Technology and affect: HIV/AIDS testing in Brazil

Citation
J. Biehl et al., Technology and affect: HIV/AIDS testing in Brazil, CULT MED PS, 25(1), 2001, pp. 87-129
Citations number
99
Categorie Soggetti
Psychiatry
Journal title
CULTURE MEDICINE AND PSYCHIATRY
ISSN journal
0165005X → ACNP
Volume
25
Issue
1
Year of publication
2001
Pages
87 - 129
Database
ISI
SICI code
0165-005X(200103)25:1<87:TAAHTI>2.0.ZU;2-4
Abstract
Contemporary techno scientific and medical developments are restructuring s ocial interactions and the very processes by which individual subjectivity is formed. This essay elaborates on the experiential and ethical impact of such transformations from the perspective of people who, in ordinary and un expected ways, act science and technology out. We carried out ethnographic research in an HIV/AIDS Testing and Counseling Center (CTA) in northeastern Brazil, combining participant observation with epidemiological analyses an d clinical survey. We found a high demand for free testing by low-risk clie nts, largely working and middle class, experiencing anxiety and complaining of AIDS-like symptoms. Most of the clients were sero-negative and many ret urned for a second and third testing. We understand this to be a new techno -cultural phenomenon and call it imaginary AIDS. Throughout this essay, we describe CTA's routine practices, place these practices in historical, poli tical, economic and cross-cultural perspective, and analyze the subjective data we collected from the clients of our pilot study. We explore how clini cal epidemiological expertise and HIV testing technology are integrated int o new forms of bio-politics aimed at specific marketable and disease-free p opulations, and on the affective absorption of bio-technical truth and the engendering of a technoneurosis in this testing center.