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題名:列管制度下的醫療治理:「人類免疫缺乏病毒傳染防治及感染者權益保障條例」與新道德威權
書刊名:臺灣社會研究季刊
作者:黃道明 引用關係
作者(外文):Huang, Hans Tao-ming
出版日期:2014
卷期:94
頁次:頁107-145
主題關鍵詞:愛滋治理列管人口政治用藥HIVAIDSGovernanceName-based HIV surveillanceBiopoliticsIllicit drug use
原始連結:連回原系統網址new window
相關次數:
  • 被引用次數被引用次數:期刊(1) 博士論文(0) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:1
  • 共同引用共同引用:36
  • 點閱點閱:26
2007年頒佈、翻修自「後天免疫缺乏症候群防治條例」的「人類免疫缺乏病毒傳染防治及感染者權益保障條例」,因民間團體參與修法及增列權益保障條文而廣被視為愛滋人權倡議的里程碑。然而諷刺的是,1990年以來的高壓公衛防治措施(如愛滋罪刑化)不僅在此法下持續運作,把感染者當嫌疑犯監控的列管制度的重心也從公衛體系逐漸轉移到現行醫療院所施行的「愛滋個案管理師計畫」,衍生諸多權力效應。本文為「愛滋個案管理師計畫」政策的初探,企圖審視列管制度的本體轉化過程及其共構效應。我將論證,此照護政策浮現於2000年代中期非法用藥被問題化的環節;它宣稱以「病人為中心」,卻以一種擴散式的醫療監控模式運作,是國家規訓感染者、打造道德公民權的新式人口政治方案,而它和民間團體連結所造就的「愛滋個管服務產業」則刻畫了此刻的官、民協同治理。我的分析將關注環繞於性和用藥的污名,揭示愛滋列管體制的新道德威權如何以自我淨化的溫馨關懷進行治療支配,同時也詰問現下先行排除愉悅的愛滋人權格局。
iwan's HIV Prevention Act in 2007 has been lauded as the landmark of human rights advancement and NGO advocacy, chiefly because of the inclusion of equal protection for HIV positive individuals. Yet ironically, all the punitive and stigmatising measures of public health control that have been in operation since the promulgation of the Act in 1990, measures such as namebased reporting, quarterly-based tracking, mandatory testing, and above all, the criminalisation of HIV transmission, remain firmly in place. Crucially the regime of name-based HIV Surveillance has also undergone a profound transformation under the new Act, thanks to the implantation of a certain Hospital-based HIV Case Management (HCM) Program in 2007. In this essay I offer a preliminary investigation into the apparatus of Hospital-Based HCMby examining its ontological transformations and constitutive effects in neoliberal Taiwan. Tracing its emergence to a context pertaining to the problematisation of drug use and harm reduction, I demonstrate how the apparatus, despite its claim to be 'patient-centred', operates as a diffuse form of medical policing in the state's making of moral citizenship. Further, by marking out the apparatus' linkage with the NGO sector, I point to the emergence of what I term the 'AIDS case management industry' and explicate its role in the intensification of HIV control. A biopolitical assemblage, this regime of HIV control, I argue, enacts a benevolent form of therapeutic domination that is premised on the logic of moral contagion. Contesting the self-purifying culture of compassion that the new regime of HIV control fosters, my analysis attends to the stigma around sex and drug use while questioning the foreclosure of pleasure in the enactments of HIV Rights in Taiwan today.
