Deploying nationalist discourses to reduce sex-, gender- and HIV-related stigma in Thailand.

Abstract

There is little research on how nationalism is adopted and deployed to foster but also to challenge sex-, gender- and HIV-related stigma in Thailand and other nation states across Southeast Asia. The available literature highlights how self-help groups for Thai people with HIV function as communities of practice, as sites of learning, and for gaining and preserving knowledge (Tanabe 2008, Liamputtong 2009, 2014). This article contributes to the literature by demonstrating how collectives of same-sex-attracted men and male-to-female transgender people living with HIV (PLHIV) in Thailand learn and teach each other how to alleviate social and personal barriers that impede access to health care. The study adopted qualitative research methods and interviewed 22 participants in five cities in Thailand. This article highlights how collective action, which adopts and reinterprets the symbols and metaphors of Thai nationalism, acts as a 'deviance disavowal' strategy (Davis 1961). By deploying Thai nationalism, same-sex attracted men and transgender PLHIV reposition 'spoiled identities' and break through the stigma they report after HIV diagnosis. Describing mechanisms of 'deviance disavowal' in Thailand may provide an opportunity to deploy strategies to manage stigma that interferes with access to health care in Thailand, and in other nation states, and may be applicable to other stigmatised groups and illnesses.