Abstract

VILLAAMIL, Fernando  and  JOCILES, María Isabel. La construcción de la persona con VIH: la gestión de la seropositividad y la relación médico-paciente en las consultas hospitalarias de VIH en Madrid (España). Intersecciones antropol. [online]. 2013, vol.14, n.1, pp.107-122. ISSN 1850-373X.

During 2009-2010 the authors carried out research addressing the management of antiretroviral treatment in hospital consultations of the Community of Madrid, Spain, commissioned by the Primary Health Care Department of the Region of Madrid. The results, which served to improve management, are presented in part here. A transactional model of the doctor-patient relation was used to understand the limits and potentials of the office, understood as a social and formative space centered on treatment compliance. It is noted that, unlike what happens with sexuality, control over compliance is seen by doctors as an area where their authority is deployed (and potentially questioned). The cultural construction of "good/bad patient" structures a field of visibility/invisibility of the strategies used by patients in the management of their condition as a person with HIV. We focus on that condition, trying to account for its ambiguities, particularly in terms of the mediated nature of medical technology and treatment ambivalence. Treatment controls the virus and simultaneously makes it present in everyday experience; thus, paradoxically, for the person with HIV treatment is a sign of their status as "sick".

Keywords : HIV; Antiretroviral treatment; Patient-doctor relation.

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