How do people respond to the news that they are HIV positive? To date, there have been few published qualitative studies of HIV diagnosis experiences, and none focusing on Caribbean people. Twenty-five HIV-positive Caribbean people in London, UK, related their diagnosis experience and its immediate aftermath in semi-structured interviews. Diagnosis with HIV caused profound shock and distress to participants, as they associated the disease with immediate death and stigmatisation. The respondents struggled with "biographical disruption", the radical disjuncture between life before and after diagnosis, which led them into a state of liminality, as they found themselves "betwixt and between" established structural and social identities. Respondents were faced with multifaceted loss: of their known self, their present life, their envisioned future and the partner they had expected to play a role in each of these. A minority of accounts suggest that the way in which healthcare practitioners delivered the diagnosis intensified the participants' distress. This research suggests that healthcare practitioners should educate patients in specific aspects of HIV transmission and treatment, and engage closely with them in order to understand their needs and potential reactions to a positive diagnosis. Adapted from the source document.
182 p., Grâce à une réflexion sur ma création poétique, cette thèse exploite; la poétique négro-africaine de l'exil & raquo; à travers cinq recueils de Césaire, Kayóya, Senghor et Tshitungu Kongolo. D'une part, mon recueil extériorise les joies et les peines du Burundi précolonial, colonial, postcolonial et d'un exilé francophone au Canada largement anglophone. Mes exigences esthétiques sont, premièrement, l'emploi des figures de style pour que mes poèmes soient des paroles plaisantes au coeur et à l'oreille. Deuxièmement, chaque poème véhicule une poly-isotopie. Troisièmement, pareil à mon identité hybride, mon recueil est un mariage de la poésie des vers courts français et des unités discursives burundaises. D'autre part, mon analyse critique examine la manière dont le poète exilé idéalise le pays perdu et suggère des réserves face au pays hôte qui lui impose une nouvelle identité. Ensuite, mon analyse révèle que l'écriture poétique est en elle-même un exil.
African American Research Center, Library, University of Illinois at Urbana-Champaign
Journal Title Details:
p. 570
Notes:
"This dissertation explores the discursive and material practices that Afro-Antilleans in the Archipelago of Bocas del Toro (Panama) employ to craft and assert their identity for tourist consumption. In participating in the transnational circuits of tourism, Panamanian Afro-Antilleans stage a complex and subtle cultural politics vis-à-vis the state and Panama's multicultural society. The transnational process that is tourism produces rather than reduces difference. This production must be understood historically and with respect to national racial policies." (author)
