors objectified in the late 1990s: qualifying gays who take risks as fallible individuals create a distance with respect to the "barebacker" who risks his life deliberately and has no intention of changing his behavior. Recognizing that certain gays are vulnerable to risk also provides justification for a preventive strategy that acknowledges the inadequacy of behavioral prevention, without giving up on prevention altogether. All in all, this analysis shows that the technological and epidemiological realism often highlighted in pre-exposure prophylaxis interventions is not without a moral dimension, attentive to individuals' contradictions and singularities, doubts and uncertainties, and to the risk of stigmatization inherent to the acknowledgement of risk-taking.

译文

基于对法国暴露前预防试验 (Ipergay) 的分析,并着重于用于招募志愿者的沟通策略,本文探讨了为该试验辩护的人物以及谁塑造了与该预防工具有关的人群的方式。我们证明这个数字是容易犯错的人的数字,这是道德哲学的经典: 尽管意识到什么对他有利或正确,但他无法将这些知识付诸实践。在20世纪90年代末中物化的高风险行为死灰复燃的背景下,针对容易犯错的人是有意义的: 作为容易犯错的人冒险的合格同性恋者与故意冒险的 “barebacker” 保持距离。无意改变他的行为。认识到某些同性恋者容易受到风险的影响,也为预防策略提供了理由,该策略承认行为预防的不足,而又不完全放弃预防。总而言之,这项分析表明,暴露前预防干预措施中经常强调的技术和流行病学现实主义并非没有道德层面,关注个人的矛盾和奇异性,怀疑和不确定性,以及承认风险所固有的污名化风险。

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