The “Homeless Problem” and the Double Consciousness*

The purpose of this article was to identify manifestations of a social discourse that construct those who are homeless as an existential problem. Based on 4 years of ethnographic data and grounded theory analysis, we illustrate the nature of exclusionary social practices that emerge from discourse on the “homeless problem” as well as the conflicting identities experienced by those who are homeless. Herein we frame the data using DuBois concept of “double consciousness.” Our findings indicate that those who are homeless mix together discourses of value and legitimacy with self‐applied stigmas and self‐denigrating political perspectives in ways that directly mirror DuBois’ notion of the conflicting nature of African and American identities around the end of the nineteenth century. We illustrate identity problems that manifest in the contemporary conflict between being both “homeless” and “American.”     

ANTICIPATORY AND ACTUALIZED IDENTITIES: A Cultural Analysis of the Transition from AIDS Disability to Work

Throughout the course of their lives, many people living with HIV/AIDS have prematurely retired onto AIDS disability. A new trend, however, has swept across the nation. Where once people were getting sick, leaving work, and embracing inevitable death, now, with advances in medical technology, many people with HIV/AIDS are renewing their lease on life and discovering a desire to go back to work. To learn how gay men's identities are impacted as they transition from AIDS disability back to the labor market, I conducted three months of fieldwork at an employment placement agency in San Francisco. During fieldwork I distributed informal questionnaires to 120 gay men and then formally interviewed 10 additional gay men who had either transitioned or were considering transitioning from AIDS disability back to work. Analyses reveal that cultural, structural, and medical contradictions typify the return to work. As gay men experience and live through these contradictions, their identities split into anticipatory and actualized components. By facilitating a reassessment of meanings and values, anticipatory identities cognitively and emotionally prepare individuals as they brave the road back to work. This version of identity represents a romanticized confluence of worker (role) identity, gay (status/master) identity, and overall sense of self (self-concept). Personal experiences with stigma, shame, and discrimination along with complexities of the workplace and medical services, however, prevent the maturation of anticipatory identities when seeking reemployment. This results in loosely coupled and situationally informed actualized identities . The relationship between these two identities suggests that many people living with HIV/AIDS—and indeed others who experience stressful life transitions—face complex choices between quality-of-life issues and the ability to survive according to external cultural and structural constraints.     

Articulations of Same-sex Desire: Lesbian and Gay Male Dating Advertisements

A survey of self and other categorisation in 200 lesbian and gay male dating advertisement texts, taken from current magazines and newspapers, reveals the discursive means by which homosexual advertisers in our corpus commodify and market sexual/self-gendered identities. Detailed analysis of a sub-sample of the advertisements allows us to trace the discourse processes and conventions used in formulating identity in such texts. We interpret these discourse practices in relation to a social critique of gay attitudes, beliefs and lifestyles. The different conventions for self-commodification followed by lesbians and gay men in this survey suggest generalisable differences in sexual stance and cultural identification     

Fashioning Futures: Life Coaching and the Self‐Made Identity Paradox

Contemporary processes of individualization push people to construct single‐handedly their own identities. This urge runs counter to a fundament of sociology, which proposes that identities are social products that must be validated through social relations. Based on participant observation and in‐depth interviews with life coaches and their clients, I investigate life coaching as a social institution that aims to resolve the paradoxical nature of the desire for self‐creation. Locating life coaching in the larger identity‐fashioning market, this article illustrates how the artificial nature of outsourced social relations reconciles two apparently contradictory desires: the “need for help” and “wanting to find it on my own.” Three mechanisms are involved: creating an independent social space where identities can be crafted away from significant others; deliberately deemphasizing the coach and intentionally underwriting personal authorship; and encouraging clients to root identities in the social world while promoting an instrumental view of sociality. The article discusses the blurring of boundaries between intimate social relations and utilitarian market logic, and the implications of the ongoing outsourcing of identity support that reinforces the privileged ideal of self‐made identities.     