期刊論文
1.Chen, Jia-shin(2011)。Beyond Human Rights and Public Health: Citizenship Issues in Harm Reduction。International Journal of Drug Policy,22(3),184-188。  new window
2.Chen, Jia-shin(2011)。Studying Up Harm Reduction Policy: The Office as an Assemblage。International Journal of Drug Policy,22(6),471-477。  new window
3.黃道明、陳柏旭(20130300)。臺灣國家愛滋教育之國族身體形構與情感政治:以世界愛滋病日為線索。文化研究,15,9-42。new window  延伸查詢new window
4.李素芬、林育蕙、潘忠煜(20130100)。病人對愛滋病個案管理計畫之依循度與生物指標及性行為之相關性。臺灣醫學,17(1),1-8。  延伸查詢new window
5.邱珠敏、丁志音(20100800)。「愛滋病個案管理師計畫」對於個案行為與健康狀況之影響。臺灣公共衛生雜誌,29(4),299-313。new window  延伸查詢new window
6.紀秉宗、賴安琪、黃彥芳、楊靖慧(2010)。愛滋病個案管理師計畫與個案行為改變分析。疫情報導,26(16),222-227。  延伸查詢new window
7.倪家珍(2004)。台灣愛滋政策一路走來。權雜誌,16,10-13。  延伸查詢new window
8.徐森杰(20120300)。為臺灣愛滋病個案管理制度把脈--談社會、醫療暨公衛個案管理模式之展望。社區發展季刊,137,241-249。new window  延伸查詢new window
9.Adam, B.D.(2001)。Epistemic fault lines in biomedical and social approaches to HIV prevention。Journal of International AIDS Society,14(S2),1-9。  new window
10.Finn, M.、Sarangi, S.(2009)。Humanizing HIV/AIDS and its (re)stigmatizing effects: HIV public 'positive' speaking in India。Health: An Interdisciplinary Journal for the Social Study of Health, Illness and Medicine,13(1),47-65。  new window
11.Grob, R.(2013)。The heart of patient-cemered care。Journal of Health Politics, Policy and Law,38(2),547-565。  new window
12.Lee, H. C.、Ko, N. Y.(2010)。Trends in sexually transmitted diseases and risky behaviors among HIV-infected patients at an outpatient clinic in southern Taiwan。Sex Transm,37(2),86-93。  new window
13.Miller, P. G.(2001)。A critical review of the harm minimization ideology in Australia。Critical Public Health,11(2),167-178。  new window
14.Ko, N. Y.、Lui, H. Y.、Lee, H. C.、Lai, Y. Y.、Chang, C. M.、Lee, N. Y.、Chen, P. L.、Wu, C. J.、Ko, W. C.(2008)。One-year follow-up of relapse to risky behaviors and incidence of syphilis among patients enrolled in the HIV case management program。AIDS Behav,15(5),1067-1074。  new window
15.Manazala, R.、Spade, D.(2008)。The non-profit industrial complex and trans resistance。Sexuality Research and Social Policy,5(1),53-71。  new window
16.Keane, H.(2003)。Critiques of harm reduction, morality and the promise of human rights。International Journal of Drug Policy,14,227-232。  new window
17.Nguyen, V-K.(2009)。Government-by-exception: Enrolment and experimentality in mass HIV treatment programmes in Africa。Social Theory & Healthy,7,196-217。  new window
18.Patton, C.(2011)。Rights language and HIV treatment: Universal care or population control。Rhetoric Society Quarterly,41(3),250-266。  new window
19.Race, K.(2003)。Reevaluation of risk among gay men。AIDS Education and Prevention,15(4),369-381。  new window
