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

There are five ways in which shame might negatively impact upon our attempts to combat and treat HIV. Shame can prevent an individual from disclosing all the relevant facts about their sexual history to the clinician. Shame can be a motivational factor in people living with HIV not engaging with or...

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Detalhes bibliográficos
Authors: Hutchinson, Phil (Author) ; Dhairyawan, Rageshri (Author)
Tipo de documento: Recurso Electrónico Artigo
Idioma:Inglês
Verificar disponibilidade: HBZ Gateway
Interlibrary Loan:Interlibrary Loan for the Fachinformationsdienste (Specialized Information Services in Germany)
Publicado em: [2018]
Em: Bioethics
Ano: 2018, Volume: 32, Número: 1, Páginas: 68-76
Classificações IxTheo:NCF Ética sexual
NCH Ética da medicina
VA Filosofia
Outras palavras-chave:B philosophy of emotion
B HIV
B Saúde pública
B Stigma
B Shame
B AIDS
B Sexual health
Acesso em linha: Presumably Free Access
Volltext (Publisher)
Volltext (doi)
Descrição
Resumo:There are five ways in which shame might negatively impact upon our attempts to combat and treat HIV. Shame can prevent an individual from disclosing all the relevant facts about their sexual history to the clinician. Shame can be a motivational factor in people living with HIV not engaging with or being retained in care. Shame can prevent individuals from presenting at clinics for STI and HIV testing. Shame can prevent an individual from disclosing their HIV (or STI) status to new sexual partners. 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. 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.
ISSN:1467-8519
Obras secundárias:Enthalten in: Bioethics
Persistent identifiers:DOI: 10.1111/bioe.12378