Re: [xmca] Papers for discussion: HIV, interventions and activity theory

From: Andy Blunden <ablunden who-is-at>
Date: Tue Oct 14 2008 - 06:37:10 PDT

Your work is really exciting. The problem seems almost
insurmountable - how to change the sexual mores of an entire

Just thinking randomly about a few things ...

Social movements need a social base. Is it possible to
identify some social group who is motivated to dedicate
themselves to this task? For example, efforts to stamp out
alcohol abuse in Indigenous Australian communities have
turned to the older women to recruit their shock troops
because these women suffer from the drunkenness of their
men. Maybe even the orphans in orphanages could be
mobilised? ...

The Transport Accident Commission here has had a great deal
of success in lowering the rate of people getting killed in
car accidents by advertising campaigns which aim to make
certain dangerous behaviours just look stupid. Bascially,
you need to change the image of a sexually attractive man or
woman. It is often the case that rational understanding of
the lethal consquences has little effect if people *feel*
powerful and good when doing the unsafe practice.

In general my theory is that, following CS Peirce, you have
to coordiante the attack on three registers: the symbolic
(AIDS is caused by a sexually transmitted virus), the
indexical (a social movement of people motivated to stop the
unsafe sex) and the iconic (making unsafe sex look like what
it is, not sexy but unsafe).

Does that strike ant bells?


Mary van der Riet wrote:
> Hi all
> I would like to raise the question asked in both of my papers presented
> at ISCAR (and referred to by Mike below), about the possibilities of
> intervention in social problems - such as an epidemic. This is also
> partly in response to Steve Gabosch's post (My Iscar), and an off-list
> discussion I have been having.
> CHAT (and the ATriangle) really has helped me to understand some of the
> dynamics around individual responses to HIV. They have, as Steve says,
> ‘methodological power’.
> The most common response to me research topic is ‘What do you say
> about interventions?’ I don’t think there is an easy answer to
> this. There is perhaps not even ‘an’ answer to this question. My
> second paper reflected on the implementation of a ‘social
> mobilisation’ process in the same community referred to in the first
> paper. I perhaps need to provide some background on the idea of
> ‘social mobilisation’ as we used it. Some of my colleagues (in
> an organisation called CADRE) had funding from Save the Children to
> pilot a ‘social mobilisation’ process. The idea was conceived by
> Save the Children and was in response to the dominant
> ‘individualistic’ orientation of most HIV and AIDS interventions.
> The phrase was not theorised deeply by us and because of time pressure
> we did not look at literature on other ‘social mobilisation’
> processes - which perhaps we should have (and I think that social
> mobilisation in the Marxist sense that Steve refers to is perhaps what
> the Treatment Action Campaign has been doing ito advocating and
> mobilizing for better policies on HIV treatment and access to
> medication - perhaps a question is what is ‘political’ action in
> trying to achieve behaviour change as opposed to policy change?, and how
> does this relate to 'individual' level change?)
> After being given the brief by Save the Children, we operationalised
> it in our own terms (the report is available on - Making
> HIV/AIDS our problem: Young people and the development challenge in
> South Africa, 2002). The initial premise was that this was a context
> with a high rate of risky sexual practices, and it was a context in
> which HIV was stigmatized, silenced and ‘othered’. The aim became:
> how can we, firstly, understand and, secondly, influence the
> community’s ‘response’ to HIV and AIDS to that the broader
> context of their ‘individual activity’ could change. The assumption
> was that this would set the conditions for individual change. However,
> it wasn’t really an intervention and implementing the process was not
> based on a CHAT analysis, so my reflection in the paper is really
> applying CHAT after the fact. It also had slightly different goals to
> what might have been addressed if the research data had been followed
> through. The social mobilisation process focused on the group’s
> ‘response’ to HIV in
> a very broad sense (in part to address stigmatisation), and this
> broadness, I think, meant that very limited ‘changes’ resulted from
> the process.
> I think that the degree of interest on the part of residents of this
> particular area in the research process and in the social mobilisation
> process suggests that it might be possible to set up a process of
> critical reflection through a ‘Change Laboratory’ process in an
> ‘open’ setting (ie not an organizational setting). This is what
> I would like
> to do once my phd process is finished and this might be able to
> generate some ‘solutions’ to the very huge problem of HIV/AIDS. One
> of the useful things about the research context is that there is some
> degree of ‘coherence’ amongst the village residents and between the
> villages themselves. However, the research process took place a few
> years ago
> and there have been changes since then. And I am still learning about
> the ‘change lab’ process and would need to raise a team of people to
> engage in something like this, but its something I am thinking about.
> so, how does one and how can one make 'changes' in society happen to
> the degree that one needs in the HIV/AIDS pandemic (which the UNAIDS
> Report 2008 says is on the rise in Britain, Russia, China, Germany,
> Ukraine and Indonesia)?
> Mary
> Mary van der Riet; School of Psychology; University of KwaZulu-Natal
> Private Bag X01, Scottsville, 3209
> email:
> tel: 033 260 6163; fax: 033 2605809
>>>> "Mike Cole" <> 2008/10/07 08:44 PM >>>
> We have contacted Taylor and Francis to get the new "arrticle for
> discussion" available as a pdf file on their
> MCA page. Meantime, we have these papers for discussion that one or
> another
> of you has asked to discuss.
> Discuss away!!
> mike
> --------------
> *Race and Language as Capital in School: A Sociological Template for
> Language Education Reform
> * <> Allan
> Luke
> DRAFT*<>
> Yrjö Engeström, University of Helsinki
> *CHAT and HIV/AIDS: An activity system analysis of a lack of behaviour
> change*<>
> Mary van der Riet
> *Activity Theory and reconceptualising HIV/AIDS
> interventions*<>
> Mary van der Riet
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Andy Blunden +61 3 9380 9435 
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Received on Tue Oct 14 06:37 PDT 2008

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