Category Archives: HIV behavioural surveillance

A Lifetime of Drugs

DRAFT book chapter

62248A16-954F-485F-B33D-334C690B2E79.jpegDrawing on my experience of living with HIV for over two decades, this essay discusses the forms of anxiety and concern that emerged in 1996 in the context of the introduction of HIV combination antiretroviral therapy around the use of so-called ‘drug cocktails’. It shows how these concerns reflect broader anxieties about increasing sexual activity between men at this time. This event happens to kickstart a corresponding problematisation of gay men’s use of recreational drugs– another sort of ‘drug cocktail’ – on the same basis. I see the present moral panic over chemsex as the latest instalment of this discourse. The piece demonstrates the analogous character of antiretroviral therapy and recreational substance use in gay men’s practice, arguing that pleasure, self-medication, and experimentation with the conditions of life are concerns that cut across outdated distinctions between pharmaceutical drugs and illicit drugs. Meanwhile, the stigmatised and criminalised status of HIV-positive sex, gay sexuality and illicit drug use produces paranoid subjects and effectively endangers the health and wellbeing of those affected. It must be countered. Paying attention to the collective experiments of drug users is likely to be much more generative.

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I wrote this piece for a forthcoming collection called Long Term, edited by Scott Herring and Lee Wallace, who invited me to write something about living with HIV.

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Filed under Affect, Antiretrovirals, Books, Devices and technology, Digital culture, Engagement with medicine, Erogenous zones, Eroticism and fantasy, HIV behavioural surveillance, Masculinities, Medicine and science, Parties, Policy and programs, Random thoughts, Self-medication, Sexual practice, Sexual Sociability, Theory

Exceptional Sex

How does crystal meth participate in the continuing experience of HIV among gay men, and how have responses to HIV shaped gay men’s crystal meth use and surrounding practices?  The topic recurs with surprising regularity in gay community discourse:  We’ve had a number of excellent community forums on this issue in Australia in the last few months alone – and seen the production of some useful resources locally and internationally – yet some of the themes, findings and positions taken in these forums have persisted for a decade if not more.

Exceptional Sex was an attempt I made in 2007 to make sense of the evolving construction of “the Tina epidemic”, or whatever you’d like to call it – #WiredPlay, #Chemsex, #PNP, the “double epidemic”.  Each of these terms have tried to do the work of naming, in different geographical contexts, what nevertheless seem to be some common patterns and emerging forms in urban gay scenes internationally.

I’m sharing Exceptional Sex here because I think the analysis if offers remains topical, but the text itself is hard to access in electronic form.  (You can always buy the book  hint hint – Pleasure Consuming Medicine (Duke UP 2009), where the essay was later published).

But I’m also curious – what’s changed?  what’s stayed the same? what’s missing? where do we go from here?

What can we make of this issue?

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Filed under HIV behavioural surveillance, Masculinities, Online meeting sites, Parties, PNP culture, Policy and programs, Self-medication, Sexual practice, The statistical imagination

Police intimidation: no way to work with community

The Hon. Barry O’Farrell, MP, Premier of NSW

Monday 11 March, 2013

Open Letter

Dear Premier,

Last Friday evening I attended the protest against police behaviour during Mardi Gras at Taylor Square.  Over a thousand concerned citizens turned out to protest police practices surrounding the event.  Although the full circumstances surrounding the treatment of Jamie Jackson have yet to be established, the footage has clearly hit a nerve and unleashed much more widespread community dissatisfaction and longstanding feelings of mistreatment at the hands of police among communities participating in Mardi Gras.

Community organisations are meeting with police next week to discuss ways of addressing the situation.  Among the proposals that are put to them, a clear message must be sent that we demand the removal of sniffer dogs from the arsenal of police techniques used at our events and on our streets.

