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AIDS	
  and	
  its	
  discontents	
  in	
  Serbia:	
  
Silencing	
  gay	
  sexuality	
  in	
  the	
  age	
  of	
  
illness	
  
	
  
	
  
	
  

Zoran	
  Milosavljević	
  
	
  
	
  
	
  
	
  
	
  
	
  

September	
  2012	
  
	
  
	
  
	
  
	
  
	
  

Supervisors:	
  
	
  

Dr	
  Mark	
  Johnson	
  
University	
  of	
  Hull,	
  UK	
  
	
  
	
  

Dr	
  Edyta	
  Just	
  
University	
  of	
  Lodz,	
  Poland	
  

	
  
	
  
	
  
	
  
	
  
	
  
	
  
	
  
	
  
Dissertation	
  submitted	
  in	
  partial	
  fulfilment	
  of	
  the	
  requirements	
  for	
  the	
  
degree	
  of	
  Master	
  of	
  Arts	
  in	
  Women’s	
  and	
  Gender	
  Studies	
  GEMMA,	
  in	
  the	
  University	
  
of	
  Hull	
  
	
  

	
  
 
AIDS	
  and	
  its	
  discontents	
  in	
  Serbia:	
  
Silencing	
  gay	
  sexuality	
  in	
  the	
  age	
  of	
  
illness	
  
	
  
	
  
	
  

Zoran	
  Milosavljević	
  
	
  
	
  
	
  
	
  
	
  
	
  

September	
  2012	
  
	
  
	
  
	
  
	
  
	
  

Supervisors:	
  
	
  

Dr	
  Mark	
  Johnson	
  
University	
  of	
  Hull,	
  UK	
  
Approved	
  by:	
  
	
  
	
  
	
  
	
  

Dr	
  Edyta	
  Just	
  
University	
  of	
  Lodz,	
  Poland	
  

	
  
	
  
	
  
	
  
	
  
	
  
Dissertation	
  submitted	
  in	
  partial	
  fulfilment	
  of	
  the	
  requirements	
  for	
  the	
  
degree	
  of	
  Master	
  of	
  Arts	
  in	
  Women’s	
  and	
  Gender	
  Studies	
  GEMMA,	
  in	
  the	
  University	
  
of	
  Hull	
  
Abstract	
  
This	
   thesis	
   analyses	
   the	
   perpetuation	
   of	
   the	
   HIV/AIDS	
   epidemic	
   in	
   Serbia	
   as	
  
directly	
   resulting	
   from	
   the	
   rejection	
   and	
   silencing	
   of	
   gay	
   sexuality.	
   The	
   increasing	
  
number	
   of	
   HIV/AIDS	
   cases,	
   with	
   30%	
   of	
   cases	
   diagnosed	
   only	
   at	
   the	
   terminal	
  
stage	
  of	
  the	
  illness,	
  is	
  a	
  testament	
  to	
  the	
  spreading	
  of	
  the	
  epidemic	
  in	
  Serbia.	
  The	
  
HIV	
   positive	
   gay	
   men’s	
   life-­‐management	
   in	
   the	
   HIV/AIDS	
   discourse	
   is	
   further	
  
complicated	
  with	
  the	
  enormous	
  discrimination	
  and	
  stigmatisation	
  by	
  the	
  majority	
  
in	
   Serbia.	
   The	
   HIV	
   positive	
   gay	
   men	
   are	
   discriminated	
   on	
   grounds	
   of	
   both	
   their	
  
sexuality	
   and	
   the	
   illness.	
   Such	
   double	
   discrimination	
   causes	
   them	
   to	
   want	
   to	
  
maintain	
   undetectability	
   of	
   the	
   virus	
   (the	
   illness)	
   and	
   of	
   the	
   sexual	
   identity	
   for	
   as	
  
long	
   as	
   possible.	
   The	
   discrimination	
   and	
   stigmatisation	
   on	
   grounds	
   of	
   gay	
  
sexuality	
  is	
  structured	
  around	
  the	
  silence	
  of	
  the	
  majority	
  toward	
  it.	
  The	
  silencing	
  
enforces	
   mimicry	
   in	
   the	
   body	
   politics	
   of	
   gay	
   people.	
   Such	
   mimicry	
   is	
   visible	
   in	
   the	
  
variety	
  of	
  their	
  practices:	
  from	
  the	
  masculinisation	
  of	
  their	
  bodies	
  to	
  the	
  testing	
  
and	
   the	
   ‘forced	
   coming-­‐out’	
   in	
   the	
   medical	
   and	
   other	
   state	
   institutions.	
   The	
  
biomedicalistation	
  of	
  the	
  public	
  health	
  structures	
  the	
  identity	
  of	
  the	
  HIV	
  positive	
  
gay	
  men	
  through	
  the	
  ‘forced	
  coming-­‐out’,	
  leading	
  them	
  to	
  reveal	
  their	
  sexuality	
  in	
  
highly	
   discriminatory	
   surroundings	
   of	
   Serbian	
   society.	
   Sexuality	
   is	
   the	
   main	
  
attribute	
   of	
   the	
   discrimination,	
   but	
   is	
   silenced	
   in	
   Serbian	
   institutions.	
   The	
   current	
  
policy	
  against	
  HIV/AIDS	
  and	
  other	
  STDs	
  in	
  Serbia	
  is	
  futile	
  and	
  tumultuous.	
  This	
  is	
  
especially	
   evident	
   in	
   the	
   educational	
   and	
   medical	
   discourses.	
   The	
   non-­‐existence	
  
of	
   sexual	
   education	
   further	
   enhances	
   the	
   rejection	
   of	
   the	
   differences	
   among	
   the	
  
people	
  in	
  Serbia.	
  The	
  rejection	
  of	
  the	
  HIV	
  positive	
  gay	
  men	
  is	
  present	
  even	
  among	
  
the	
  group	
  of	
  the	
  PLHIV,	
  which	
  brings	
  into	
  the	
  focus	
  of	
  this	
  thesis	
  their	
  inclusion	
  in	
  
all	
   levels	
   of	
   society:	
   the	
   voices	
   of	
   these	
   men	
   and	
   women	
   are	
   our	
   best	
   weapon	
  
against	
  the	
  dominant	
  silence.	
  
	
  
Key	
   words:	
   HIV/AIDS,	
   Serbia,	
   gay,	
   sexuality,	
   discrimination,	
   body	
   politics,	
  
mimicry	
  	
  
	
  

	
  
Content	
  	
  
Acknowledgements	
   	
  

	
  

	
  

	
  

	
  

	
  

	
  

	
  

5	
  

List	
  of	
  abbreviations	
   	
  

	
  

	
  

	
  

	
  

	
  

	
  

	
  

6	
  

Introduction	
   	
  

	
  

	
  

	
  

	
  

	
  

	
  

	
  

7	
  

1.1	
  Transitional	
  Serbian	
  society	
  

	
  

	
  

	
  

	
  

	
  

18	
  

1.2	
  AIDS	
  epidemiology	
  in	
  Serbia	
  

	
  

	
  

	
  

	
  

	
  

26	
  

1.3	
  Biomedical	
  discourse	
  

	
  

	
  

	
  

	
  

	
  

	
  

29	
  

1.4	
  Educational	
  discourse	
  

	
  

	
  

	
  

	
  

	
  

	
  

34	
  

2.1	
  Gay	
  sexual	
  minority	
  in	
  Serbia	
  &	
  homophobia	
   	
  

	
  

	
  

38	
  

	
  

Chapter	
  I	
  

Chapter	
  II	
  

2.2	
  Anthropology	
  of	
  everyday	
  life	
  of	
  HIV	
  positive	
  gay	
  men	
  in	
  Serbia	
  

44	
  

Chapter	
  III	
  
3.1	
  Methodology	
  of	
  the	
  research	
  and	
  analyses	
  of	
  the	
  interviews	
   	
  
Conclusion	
  

54	
  

	
  

	
  

	
  

	
  

	
  

	
  

	
  

	
  

	
  

71	
  

Bibliography	
   	
  

	
  

	
  

	
  

	
  

	
  

	
  

	
  

	
  

77	
  

	
  

	
  
Acknowledgements	
  	
  
My	
  gratitude	
  for	
  the	
  contribution	
  to	
  this	
  work	
  goes	
  to:	
   my	
  supervisors,	
  dr	
  Mark	
  
Johnson	
  from	
  the	
  University	
  of	
  Hull,	
  UK,	
  and	
  dr	
  Edyta	
  Just	
  from	
  the	
  University	
  of	
  
Lodz,	
   Poland	
   without	
   who’s	
   experience	
   and	
   guidance	
   this	
   work	
   would	
   not	
   be	
  
possible;	
   dr	
   Damir	
   Arsenijević	
   for	
   his	
   loving	
   support,	
   encouragement	
   and	
  
wittiness,	
   Tag	
   McEntegart,	
   Branko	
   Marković,	
   Brankica	
   Aćimović,	
   Boris	
   Gidak,	
  
Nataša	
  Jović-­‐Cvetković,	
  Violeta	
  	
  Andjelković,	
  Vladimir	
  Veljković,	
  	
  Zoran	
  Railić	
  M.D.,	
  
Djurica	
  Stankov,	
  Dušan	
  Marjanović,	
  Dimitar	
  Matrakoski,	
  Bojan,	
  Dimitrije,	
  Svetlana	
  
Krabel,	
   Jelena	
   Petrović,	
   Alma	
   Tanović	
   and	
   to	
   my	
   parents,	
   Branislava	
   Anaćijević	
  
and	
  Siniša	
  Milosavljević.	
  

