This is My face: Re-signifying HIV stigma through participatory visual methods

Lead Research Organisation: University of Sussex
Department Name: Sch of Global Studies

Abstract

"This is My face: Re-signifying HIV stigma through participatory visual methods" explores how people create meaning of the "biographical disruption" caused by an HIV diagnosis, within a context that limits opportunities for sense-making. When confronted with "existential uncertainty", sharing narratives with others becomes a crucial strategy to understand and create meaning. Although in the UK there is strong advocacy to end HIV stigma, in other countries like Chile, stigma is reinforced; which prevents people from sharing experiences with others.
My project explores the possibilities of pioneering visual methods as a way to facilitate the narratives of people living with HIV in contexts where their expression is limited. As part of this PDF, I will produce a series of outcomes around HIV narratives, looking at collaborating with a wide range of audiences, and consolidating my PhD work extensively.
First, I will produce a visual monograph (based on my unpublished PhD photo-book) which will weave autobiographical photos and texts created by people living with HIV in Chile as part of my PhD. This monograph will highlight the need of narratives for sense-making and expand existing knowledge on the intersections of visual and medical anthropology. There is no academic text dealing with HIV stigma in Latin America through visual participatory methods. The monograph will be pioneering in this specific field, and will target a wide audience including academics, HIV organisations, and relevant stakeholders. It will be pitched to publishers such as Routledge who can reach with and beyond academia, and later to Verso and Pittsburg.
By producing a multimedia website to disseminate research findings, I will create a platform for collaboration between people living with HIV, scholars, and relevant stakeholders. I will mobilise my existing networks to contribute to the website's visibility and content: Global Fund Partnership Forum, UNAIDS, academic research groups, HIV organisations in Chile and the UK, among others.
I will co-organise two workshops: one in Chile with Association for the Wellbeing of People Living with HIV, and one in the UK with UNAIDS Fast-Track city in Brighton. The workshops will expand public engagement and promote knowledge exchange, while strengthening local approaches to promote HIV sense-making at national and international levels. I have collaborated extensively with these organisations, and they are keen to co-design the events and welcome a wide range of stakeholders to further influence policy.
By producing two journal articles and presenting at world-leading conferences, I will disseminate findings related to my pioneering method, contributing to discussions around methodological approaches to HIV, and offering opportunities for further analysis on HIV narratives.
Through the collaboration with the UN Fast-Track City Project for HIV prevention in Brighton, I will produce an important site for knowledge transfer and impact of my work. Additionally-considering the wide work on Medical and Visual Anthropology at Sussex and Goldsmiths-we will lay ground for a multi-sited research grant bid about experiences of illness through participatory methods, bringing together researchers from the Centre for Cultures of Reproduction, Technologies and Health (CORTH), Centre for Innovation and Research in Childhood and Youth (CIRCY) and the Institute for Development Studies (IDS).
This project is timely and urgent (see Case for Support), and by connecting a wide range of audiences, I will extend the impact of my public engagement work, expand on knowledge transfer, and lay ground for academic continuity and further research collaborations. Sussex will be the perfect environment to enrich these outcomes, by collaborating with Dr. Paul Boyce and Prof. Day and with other colleagues at Sussex and Goldsmiths who are producing research in the same field, and/or with similar interdisciplinary and ethical considerations.

Publications

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Title This is My Face: What lies inside a journey with HIV 
Description In Chile, people living with HIV fear stigma, and often conceal their condition and remain silent about what they are going through. This is My Face explores what happens when a range of men living with the virus open up about the illness that changed their life trajectories. It follows a creative process whereby they produce photographic portraits that represent their memories and feelings, a process which helps them challenge years of silence, shame, and misrepresentation. A lesson in the power of collaborative storytelling. 
Type Of Art Film/Video/Animation 
Year Produced 2019 
Impact This output in the form of a film is distrubuted by the Royal Anthropological Institute. Impacts: - It has been presented in mainstream film festivals in the UK, Europe, Asia and the Americas. It has received 3 international and national awards - It is currently used for teaching in universities in the UK, Europe and Latin America. - It has been screened in more than 10 academic conferences. - The film has helped to change perceptions about the lives of people living with HIV in all the locations where it has been presented. - The film has helped to inform public policy in Chile. - The film has been seen by more than 2,000 people 
URL https://raifilm.org.uk/films/this-is-my-face/
 