Exclusion of HIV-positive people with disabilities in the media

This current issue piece aims to address the harmful exclusion of people with disabilities in the Iranian media. In a case study, this author collected news related to statistics of HIV-positive people covered by popular news websites written in the Persian language between June 2011 and June 2012. Within the analysed electronic texts, no reference was made to the number of HIV-positive people with disabilities. Under the rubric of critical discourse analysis, one can argue that this lack of representation may also be linked to a more general level of discourse that constitutes the marginalization of people with disabilities. This damaging exclusion both legitimizes and reproduces the ideology that people with disabilities are social minorities who can be excluded to the benefit of powerful people. This current issue piece also discusses the potential negative consequences of excluding HIV-positive people with disabilities from the discourse of HIV/AIDS in the media. Ultimately, the conceivable reasons for the Iranian government failure or refusal to publish the statistics of HIV-positive people with disabilities will be provided. Studies from various countries could shed more light on the exclusion of HIV-positive people with disabilities in the media and the interplay between HIV/AIDS and disability issues.     

Risk, sexuality and economy

From the mid 1980s onwards HIV/AIDS became a new subject of work reform, with a range of experts producing new knowledges on work and the worker in regard to HIV/AIDS and workplace organizations putting in place workplace HIV/AIDS policies and programmes. To date, much of the discussion in sociology in regard to such policies and programmes has focused on the issue of effectiveness and has been concerned with making such policy 'better'. In this article however, and with particular reference to sexuality, I suggest that such approaches fail to register that workplace HIV/AIDS policies concern new conceptualizations of worker identities. Specifically, I suggest that such policies may be viewed as part of an assemblage of work reforms which are reworking worker identities as risk identities. Thus I argue that workplace HIV/AIDS policies and programmes are best understood as risk rationalities. Further, I consider the alignment between such rationalities and neo-liberal modes of rule, and in particular consider the ways in which workplace HIV/AIDS policies render both HIV/AIDS and sexuality calculable and governable in terms of notions of risk, self-responsibility and self-management.     

Identities and Identity Transformations Among Persons with HIV Disease

Drawing on a pendulum model of identity transformation (i.e. viewing identity as a fluid, dual-directional construct), the processes by which a mostly gay sample of persons with HIV disease develop and adopt HIV-related identities is examined. Through in-depth interviews with 63 persons living with HIV disease in Kentucky, Ohio, and Indiana, individual experiences and responses to illness are explored. Recognition of biographical disruptions and critical milestones in identity transformations are discussed and presented as the events that constitute the alteration of identity. Three critical milestones are identified in the transformation process: testing for HIV antibodies, disease validation and diagnosis, and disclosure of HIV positivity. Responses to these milestones—catastrophizing, minimizing and ignoring, and adaptation—are presented as primary constitutive processes that lead individuals through the formulation of an HIV identity. Resulting, transformed identities are those of being HIV Positive, Living with HIV, and as a Person with AIDS. Identities are examined as fluid constructs, drawing upon aspects of both the physiological and social aspects of self.     

IMPLICATIONS OF INTERNET TECHNOLOGY FOR MEDICAL SOCIOLOGY IN THE NEW MILLENNIUM

This research examines how parental heterosexism—negative attitudes toward homosexuals and homosexuality—and other family characteristics relate to the development of children's attitudes toward people with HIV/AIDS (PWA). Attention is directed to the overall relationship between parents’ and children's attitudes and to the potential mechanisms through which these linkages are manifested. Based on social learning theories of childhood socialization, a range of mechanisms is considered, focusing on heterosexist attitudes in parents and communication with children about AIDS. Findings indicate that parental attitudes concerning homosexuals influence children's attitudes toward PWA, implying that there can be negative as well as positive consequences of parents’ beliefs on children's attitudes. The possibility of negative parental effects on children's prejudices toward PWA suggests that in-school HIV/AIDS education at younger ages is more important than previously thought.     

Male-to-Female Transgender Individuals Building Social Support and Capital From Within a Gender-Focused Network

ABSTRACT

The literature on male-to-female transgender myriad problems such individuals face in their day-to-day lives, including high rates of HIV/AIDS, addiction to drugs, violence, and lack of health care. These problems are exacerbated for ethnic and racial minority MTFs. Support available from their social networks can help MTFs alleviate these problems. This article explores how minority MTFs, specifically in an urban environment, develop supportive social networks defined by their gender and sexual identities. Using principles of community-based participatory research (CBPR), 20 African American and Latina MTFs were recruited at a community-based health care clinic. Their ages ranged from 18 to 53. Data were coded and analyzed following standard procedure for content analysis. The qualitative interviews revealed that participants formed their gender and sexual identities over time, developed gender-focused social networks based in the clinic from which they receive services, and engaged in social capital building and political action. Implications for using CBPR in research with MTFs are discussed.     

