title: The Battle Over Control: A Discourse Analysis of HIV/AIDS Caregiving in South Africa, Past and Present.
abstract: In this discourse analytic article, I discuss the shifting challenges of HIV/AIDS caregiving, as highlighted in previous research, as well as the similarities between past and present challenges as illustrated by the discourses of HIV/AIDS caregivers at a nonprofit organization in South Africa. Using data from interviews with staff members and volunteers, I illustrate how both past and contemporary challenges in HIV/AIDS caregiving relate to an inability to exercise control. Participants' discourses revealed a contrast whereby, on one hand, they conveyed a sense of being in control over HIV, while, contradictorily, their accounts contained instances of lack or loss of control. I discuss the implications of barriers to control in HIV/AIDS caregiving and the role of communication and interaction research. I conclude by endorsing ongoing, regular assessments of the needs of those undertaking such work in order to identify their evolving needs in light of evolving challenges.
authors.affiliation: Department of Public Health and Community Medicine, University of Gothenburg, Gothenburg, Sweden Angered Local Hospital, Gothenburg, Sweden vania.ranjbar@socmed.gu.se.
authors.forename: Vania
authors.initials: V
authors.lastname: Ranjbar
mesh_terms: D000328:Adult; D000368:Aged; D001291:Attitude of Health Personnel; D017028:Caregivers / Q000523:psychology*; D005239:Fear; D005260:Female; D015658:HIV Infections / Q000401:mortality / Q000523:psychology / Q000628:therapy; D006801:Humans; D008297:Male; D008875:Middle Aged; D010349:Patient Compliance; D013019:South Africa; D055815:Young Adult
keywords: AIDS; HIV; adherence; caregivers; communication