Pre-exposure prophylaxis (PrEP) and ‘risk’ in the news

Collins, Luke

doi:10.1080/13669877.2021.1894470

Cited by 8 publications

(7 citation statements)

References 33 publications

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“…Using Sketch Engine software (Kilgarriff et al, 2014), we uploaded the entire corpus for analysis. Next, we conducted a preliminary computational analysis, using corpus linguistics to automatically determine large-scale patterns across the dataset while keeping in mind such observations must be ‘combined with a close, detailed examination of the material in the context of the original material’ (Collins, 2022, p. 382).…”

Section: Methods and Data Materialsmentioning

confidence: 99%

Pandemic modelling and model citizens: Governing COVID-19 through predictive models, sovereignty and discipline

Sandset

Villadsen

2022

The Sociological Review

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Pandemic modelling functions as a means of producing evidence of potential events and as an instrument of intervention that Tim Rhodes and colleagues describe as entangling science into social practices, calculations into materializations, abstracts into effects and models into society. This article seeks to show how a model society evinced through mathematical models produces a model not only for society but also for citizens, showing them how to act in a certain model manner that prevents an anticipated pandemic future. To this end, we analyse political speeches by various Norwegian ministers to elucidate how various model-based COVID-19 responses enact a ‘model citizen’. Theoretically, we combine Rhodes et al.’s arguments with Foucault’s concepts of law, discipline and security, thus showing what a model society might imply for the model citizen. Finally, we conclude that although the model society is largely informed by epidemiological models and liberal biopolitics that typically place responsibility on individual subjects, sovereign state power remains manifestly present in the speeches’ rhetoric.

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Section: Methods and Data Materialsmentioning

confidence: 99%

Pandemic modelling and model citizens: Governing COVID-19 through predictive models, sovereignty and discipline

Sandset

Villadsen

2022

The Sociological Review

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“…The fear of abandonment of condom culture could be seen as linked to the rise of another ambivalent product of PrEP as pharmakon: the moniker of the 'Truvada whore' (Betts 2021;Bruan 2017;Calabrese & Underhill 2015;Duran 2012;Gonzalez 2019) and the rise of the 'Truvada wars' (Belluz 2014). Early in the launch of Truvada both in the U.S, the UK, and in Scandinavia, PrEP was often framed as a 'party drug' and associated with promiscuity and implicitly in opposition to 'responsible sexual behavior' (Collins 2021;Gonzalez 2019;Mowlabocus 2020). Yet, as PrEP scale-up and roll-out has taken hold in queer communities, PrEP has become more and more of a staple in the biopolitics of gay and queer sexuality.…”

Section: Anybody Who Voluntarily Takes An Antiviral Every Day Has Got...mentioning

confidence: 99%

PrEP, Pharmakon, and Ambivalence in the Era of Nordic HIV Prevention

Sandset

2023

KKF

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Using Derrida's notion of pharmakon (again from Plato), I want to bring attention to how we can utilize the notion of pharmakon as an analytical device for thinking about the entanglements between pharmaceuticals, and historical HIV narratives, and the contemporary landscape of HIV in the Nordic region. Pharmakon can denote both cure and poison. However, it can also refer to a meaning associated with scapegoating. This article will argue that the introduction of PrEP in Norway (and elsewhere) has set in motion discourses wherein PrEP can be perceived as a form of pharmakon based on the different actors framing the discourse. On the one hand, some have come to see PrEP as a pharmaceutical, which can usher in a new form of freedom that alleviates fears of HIV as well as opens up new intimacies. This is the curative side of PrEP. On the other hand, others have raised fears of the possible rise in other STIs due to PrEP usage, as well as the alleged 'abandonment of condom culture. This can be perceived as the poison side of PrEP. Finally, others have pointed to the moral and fiscal responsibilities associated with PrEP usage and the perceived loss of 'responsible gay sexuality. With the rise of the phrase 'Truvada whore', this can be seen as the scapegoating side of PrEP as pharmakon wherein PrEP users are scapegoated for their use of PrEP, and thus blamed for increases in STIs and lack of funds for other medical services provided by the welfare state such as migraine medicines in the Norwegian discourse. The article will utilize Norwegian material from public debates around PrEP as well as supplement these with discourses from Sweden and Denmark to make a disciplinary conjecture regarding the status of PrEP when seen through the concept of pharmakon.

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“…They generated themes centred on the alienation of sexual minority men through risk discourse; stigmatising framings of risks manifesting through slut-shaming in the community; and the enactment and embodiment of risk discourse in relation to sexual positioning, condom use, and perceptions of PrEP. Collins (2022) investigated the concept of risk in relation to PrEP when discussed in news coverage in the US, UK, and Ireland, recognising that different conceptualisations of risk aligned with particular political or ideological aims for media outlets. Mowlabocus (2020) focused on the development of discourses of PrEP in the UK press, as framing of PrEP over time shifted from a miraculous new treatment to a promiscuitypromoting pill that drew resources from other groups considered more deserving.…”

Section: Introductionmentioning

confidence: 99%

Protocol for a systematic review and critical discourse analysis of research on HIV pre-exposure prophylaxis programme use among gay, bisexual, and other men who have sex with men

Comer,

Noone

2024

HRB Open Res

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Background HIV pre-exposure prophylaxis (PrEP) is a pill that prevents the transmission of HIV from sexual partners living with HIV; it is frequently taken by gay, bisexual, and other men who have sex with men (gbMSM). PrEP is often provided through formal PrEP programmes. Research on these programmes may employ discourses shaped by heteronormativity and homophobia. Given that expert language influences how HIV prevention is understood and delivered, problematic discourses in research likely extends into PrEP programme implementation. This review will use critical discourse analysis (CDA) to explore research on PrEP programme implementation for gbMSM. Within this literature, we will identify interpretive repertoires used to discuss gbMSM; the subject positions afforded to gbMSM; and the implications of these interpretive repertoires and subject positions for gbMSM engaging with HIV PrEP programmes. Methods Relevant articles will be identified through timebound searching (2012-present) in ProQuest ASSIA, EBSCOhost PsycInfo, OVID Medline, OVID Embase, and EBSCOhost CINAHL, with forward and backward citation searching of included studies. Grey literature will be identified through ProQuest and Google Scholar. Screening will be conducted by two independent reviewers, who will conduct double screening for titles, abstracts, and full texts. Data will be analysed and synthesised using CDA informed by critical realism (CR). CDA focuses on relationships between language and power, including how language enables inequality. The analytic process will explore the background of included studies, identify overarching themes, analyse external and internal relations in included studies, and interpret the meaning of identified themes and relations. Conclusions Highlighting issues with discourses in PrEP implementation may enhance reflective engagement with assumptions underlying this research, preventing further stigmatisation of gbMSM’s sexual and protective practices. As PrEP programmes become more common globally, more diverse and inclusive perspectives in PrEP programme research may inform interventions that enhance their acceptability and ultimately their implementation.

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Pre-exposure prophylaxis (PrEP) and ‘risk’ in the news

Cited by 8 publications

References 33 publications

Pandemic modelling and model citizens: Governing COVID-19 through predictive models, sovereignty and discipline

Pandemic modelling and model citizens: Governing COVID-19 through predictive models, sovereignty and discipline

PrEP, Pharmakon, and Ambivalence in the Era of Nordic HIV Prevention

Protocol for a systematic review and critical discourse analysis of research on HIV pre-exposure prophylaxis programme use among gay, bisexual, and other men who have sex with men

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