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Critique of Anthropology
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Moral Panic and the Construction of National Order

HIV/AIDS Risk Groups and Moral Boundaries in the Creation of Modern Thailand

Graham Fordham

This article examines some of the major concepts used to model the Thai AIDS epidemic and to direct interventions, in particular, the concepts of discrete risk groups and of the sequential spread of HIV from group to group in a wave-like fashion which, although they have been largely discredited in the international AIDS literature, retain a high degree of currency in Thailand. I argue that Thailand’s HIV/AIDS epidemic had the effect of bringing sexual practices from the private sphere into the public arena, where the concept of risk group rendered visible the social body of modern Thailand as a hierarchy of risk, with specific groups attributed behaviours necessitating control. This notion found enduring favour in Thailand because it reinforced existing social prejudices about members of groups such as the male underclass, prostitutes and injecting drug users, and legitimated the claims of government and non-government organizations for the monitoring and control of these groups. There has been a high level of consensus over this strategy, and a lack of competing discourses. Thus Thai AIDS discourse has not only failed to transcend state and middle-class notions of morality and normativity, but it has also failed to come to terms with Thailand’s changing sexual cultures.

Key Words: AIDS models • health • moral panic • prostitution • risk groups • social control • wave model

Critique of Anthropology, Vol. 21, No. 3, 259-316 (2001)
DOI: 10.1177/0308275X0102100301


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