Autocastration and autopenectomy in a patient with transsexualism and schizophrenia

Previous research focusing on changes in gay male sexual practices as a result of AIDS often avoids taking into consideration the meanings which sexual practices have within the gay community. As an alternative, the present study used a content‐analysis of personals advertisements within the personals section of The Village Voice to assess changes in the language gay men use to refer to their sexuality between the years 1978, 1982, 1985, and 1988. A significant increase in personals advertisements suggesting a concern with health is noted from 1982 to 1985. This increase continues from 1985 to 1988. Corresponding in time with these changes are increases in the number of personals advertisements which express a rejection of “stereotypical” presentations of self within the gay community. This rejection is seen as an attempt at self‐affirmation of characteristics perceived by gay men themselves as being desirable at particular historical moments. Implications for the basis of future policy interventions in reaction to AIDS are discussed. Finally, the utility of personals advertisement columns as an indicator of the meanings which people of various sexual preferences attach to their sexuality is discussed.     

Analyzing HIV/AIDS and Alcohol and Other Drug Use as a Social Problem

Most prevention and intervention activities directed toward HIV/AIDS and alcohol and other drug use separately as well as the combining of the two (e.g., those who are both HIV/AIDS and using alcohol and other drugs) comes in the form of specific, individualized therapies without consideration of social influences that may have a greater impact on this population. Approaching this social problem from the narrowed view of individualized, micro solutions disregards the larger social conditions that affect or perhaps even are at the root of the problem. This paper analyzes the social problem of HIV/AIDS and alcohol and other drug abuse using three sociological perspectives—social construction theory, ethnomethodology, and conflict theory—informing the reader of the broader influences accompanying this problem.     

Women and HIV:

Women constitute one of the fastest growing groups of people infected with HIV. Women have always been affected by HIV as informal or formal caregivers. Despite this, HIV services and education have been directed almost exclusively towards men. Given that women comprise half of the workforce, the change in the face of the epidemic requires a reexamination of the EAP professional's approach to AIDS education and services. This article delineates HTV-related issues specific to women and their impact on the functions of the EAP. Suggestions are made for targeting AIDS workplace education and prevention to women. The implications of women's issues on early identification, counseling, and referral by EAP professionals are also explored. Consideration is given to the cultural and socioeconomic diversity of women affected by HIV.     

Evaluation of HIV/AIDS peer education projects in Zambia

This 1998 evaluation assessed the peer education programmes of HIV/AIDS projects run by four non-governmental organisations. A mini-case study approach was used and analysis was based on cross-case itemistic variables. The projects were assessed only in terms of immediate developmental outcomes to target groups rather than on long-term impact. The study concluded the following: (1) The projects had raised community awareness of HIV/AIDS; (2) Basic knowledge of HIV/AIDS was for the most part accurate; (3) There was anecdotal evidence of behavioural changes in terms of partner-reduction as reported by the projects, though the evidence was sometimes conflicting; and (4) There was evidence that certain traditional practices, which contributed to the spread of the virus (e.g. sexual cleansing and scarification), were becoming modified over time. The programmes were also instrumental in protecting human rights and enabling people living with HIV/AIDS to maintain human dignity.     

They tell us “we don’t belong in the world and we shouldn’t take up a place”: HIV discourse within two-spirit communities

Objectives: We investigated how HIV discourse is negotiated and given meaning in the lives of young, male two-spirit leaders, when considering their communities’ and their own health and wellness. These men are also unique in that they have always lived under the specter and dominant discourse of HIV; that is, they are part of a second generation since the time of HIV/AIDS. Methods: We conducted a discourse analysis of six qualitative interviews from the HONOR Project, a multi-site, mixed-methods study of the two-spirit community across the United States, foregrounding the relationships among trauma, coping, and health. Results: HIV functions discursively in four ways: as a shadow presence, professionalized identity, health sub-/priority, and vehicle for belonging and (re)claiming. Conclusions: This study is important to social work as well as HIV prevention and care as it affords voice to two-spirit men, a highly marginalized community and one often silenced in scientific discourse. And, it centralizes language and context, complicating social epidemiological characterizations of HIV/AIDS, risk, and historically traumatized populations.     

