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本世纪以来,中国各艾滋病重度流行地区的防治运动往往面临着过度“行政依赖”的制度困境,然而,本文在中国西南边境线上的一个景颇村寨中发现了例外。当地的官方防疫体制通过在终端启用代理人——乡村医生——来进行实际干预,极大规避了阳性群体对于防疫体制的过度依赖,以及由此造成的消极的社会道德后果。来自田野的事实证明,围绕着防疫实践的医患交往在信任机制的组织下,不仅柔和了官方防疫体制与对象间的文化张力,还通过策略而技巧的实践过程增强了对阳性人群的控制能力,并反过来强化了医患间的信任纽带。总的来说,医患间的交往艺术让医学权力的运作得以情境化,实现了社会控制的本意。
Since the beginning of this century, the prevention and control campaigns in various AIDS-endemic areas in China have often faced the institutional predicament of excessive “administrative dependence.” However, this article found an exception in a Jingpo village on the southwestern border of China. The local official epidemic prevention system actually intervened by opening an agent, a village doctor, at the terminal, greatly avoiding the over-reliance of the positive groups on the epidemic prevention system and the negative social and moral consequences. Facts from the field have shown that under the organization of the trust mechanism, the exchanges between doctors and patients around the practice of quarantine have not only softened the cultural tension between the official epidemic prevention system and the target, but also strengthened the control over the positive population through tactical and skillful practice , And in turn strengthened the trust between doctors and patients. In general, the art of communication between doctors and patients has enabled the operation of medical power to be contextualized and realized the original intention of social control.