Shame and HIV: Strategies for addressing the negative impact shame has on public health and diagnosis and treatment of HIV

Hutchinson Phil; Dhairyawan Rageshri

摘要

Abstract > There are five ways in which shame might negatively impact upon our attempts to combat and treat HIV. <list xml:id="bioe12378-list-0001" style="1"> <listItem xml:id="bioe12378-li-0001">Shame can prevent an individual from disclosing all the relevant facts about their sexual history to the clinician.</listItem> <listItem xml:id="bioe12378-li-0002">Shame can be a motivational factor in people living with HIV not engaging with or being retained in care.</listItem> <listItem xml:id="bioe12378-li-0003">Shame can prevent individuals from presenting at clinics for STI and HIV testing.</listItem> <listItem xml:id="bioe12378-li-0004">Shame can prevent an individual from disclosing their HIV (or STI) status to new sexual partners.</listItem> <listItem xml:id="bioe12378-li-0005">Shame can serve to psychologically imprison people, it makes the task of living with HIV a far more negative experience than it should, or needs to, be.</listItem> </list> >Drawing on recent philosophical work on shame, and more broadly on work in the philosophy and psychology of emotion, we (a.) propose a framework for understanding how shame operates upon those who experience the emotion, (b.) propose a strategy for combatting the negative role shame plays in the fight against HIV, and (c) suggest further study so as to identify the tactics that might be employed in pursuing the strategy here proposed. </abstract> </span> <span class="z_kbtn z_kbtnclass hoverxs" style="display: none;">展开▼</span> </div> <div class="translation abstracttxt"> <span class="zhankaihshouqi fivelineshidden" id="abstract"> <span>机译：</span><abstract xmlns =“http://www.wiley.com/namespaces/wiley”type =“main”> <title type =“main”>抽象</ title> >有五种方式羞辱可能负面对我们试图打击和治疗艾滋病毒的影响。 <list xml：id =“bioe12378-list-0001”style =“1”> <listitem xml：id =“bioe12378-li-0001”>耻辱可以防止个人披露他们的性历史上的所有相关事实临床医生。</ listitem> <listitem xml：id =“bioe12378-li-0002”>耻辱可以是与艾滋病病毒感染者没有接触或保留的人的动机因素。</ listitem> <listitem xml：id = “Bioe12378-Li-Li-0003”>耻辱可以防止个体在STI和HIV测试中呈现诊所。</ listitem> <listitem XML：ID =“Bioe12378-Li-0004”>耻辱可以防止个人透露艾滋病毒（或STI）到新的性伴侣的状态。</ listitem> <listitem> <listitem xml：id =“bioe12378-li-0005”>羞耻可以用于心理上的监禁人们，它使艾滋病病毒感染者的任务远远超过它的负面的经验应该，或需要。</ listitem> </ list> </ p> >在最近的哲学工作中绘制羞耻的工作，更广泛地在情感的哲学和心理学中的工作，我们（a。）提出框架了解如何在体验情绪的人对那些体验到情感的人的羞耻程度（b。）提出了一种对抗艾滋病毒斗争中的负面角色羞辱剧案的战略，（c）建议进一步研究，以确定可能雇用的策略在追求这里提出的策略。</ p> </ abstract> </span> <span class="z_kbtn z_kbtnclass hoverxs" style="display: none;">展开▼</span> </div> </div> <div class="record"> <h2 class="all_title" id="enpatent33" >著录项</h2> <ul> <li> <span class="lefttit">来源</span> <div style="width: 86%;vertical-align: text-top;display: inline-block;"> <a href='/journal-foreign-14793/'>《Bioethics》</a> <b style="margin: 0 2px;">|</b><span>2018年第1期</span><b style="margin: 0 2px;">|</b><span>共9页</span> </div> </li> <li> <div class="author"> <span class="lefttit">作者</span> <p id="fAuthorthree" class="threelineshidden zhankaihshouqi"> <a href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=Hutchinson Phil&option=202" target="_blank" rel="nofollow">Hutchinson Phil;</a> <a href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=Dhairyawan Rageshri&option=202" target="_blank" rel="nofollow">Dhairyawan Rageshri;</a> </p> <span class="z_kbtnclass z_kbtnclassall hoverxs" id="zkzz" style="display: none;">展开▼</span> </div> </li> <li> <div style="display: flex;"> <span class="lefttit">作者单位</span> <div style="position: relative;margin-left: 3px;max-width: 639px;"> <div class="threelineshidden zhankaihshouqi" id="fOrgthree"> </div> <span class="z_kbtnclass z_kbtnclassall hoverxs" id="zhdw" style="display: none;">展开▼</span> </div> </div> </li> <li > <span class="lefttit">收录信息</span> <span style="width: 86%;vertical-align: text-top;display: inline-block;"></span> </li> <li> <span class="lefttit">原文格式</span> <span>PDF</span> </li> <li> <span class="lefttit">正文语种</span> <span>eng</span> </li> <li> <span class="lefttit">中图分类</span> <span><a href="https://www.zhangqiaokeyan.com/clc/15.html" title="生物科学">生物科学;</a></span> </li> <li class="antistop"> <span class="lefttit">关键词</span> <p style="width: 86%;vertical-align: text-top;"> <a style="color: #3E7FEB;" href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=AIDS&option=203" rel="nofollow">AIDS;</a> <a style="color: #3E7FEB;" href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=HIV&option=203" rel="nofollow">HIV;</a> <a style="color: #3E7FEB;" href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=philosophy of emotion&option=203" rel="nofollow">philosophy of emotion;</a> <a style="color: #3E7FEB;" href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=public health&option=203" rel="nofollow">public health;</a> <a style="color: #3E7FEB;" href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=sexual health&option=203" rel="nofollow">sexual health;</a> <a style="color: #3E7FEB;" href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=shame&option=203" rel="nofollow">shame;</a> <a style="color: #3E7FEB;" href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=stigma&option=203" rel="nofollow">stigma;</a> </p> <div class="translation"> 机译：艾滋病;艾滋病毒;情感哲学;公共卫生;性健康;羞耻;耻辱; </div> </li> </ul> </div> </div> <div class="literature cardcommon"> <div class="similarity "> <h3 class="all_title" id="enpatent66">相似文献</h3> <div class="similaritytab clearfix"> <ul> <li class="active" >外文文献</li> <li >中文文献</li> <li >专利</li> </ul> </div> <div class="similarity_details"> <ul > <li> <div> <b>1. </b><a class="enjiyixqcontent" href="/journal-foreign-detail/0704021837910.html">Shame and HIV: Strategies for addressing the negative impact shame has on public health and diagnosis and treatment of HIV</a> <b>[J]</b> . <span> <a href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=Hutchinson Phil&option=202" target="_blank" rel="nofollow" class="tuijian_auth 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