	
  

	
  

5
List	
  of	
  abbreviations	
  	
  
AIDS	
  –	
  Acquired	
  Immunodeficiency	
  Syndrome	
  
ARV	
  –	
  Antiretroviral	
  therapy	
  
EU	
  –	
  European	
  Union	
  
HAART	
  –	
  Highly	
  active	
  antiretroviral	
  therapy	
  
HIV–	
  Human	
  Immunodeficiency	
  Virus	
  
LGBT–	
  Lesbian,	
  gay,	
  bisexual	
  and	
  transgender	
  	
  
MSM	
  –	
  Men	
  who	
  have	
  sex	
  with	
  men	
  
MSWM	
  –	
  Men	
  who	
  have	
  sex	
  with	
  men	
  and	
  women	
  
NGO	
  –	
  Non-­‐governmental	
  organisations	
  	
  
PEP	
  –	
  Post	
  expositional	
  prophylaxis	
  	
  
PLHIV	
  –	
  People	
  who	
  are	
  living	
  with	
  HIV/AIDS	
  
RAC	
  –	
  Republic	
  National	
  AIDS	
  Committee	
  of	
  Serbia	
  
STD	
  –	
  Sexually	
  transmitted	
  diseases	
  
UNAIDS	
  –	
  Joint	
  United	
  Nations	
  Programme	
  on	
  HIV/AIDS	
  
UNDP	
  –	
  United	
  Nations	
  Development	
  Programme	
  	
  
UNICEF	
  –	
  United	
  Nations	
  Children’s	
  Fund	
  	
  
USOP	
  –	
  Union	
  of	
  PLHIV	
  organisations	
  in	
  Serbia	
  	
  
	
  

	
  

6
Introduction	
  
Numerous	
  questions	
  arise	
  when	
  information	
  comes	
  to	
  light,	
  during	
  the	
  course	
  of	
  World	
  
AIDS	
  Day,	
  on	
  the	
  1st	
  December	
  2011,	
  that	
  the	
  promoter	
  of	
  safer	
  sex	
  in	
  Serbia	
  is	
  a	
  famous	
  
gay	
   porn	
   actor	
   from	
   barebacking	
   online	
   sites	
   –	
   not	
   to	
   mention	
   that	
   he	
   has	
   been	
   HIV	
  
positive	
  for	
  seven	
  years.	
  You	
  could	
  ask	
  yourself	
  if	
  this	
  is	
  a	
  mistake	
  of	
  the	
  organiser,	
  the	
  
Ministry	
  of	
  Health	
  of	
  the	
  Republic	
  of	
  Serbia,	
  or	
  a	
  bad	
  joke	
  perpetrated	
  between	
  activists	
  
to	
   discredit	
   each	
   other	
   in	
   the	
   battle	
   to	
   secure	
   funds	
   from	
   the	
   Global	
   Fund1	
   for	
   the	
   fight	
  
against	
  HIV/AIDS.	
  Or	
  you	
  could	
  ask	
  yourself	
  whether	
  the	
  famous	
  gay	
  porn	
  actor	
  has	
  an	
  
equal	
  right	
  to	
  be	
  represented	
  in	
  the	
  media	
  and	
  to	
  share	
  his	
  experience	
  about	
  HIV/AIDS?	
  
What	
   about	
   achievements	
   in	
   the	
   education	
   of	
   youth	
   concerning	
   HIV/AIDS,	
   and	
   the	
  
population	
  in	
  general	
  in	
  Serbia?	
  You	
  would	
  probably	
  ask	
  yourself	
  (if	
  or	
  when	
  you	
  find	
  out	
  
about	
   it!)	
   why	
   it	
   is	
   that,	
   in	
   Serbia,	
   in	
   2011,	
   33%	
   of	
   the	
   people	
   infected	
   with	
   HIV	
   are	
  
diagnosed	
   in	
   the	
   last	
   stages	
   of	
   AIDS?	
   Why	
   did	
   they	
   do	
   that	
   to	
   themselves?	
   What	
   is	
   the	
  
cause	
   of	
   such	
   irresponsible	
   behaviour?	
   Is	
   it	
   a	
   lack	
   of	
   knowledge	
   about	
   HIV/AIDS	
   or	
  
maybe	
  it’s	
  fear?	
  But	
  then,	
  fear	
  of	
  what?	
  	
  
This	
  ‘schizoid’	
  episode	
  is	
  a	
  microcosm	
  of	
  the	
  state	
  of	
  the	
  AIDS	
  epidemic	
  in	
  Serbia	
  
today.	
   This	
   thesis	
   seeks	
   to	
   investigate	
   if,	
   and,	
   if	
   so,	
   how	
   the	
   negative	
   social	
   response	
   to	
  
gay	
   sexuality	
   is	
   intensifying	
   the	
   HIV/AIDS	
   epidemic	
   in	
   Serbia.	
   The	
   rising	
   number	
   of	
   the	
  
infected	
   gay	
   men	
   and	
   the	
   33%	
   of	
   PLHIV	
   diagnosed	
   in	
   the	
   last	
   stages	
   of	
   AIDS	
   should	
   be	
  
signalling	
  a	
  state	
  of	
  ‘high	
  alert’.	
  Something	
  is	
  seriously	
  malfunctioning	
  in	
  the	
  response	
  to	
  
HIV/AIDS	
  in	
  Serbia.	
  Paradoxically,	
  in	
  this	
  time	
  of	
  easy	
  access	
  to	
  information,	
  the	
  present	
  
state	
   of	
   the	
   AIDS	
   epidemic	
   in	
   Serbia,	
   and	
   the	
   discourses	
   around	
   AIDS,	
   are	
   showing	
  
confusion;	
   a	
   lack	
   of	
   clear	
   ideas	
   as	
   to	
   how	
   to	
   proceed	
   to	
   tackle	
   it;	
   as	
   result	
   of	
   economic	
  
instability,	
  slow	
  progress;	
  rejection	
  of	
  the	
  ‘other’(s)	
  sexualities;	
  and	
  institutional	
  neglect.	
  
As	
  the	
  result	
  of	
  the	
  present	
  situation,	
  the	
  identity	
  politics	
  of	
  HIV	
  positive	
  gay	
  men	
  further	
  
evolve	
   into	
   the	
   body	
   politics	
   of	
   mimicry	
   and	
   defence	
   against	
   stigmatisation.	
   Taken	
  
together,	
  all	
  those	
  are	
  the	
  excellent	
  conditions	
  for	
  the	
  vicious	
  spiral	
  that	
  is	
  HIV/AIDS	
  in	
  
Serbia.	
  	
  
The	
  silencing	
  is	
  an	
  unbearable	
  process	
  for	
  the	
  one	
  who	
  is	
  doing	
  it.	
  In	
  that	
  way	
  you	
  
are	
  pushing	
  the	
  problem	
  deeper	
  without	
  the	
  resolution.	
  Silencing	
  is	
  also	
  an	
  aspect	
  of	
  the	
  
human	
   condition.	
   It	
   is	
   not	
   problematic	
   if	
   you	
   are	
   dealing	
   with	
   a	
   small	
   problem.	
   Maybe	
  
you	
  will	
  forget	
  about	
  it.	
  However,	
  if	
  you	
  try	
  to	
  ignore	
  a	
  big	
  problem	
  for	
  long	
  enough,	
  the	
  
	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
   	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  
1	
  Global	
  Fund	
  To	
  Fight	
  AIDS,	
  Tuberculosis	
  and	
  Malaria,	
  see	
  http://www.theglobalfund.org/en/	
  

7
problem	
   could	
   become	
   greater.	
   This	
   is	
   most	
   certainly	
   the	
   case	
   when	
   you	
   have	
   deadly	
  
disease	
   spreading	
   among	
   	
   people	
   already	
   scared	
   that	
   they	
   are	
   going	
   to	
   be	
   stigmatized	
  
because	
   of	
   their	
   sexuality	
   and	
   then,	
   on	
   top	
   of	
   that,	
   because	
   of	
   the	
   disease.	
   This	
   is	
   the	
  
situation	
  facing	
  the	
  overwhelming	
  majority	
  of	
  gay	
  people	
  in	
  Serbia	
  infected	
  with	
  HIV,	
  or	
  
living	
  with	
  AIDS	
  related	
  illnesses.	
  	
  	
  
In	
  this	
  thesis	
  I	
  will	
  examine	
  the	
  connections	
  between	
  the	
  double	
  stigmatisation	
  of	
  
HIV	
  positive	
  gay	
  men,	
  and	
  the	
  persistence	
  and	
  growth	
  of	
  the	
  AIDS	
  epidemic	
  in	
  Serbia.	
  I	
  
will	
   examine	
   the	
   social	
   response	
   that	
   ‘silences’	
   gay	
   sexuality,	
   as	
   well	
   as	
   the	
   politics	
   of	
  
resistance	
   of	
   HIV	
   positive	
   gay	
   men	
   to	
   the	
   predominant	
   social	
   stigmatisation.	
  	
  
Stigmatisation	
   on	
   the	
   ground	
   of	
   sexuality	
   and	
   stigmatisation	
   on	
   the	
   ground	
   of	
   illness	
  
(HIV/AIDS)	
   are	
   the	
   two	
   predominant	
   components	
   of	
   the	
   double	
   stigmatisation	
   of	
   HIV	
  
positive	
  gay	
  men	
  in	
  Serbia.	
  	
  
The	
   stigmatisation	
   on	
   the	
   ground	
   of	
   illness	
   is	
   shaped	
   by	
   the	
   discourses	
   that	
   are	
  
structuring	
   HIV	
   positive	
   gay	
   men’s	
   subjectivity,	
   mostly	
   through	
   the	
   biomedical	
   and	
  
educational	
  discourse.	
  The	
  discourse	
  of	
  biomedicine,	
  and,	
  as	
  its	
  integral	
  part	
  of	
  that,	
  the	
  
pharmaceuticalization2	
  of	
  public	
  health,	
  is	
  emerging	
  from	
  the	
  development	
  of	
  the	
  medical	
  
knowledge	
  and	
  the	
  advantages	
  that	
  affords	
  those	
  fighting	
  the	
  disease.	
  For	
  so	
  many	
  	
  HIV	
  
positive	
  gay	
  men,	
  the	
  moment	
  of	
  truth	
  embodied	
  in	
  	
  an	
  HIV	
  positive	
  result,	
  	
  also	
  becomes	
  
the	
   moment	
   of	
   ‘forced	
   coming	
   out’,	
   within	
   their	
   own	
   social	
   circle	
   of	
   their	
   sexual	
   identity	
   .	
  
In	
   Serbia,	
   where	
   the	
   gay	
   sexual	
   minority	
   is	
   still	
   stigmatized,	
   and	
   its	
   rights	
   are	
   ignored,	
  
that	
   moment	
   is	
   very	
   stressful	
   for	
   the	
   gay	
   individual	
   and,	
   if	
   at	
   all	
   possible,	
   should	
   be	
  
mitigated.	
  	