Title This is my Face: Autobiographical portraits on HIV 
Description An itinerary exhibition showcasing autobiographical photographs created by people living with HIV created as part of the research project. 
Type Of Art Artistic/Creative Exhibition 
Year Produced 2019 
Impact Public Engagement through international exhibitions: More than 500 academics, activists, people living with HIV, and relevant stakeholders have attended the photographic exhibition 'This is my Face: Autobiographical portraits on HIV', which showcases the images created and curated by the participants. The exhibition has been presented at: Acción Gay, Santiago (Chile); George House Trust, Manchester (UK); Social Anthropology department, The University of Manchester (UK); LHIVes event at Friend's Meeting House, Manchester (UK); Byre Theatre, sponsored by Centre for Minorities Research, St. Andrews (UK); LCB Depot, Leicester, sponsored by the Wellcome Trust (UK); Medical Humanities Research Node, Lund University (Sweden). 
URL https://cmr.wp.st-andrews.ac.uk/events/this-is-my-face-esta-es-mi-cara-film-premiere/
 
Description My interdisciplinary research project ´This is my Face: Re-signifying HIV stigma through participatory visual methods´ explores further innovative ways to understand how the lack of health services affect people living with HIV-to complement epidemiological perspectives, while at the same time offering a practice-based method to promote social change within the communities of affected populations.
Thus, I devised a method called ´Collaborative mise-en-scène´ and analysed its implementation through a pilot project capturing participants´ experiences with HIV using photography in Chile. Through this method, participants created intimate autobiographical photos which revealed not only the impact of HIV, but also how they made sense of their experiences of living with the syndrome in relation to their past, present and future. In other words, we addressed and revealed the unequal access to HIV support services through our collaborative practice. Their images became visual statements in which they opened up about their experiences for the first time and reclaimed authorship over the way they had been historically depicted. In this way, my method challenged stigmatizing discourses on HIV, by revealing new ways to understand what it means to live with HIV and health inequalities, and by promoting social change by influencing policymaking through public engagement. In particular, the pioneering method I developed became an important driver of population change with implications across the life course of people living with HIV, while at the same time helping to understand population health by challenging ideas of HIV stigma and self-stigma. This has already led to influencing government policies in Chile that improve the development, delivery and organisation of health and social care services, enriching the health outcomes and wellbeing of individuals.
During the fellowship (which is still active) I am working on producing peer-reviewed journal articles; developing multimedia website to advance my pioneering methodological work and networking; disseminating research through two workshops with HIV organisations in the UK and Chile; laying groundwork for the co-development of a multi-sited research grant.
Exploitation Route By producing publications ito engage with a range of different audiences to communicate research findings. My publication will reach academic audiences and also the general public. I will publish my book with a para-academic publisher and 2 journal articles open access for academic audiences.
By building networks to develop impact opportunities (locally and between Chile and the UK), and by supporting knowledge transfer as I am working on training strategic partners with the necessary tools to implement the practice-based research method I have developed.
By development a website to advance my methodological work and build new networks. This is to provide space for knowledge exchange-in the form of open access contributions-between academics, relevant stakeholders, people living with HIV, and their families.
By laying groundwork for the development of a funding proposal for a multi-sited study, so to work in a transdisciplinary way with other collegues.
Sectors Communities and Social Services/Policy,Healthcare,Government, Democracy and Justice

 
Description My research has informed public policy in Chile with regards to the need to access more comprehensive support during and after an HIV diagnosis. My research outputs were shown in Parliament and informed the design of public policies.
First Year Of Impact 2020
Sector Healthcare
Impact Types Cultural,Societal

 
Description Output Research (Visual Ethnography) used for teaching purposes
Geographic Reach Multiple continents/international 
Policy Influence Type Influenced training of practitioners or researchers
Impact It has changed public perception and students' understandings of what it means to live with HIV.
 
Description Postdoctoral Fellowship grant (3 years). National Agency for Research and Development. Chile
Amount $89,220,000 (CLP)
Funding ID 3230062 
Organisation Government of Chile 
Sector Public
Country Chile
Start 07/2023 
End 04/2026
 
Description European Association of Social Anthropologists 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Other audiences
Results and Impact I presented my research as part of EASA 2022 at the Queen´s University Belfast.
Year(s) Of Engagement Activity 2022
URL https://nomadit.co.uk/conference/easa2022/p/11292
 
Description F(r)icciones etnográficas Intersecciones entre antropología y cine experimental, Barcelona (Spain) - Research presentation - Film 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Public/other audiences
Results and Impact Research film presentation as part of the F(r)icciones etnográficas: Intersecciones entre antropología y cine experimental.
This is a course offered by the centro de Cultura contemporánea de Barcelona.
Year(s) Of Engagement Activity 2022
URL https://www.instituthumanitats.org/es/cursos/fricciones-etnograficas-presencial
 