20.Race, K.(2008)。The use of pleasure in harm reduction: Perspectives from the history of sexuality。International Journal of Drug Policyy,19(5),417-423。  new window
21.Race, K.(2012)。Framing responsibility: HIV, biomedical prevention and the performativity of the law。Journal of Bioethical Inquiry,9(3),327-338。  new window
22.Rosengarten, M.、Michael, M.、Mykhalovskiy, E.、Imrie, J.(2008)。The challenges of technological innovation in HIV。The Lancet,372(9636),357-358。  new window
23.Sothern, M.(2006)。On not living with AIDS: Or, AIDS-as-post-crisis。ACME: An International E-Journal for Critical Geographies,5(2),144-162。  new window
24.Ros, Nikolas(2013)。Power in Therapy: Techne and Ethos。  new window
25.劉曉穎(20070900)。降低危險行為之愛滋病個案管理。愛之關懷季刊,60,31-38。  延伸查詢new window
26.柯乃熒、劉曉穎、賴霈妤、李欣純、柯文謙(20060800)。HIV個案管理模式及其成效評估。感染控制雜誌,16(4),237-245。  延伸查詢new window
27.邱珠敏、黃彥芳、楊靖慧、陳穎慧、林頂(20100200)。他山之石--由美國愛滋病個案管理制度談臺灣「愛滋病個案管理師計畫」。臺灣公共衛生雜誌,29(1),1-7。new window  延伸查詢new window
28.Ko, N. Y.、Lai, Y. Y.、Lui, H. Y.、Lee, H. C.、Chang, C. M.、Lee, N. Y.、Chen, P. L.、Lee, C. C.、Ko, W. C.(2012)。Impact of the nurse-led case management program with retention in care on mortality among people with HTV-1 infection: A prospective cohort study。International Journal of Nursing Studies,49(6),656-663。  new window
會議論文
1.張永靖(2013)。出櫃的特權:正典同志愛滋運動及其未顯的污名。愛滋治理與在地行動II :法律、防治與愉悅的政治,(會議日期: 20130630)。中壢:中央大學性/別研究室。  延伸查詢new window
2.Race, K.(2013)。Reluctant Objects: HIV, Biomedical Prevention, and Engaging Sexual Knowledge。'AIDS Governance and Local Actions II: Law, Biomedical Prevention and the Politics of Pleasure' Conference,(會議日期: 20130630)。Chungli, Taiwan:National Central University。  new window
研究報告
1.王任賢(2006)。中部地區愛滋病毒感染者行為治療計畫 (計畫編號:DOH94-DC-117)。  延伸查詢new window
2.王永衛、莊苹(2006)。愛滋病毒感染者行為治療醫療給付計畫:北區 (計畫編號:DOH94-DC-116)。  延伸查詢new window
3.柯文謙(2006)。愛滋病毒感染者行為治療醫療給付計畫:南區 (計畫編號:DOH94-DC-118)。  延伸查詢new window
4.洪健清(2012)。建立倡導安全性行為之領袖介入模式。  延伸查詢new window
學位論文
1.紀秉宗(2009)。愛滋病個案管理計畫效果研究(碩士論文)。國立臺灣師範大學。  延伸查詢new window
2.張瑞玲(2009)。治療型國家與高危險群策略:台灣藥癮愛滋減害計畫的建制民族誌分析(碩士論文)。國立成功大學,台南。  延伸查詢new window
3.陳馨傑(2011)。男同志HIV感染者的帶病生涯與自我照顧(碩士論文)。國立陽明大學,台北。  延伸查詢new window
4.羅士翔(2010)。反AIDS歧視與法律動員--以台灣AIDS防治法制為中心(1981-2009)(碩士論文)。臺灣大學。  延伸查詢new window
5.邱伊翎(2006)。一個也不能少:台灣愛滋篩檢的風險治理(碩士論文)。國立清華大學,新竹。  延伸查詢new window
圖書
1.黃道明(2012)。酷兒政治與台灣現代「性」。香港:香港大學出版社。new window  延伸查詢new window
2.行政院衛生署(2009)。開啟另一扇窗:為毒癮者解除身心枷鎖免於愛滋的恐懼。台北:行政院衛生署。  延伸查詢new window
3.行政院衛生署疾病管制局(2004)。台灣地區愛滋病防治工作手冊。台北:行政院衛生署疾病管制局。  延伸查詢new window
4.顏純左(2007)。新鴉片戰爭:尋找現代的杜聰明。台北:集夢坊。  延伸查詢new window
5.Dean, T.(2009)。Unlimited intimacies: Reflections on the subculture of barebacking。Chicago, IL:University of Chicago Press。  new window