  
Stigmatisation	
   on	
   the	
   grounds	
   of	
   their	
   sexuality	
   of	
   HIV	
   positive	
   gay	
   men	
   is	
   the	
  
most	
   visible	
   manifestation	
   of	
   the	
   social	
   ‘silencing’	
   of	
   it,	
   and,	
   in	
   the	
   politics	
   of	
   mimicry	
  
adopted	
   by	
   the	
   gay	
   sexual	
   minority,	
   its	
   result	
   is	
   apparent.	
   Social	
   policy	
   in	
   the	
   field	
   of	
  
HIV/AIDS	
  is	
  also	
  an	
  important	
  factor	
  for	
  the	
  life	
  management	
  of	
  HIV	
  positive	
  gay	
  men	
  in	
  
the	
   AIDS	
   discourse.	
   Unfortunately,	
   such	
   policy	
   is	
   under	
   the	
   constant	
   influence	
   of	
   the	
  
predominant	
   social	
   model	
   of	
   the	
   rejection	
   of	
   gay	
   sexuality	
   and	
   is	
   very	
   visible	
   through	
   the	
  
process	
  of	
  its	
  silencing.	
  	
  
The	
  undetectability	
  of	
  the	
  virus	
  (upheld	
  by	
  avoiding	
  the	
  biomedical	
  procedures)	
  
and	
  the	
  undetectability	
  of	
  the	
  gay	
  sexuality	
  (upheld	
  through	
  the	
  politics	
  of	
  mimicry	
  and	
  
social	
   silencing)	
   are	
   the	
   two	
   major	
   components	
   of	
   the	
   body	
   politics	
   of	
   HIV	
   positive	
   gay	
  
	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
   	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  

2	
  Under	
  the	
  notion	
  of	
  ‘pharmaceuticalization	
  of	
  public	
  health’	
  Biehl	
  assumes	
  the	
  involvement	
  of	
  

pharmaceutical	
  companies,	
  producers	
  of	
  ARV	
  therapy,	
  in	
  the	
  different	
  processes	
  of	
  providing	
  and	
  subsidising	
  
ARV	
  therapy	
  in	
  the	
  policy	
  of	
  the	
  state	
  ‘therapy	
  for	
  all’.	
  See	
  Biehl,	
  2009,	
  p.97-­‐101	
  	
  

8
men	
   in	
   Serbia.	
   These	
   two	
   components	
   are	
   the	
   main	
   cause	
   of	
   the	
   devastation	
   being	
  
wrought	
  by	
  the	
  HIV/AIDS	
  epidemic	
  in	
  Serbia.	
  
This	
   thesis	
   argues	
   for	
   a	
   separation	
   to	
   be	
   made	
   between	
   gay	
   sexuality	
   and	
   the	
  
dominant	
   perception	
   of	
   gay	
   sexuality	
   as	
   the	
   illness.	
   The	
   aim	
   of	
   this	
   thesis	
   is	
   to	
   emphasise	
  
the	
  importance	
  of	
  the	
  necessary	
  recognition,	
  by	
  Serbian	
  society,	
  of	
  gay	
  sexuality	
  and	
  its	
  
impact	
   on	
   HIV/AIDS	
   epidemic.	
   The	
   connection	
   between	
   these	
   two	
   should	
   be	
   taken	
   into	
  
account	
   for	
   any	
   successful	
   strategy	
   against	
   AIDS.	
   To	
   provide	
   a	
   basis	
   for	
   the	
   correction	
  
and	
   the	
   redefinition	
   of	
   the	
   educational	
   procedures	
   that	
   claim	
   to	
   educate	
   about	
   the	
   illness	
  
and	
   the	
   sexual	
   differences	
   in	
   Serbia	
   is	
   one	
   of	
   the	
   main	
   purposes	
   of	
   this	
   thesis.	
   It	
   is	
   hoped	
  
that	
  such	
  an	
  outcome	
  will	
  be	
  attributable	
  	
  	
  to	
  this	
  thesis.	
  The	
  voices	
  of	
  HIV	
  positive	
  gay	
  
men	
  and	
  the	
  people	
  around	
  them,	
  seeing	
  the	
  light	
  of	
  day	
  for	
  the	
  first	
  time	
  in	
  this	
  thesis	
  
speak	
  firmly	
  in	
  favour	
  of	
  this	
  aim.	
  Their	
  life	
  experiences	
  are	
  of	
  immensurable	
  help	
  in	
  the	
  
endeavour	
   to	
   understand	
   the	
   problems	
   they	
   face	
   everyday	
   in	
   their	
   fight	
   against	
  
HIV/AIDS.	
  	
  
Finally,	
   this	
   thesis	
   is	
   about	
   the	
   social	
   construction	
   of	
   sexuality	
   and	
   the	
   social	
  
construction	
   of	
   lies	
   (about	
   difference,	
   sexuality,	
   and	
   illness).	
   It	
   provides	
   an	
   insight	
   into	
  
how	
   deliberate	
   neglect	
   of	
   sexual	
   differences	
   in	
   Serbia	
   has	
   provided	
   and	
   continues	
   to	
  
provide	
  fertile	
  conditions	
  for	
  the	
  spread	
  of	
  the	
  disease	
  and	
  for	
  the	
  dangerous	
  spiral	
  of	
  the	
  
HIV/AIDS	
  epidemic.	
  
	
  

Theoretical	
  framework	
  
The	
  complex	
  power	
  web	
  around	
  HIV	
  positive	
  gay	
  men’s	
  subjectivity	
  and	
  the	
  structuring	
  
of	
   gay	
   sexual	
   identity	
   are	
   inevitably	
   embedded	
   in	
   the	
   context	
   of	
   the	
   Serbian	
   society.	
   To	
  
understand	
  such	
  a	
  complex	
  web	
  of	
  discourses	
  I	
  decided	
  to	
  use	
  a	
  map	
  structure	
  as	
  the	
  tool	
  
that	
   would	
   most	
   usefully	
   unlock	
   deeper	
   and	
   wider	
   insight	
   into	
   the	
   perpetuating	
  
HIV/AIDS	
   epidemic.3	
   The	
   map	
   will	
   complement	
   the	
   theoretical	
   framework	
   and	
   to	
  
illustrate	
  the	
  improved	
  understanding	
  of	
  the	
  process	
  of	
  silencing	
  of	
  gay	
  sexuality	
  and,	
  as	
  
the	
  result	
  of	
  that,	
  the	
  perpetuation	
  of	
  HIV/AIDS	
  epidemic.	
  	
  
In	
   the	
   first	
   chapter,	
   I	
   take	
   a	
   closer	
   look	
   into	
   recent	
   Serbian	
   history.	
   When	
  
combined	
   this	
   history,	
   the	
   epidemiological	
   situation	
   with	
   regard	
   to	
   HIV/AIDS	
   and	
   the	
  
biomedical	
   and	
   educational	
   discourse	
   of	
   HIV/AIDS	
   will	
   provide	
   the	
   context	
   of	
   Serbian	
  
society.	
  
	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
   	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  
3

	
  See	
  the	
  table	
  

9
 
	
  

	
  

10
The	
   second	
   chapter	
   will	
   closely	
   examine	
   the	
   gay	
   sexual	
   minority	
   in	
   Serbia	
   and	
   an	
  
anthropology	
  of	
  the	
  everyday	
  life	
  of	
  HIV	
  positive	
  gay	
  men.	
  	
  The	
  second	
  chapter	
  focuses	
  
on	
  the	
  interconnections	
  between	
  social	
  rejection	
  and	
  the	
  body	
  politics	
  of	
  mimicry	
  of	
  HIV	
  
positive	
  gay	
  men	
  toward	
  health	
  and	
  sexuality’s	
  mimicry.	
  	
  When	
  considering	
  the	
  politics	
  
of	
  mimicry,	
  the	
  study	
  investigates	
  the	
  variety	
  of	
  practices	
  of	
  HIV	
  positive	
  gay	
  men:	
  from	
  
avoiding	
  ‘forced	
  coming	
  out’	
  in	
  medical	
  institutions;	
  through	
  the	
  masculinisation	
  of	
  their	
  
bodies	
  and	
  the	
  abuse	
  of	
  steroids	
  in	
  AIDS	
  related	
  illnesses;	
  to	
  the	
  disclosure	
  of	
  gay	
  sexual	
  
identity	
   in	
   their	
   social	
   surroundings.	
   This	
   politics	
   is	
   the	
   protective	
   shield	
   against	
   the	
  
discriminatory	
  politics	
  towards	
  gay	
  people	
  in	
  Serbia.	
  	
  
The	
   third	
   chapter	
   analyses	
   interviews	
   of	
   HIV	
   positive	
   gay	
   men	
   and	
   people	
   who	
  
are	
  coming	
  from	
  the	
  different	
  professions	
  connected	
  to	
  with	
  HIV	
  positive	
  gay	
  men:	
  	
  using	
  
feminist	
   and	
   gay	
   studies’	
   methodology,	
   this	
   provides	
   evidence	
   of	
   their	
   everyday	
   life	
  
practices	
   and	
   analyses	
   their	
   attitudes	
   and	
   notions	
   of	
   gay	
   identity	
   in	
   the	
   HIV/AIDS	
  
discourse	
  in	
  Serbia.	
  	
