Bridging the HIV Divide: Stigma,Stories and Serodiscordant Sexuality in the Biomedical Age

At a time when advances in biomedicine have rendered people with HIV non-infectious under certain conditions, much public discourse on HIV remains stuck in a paradigm of ‘risk’, which does little to lessen the divide between people with and without HIV in society or challenge the way intimate relationships across this divide are typically stigmatised as undesirable and problematic. We rarely hear the stories of couples who live with mixed HIV statuses and how they themselves perceive and manage their so called ‘serodiscordance’. In this article, we examine such stories by mixed-status couples in Australia. In stark contrast to the dominant discourse, these couples invoked narratives of love, the everyday unimportance and manageability of HIV, and recent developments in HIV medicine, thereby challenging the way serodiscordant sexuality has been cast in public health research. Drawing on Ken Plummer’s work on hidden sexual stories, we consider not only the content of their stories, but the broader significance of stories to the world in which they are enacted, of storytelling as a rally for social and political recognition and legitimacy. Reflecting on our own role in the co-production of research stories, we argue that by moving marginalised sexual stories out of silence, stigmatised communities and researchers can conjointly and incrementally shape a new public discourse and new forms of ‘intimate citizenship’.     

Mechanisms in Self-Determined Exercise Motivation: Effects of a Theory Informed Pilot Intervention

The purpose was to examine the effects of an exercise pilot intervention informed by Self-determination theory. The 64 participants were randomized into experimental and control group. The main questions were whether the intervention would influence (a) exercise level, (b) motivation quality, and (c) autonomy and competence need satisfaction. We also examined the indirect effects of self-determined motivation on exercise. Significant intervention effects were found regarding exercise level and motivation quality. Also, intervention effect on exercise was found to be mediated by motivation quality and identified regulation. The results provide interesting information about the underlying mechanisms involved in exercise behaviour change.     

A Cross‐Cultural Evaluation of a Multidimensional and Hierarchical Model of Physical Self‐Perceptions in Three National Samples1

A multidimensional and hierarchical model of self‐perceptions in the physical domain was evaluated in samples from 3 nations: Great Britain, Sweden, and Turkey. The Physical Self‐Perception Profile (PSPP; Fox & Corbin, 1989), was translated and tested for factorial and construct validity in each national sample. A first‐order confirmatory factor analysis (CFA) hypothesizing 4 latent factors representing the subdomains of sports competence, body attractiveness, physical condition, and physical strength was found to describe the PSPP data adequately for each national sample. A second‐order CFA model that hypothesized a general latent factor of physical self‐worth also exhibited good fit with the data from each sample, supporting the validity of the instrument in the national groups. Multi‐sample analyses provided support for both models across samples, although selected items exhibited disparate meanings. The subdomain mean scores were significantly higher in the British sample compared with the Swedish and Turkish samples, with the exception of the physical condition subscale, which was higher in the Swedish and Turkish samples. Overall, these findings support the factor structure of the hierarchical, multidimensional model of physical self‐perceptions across the national samples.     

Factorial validity and measurement invariance of the Revised Physical Self-Perception Profile (PSPP-R) in three countries

The revised physical self-perception profile (PSPP-R) was constructed to measure both perceived competence and importance linked to domains of the physical self. In the present study, we tested the factorial validity of the PSPP-R, using confirmatory factor analytic approach, on samples of university students from three different countries: Sweden, Turkey, and the UK. Multi-sample covariance structure analyses were also used to test the invariance of the PSPP-R across the three national samples. First-order four-factor models, including the latent factors of sport competence, physical conditioning, body attractiveness and physical strength, demonstrated good-fit with the data both for competence and importance factors. Second-order factor models, incorporating the second-order latent domain factor of physical self-worth also exhibited good-fit with the data. Factor patterns and covariances were invariant across samples for both competence and importance scales. Item intercepts were also invariant for the importance scales, whereas partial invariance of intercepts was supported for competence scales. The results are discussed with reference to the validity of the original physical self-perception profile and cross-cultural studies on the physical self.     

Prioritarianism, Levelling Down and Welfare Diffusion

I have earlier argued that, like egalitarianism, prioritarianism is exposed to the levelling down objection??which I do not find serious??but also that it faces related, more serious objections that egalitarianism avoids. In this paper I reply to Thomas Porter??s attempt to rebut this argument. I also trace the more serious objections to prioritarianism to the fact that it implies the desirability of welfare diffusion, i.e. that it is better all things considered if a quantity of welfare is distributed over as many recipients as possible, so that each recipient gets a minimal benefit, and that the outcome would still be in one respect better, even if the quantity of welfare was reduced. In contrast to egalitarianism, prioritarianism therefore implies that it is in one respect better if an equality, or a solitary individual, is located at lower rather than a higher level of welfare.