6.Nguyen, Vinh-Kim(2010)。The republic of therapy: Triage and sovereignty in west Africa's time of AIDS。Durham:Duke University Press。  new window
7.Ong, A.、Collier S. J.(2005)。Global assemblages: Technologyy politicsy and ethics as anthropological problems。Malden, MA:Blackwell。  new window
8.Race, K.(2009)。Pleasure consuming medicine: The queer politics of drugs。Durham, NC:Duke University Press。  new window
9.Rosegarten, M.(2009)。HIV interventions: Biomedicine and the traffic between information and flesh。Seattle:University of Washington Press。  new window
10.Foucault, Michel、Sheridan, Alan(1975)。Discipline and Punish: The Birth of the Prison。New York:Vintage Books。  new window
11.Mol, Annemarie(2002)。The Body Multiple: Ontology in Medical Practice。Durham, North Carolina:Duke University Press。  new window
12.甯應斌、何春蕤(2012)。民困愁城:憂鬱症、情緒管理、現代性的黑暗面。臺北:臺灣社會研究雜誌社。new window  延伸查詢new window
13.Latour, Bruno(2005)。Reassembling the Social: an Introduction to Actor-Network Theory。The MIT Press:Oxford University Press。  new window
其他
1.人類免疫缺乏病毒傳染防治及感染者權益保障條例,http://law.moj.gov.tw/LawClass/LawAll.aspx?PCode=L0050004, 2013/02/18。  延伸查詢new window
2.賴岡言(2009)。同志感染者之特性與管理重點,台北:護理人員愛滋病防治基金會。  延伸查詢new window
3.102年度「愛滋病個案管理計畫」,http://www.cdc.gov.tw/public/Attacliment/1111810352871.doc, 2013/02/26。  延伸查詢new window
4.全面提升愛滋病個案管理計畫,http://www2.cdcgpv.tw/public/Attadimem/243016141971. doc, 2013/02/18。  延伸查詢new window
5.公務預算不足對工作者的衝擊與影響,http://www.praatw.org/right_2_cont.aspPictl95/, 2013/03/18。  延伸查詢new window
6.危險性行為之範圍標準,http://www.praatw;org/right_l_com.asp?id=5, 2013/03/18。  new window
7.傳染病數位學習網課後測驗:愛滋個案管理--會談技巧與關係建立,http:://tw.myblog. yahoo.com/jw!EeTxwgmaBRYjBkcVh0pVxdTj/arcliive?l=f&id=5/, 2013/02/26。  延伸查詢new window
8.愛滋帶原者陽光開朗現身,樂觀面對,http://www.peopo.org/quendigay/post/92567/, 2013/10/01。  延伸查詢new window
9.葉元麗(2007)。愛滋病毒感染者之個案管理實務,http://www.cdc.gov. tw/epaperinfo.aspx?epaperid=7CC49D29855F7B02&pid=2D8C2638Dl6ABBFC/。  延伸查詢new window
10.愛滋病毒感染者之個案管理實務(下),http://wwwxdc.gov. tw/epaperinfo.aspx?epaperid=6CCCBBB6B05EBBFl&pid=8737897D300C7CEB/, 2013/02/26。  延伸查詢new window
11.王任賢。慢性傳染病之個案管理,http://www.ccd.org.tw/upload/news/345/2upfile.pdf, 2013/05/15。  延伸查詢new window
12.王任賢(2002)。台灣需要什麼樣的性病及愛滋防治政策?,http://www.nics.org.tw/old_ nics/magazine/12/04/12-4-5 .htm, 2013/05/15。  延伸查詢new window
13.台灣人權促進會(2010)。傳染病防治與人權專輯,台灣人權促進會。,http://www.tahr.org.tw/node/108/, 2013/05/15。  延伸查詢new window
14.帕斯堤聯盟(2012)。關於愛滋醫療部分負擔十大迷思,帕斯堤有話要說!,http://positive31920.blogspot.co.uk/2012/09/blog-post.html/, 2013/05/15。  延伸查詢new window
15.胡嘉良(2007)。台南縣召開擴大反毒會議,http://l40.111.1.169/mildata/articlesys/view_ article.asp?art_id=782/, 2013/05/26。  new window