  	
  	
  	
  	
  
At	
   the	
   beginning	
   of	
   the	
   thesis,	
   describing	
   the	
   context	
   of	
   the	
   Serbian	
   society	
  
introduces	
  the	
  origin	
  of	
  the	
  social	
  construction	
  of	
  sexuality	
  and	
  the	
  rejection	
  of	
  it.	
  In	
  his	
  
work	
   ‘The	
   Construction	
   of	
   Homosexuality’,	
   Jeffrey	
   Weeks	
   defines	
   the	
   importance	
   of	
   the	
  
social	
  context	
  of	
  gay	
  sexuality	
  and	
  of	
  gay	
  representation	
  thus:	
  “...it	
  is	
  no	
  longer	
  possible	
  to	
  
talk	
   of	
   the	
   possibility	
   of	
   a	
   universalistic	
   history	
   of	
   homosexuality;	
   it	
   is	
   only	
   possible	
   to	
  
understand	
   the	
   social	
   significance	
   of	
   homosexual	
   behaviour,	
   both	
   in	
   terms	
   of	
   social	
  
response	
   and	
   in	
   terms	
   of	
   individual	
   identity,	
   in	
   its	
   exact	
   historical	
   context.	
   To	
   put	
   it	
  
another	
   way,	
   the	
   various	
   possibilities	
   of	
   same	
   sex	
   behaviour	
   are	
   variously	
   constructed	
   in	
  
different	
   cultures	
   as	
   an	
   aspect	
   of	
   wider	
   gender	
   and	
   sexual	
   regulation.”4	
   Weeks	
   is	
   also	
  
trying	
  to	
  analyse	
  the	
  construction	
  of	
  sexuality	
  and	
  sexual	
  identity	
  positions	
  grounded	
  in	
  
‘the	
   discourse	
   of	
   choice’	
   as	
   the	
   result	
   of	
   collective	
   or	
   individual	
   autonomy.5	
  
Unfortunately,	
  the	
  discourse	
  of	
  choice	
  and	
  sexual	
  differences	
  were	
  deliberately	
  narrowed	
  
in	
   Serbia	
   at	
   the	
   beginning	
   of	
   the	
   90s,	
   when	
   the	
   nationalistic	
   tendencies	
   in	
   Yugoslavia	
  
culminated	
  in	
  the	
  outbreak	
  of	
  war.	
  Thus	
  far,	
  through	
  the	
  Serbian	
  tendency	
  to	
  ‘purify’	
  the	
  
nation	
  from	
  the	
  ‘others’	
  of	
  any	
  kind,	
  the	
  choice	
  of	
  sexual	
  difference	
  has	
  been	
  narrowed.	
  
The	
   recent	
   history	
   and	
   the	
   fall	
   of	
   Yugoslavia,	
   as	
   well	
   as	
   the	
   rise	
   of	
   an	
   independent	
   Serbia	
  
through	
   xenophobic	
   leaderships	
   and	
   interethnic	
   conflicts	
   have	
   been	
   in	
   the	
   spotlight	
   of	
  
numerous	
   international	
   and	
   domestic	
   researchers.6	
   The	
   rise	
   of	
   nationalistic	
   and	
   right	
  
wing	
   policies	
   has	
   followed	
   not	
   only	
   that	
   internal	
   political	
   shift,	
   but	
   the	
   global	
   political	
  
	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
   	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  

4	
  See	
  Jeffrey	
  Weeks’	
  ‘The	
  Construction	
  of	
  Homosexuality’	
  in	
  Seidman,	
  1996,	
  p.42	
  
5	
  See	
  Plummer,	
  1993,	
  pp.	
  121	
  -­‐130	
  
6	
  See	
  Marković,	
  2001;	
  Bowman,	
  2005;	
  Jensen,	
  2005;	
  Milosavljević,	
  2006	
  

11
change	
   brought	
   about	
   by	
   the	
   economic	
   crisis,	
   the	
   collapse	
   of	
   welfare	
   states	
   and	
   the	
  
generic	
  shift	
  of	
  policy	
  to	
  the	
  right.	
  Ann	
  Marie	
  Smith	
  showed	
  how	
  populism	
  operates	
  when	
  
she	
   described	
   the	
   impact	
   of	
   local	
   political	
   aspiration	
   towards	
   a	
   universal	
   mode	
   of	
   state	
  
reform	
   through	
   the	
   processes	
   of	
   neoliberal	
   capitalism	
   and	
   globalisation.7	
   The	
  
nationalistic	
   tendencies	
   in	
   the	
   Serbian	
   context	
   and	
   the	
   rise	
   of	
   populism	
   and	
   right-­‐wing	
  
policies,	
   and	
   the	
   opposite	
   social,	
   anti-­‐nationalistic	
   movement	
   in	
   Serbia	
   during	
   the	
   90s,	
  
have	
   marked	
   major	
   social	
   and	
   political	
   changes	
   in	
   the	
   traditional	
   Balkan	
   societies.8	
  
Taking	
  the	
  global	
  perspective	
  on	
  the	
  processes	
  of	
  dismantling	
  welfare	
  states	
  in	
  the	
  period	
  
of	
   post	
   communism	
   and	
   the	
   uncertainty	
   of	
   a	
   neo-­‐liberal	
   society	
   shaken	
   by	
   economic	
  
crisis	
  and	
  social	
  tensions,	
  has	
  been	
  the	
  central	
  point	
  of	
  examination	
  in	
  the	
  work	
  of	
  Boris	
  
Buden.9	
   Buden	
   refers	
   to	
   some	
   of	
   the	
   characteristics	
   of	
   post-­‐communist	
   societies	
   as	
   a	
  
result	
   of	
   the	
   ‘re-­‐traditionalization’	
   of	
   the	
   past	
   and	
   the	
   role	
   of	
   ‘liberated’	
   religion	
   as	
   its	
  
integral	
   part	
   of	
   these	
   characteristics.10	
   In	
   the	
   transition	
   of	
   its	
   society	
   from	
   socialism	
   to	
  
neo-­‐liberal	
   capitalism,	
   Serbia	
   adopted	
   fully	
   these	
   processes	
   of	
   re-­‐traditionalization,	
  
emerging	
  as	
  a	
  crucial	
  case	
  study	
  in	
  this	
  regard.	
  Nevertheless,	
  as	
  Dimitrije,	
  the	
  one	
  of	
  the	
  
HIV	
  positive	
  gay	
  men	
  interviewed	
  noticed:	
  
Dimitrije	
  –	
  

Today,	
  it	
  seems	
  that	
  we	
  are	
  going	
  backwards,	
  thinking	
  that	
  we	
  are	
  going	
  
forward	
  and	
  every	
  time	
  when	
  we	
  talk	
  about	
  	
  transition	
  in	
  society...	
  
transition	
  is	
  not	
  something,	
  at	
  the	
  end	
  of	
  the	
  day,	
  that	
  we	
  can	
  be	
  certain	
  of.	
  	
  
You	
  might	
  end	
  in	
  deep	
  in	
  a	
  hole	
  or	
  you	
  might	
  be	
  on	
  the	
  top	
  of	
  a	
  hill	
  with	
  a	
  
beautiful	
  view	
  and	
  clean	
  air.	
  In	
  that	
  search	
  for	
  identity	
  in	
  society,	
  if	
  a	
  person	
  
is	
  not	
  empowered	
  and	
  does	
  not	
  have	
  supportive	
  surroundings...then	
  such	
  a	
  
person	
  will	
  not	
  take	
  care	
  of	
  himself.	
  
In	
   the	
   case	
   of	
   Serbia,	
   the	
   reimposition	
   of	
   tradition	
   and	
   religion	
   and	
   the	
   role	
   of	
  
religious	
  communities,	
  influence	
  widely	
  and	
  deeply	
  the	
  institutional	
  response	
  to	
  specific	
  
social	
   problems.	
   The	
   connections	
   between	
   HIV/AIDS,	
   the	
   gay	
   sexual	
   minority	
   and	
  
religious	
   fundamentalism	
   of	
   any	
   kind	
   (Orthodox	
   Christianity	
   as	
   well	
   as	
   Islam	
   and	
  
Catholicism)	
   at	
   root	
   follow	
   the	
   logic	
   of	
   ‘non-­‐acceptance’	
   and	
   ‘non-­‐tolerance’	
   of	
   sexuality	
  
per	
  se	
  as	
  fundamental	
  human	
  attribute.	
  

	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
   	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  
7	
  Smith,	
  1997,	
  p.115	
  
8	
  Jensen,	
  2005	
  
9	
  See	
  Buden,	
  2009	
  
10	
  ibid,	
  p.89	
  

12
The	
   context	
   of	
   Serbian	
   society	
   presented	
   in	
   the	
   first	
   chapter	
   could	
   not	
   be	
  
addressed	
   fully	
   without	
   study	
   of	
   the	
   epidemiological	
   situation	
   of	
   HIV/AIDS	
   in	
   Serbia	
  
today.	
  Those	
  data	
  are	
  showing	
  the	
  dynamics	
  of	
  the	
  epidemic	
  and	
  the	
  inadequate	
  result	
  of	
  
the	
  institutional	
  response	
  towards	
  the	
  spread	
  of	
  HIV/AIDS.	
  The	
  construction	
  of	
  the	
  main	
  
social	
   policy	
   document	
   about	
   HIV/AIDS	
   in	
   Serbia	
   from	
   2005	
   until	
   2015,	
   the	
   ‘National	
  
Strategy	
  against	
  HIV/AIDS’	
  	
  demonstrates	
  the	
  same	
  level	
  of	
  inconsistency	
  toward	
  the	
  gay	
  
sexual	
  minority,	
  particularly	
  in	
  its	
  	
  estimate	
  of	
  the	
  	
  number	
  of	
  gay	
  people	
  in	
  Serbia	
  and	
  
the	
  level	
  of	
  testing	
  for	
  HIV	
  that	
  has	
  been	
  carried	
  out	
  among	
  them.11	
  The	
  epidemiological	
  
data	
  show	
  the	
  increasing	
  number	
  of	
  those	
  newly	
  infected,	
  particularly	
  among	
  the	
  group	
  
of	
  men	
  who	
  have	
  sex	
  with	
  men	
  –	
  MSM.12	
  The	
  epidemiological	
  data	
  are	
  very	
  easily	
  reached	
  
on	
   the	
   NGO’s	
   websites	
   and	
   are	
   thoroughly	
   updated.13	
   The	
   two	
   major	
   tendencies	
   in	
   the	
  
HIV/AIDS	
  epidemic	
  in	
  Serbia	
  are	
  the	
  following;	
  firstly,	
  the	
  acceleration	
  in	
  the	
  number	
  of	
  
the	
  newly	
  infected,	
  mostly	
  among	
  MSM,	
  and	
  secondly,	
  a	
  third	
  of	
  the	
  AIDS	
  cases	
  (33%)	
  are	
  
first	
   diagnosed	
   in	
   the	
   disease’s	
   terminal	
   phase.14	
   The	
   acceleration	
   in	
   the	
   HIV/AIDS	
  
epidemic	
   has	
   doubled,	
   firstly,	
   as	
   the	
   total	
   population	
   of	
   Serbia	
   has	
   decreased	
   by	
   some	
  