Description Paper presentaton and talk at the international Visual Sociology Association 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Other audiences
Results and Impact Particpation at the 2022 international Visual Sociology Association "Expanding the visual field: New developments in scholarship, arts and activism"
- Paper presentation ahead of submission for Visual Anthropology Review journal.
- My visual ethnography was the opening film of the conference.
Year(s) Of Engagement Activity 2022
URL https://visualsociology.org/?page_id=936
 
Description Presentation and Panel convener at the Anthropology Congress in Chile 
Form Of Engagement Activity A formal working group, expert panel or dialogue
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Postgraduate students
Results and Impact I presented a paper and convened a panel on Collaborative Methods as part of the Anthropology Congress at Universidad de Los Lagos, Chile.
Year(s) Of Engagement Activity 2023
URL http://congresoantropologia.cl/
 
Description Presentation at the Digital Storytelling conference 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact Presentation and workshop as party of the DST conference 2022
Year(s) Of Engagement Activity 2022
URL https://storytellingacademy.education/dst-conference-2022/
 
Description Reaserch presentation at the Ethnographic Museum University of Zurich 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Public/other audiences
Results and Impact Research presentation and research film screening at the Ethnographic Museum, University of Zurich.
Year(s) Of Engagement Activity 2022
URL https://zuercher-museen.ch/en/museums/ethnographic-museum/archiv/221201-this-is-my-face
 
Description Research output was presented at Osorno City Hall, as part of the cultural programme of the Anthropology Congress 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach Local
Primary Audience Public/other audiences
Results and Impact My visual ethnography "This is My face: what lies inside a journey with HIV" was presented at the city hall as the main event of the cultural program of the Anthropology Congress. The event was open to the general public and it was attended by health care practitioners and local authrorities.
Year(s) Of Engagement Activity 2023
URL http://congresoantropologia.cl/jueves/
 
Description Research presentation Anthropology in the World - Sussex University 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach Local
Primary Audience Undergraduate students
Results and Impact Research presentation for Sussex Undergrad students as part of the Anthropology in the Word, module led by Dr. Paul Boyce
Year(s) Of Engagement Activity 2023
 
Description Research presentation at the Centre for Cultures of Reproduction, Technologies and Health 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Other audiences
Results and Impact I gave a presentation as part of the Centre for Cultures of Reproduction, Technologies and Health (CORTH) public engagement events.
I presented the research film and gave an introduction to the main research findings. It was attended by 30 people from academics, to the general public, people living with HIV and students.
Year(s) Of Engagement Activity 2022
URL http://www.sussex.ac.uk/corth/newsandevents
 
Description Research presentation for Worlds and Selves (003AN) 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach Local
Primary Audience Undergraduate students
Results and Impact Research presentation focused on the project's research method.
The audience was undergraduate students of Global Studies at the University of Sussex as part of Worlds and Selves (module 003AN)
Year(s) Of Engagement Activity 2022
URL https://www.sussex.ac.uk/study/modules/undergraduate/2021/003AN-worlds-and-selves
 
Description Talk for Kunsthochschule für Medien Köln Academy of Media Arts Cologne 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Postgraduate students
Results and Impact Talk and research presentation on strategies to represent stigma and illness to students and the general public at the Talk for Kunsthochschule für Medien Köln Academy of Media Arts Cologne.
Year(s) Of Engagement Activity 2022
URL https://www.khm.de/vorlesungsverzeichnis/id.234.talking-heads/
 
Description Workshop Filmmaking for Fieldwork Summer School 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Other audiences
Results and Impact Series of workshops for Filmmaking for Fieldwork Summer School of Visual Anthropology
Year(s) Of Engagement Activity 2022
URL https://filmmakingforfieldwork.co.uk/home
 
Description Workshop for Anthropology in the World, Global Studies, Sussex. 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach Local
Primary Audience Undergraduate students
Results and Impact Workshop showcasing the project's research method. The workshop was for students at the School of Global Studies as part of the module 'Anthropology in the World'
Year(s) Of Engagement Activity 2022
URL https://www.sussex.ac.uk/study/modules/undergraduate/2022/L6304SID-anthropology-in-the-world-theory-...
 
Description Workshop for Students at Kunsthochschule fur Medien Koln - Academy of Media Arts Cologne 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Undergraduate students
Results and Impact I ran a workshop and a presentation of my research for students at the Academy of Media Arts in Cologne, Germany
Year(s) Of Engagement Activity 2022
 
Description Wroskhops/Guest lecture Anthropology of Health - Goldsmiths 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Undergraduate students
Results and Impact I gave a guest lecture for the Anthropology of health module. The module is part of the Anthropology bachelor's degree at Goldsmiths University.
The Focus of the lecture/workshop was on the structural implications of HIV and Stigma.
Year(s) Of Engagement Activity 2022