16.陳宜民(2004)。我國愛滋防治的危機及轉機,http://www.ym.edu.tw/aids/aids/PPT/824. ppt, 2013/02/02。  延伸查詢new window
17.陳宜民(2004)。愛滋教育種子教師研習營,http://www.ym.edu.tw/aids/aids/PPT/1008_ girl_scouts.ppt, 2013/02/26。  new window
18.陳宜民(2004)。愛滋病的照護政策,http://www.ym.edu.tw/aids/aids/PPT/HIV-care.ppt/, 2013/02/26。  new window
19.陳艇勳(2012)。臺灣愛滋感染與防治現況,http://www:kmuh.oig.tw/www/Tropical/20120507_台灣愛滋病防治政策與愛滋相關法令規定_陳組長.pdf, 2013/02/26。  延伸查詢new window
20.黃道明(2012)。愛滋污名與篩檢文化,http://gsrat.net/library/Ub_post.phpPpdata_idz298/, 2013/06/15。  延伸查詢new window
21.黃道明(2012)。評瑪姓教師案,http://gsrat.net/library/lib_post.php?pclata_kl=301, 2013/06/15。  new window
22.黃道明(2014)。愛滋人權下的性隔離,http://intermargins.net/Activity/20l4/0103/pdf/愛滋人權下的性隔離.pdf/, 2014/01/20。  延伸查詢new window
23.高旭寬(2013)。社福化走向的性別運動,https://www.facebook.com/hsukuan_kao/posts/ 498308040224187/, 2013/06/15。  延伸查詢new window
24.愛滋感染者權益促進會(2013)。新版愛滋防治條例通過,http://www.praatw.org/news_cont. asp?id=5, 2013/03/26。  延伸查詢new window
25.愛滋感染者權益促進會(2013)。有關愛滋感染者「接觸者的追蹤」說明與建議,http://www. praatw.org/right_2_cont.asp?id=83/, 2013/03/26。  延伸查詢new window
26.愛滋感染者權益促進會(2007)。2006年度台灣愛滋人權報告,http://www.praatw.org/ fileopen1.asp?id=26&:odb=pub/, 2013/02/26。  延伸查詢new window
27.愛滋感染者權益促進會(2011)。升起辯論基礎的序幕:2010年台灣愛滋人權報告,http://www.praamorgfileopenl.asp?icl=82&odb=pub, 2013/02/26。  延伸查詢new window
28.關愛之家協會(2013)。課程訓練,http://www.hhat.org/course_info.php, 2013/06/17。  延伸查詢new window
29.露德協會(2013)。露德協會大事紀,http://www.lourdes.org.tw/onePage.asp?menul=l&menu2=101, 2013/02/26。  new window
30.露德協會(2014)。關於帕斯堤,http://www.lourdes.org.tw/onePage.asp?menul=7&menu2=117, 2014/01/17。  new window
圖書論文
1.黃道明(2012)。國家道德主權與卑污芻狗:《韓森的愛滋歲月》裡的結社、哀悼與匿名政治。愛滋治理與在地行動。中壢:中央大學性/別研究室。  延伸查詢new window
2.黃道明(2012)。紅絲帶主流化:台灣愛滋NGO防治文化與性治理。愛滋治理與在地行動。中壢:中央大學性別研究室。  延伸查詢new window
3.莊苹(2009)。以個案為中心的危險評估與降低危險之策略。愛滋病個案管理電子書。台北:護理人員愛滋病防治基金會。  延伸查詢new window
4.莊苹(2009)。青少年愛滋感染者之特性與管理重點。愛滋病個案管理電子書。台北:護理人員愛滋病防治基金會。  延伸查詢new window
5.蔡春美(2009)。談論「性」技巧與自我省察。愛滋病個案管理電子書。台北:護理人員愛滋病防治基金會。  延伸查詢new window
6.Foucault, M.(2001)。The political technology of individuals。Michel Foucault: Power, the Essential Works。London:Penguin。  new window
7.Nguyen, V-K.(2005)。Antiretroviral globalism, biopolitics, and therapeutic citizenship。Global assemblages: Technology, politics, and ethics as anthropological problems。Malden, MA:Blackwell。  new window
8.Mol, Annemarie(1999)。Ontological Politics: A Word and Some Questions。Actor Network Theory and After。Blackwell。  new window
9.Foucault, Michel(1982)。The subject and power。Michael Foucault: Beyond structuralism and hermeneutics。Chicago:Chicago University Press。  new window
 
 
 
 
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