5%15	
  since	
  2002.	
  Secondly,	
  the	
  number	
  of	
  cases	
  of	
  HIV/AIDS	
  has	
  increased,	
  especially	
  in	
  
young	
  adult	
  males.16	
  	
  
Together	
   with	
   the	
   history	
   and	
   the	
   epidemiological	
   data	
   the	
   first	
   chapter	
   also	
  
tackles	
   an	
   examination	
   of	
   the	
   educational	
   discourse	
   in	
   Serbia	
   about	
   HIV/AIDS.	
   The	
  
silencing	
  of	
  gay	
  sexuality	
  is	
  at	
  the	
  core	
  of	
  the	
  aims	
  of	
  this	
  educational	
  process.	
  The	
  official	
  
material	
   of	
   the	
   2nd	
   Serbian	
   PLHIV	
   Conference	
   provides	
   an	
   excellent	
   example	
   of	
   the	
  
claim,17	
   offering	
   excellent	
   proof	
   as	
   to	
   how,	
   when	
   religion	
   comes	
   to	
   determine	
   social	
  
practices,	
  religion	
  itself	
  then	
  takes	
  over	
  the	
  role	
  of	
  society.18	
  How	
  is	
  it	
  possible	
  to	
  provide	
  
the	
  functions	
  of	
  the	
  state	
  and	
  biogovernmentality	
  in	
  such	
  circumstances?	
  What	
  about	
  the	
  
de	
  facto	
  life-­‐management	
  of	
  minority	
  groups	
  that	
  arises	
  from	
  the	
  hypocrisy	
  of	
  the	
  state	
  
and	
   society’s	
   discriminatory	
   politics?	
   Such	
   symbiosis	
   could	
   impede	
   the	
   ability	
   to	
   address	
  
specific	
   social	
   questions	
   such	
   as	
   those	
   to	
   which	
   HIV/AIDS	
   give	
   rise.	
   Later	
   in	
   the	
   thesis,	
  
the	
   case	
   of	
   Serbia,	
   and	
   the	
   present	
   state	
   of	
   HIV/AIDS	
   epidemic	
   and	
   gay	
   minority	
   in	
   the	
  
country,	
  will	
  show	
  how	
  the	
  unity	
  of	
  re-­‐traditionalized	
  society	
  and	
  religion	
  is	
  undermining	
  
efforts	
   to	
   deal	
   with	
   the	
   problem.	
   That	
   pattern	
   is	
   also	
   traced	
   in	
   the	
   processes	
   of	
  
	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
   	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  
11	
  See	
  http://www.minzdravlja.info/downloads/Zakoni/Strategije/HIVAIDS%20Strategija%202005.pdf	
  
12	
  See	
  Rakić	
  et	
  al.,	
  2010;	
  Ministry	
  of	
  Health	
  of	
  the	
  Republic	
  of	
  Serbia,	
  2010;	
  www.aidsresurs.rs,	
  2012;	
  
www.jazas.rs,	
  2012	
  	
  
13	
  See	
  www.aidsresurs.rs,	
  2012;	
  www.jazas.com,	
  2012	
  
14	
  ibid	
  
15	
  See	
  www.mediapopis2012.rs	
  
16	
  Rakić,	
  2010	
  
17	
  Vukašinović	
  et	
  al.,	
  2012	
  
18	
  Buden,	
  2009,	
  p.	
  166	
  

13
representation	
   of	
   the	
   gay	
   sexual	
   minority	
   in	
   Serbia,	
   as	
   well	
   as	
   the	
   connection	
   between	
  
representation	
   and	
   sexuality.	
   Tim	
   Stüttgen	
   expresses	
   this	
   connection	
   between	
  
representations	
   and	
   sexuality	
   in	
   a	
   letter	
   to	
   the	
   Spanish	
   feminist	
   Beatriz	
   Preciado,	
   thus:	
  	
  	
  
“Representation,	
  you	
  wrote	
  once,	
  ’belongs	
  together	
  with	
  medical	
  and	
  legal	
  discourses,	
  to	
  
the	
  biopolitical	
  processes	
  of	
  normalization	
  and	
  control	
  of	
  bodies	
  and	
  sexuality’.”19	
  	
  
The	
   context	
   of	
   the	
   Serbian	
   society,	
   presented	
   in	
   the	
   first	
   chapter,	
   would	
   not	
   be	
  
complete	
   without	
   the	
   biomedical	
   discourse.	
   The	
   introduction	
   of	
   biomedicine	
   and	
  
biomedical	
   structuring	
   of	
   subjectivities	
   around	
   HIV/AIDS	
   provide	
   the	
   pattern	
   of	
   the	
  
implementation	
  of	
  biogovernmentality	
  in	
  society,	
  introduced	
  and	
  examined	
  by	
  Foucault	
  
in	
  ‘The	
  Birth	
  of	
  Biopolitics’,	
  and	
  further	
  developed,	
  at	
  the	
  molecular	
  levels	
  of	
  governing,	
  
in	
  	
  recent	
  times.20	
  The	
  work	
  of	
  Marsha	
  Rosengarthen	
  brings	
  the	
  biomedical	
  structuring	
  of	
  
gay	
  identity	
  in	
  a	
  society	
  ruled	
  by	
  information	
  and	
  HIV/AIDS	
  control.21	
  The	
  body	
  politics	
  
of	
   HIV	
   positive	
   gay	
   men	
   is	
   controlled	
   by	
   ARV	
   (antiretroviral)	
   therapy,	
   as	
   well	
   as	
   their	
   life	
  
management.22	
   That	
   is	
   why	
   a	
   good	
   structuring	
   and	
   framing	
   of	
   social	
   policy	
   toward	
  
HIV/AIDS	
   are	
   very	
   important	
   for	
   the	
   halting	
   of	
   the	
   epidemic.	
   The	
   recent	
   work	
   of	
   some	
  
researchers	
   is	
   developing	
   our	
   understanding	
   of	
   new	
   social	
   organisation	
   around	
   shared	
  
body	
   politics	
   in	
   the	
   gay	
   community.23	
   The	
   strategies	
   of	
   resistance	
   and	
   mimicry	
   are	
  
guiding	
  the	
  gay	
  sexual	
  minority	
  in	
  Serbia.	
  Their	
  body	
  politics	
  are	
  structured	
  around	
  the	
  
undetectability	
   of	
   the	
   virus,	
   and	
   the	
   undetectability	
   of	
   gay	
   identity	
   positions	
   in	
   widely	
  
homophobic	
  and	
  discriminatory	
  surroundings.	
  	
  
The	
   work	
   of	
   Joao	
   Biehl	
   draws	
   on	
   the	
   biopolitical	
   and	
   pharmaceutical	
   processes	
  
that	
   shape	
   identities	
   in	
   his	
   native	
   Brasil.24	
   Nevertheless,	
   the	
   biomedical	
   approach	
   to	
  
HIV/AIDS	
   in	
   Brasilian	
   society	
   provides	
   an	
   insight	
   as	
   to	
   how	
   identity	
   politics	
   has	
   been	
  
productively	
   structured	
   through	
   relations	
   against	
   ‘the	
   other’,	
   the	
   virus	
   and	
   the	
  
representation	
   of	
   ‘the	
   other’.25	
   Such	
   identity	
   politics	
   is	
   important	
   for	
   similar	
   situations	
  
worldwide.	
   For	
   Rosengarthen,	
   the	
   biomedical	
   construction	
   of	
   the	
   identity	
   of	
   HIV	
   infected	
  
and	
  the	
  AIDS	
  patients	
  in	
  the	
  UK	
  is	
  an	
  inseparable	
  part	
  of	
  the	
  contemporary	
  subjectivity	
  of	
  
the	
   PLHIV.	
   The	
   processes	
   of	
   the	
   pharmaceuticalization	
   of	
   AIDS	
   discourse,	
   and	
   the	
  
	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
   	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  
19	
  Stüttgen,	
  2009,	
  p.	
  44	
  
20	
  Using	
  the	
  concept	
  	
  of	
  the	
  molecular	
  level	
  of	
  biogoverning	
  (or	
  biogovernmentality),	
  we	
  have	
  to	
  consider	
  the	
  

level	
  of	
  the	
  ‘tube’	
  and	
  the	
  ‘tube	
  testing’	
  where	
  the	
  identity	
  is	
  structured	
  by	
  	
  positive	
  or	
  the	
  negative	
  
biomedical	
  test	
  results	
  of	
  any	
  kind,	
  eg.	
  Elisa	
  testing	
  on	
  HIV	
  antibodies,	
  PCR	
  testing	
  on	
  HIV,	
  the	
  screening	
  
testing	
  for	
  CD4	
  lymphocytes	
  as	
  the	
  marker	
  of	
  ARV	
  efficiency,	
  etc.,	
  See	
  Rose,	
  2007;	
  Rosengarthen,	
  2009;	
  Biehl,	
  
2009;	
  Whitacre,	
  2011	
  	
  
21	
  ibid	
  
22	
  Rosengarthen,	
  2009	
  
23	
  Biehl,	
  2009;	
  Whitacre,	
  2011	
  
24	
  Biehl,	
  2009	
  
25	
  Rosengarthen,	
  2009	
  

14
introduction	
   of	
   ARV	
   therapy,	
   are	
   shaping	
   new	
   identity	
   positions	
   for	
   PLHIV.	
   Nevertheless,	
  
class	
  and	
  race	
  remain	
  the	
  defining	
  factors	
  of	
  the	
  life-­‐management	
  of	
  HIV	
  positive	
  gay	
  men	
  
in	
   Brazil,	
   UK	
   and	
   Serbia	
   as	
   well.	
   The	
   political	
   position	
   espousing	
   ‘therapy	
   for	
   all’	
   is	
   still	
   at	
  
the	
   heart	
   of	
   official	
   social	
   policy	
   in	
   low	
   income	
   countries	
   such	
   as	
   Serbia.	
   Unfortunately	
  
the	
  present	
  economic	
  situation	
  is	
  not	
  conducive	
  to	
  such	
  policy.	
  
