社会杂志 ›› 2022, Vol. 42 ›› Issue (3): 125-158.

• 论文 • 上一篇    下一篇

边缘与中心共舞:社会安全视野下的全球艾滋生命治理——以中国边城为例

方洪鑫   

  1. 华东理工大学社会与公共管理学院
  • 发布日期:2022-07-16
  • 作者简介:方洪鑫,E-mail:rabifang@126.com
  • 基金资助:
    本文受到华东理工大学中央高校一流学科建设及特色发展引导专项(SLE00212004)的资助。

The Moral (Bio) Politics of the Abnormal:Situating a Southwest China Border Town in the Global AIDS Governance

FANG Hongxin   

  1. School of Social and Public Administration, East China University of Science and Technology
  • Published:2022-07-16
  • Supported by:
    This paper is sponsored by the First-Class Discipline Construction and Characteristic Development Guidance Special Funds for the Central Universities (SLE00212004).

摘要: 本文以艾滋病为例探讨社会应对风险的可能路径,分析了“中心”与“边缘”两种治理模式的互动过程,进而挖掘社会创新的可能性。“中心”逻辑以保卫社会之名推行规范性教育话语,并在实际运作中固化秩序,追求成本效益;“边缘”逻辑则在特定善的理念引导下进行探索性社会行动。二者是当代世界应对风险的体制性道德驱力。随着边缘与中心的互动,艾滋病病毒感染者的境况从被排除翻转为例外性纳入,由此体现了当代世界生命治理的元结构。中国边城的感染者同伴小组内嵌到中心体制之中,促使感染者人口更加平稳地进入医学体系,同时也开启了全新的社会行动领域,激发了生命活力的涌现。艾滋病作为社会实验所彰显的边缘能量,对探索社会本身的包容性和开放性潜能有着深远意义。

关键词: 道德, 治理, 艾滋病, 生命政治, 人道主义

Abstract: This paper analyses the interaction of the two models in the social process of global AIDS governance and explores the possibilities of social innovation of society in its response to risks. The two moral regimes coping with problematized situations in the contemporary world are conceptualized as "center" and "border" respectively. "center" promotes normative educational discourse in the name of defending society, reifying order and pursuing cost-effectiveness in actual operations. "border"undertakes exploratory social action guided by a specific idea of goodness. While the two approaches engage in continuous battles, integration and penetration between themselves, people living with HIV worldwide were first degraded into a separated biomedical pariah population, and then were brought under the strict medical regime of Highly Active Anti-Retroviral Therapy(HAART). This shift between abject exclusion and exceptional inclusion indicates the meta-structure of life governance in the contemporary world.
China's border cities are key outposts of global AIDS governance that reflect how the institutional deployment of exclusion and inclusion extends from global to local. The "zuo aizibing"(doing AIDS projects) in Biancheng, a southwest China border town embodies typically as well as uniquely the complicated "center/border"entanglement. The "border" organised "infected peer groups" are embedded in the local official governance system, incarnating as "frontline foot soldiers" serving as the "center", facilitating a smoother integration of the city's HIV-positive people into the public health monitoring system, where they are disciplined to become docile medical subjects. The groups, in adaptable symbiosis with the normative deployment, have also been able to open up entirely new fields of social action on their own, allowing a humanitarian vision to be replayed, "translated" and implemented. Through the transmission of knowledge, affection and vitality, the groups have freed their HIV-positive peers, otherwise abandoned by normative logic, from stigmatization, from being limited by disease and treatment and to start the pursuit of new forms of life. As a global social experiment, the "border", as revealed by AIDS, has far-reaching implications for exploring the inclusive and open potential of society itself.

Key words: moral, governmentality, HIV/AIDS, biopolitics, humanitarianism