For over a decade now, NSW police have used drug detection dogs as a pretext to subject sexual and racial minorities, the homeless, and youth attending music festivals to harassment and intimidation. This practice must be stopped.  Nowhere else in the western world is such widespread, active and high profile use of sniffer dogs accepted or tolerated except in highly circumscribed contexts such as airports and during bomb threats.  It sends the wrong message about police attitudes to the public they say they want to work with and it reeks of contempt towards the communities the police are meant to serve.  I firmly believe that there will be no improvement in community-police relations until the Police Powers Act is amended to bring this practice within the same sort of highly restricted parameters as civilised jurisdictions internationally.  Indeed, the community response to the Jamie Jackson incident suggests that despite years of dedicated hard interagency work on the part of Gay and Lesbian Liaison Officers, community organisations, and concerned officers within government and the police force, a deep sense of hostility and resentment towards police seethes beneath the surface of our community, largely attributable to this practice and its unnecessary use in otherwise peaceful community spaces.

The suitability of drug detection dogs as a means of responding to drug use has been roundly criticized by public health specialists and criminologists and this is not the place to rehearse these points (but see the damning NSW Ombudsman’s review of the practice in its 2006 report). Suffice it to say that the practice has been evaluated as not only very costly but ineffective with respect to drug detection, and counterproductive in terms of drug harm.  It is deemed by many specialists to be inconsistent with harm minimisation principles. Drug detection dogs are likely implicated, for example, in the 2009 death of Gemma Thoms at a music festival in Perth, where she panicked at the sight of police dogs and took her three ecstasy tablets at once to avoid detection.  Meanwhile, the many people who do not use drugs at these events are subjected to unwarranted suspicion and surveillance, including full body strip searches in recent documented cases at Mardi Gras.

Less often discussed at a policy level is the way this policing technique positions our community: as suspects rather than worthy recipients of state protection and care.  The 2011 government finding that sniffer dogs yield around 80% false positives suggests that police enthusiasm for this technique is based on nothing more than the license that the presence of a dog would seem to give them to stop and search whomever they please.  Sniffer dogs serve as an opportunity and often a pretext for intimidation, harassment and invasion of personal space.  They effectively constitute the policed as guilty until proven innocent.  This is a major infringement of civil rights.

There are those who will fall back on the illegality of drug use in order to substantiate this policing practice and disqualify the sort of complaints made here. But this sort of dissimulation is entirely disingenuous and ignores the message that the strategy sends out to the communities on which it is inflicted.  In short, it is not just the brutality depicted in the footage of the Jamie Jackson incident, but the sniffer dogs, the strip searches, the intimidation, the aggression, the humiliation and the disrespect that this police method embodies that caused people to gather en masse in Taylor Square on the evening of 8 March.  This is no way to a position a community that has undertaken, with respect to HIV/AIDS, one of the most impressive public health responses in the world, largely on the basis of the strength of community bonds forged at events like Mardi Gras.

If police and the relevant decision-makers are serious about improving community relations they will reconsider and revoke this strategy.

Yours sincerely,

Associate Professor Kane Race ,

Chair, Gender and Cultural Studies, University of Sydney

Associate of the Sydney Institute of Criminology

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Filed under Drug dogs, HIV behavioural surveillance, Parties, Police, Policy and programs

Cataloguing desire

Has anyone seen the recent biopic J.Edgar?  It’s the story of J. Edgar Hoover, who was head of the FBI between 1935 and 1972 and who was also a rumoured homosexual.  At one point early on in the film, the young J. Edgar is depicted taking his soon-to be assistant, Helen Gandy, on a date to see the card catalogue system he claimed to have invented for the Library of Congress.  (Gee, some date!)  In a bid to show off the ingenuity and efficiency of the system, he asks Gandy to propose any topic for him to search within the archives.  “Indiscretion!” she proposes, and in a matter of minutes, J. Edgar finds a book on the topic and retrieves it from the library shelves.  He then goes on the rhapsodise about how wonderful it would be if there were a card on every individual in the United States: how easy it would be to solve crimes if every individual were as easily identifiable as books in the library.