The dimensionality of stigma: a comparison of its impact on the self of persons with HIV/AIDS and cancer

Does the impact of stigma on the self differ by illness type? This study focuses on a comparison of the effects of the stigma associated with HIV/AIDS and cancer on self-esteem, body image, and personal control. We test the hypothesis that individuals' perceptions of stigma account for significant differences in the impact of an illness on the self. We examine four dimensions of perceived stigma: social rejection, internalized shame, social isolation, and financial insecurity. In turn, we consider how these dimensions medicate the effects of HIV/AIDS and cancer. Our sample includes 130 persons with HIV/AIDS and 76 persons with cancer. We control for illness severity by including a measure of functional health status that is based on participants' subjective perspectives of the severity of their symptomatology. Our findings provide additional support for modified labeling theory; however, our findings also point to the dimensionality of stigma and its differential negative impact on particular elements of the self, regardless of illness type.     

User‐generated online queer media and the politics of queer visibility

In this article, we review sociological research on the politics of queer self‐presentation and visibility in user‐generated online media, such as personal homepages, blogs, YouTube vlogs, and queer‐specific social networking sites. Using an intersectional lens to attend to multiple axes of identity, the review offers a deeper understanding of how online queer media impact self‐presentation and visibility, while also privileging certain racial, sexual, and gender identities and practices over others. Online platforms can serve as spaces of resistance wherein queer people not only make themselves visible but also redefine dominant conceptions of identity, as well as the boundaries between public and private life. However, our review also finds that online spaces of queer self‐presentation often become another space for the reinforcement of dominant norms pertaining to various axes of one's identity. Given that the advent of user‐generated media and the Internet has facilitated the mobilization of queer people worldwide, an understanding of queer self‐presentation in online media demonstrates how new iterations of sex, gender, and sexuality are constructed in a technological era by queer‐identified people themselves, and how people can both resist and reify dominant social hierarchies across boundaries of space and time.     

Uncertain identities and health-risking behaviour: the case of young people and smoking in late modernity

This paper argues that 'uncertain identities' are a distinct contributing factor to the residual and intractable level of smoking among young people. Further, it argues that the significance of this factor is increased by the specific social/historical context of late modernity. Findings from research with 15 to 16 year olds in the East Midlands of England are used to explore the role that smoking is perceived to play in constructing a self identity. A voluntaristic perspective is adopted on the use of tobacco, reflecting both the focus on young people's motivation to smoke and the tendency for many young people to perceive smoking as a matter of personal choice. Smoking was found to have a symbolic significance not only in terms of the presentation of self to others but also in terms of the reflexive construction of the self by those involved. The paper analyses the role of smoking in relation to self-image, self-empowerment and self-affirmation and it is concluded that for many young people smoking has certain benefits in terms of coping with uncertain identities.     

A Missing Voice

Abstract

Contemporary gay and lesbian social service literature still heavily focuses on White middle/upper-class issues and uses an isolated and fixed concept of homosexuality. As a result, the discourse has only a limited applicability to people with “dual” or “multiple” identities, accentuating the power of those who control the discourse and the oppression of those with “dual” or “multiple” identities. Using Asians as a case example, I argue that the lack of published articles about Asians in contemporary gay and lesbian social service literature is the result of the different worldviews of Asian and White queers. However, this deficiency is sustained by social structures that are saturated with White middle/upper-class values. Implications of this situation and some directions for social change are discussed.     

HIV/AIDS Orphans' Education in Uganda

Abstract

The HIV/AIDS epidemic in most sub-Saharan African countries has created a crisis in the African family structure. In Uganda, older people's roles have been reversed from being provided for to providers. Older people, who are already poor, face the loss of economic support from their adult children and unexpected social, psychological and economic burden due to the care-giving role they assume. In this study, we used cross-sectional data from Kayunga district in Central Uganda to examine the impact of HIV/AIDS on the role of older persons. We found that there were HIV/AIDS related deaths in 82.3% of the surveyed households. In almost 34% of the households, the care-givers of HIV/AIDS orphans were older people over 50 years old. Almost all households headed by older people (97.8%) had on average three school-going orphaned children living in the household.