The	
  organisation	
  of	
  life	
  and	
  the	
  body	
  politics	
  of	
  HIV	
  positive	
  gay	
  men	
  have	
  been	
  
transformed	
  in	
  recent	
  years	
  by	
  the	
  regulatory	
  mechanism	
  of	
  seropositivity	
  and	
  the	
  viral	
  
load.26	
   The	
   viral	
   load	
   defines	
   the	
   body	
   politics	
   of	
   the	
   carrier	
   of	
   the	
   HIV	
   and	
   brings	
  
completely	
  new	
  insight	
  into	
  gay	
  social	
  organisation	
  in	
  the	
  AIDS	
  discourses.	
  ARV	
  therapy	
  
has	
   brought	
   new	
   perspectives	
   for	
   HIV	
   positive	
   gay	
   men	
   and	
   provides	
   a	
   space	
   for	
   new	
  
strategies	
   of	
   resistance	
   against	
   stigmatization	
   based	
   on	
   sexuality	
   or	
   illness	
   or	
   both.	
  
Through	
   matching	
   sexuality	
   and	
   sexual	
   preferences,	
   HIV	
   positive	
   gay	
   men	
   are	
   trying	
   to	
  
identify	
  similar	
  identity	
  positions	
  and	
  thus,	
  in	
  some	
  aspects,	
  are	
  aligning	
  their	
  everyday	
  
life	
   practices	
   and	
   their	
   body	
   politics.	
   New	
   insights	
   into	
   the	
   organisation	
   and	
   the	
   life-­‐
management	
   of	
   HIV	
   positive	
   gay	
   men	
   in	
   specific	
   social	
   and	
   geographical	
   areas,	
   such	
   as	
  
the	
   San	
   Francisco	
   Bay	
   Area,	
   has	
   brought	
   to	
   light	
   the	
   phenomenon	
   of	
   everyday-­‐life	
  
practices	
   in	
   a	
   community	
   where	
   gay	
   sexuality	
   is	
   not	
   a	
   taboo	
   anymore.27	
   	
   Such	
   insights	
  
could	
  provide	
  a	
  basic	
  understanding	
  as	
  to	
  how	
  the	
  similar	
  	
  patterns	
  of	
  behaviour	
  operate	
  
in	
   communities	
   with	
   a	
   high	
   level	
   of	
   discrimination	
   and	
   stigmatisation	
   toward	
   HIV	
  
positive	
   gay	
   men,	
   such	
   as	
   in	
   Serbian	
   society.	
   While	
   the	
   silencing	
   of	
   gay	
   sexuality	
   is	
   the	
  
Serbian	
  response	
  to	
  gay	
  issues	
  (including	
  HIV/AIDS	
  among	
  gay	
  people	
  and	
  other	
  PLHIV),	
  
visibility	
   and	
   recognition	
   are	
   the	
   progressive	
   factors	
   being	
   used,	
   in	
   Western	
   countries,	
  
with	
  more	
  or	
  less	
  success,	
  to	
  address	
  the	
  same	
  issues.	
  	
  
The	
   second	
   chapter	
   addresses	
   directly	
   the	
   gay	
   sexual	
   minority	
   in	
   Serbia	
   and	
   its	
  
recognition	
   by	
   and	
   in	
   Serbian	
   society.	
   The	
   philosophy	
   of	
   recognition,	
   as	
   developed	
   by	
  
Alexander	
   Garcia-­‐Düttmann,	
   will	
   be	
   used	
   in	
   this	
   chapter.28	
   Reflecting	
   on	
   recognition	
   as	
  
the	
   ‘question	
   of	
   the	
   voice	
   of	
   non-­‐identical’,	
   Garcia-­‐Düttmann	
   is	
   providing	
   a	
   starting	
   point	
  
to	
   understand	
   the	
   processes	
   of	
   non-­‐acceptance	
   (non-­‐recognition)	
   of	
   minority	
   identity.	
  
	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
   	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  
26	
  See	
  Whitacre,	
  2011,	
  p.	
  V:	
  “Viral	
  load	
  is	
  a	
  measurement	
  of	
  the	
  amount	
  of	
  virus	
  in	
  an	
  organism	
  and	
  typically,	
  
in	
  the	
  bloodstream.	
  In	
  the	
  case	
  of	
  HIV	
  this	
  measurement	
  is	
  obtained	
  through	
  a	
  viral	
  load	
  test,	
  formally	
  
referred	
  to	
  as	
  the	
  Human	
  Immunodeficiency	
  Virus	
  RNA	
  Quantitative	
  and	
  is	
  expressed	
  in	
  virus	
  particles	
  or	
  
copies	
  per	
  milliliter	
  (copies/mL)	
  of	
  blood	
  plasma.	
  As	
  an	
  important	
  distinction,	
  the	
  HIV	
  antibody	
  test,	
  not	
  the	
  
HIV	
  viral	
  load	
  test,	
  is	
  the	
  recommended	
  method	
  for	
  the	
  diagnosis	
  of	
  HIV.	
  The	
  HIV	
  viral	
  load	
  test	
  is	
  used	
  for	
  
monitoring	
  the	
  level	
  of	
  virus	
  after	
  the	
  initial	
  diagnosis	
  of	
  HIV.	
  Knowing	
  the	
  viral	
  load	
  is	
  crucial	
  in	
  matters	
  of	
  
prognosis,	
  prevention	
  and	
  the	
  management	
  of	
  HIV	
  therapy,	
  but	
  the	
  perceptibility	
  of	
  the	
  viral	
  load	
  
complicates	
  such	
  efforts	
  and	
  has	
  the	
  potential	
  to	
  create	
  scenarios	
  of	
  misrepresentation	
  and	
  subsequent	
  
misunderstanding.”	
  
27	
  	
  ibid,	
  pp.	
  12-­‐14	
  
28	
  Garcia-­‐Düttmann,	
  1996;	
  Garcia-­‐Düttmann,	
  2000	
  

15
Garcia-­‐Düttmann	
   states:	
   “...in	
   order	
   to	
   gain	
   knowledge	
   of	
   what	
   the	
   pain	
   of	
   the	
   other	
   is,	
  
then	
   the	
   failing	
   recognition	
   or	
   the	
   absence	
   of	
   a	
   response	
   may	
   suggest	
   an	
   absence	
   of	
  
knowledge	
   –	
   an	
   absence	
   which	
   does	
   not	
   determine	
   the	
   failure	
   of	
   recognition...”.29	
   The	
  
importance	
   of	
   recognition	
   of	
   the	
   gay	
   sexual	
   minority,	
   (and	
   in	
   its	
   core	
   gay	
   sexuality)	
   in	
  
Serbia,	
   is	
   the	
   cornerstone	
   of	
   any	
   successful	
   state	
   policy	
   and	
   politics,	
   including	
   policy	
  
about	
  HIV/AIDS	
  and	
  PLHIV.	
  In	
  talking	
  about	
  the	
  extent	
  of	
  the	
  influence	
  of	
  the	
  politics	
  of	
  
recognition,	
  Garcia-­‐Düttmann	
  confirms:	
  “Politics	
  is	
  a	
  politics	
  of	
  recognition	
  to	
  the	
  extent	
  
that	
   self-­‐consciousness,	
   identity,	
   difference,	
   culture,	
   society,	
   the	
   state	
   and	
   the	
   legal	
  
system	
   cannot	
   be	
   formed	
   and	
   thought	
   without	
   recognition,	
   whatever	
   one’s	
   concept	
   of	
  
recognition	
  may	
  be.”30	
  The	
  recognition	
  of	
  the	
  gay	
  sexual	
  minority	
  should	
  include	
  the	
  core	
  
identity	
  factor	
  of	
  recognition;	
  that	
  is	
  –	
  the	
  recognition	
  of	
  gay	
  sexuality.	
  This	
  is	
  the	
  main	
  
problem	
   for	
   Serbian	
   society	
   and	
   the	
   state,	
   otherwise	
   the	
   tumult	
   over	
   gay	
   sexual	
   minority	
  
rights	
  in	
  Serbia	
  would	
  not	
  be	
  at	
  the	
  pitch	
  that	
  it	
  has	
  been	
  for	
  over	
  two	
  decades	
   –	
  and	
  that	
  
is	
   before	
   even	
   taking	
   into	
   consideration	
   the	
   ever-­‐expanding	
   HIV/AIDS	
   epidemic.	
   The	
  
discourse	
   of	
   AIDS,	
   also	
   prominent	
   in	
   the	
   work	
   of	
   Garcia-­‐Düttmann,	
   problematises	
   the	
  
body	
  politics	
  of	
  the	
  gay	
  sexual	
  minority	
  and	
  wider	
  social	
  concepts	
  organized	
  around	
  the	
  
same	
  discourse.	
  In	
  discussing	
  who,	
  how,	
  and	
  what	
  is	
  relevant	
  in	
  the	
  problematisation	
  of	
  
AIDS,	
  Garcia-­‐Düttmann	
  points	
  out:	
  “Thinking	
  and	
  talking	
  about	
  AIDS	
  cannot	
  be	
  detached	
  
from	
  the	
  context	
  of	
  practical	
  politics;	
  they	
  are	
  inscribed	
  in	
  it	
  and	
  create	
  it	
  with	
  the	
  first	
  
word	
   and	
   first	
   thought”.31	
   In	
   this	
   way,	
   the	
   politics	
   around	
   HIV	
   positive	
   gay	
   men	
   in	
   Serbia	
  
is	
   inadequate	
   to	
   deal	
   with	
   two	
   recognitions:	
   the	
   recognition	
   of	
   the	
   virus	
   (HIV,	
   and	
  
consequently	
  AIDS)	
  at	
  the	
  organisational	
  level,	
  and	
  the	
  recognition	
  of	
  gay	
  sexuality.	
  
The	
   aim	
   of	
   prevention	
   and	
   the	
   numerical	
   targets	
   to	
   achieve	
   this	
   that	
   have	
   been	
  
missed	
   are	
   just	
   one	
   element	
   of	
   the	
   failing	
   politics	
   of	
   recognition.	
   In	
   1996,	
   Lewis-­‐Allen	
  
pointed	
  out	
  the	
  relation	
  between	
  prevention	
  and	
  recognition:	
  “Prevention	
   –	
   even	
  today	
  
the	
   most	
   important	
   weapon	
   against	
   AIDS	
   by	
   far	
   –	
   continues	
   to	
   be	
   misunderstood,	
  
underfunded,	
   and	
   ineffectual;	
   prejudices	
   remain.”32	
   In	
   fighting	
   these	
   patterns	
   of	
  
prejudices,	
   discrimination,	
   and	
   stigmatisation,	
   new	
   approaches	
   should	
   introduce	
   a	
  
different	
   social	
   response	
   than	
   has	
   so	
   far	
   been	
   seen.	
   One	
   of	
   the	
   biggest	
   challenges	
   for	
  
Serbian	
  society	
  and	
  the	
  global	
  perspective	
  of	
  HIV/AIDS	
  today	
  is	
  the	
  societal	
  inclusion	
  of	
  
every	
   individual	
   HIV	
   positive	
   gay	
   man	
   and	
   the	
   transformation	
   of	
   all	
   of	
   the	
   social	
  
structures	
  affecting	
  and	
  affected	
  by	
  HIV/AIDS.	
  	
