Abstract
M.A.
This study emerged from the apparent contradiction posed by the frequent occurrence of stigma and the prevalent concept of ‘living positively with HIV/AIDS’ in South Africa. It was anchored in the need and commitment to resolve this paradox. This study contributes to filling a relative dearth of research which explores this phenomenon. Fieldwork consisted of observation, group interviews and in-depth interviews at two public hospitals in the greater Johannesburg area. People living with HIV/AIDS (PLHAs) experience stigma to differing extents in various contexts. In particular, PLHAs experience stigma in healthcare settings, from family, sexual partners and the community at large. Social identity is used in two significant ways as a defence mechanism against stigma in personal relationships. The first is to attempt to discredit stigmatising stereotypes as applied to the PLHA by emphasising how he/she is moral and valuable to those around HIV/her. By using this approach, termed ‘identity fixes’, the PLHA attempts to reduce the stigma which he/she is likely to experience in her/his social relationships. The second is to refuse to accept the ideology which underpins stigma. This denies that HIV/AIDS is an appropriate basis for stigma. The acceptance of this alternative ideology is marked by public disclosure. The goal of adopting this identity termed the ‘positive resistance identity’ is to challenge and oppose the stigma itself.
Prof. Tina Uys