The film sets up an interesting set of tensions and associations between information retrieval, the catalogue, surveillance, indiscretion and homosexual expressivity.  The ‘theory’ of the film is that it is J. Edgar’s own inability to express his sexuality that leads to his obsessive interest in the private lives of others.  (This licences the film to go on obsessively to explore the private life of J.Edgar.  Not a happy thing, unless you like tales of repressed old gay men played by straight actors in bad ‘old person’ makeup….)

For me, this representation of the card catalogue connects in interesting ways to another historical figure who I’ve been researching, Sam Steward – a fascinating figure, and contemporary of J. Edgar Hoover’s, whose life is the topic of this recent brilliant biography by Justin Spring.  Steward was a literature professor, who became a tattoo artist and also a writer of erotic fiction.  He was friends with a range of prominent 20th c. figures, from Gertrude Stein to Alfred Kinsey.  He was also a bit of a gay lothario and lover of rough trade.

One of the best known features of Steward’s life was his keeping of The Stud File, a 746 cross-referenced card catalogue system in which he recorded details of every sexual partner he had between 1924 through 1974 – their measurements, attributes, what they did together, etc.  Steward used the catalogue system partly in order to refresh his memory and enable repeat encounters, partly as an upshot of his relentless enthusiasm for archiving.

This makes me think about the use of this device as part of male homosexual arrangements and erotic practice over the  20th century.  The catalogue emerges as a distinctive mechanism or what I would call an infrastructure of sexual encounter.  I’ve become fascinated with the place of the catalogue in the emergent homosexual subjectivity of the 20th c.  Just as fascinating, I think, is the desire to enumerate; and  the place of the statistical imagination in homosexual self-understanding more generally (I’ll blog about this some more another time).

Steward went on to become one the key informants of Alfred Kinsey, whose work is considered foundational for American sexology.  I’m struck by the sense in which Steward’s practice of cataloguing anticipates and informs the scientific methods of this nascent discipline.  For me the link to Kinsey connects in suggestive ways to the practices of HIV behavioural and epidemiological surveillance, which draw extensively on the techniques of sexology, and which have become the primary means of knowing about male-to-male sexual practice – a massive worldwide apparatus, intensively resourced and linked into policy, without which contemporary policy responses to HIV/AIDS would be unthinkable.

There’s a lot that can be said about this particular structure of scientific knowledge and the forms of authority it auspices (and I’ve begun to try to say some of it here and here): the sense in which the primary way in which we ‘know’ about sexual practice is by counting and measuring other people’s behaviour.  I’m constantly struck, for example, by the fact that we have so many people working in the HIV field who are regular participants in affected communities/cultures, but who are blocked if not actively discouraged (by the professional frames within which they work) from reflecting in any sort of sustained or explicit way on the making of their experience …as part of their work  .  You have to ask: what sort of engagement with sexual practice are these epistemological arrangements modelling?

But I am also interested in the sense in which Steward’s practice of cataloguing anticipates or presages another contemporary device or formal infrastructure which now plays a major part in the facilitation of all-male sexual encounters: the online hookup site; and in particular, the online profile …which can be viewed as an active participant in the contemporary shaping of gay sexual subjectivities.  Through the online profile, we catalogue ourselves – according to certain formats – and we use this device to facilitate sexual encounters, having it operate as the terms of our initial exposure to others.  Could the popular participation (not to mention forms of disaffection and critical engagement) that surround this infrastructure be more widely or critically generative?

The difference of course between J. Edgar and Sam Steward, or between behavioural surveillance and online cruising, is that in the latter instance what we have – at least potentially – is a case of inhabiting the catalogue: i.e. an explicit use of the catalogue for embodied and erotic purposes.

And so what I am becoming interested in is the politics that emerges when we acknowledge (or get explicit about) our inhabitation of the catalogue: When we reformulate or engage the catalogue as a device that is affective, erotic and specifically inhabited …

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Filed under Affect, Devices and technology, Eroticism and fantasy, HIV behavioural surveillance, Online meeting sites, The statistical imagination