  

	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
   	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  
29	
  Garcia-­‐Düttmann,	
  2000,	
  p.9	
  
30	
  ibid,	
  p.190	
  
31	
  Garcia-­‐Düttmann,	
  1996,	
  p.49	
  
32	
  Lewis-­‐Allen,	
  2000,	
  p.	
  127	
  

16
Finally,	
   in	
   the	
   third	
   chapter,	
   the	
   interviews	
   conducted	
   as	
   part	
   of	
   this	
   study	
   are	
  
analysed	
   and	
   this	
   analysis	
   is	
   integrated	
   into	
   the	
   theoretical	
   conceptualization	
   of	
   the	
  
previous	
  two	
  chapters.	
  
	
  

	
  

17
Chapter	
  I	
  
1.1	
   Transitional	
  Serbian	
  society	
  	
  
To	
   examine	
   the	
   context	
   of	
   the	
   AIDS	
   epidemic	
   in	
   Serbia	
   is	
   unimaginable	
   without	
   an	
  
introduction	
   to	
   recent	
   Serbian	
   history	
   and	
   politics.	
   	
   Serbian	
   society	
   has	
   been	
   through	
  
very	
   turbulent	
   times	
   in	
   the	
   last	
   two	
   decades.	
   As	
   one	
   of	
   the	
   six	
   republics	
   of	
   the	
   former	
  
Socialist	
   Federal	
   Republic	
   of	
   Yugoslavia,	
   Serbia	
   gained	
   its	
   independence	
   through	
   the	
  
bloody	
  Yugoslav	
  wars	
  of	
  the	
  1990s.	
  Initially,	
  many	
  historians	
  saw	
  the	
  start	
  of	
  the	
  fall	
  of	
  
the	
  Yugoslav	
  Federation	
  immediately	
  after	
  the	
  death	
  of	
  President	
  Tito	
  in	
  1980.	
  The	
  rise	
  
of	
   nationalism,	
   as	
   Bowman	
   explained,	
   occurred	
   as	
   the	
   response	
   to	
   the	
   socialist	
   legacy:	
  
“The	
   discursive	
   shift	
   to	
   nationalist	
   discourse	
   occurred	
   through	
   the	
   intervention	
   of	
  
republican	
   politicians	
   who	
   created	
   ‘national’	
   platforms	
   from	
   where	
   they	
   could	
   launch	
  
bids	
   to	
   increase	
   their	
   holds	
   on	
   power	
   in	
   a	
   Yugoslav	
   state	
   characterised,	
   after	
   the	
   death	
   of	
  
Tito,	
   by	
   a	
   vacuum	
   at	
   the	
   political	
   centre”.33	
   In	
   trying	
   to	
   describe	
   the	
   crisis	
   of	
   the	
   Yugoslav	
  
socialist	
   model	
   Vladimir	
   Marković	
   refers	
   to	
   the	
   1990s	
   as:	
   “...years	
   marked	
   with	
   “war	
  
transitions”,	
   bloody	
   destruction	
   of	
   the	
   federal	
   state	
   and	
   societal	
   disintegration.	
   The	
  
notion	
  of	
  the	
  political	
  was	
  commonly	
  perceived	
  as	
  national,	
  which	
  was	
  very	
  convenient	
  
for	
  awakening	
  of	
  ethnocentric	
  ressentiment,	
  the	
  rediscovery	
  of	
  traditional	
  values	
  and	
  the	
  
rise	
  of	
  reactionary	
  right-­‐wing	
  ideologies”.34	
  The	
  rise	
  to	
  power	
  of	
  Slobodan	
  Milošević,	
  who	
  
became	
   the	
   Yugoslav	
   Communist	
   Party	
   leader	
   in	
   Serbia	
   in	
   1987,	
   and	
   the	
   production	
   of	
  
the	
  notorious	
  nationalist	
  document	
  –	
  called	
  ‘Memorandum’	
  –	
  by	
  the	
  Serbian	
  Academy	
  of	
  
Science	
  and	
  Arts	
  in	
  Belgrade	
  in	
  1986,	
  by	
  the	
  end	
  of	
  the	
  1980s	
  and	
  throughout	
  the	
  1990s	
  
had	
   become	
   the	
   cornerstones	
   of	
   nationalistic	
   Serbian	
   politics.35	
   The	
   political	
   elites	
   in	
  
other	
   republics	
   of	
   Former	
   Yugoslavia,	
   especially	
   Slovenia	
   and	
   Croatia,	
   similarly	
   and	
  
consequently	
   on	
   the	
   Serbian	
   nationalist	
   propaganda	
   and	
   the	
   political	
   establishment,	
  
created	
   the	
   similar	
   nationalist	
   approaches	
   and	
   rhetoric.36	
   These	
   events	
   were	
   the	
  
precursors	
   to	
   the	
   bloody	
   war	
   between	
   the	
   nations	
   and	
   the	
   republics	
   from	
   1991–1995,	
  
culminating	
   with	
   the	
   end	
   of	
   Bosnian	
   war,	
   brokered	
   through	
   the	
   Dayton	
   Peace	
  
Agreement.37	
  Even	
  though	
  war	
  clashes	
  were	
  avoided	
  directly	
  on	
  Serbian	
  soil,	
  Serbia	
  was	
  
very	
   much	
   responsible	
   for	
   the	
   war	
   activities	
   played	
   out	
   by	
   the	
   ethno-­‐nationalist	
   elites,	
  

	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
   	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  
33	
  Bowman,	
  2005,	
  p.134	
  
34	
  Marković,	
  2001,	
  p.27	
  
35	
  See	
  http://www.scribd.com/doc/19499149/Olivera-­‐Milosavljevi-­‐Jugoslavija-­‐kao-­‐zabluda	
  
36	
  Bowman,	
  2005,	
  pp.135-­‐141	
  
37	
  See	
  http://www.ohr.int/dpa/default.asp?content_id=379	
  

18
especially	
   in	
   Bosnia	
   and	
   Herzegovina.38	
   Catalysed	
   by	
   the	
   result	
   of	
   the	
   conflict	
   between	
  
Serbs	
   and	
   Albanians	
   in	
   Kosovo,	
   on	
   March	
   24th	
   1999,	
   NATO	
   commenced	
   its	
   bombardment	
  
of	
  Serbia,	
  which	
  continued	
  until	
  June	
  10th	
  1999.39	
  Alongside	
  these	
  developments,	
  during	
  
the	
  1990s,	
  a	
  strong	
  anti–nationalistic	
  movement	
  had	
  grown	
  in	
  Serbian	
  society.	
   40	
  Jansen	
  
points	
  out	
  that	
  both	
  Serbian	
  and	
  Croatian	
  nationalisms	
  were	
  based	
  in	
  the	
  repression	
  of	
  
‘the	
  other’.41	
   Traditional	
   Serbian	
   patriarchal	
  society	
  has	
  found	
  its	
  immaculate	
  imperative	
  
in	
   the	
   nationalistic	
   ideology	
   of	
   ‘the	
   purity	
   of	
   the	
   nation’,	
   and	
   consequently,	
   there	
   is	
   no	
  
place	
   for	
   any	
   form	
   of	
   ‘otherness’	
   that	
   might	
   undermine	
   it.	
   However,	
   after	
   the	
   defeat	
   of	
  
Slobodan	
   Milošević	
   in	
   the	
   election,	
   and	
   post-­‐election	
   revolution	
   of	
   the	
   masses	
   on	
   the	
  
streets	
   of	
   Belgrade	
   in	
   5th	
   October	
   2000,	
   and	
   as	
   a	
   result	
   of	
   the	
   exposure	
   of	
   Milošević’s	
  
election	
  fraud,	
  Serbia	
  became	
  what	
  can	
  be	
  described	
  as	
  a	
  fully	
  transitional	
  society.42	
  The	
  
end	
   of	
   socialist	
   Yugoslavia	
   and	
   the	
   post-­‐revolution	
   changes	
   in	
   various	
   different	
   countries	
  
of	
   Eastern	
   Europe	
   at	
   the	
   end	
   of	
   the	
   1980s	
   and	
   the	
   beginning	
   of	
   1990s,	
   signalled	
   the	
  
establishment	
  of	
  a	
  regional	
  period	
  of	
  transition	
  from	
  socialism	
  to	
  neo-­‐liberal	
  capitalism.	
  
The	
  fallen	
  welfare	
  states	
  and	
  the	
  economic	
  insecurity,	
  encountering	
  the	
  same	
  problems	
  
as	
   Northern	
   Europe	
   and	
   Northern	
   America,	
   are	
   facing	
   the	
   majority	
   of	
   people	
   with	
  
problems	
   which	
   they	
   are	
   ill-­‐equipped	
   to	
   deal	
   or	
   cope	
   with.	
   In	
   this	
   situation,	
   Serbian	
  
society	
   is	
   no	
   exception.	
   As	
   a	
   World	
   Bank	
   study	
   in	
   2005	
   exposed:	
   “Poverty	
   rose	
   sharply	
   in	
  
the	
  1990s	
  and	
  remains	
  widespread.	
  Using	
  a	
  poverty	
  threshold	
  level	
  of	
  2.40€	
  a	
  day	
  finds	
  
that	
   11	
   percent	
   of	
   the	
   Serbian	
   population	
   falls	
   below	
   the	
   poverty	
   line.”43	
   Economic	
  
insecurity	
  has	
  followed	
  a	
  deeply	
  unstable	
  political	
  situation.	
  After	
  the	
  fall	
  of	
  the	
  regime	
  of	
  
Slobodan	
  Milošević	
  in	
  October	
  2000,	
  the	
  government	
  of	
  the	
  Prime	
  Minister	
  Zoran	
  Djindjić	
  
(2001–2003)	
  was	
  pursuing,	
  transparently,	
  a	
  path	
  to	
  a	
  democratic	
  Serbian	
  society	
  where	
  
human	
   rights,	
   including	
   minority	
   rights,	
   would	
   have	
   been	
   high	
   in	
   the	
   list	
   of	
   the	
   priorities	
  
of	
   social	
   reorganisation.	
   Recovering	
   from	
   the	
   wars	
   and	
   the	
   unstable	
   economic	
   and	
  
political	
  situation	
  and	
  even	
  in	
  just	
  two	
  years,	
  Serbian	
  society	
  had	
  made	
  some	
  significant	
  
progress	
   towards	
   the	
   path	
   of	
   a	
   democratic	
   society	
   with	
   respect	
   to	
   basic	
   human	
   rights.	
  
