Abstract
This chapter examines the spaces where HIV status is disclosed and the spaces of discrimination as perceived and experienced by Indian people. A spatial approach is applied to garner the understandings of what makes different spaces accessible/inaccessible, empowering/disempowering and personal/impersonal to disclose an HIV status. Further, we explore time and gender differences in disclosure in the said spaces. Stigma, referred to as an attribute deeply discrediting by Goffman, is understood with the elements of it being feared and enacted. In this chapter, we look at both the perceived and enacted spatiality of discrimination. These spaces include institutional, social, family/kin and interpersonal spaces. We base this chapter on two studies carried out in India in community and institutional settings. The data comprise of ethnographic interviews, focus groups and observations. By focussing on the spatiality of disclosure and discrimination, we do not want just to describe these spaces but make an effort to see how people affected in these spaces can be empowered to manage disclosure and fight discrimination.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Notes
- 1.
Married men were selected as they are seen as bridge population who transfer the HIV virus from the high-risk group (sex workers) to low-risk groups (women attending antenatal clinics).
- 2.
In some cases, the participants felt comfortable to talk about some other person as this would be too confronting to admit to the interviewer directly.
- 3.
Names used in these case studies are pseudonyms.
- 4.
The immediate family members were the ones who provided most of emotional support to the participants. These family members were the ones with whom the participants coresided.
- 5.
In this project or in the data, there is no explicit mention of caste- or religion-based discrimination.
References
Bailey, A. (2008). Culture, risk and HIV/AIDS among migrant and mobile men in Goa, India. Amsterdam: Rozenberg Publishers.
Craddock, S. (2000). Disease, social identity, and risk: Rethinking the geography of AIDS. Transactions of the Institute of British Geographers, 25(2), 153–168.
Douglas, M. (1966). Purity and danger. New York: Frederick A. Praeger.
Douglas, M. (1992). Risk and blame: Essays in cultural theory. London: Routledge.
Georges, E. (1995). A cultural and historical perspective on confession. In J. W. Pennebaker (Ed.), Emotion, disclosure, and health (pp. 11–22). Washington, DC: American Psychological Association.
Goffman, E. (1968). Stigma: Notes on the management of spoiled identity. Harmondsworth: Penguin.
Jones, R., Candlin, C. N., & Yu, K. K. (2000). Culture, communication and the quality of life of people living with HIV/AIDS in Hong Kong. Aids Trust Fund of Hong Kong and Centre for English Language Education and Communication Research. City University of Hong Kong.
Kandwal, R., Augustijn, E. W., Stein, A., Miscione, G., Garg, P. K., & Garg, R. D. (2010). Geospatial analysis of HIV-related social stigma: A study of tested females across mandals of Andhra Pradesh in India. International Journal of Health Geographics, 9, 18–30.
Keene, D. E., & Padilla, M. B. (2010). Race, class and the stigma of place: Moving to “opportunity” in Eastern Iowa. Health & Place, 16, 1216–1223.
National AIDS Control Organization (NACO). (2007). Operational guidelines for integrated counselling and testing centres. New Delhi: National AIDS Control Organization.
National AIDS Control Organization (NACO). (2011). People alive and on ART in India. Retrieved November 4, 2011, from http://www.nacoonline.org/upload/Care%20&%20Treatment/Patients%20alive%20and%20on%20ART/People%20alive%20and%20on%20ART%20August%202010.pdf
Omarzu, J. (2000). A disclosure decision model: Determining how and when individuals will self-disclose. Personality and Social Psychology Review, 4, 174–185.
Parker, R., & Aggleton, P. (2003). HIV and AIDS-related stigma and discrimination: A conceptual framework and implications for action. Social Science & Medicine, 57, 13–24.
Ramakrishna, J. (2005). Foreword. In S. Darak & S. Kulkarni (Eds.), People with HIV: Stigma, coping and support systems: An insider’s perspective (p. 7). Pune: PRAYAS.
UNGASS. (2010). India: Country progress report (NACO, Ministry of Health and Family Welfare). New Delhi: Government of India.
Acknowledgements
We would like to thank other researchers Dr. Ritu Parchure, Dr. Sanjeevani Kulkarni and Dr. Vinay Kulkarni of Prayas Health Group involved in the study and NIMHANS, Bangalore, for financial support through the small grant programmes for research sexuality and sexual behaviour.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2013 Springer Science+Business Media Dordrecht
About this chapter
Cite this chapter
Bailey, A., Darak, S. (2013). Spaces of Disclosure and Discrimination: Case Studies from India. In: Liamputtong, P. (eds) Stigma, Discrimination and Living with HIV/AIDS. Springer, Dordrecht. https://doi.org/10.1007/978-94-007-6324-1_13
Download citation
DOI: https://doi.org/10.1007/978-94-007-6324-1_13
Published:
Publisher Name: Springer, Dordrecht
Print ISBN: 978-94-007-6323-4
Online ISBN: 978-94-007-6324-1
eBook Packages: Humanities, Social Sciences and LawSocial Sciences (R0)