However,	
  in	
  March	
  2003,	
  the	
  assassination	
  of	
  Prime	
  Minister	
  Djinjić	
  in	
  Belgrade,	
  slowed	
  
and,	
  in	
  some	
  aspects,	
  reversed	
  these	
  attempts	
  at	
  democratic	
  progress,	
  driving	
  a	
  reversion	
  
towards	
  revisionist	
  nationalistic	
  rhetoric	
  and	
  politics,	
  and	
  the	
  return	
  of	
  uncertainty	
  to	
  the	
  
political	
  and	
  social	
  system	
  in	
  Serbia.44	
  
	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
   	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  
38	
  See	
  http://www.opendemocracy.net/globalization-­‐institutions_government/icj_bosnia_serbia_4392.jsp	
  
39	
  See	
  http://news.bbc.co.uk/2/hi/special_report/1998/kosovo/312003.stm	
  
40	
  Jansen,	
  2005	
  
41	
  ibid,	
  2005,	
  p.85	
  
42	
  See	
  http://news.bbc.co.uk/hi/english/static/in_depth/europe/2000/milosevic_yugoslavia/downfall.stm	
  
43	
  Godinho	
  et	
  al.,	
  2005,	
  p.122	
  
44	
  See	
  http://news.bbc.co.uk/2/hi/europe/2843433.stm	
  

19
In	
   the	
   21st	
   century,	
   following	
   not	
   only	
   the	
   local,	
   but	
   the	
   global	
   reality	
   of	
   failing	
  
welfare	
   states	
   and	
   the	
   rise	
   of	
   economic	
   and	
   ethnic	
   tensions,	
   Serbia	
   has	
   experienced	
  
‘democratic’	
  governments	
  which	
  have	
  shown	
  enormous	
  shifts	
  to	
  the	
  right	
  of	
  ideology	
  and	
  
policy.	
   Following	
   the	
   intensification	
   of	
   the	
   global	
   economic	
   crisis	
   since	
   2007,	
   populism	
  
has	
   been	
   on	
   the	
   rise.	
   As	
   a	
   political	
   strategy	
   and	
   tactic,	
   ever-­‐increasing	
   populism	
   has	
   been	
  
a	
   key	
   tool	
   to	
   gain	
   power	
   in	
   nations	
   where	
   citizens	
   are	
   weakened	
   by	
   years	
   of	
   wars,	
  
uncertainty	
   and	
   poor	
   economic	
   development.	
   The	
   transformation	
   of	
   Serbian	
   society	
  
seems	
   to	
   be	
   uniting	
   nationalist	
   and	
   traditional	
   tendencies	
   with	
   the	
   European	
   Union	
  
policy.	
   On	
   the	
   1st	
   March	
   2012	
   Serbia	
   gained	
   the	
   status	
   of	
   the	
   candidacy	
   for	
   the	
   EU	
  
membership.45	
  When	
  there	
  is	
  no	
  external	
  enemy,	
  there	
  is	
  always	
  somebody	
  to	
  remind	
  the	
  
people	
  of	
  the	
  purity	
  of	
  the	
  family,	
  the	
  nation	
  and	
  the	
  ‘motherland’.	
  As	
  different	
  analyses	
  
demonstrate,	
   this	
   instability	
   is	
   still	
   present	
   in	
   Serbia:	
   “Although	
   the	
   acute	
   phase	
   of	
   war	
  
may	
   have	
   ended,	
   tensions	
   continue	
   over	
   many	
   matters;	
   for	
   example:	
   Kosovo’s	
   recent	
  
declaration	
   of	
   independence	
   from	
   Serbia;	
   tribunals;	
   the	
   status	
   of	
   refugees	
   and	
   returnees;	
  
poverty;	
   instability	
   of	
   legal	
   institutions;	
   lack	
   of	
   health	
   and	
   social	
   services;	
   lack	
   of	
  
opportunities	
   for	
   new	
   ways	
   of	
   knowing,	
   potential	
   for	
   involvement	
   in	
   societal	
  
reorganization,	
   and	
   for	
   critical	
   thinking”.46	
   Since,	
   at	
   the	
   level	
   of	
   rhetoric	
   and	
   its	
  
publication,	
   all	
   the	
   conflicts	
   between	
   former	
   Yugoslav	
   nations	
   and	
   states	
   are	
   no	
   longer	
  
‘politically	
  correct’	
  and	
  since	
  all	
  of	
  these	
  states	
  are	
  influenced	
  by	
  the	
  qualitative	
  lurch	
  in	
  
the	
   economic	
   crisis	
   that	
   became	
   most	
   strongly	
   visible	
   in	
   2007,	
   the	
   easiest	
   way	
   to	
   base	
  
populist	
  policy	
  on	
  the	
  creation	
  of	
  new	
  threats	
  to	
  the	
  national	
  interest	
  in	
  the	
  form	
  of	
  ‘the	
  
other’.	
  Sexual	
  minorities	
  and	
  other	
  ethnic	
  minorities,	
  such	
  as,	
  for	
  example,	
  Roma	
  people	
  
are	
  among	
  the	
  first	
  to	
  be	
  labelled	
  as	
  ‘different’	
  in	
  Serbian	
  society	
  and	
  therefore	
  to	
  come	
  
under	
   threat	
   of	
   fascist	
   actions.	
   As	
   Anna	
   Marie	
   Smith	
   defined:	
   “A	
   hegemonic	
   authoritarian	
  
project	
   must	
   provide	
   the	
   necessary	
   structures	
   for	
   these	
   contradictory	
   identifications.	
   A	
  
total	
  exclusion	
  of	
  the	
  demonized	
  figure	
  may	
  weaken	
  the	
  authoritarian	
  project’s	
  claim	
  to	
  
universality.	
  It	
  must	
  pretend	
  to	
  accommodate	
  virtually	
  every	
  legitimate	
  social	
  element;	
  it	
  
must	
   appear	
   to	
   be	
   utterly	
   unaffected	
   by	
   the	
   multiplication	
   of	
   new	
   social	
   differences.	
   At	
  
the	
   same	
   time,	
   it	
   must	
   pursue	
   populist	
   strategies.	
   It	
   must	
   mobilize	
   and	
   reproduce	
   the	
  
reactionary	
   forces	
   that	
   provide	
   its	
   political	
   momentum.	
   It	
   must	
   also	
   drag	
   the	
   political	
  
centre	
  so	
  far	
  to	
  the	
  right	
  that	
  the	
  conservative	
  elements	
  within	
  the	
  centrist	
  and	
  centre-­‐
left	
   parties	
   become	
   more	
   prominent	
   and	
   move	
   their	
   parties	
   to	
   the	
   right.	
   This	
   in	
   turn	
  
contributes	
  to	
  the	
  increasing	
  alienation	
  among	
  the	
  voters	
  who	
  traditionally	
  support	
  the	
  
centre-­‐left	
   and	
   leftist	
   parties,	
   such	
   as	
   progressive	
   lesbians	
   and	
   gays,	
   workers,	
   blacks,	
   and	
  
feminists.	
   Ultimately,	
   the	
   authoritarian	
   populism	
   of	
   the	
   new	
   right	
   and	
   the	
  
	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
   	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  
45	
  See	
  http://www.bbc.co.uk/news/world-­‐europe-­‐17225415	
  
46	
  Daiute,	
  2010,	
  p.	
  23	
  

20
neoconservatives	
   is	
   itself	
   contradictory	
   since	
   it	
   depends	
   simultaneously	
   on	
   the	
  
permanent	
   mobilization	
   of	
   a	
   small	
   cadre	
   of	
   right-­‐wing	
   voters	
   and	
   the	
   virtual	
  
disenfranchisement	
   of	
   the	
   majority	
   of	
   the	
   electorate.”47	
   In	
   addressing	
   the	
   topic	
   of	
  
contemporary	
   fascism	
   and	
   its	
   political	
   continuing	
   manifestation,	
   Marković	
   posits	
   its	
  
resurgence	
  on	
  the	
  ‘ideological	
  crisis	
  of	
  the	
  West’	
  and	
  admits	
  that	
  the	
  survival	
  of	
  fascism	
  
globally	
  is	
  occurring	
  through	
  very	
  subtle	
  and	
  disguised	
  adaptations.48	
  In	
  Serbia,	
  as	
  well	
  as	
  
in	
  the	
  other	
  republics	
  of	
  ex-­‐Yugoslavia,	
  the	
  ideology	
  of	
  neoliberal	
  capitalism	
  has	
  gained	
  
the	
  substantial	
  power	
  it	
  has	
  in	
  combination	
  with	
  a	
  ‘transitional’	
  hybrid	
  social	
  system.	
   49	
  
This	
   socio-­‐political	
   ground	
   has	
   been	
   and	
   continues	
   to	
   be	
   very	
   productive	
   for	
   the	
  
‘disguised’	
   fascism	
   and	
   national-­‐socialist	
   tendencies	
   targeting	
   ‘others’	
   among	
   the	
  
population,	
  especially	
  sexual	
  minorities.	
  Yet	
  the	
  process	
  of	
  becoming	
  a	
  full	
  member	
  of	
  EU	
  
has	
  put	
  Serbia	
  constantly	
  in	
  the	
  spotlight	
  vis	
  a	
  vis	
  having	
  to	
  negotiate	
  national	
  interests	
  
under	
  scrutiny.	
  One	
  of	
  the	
  crucial	
  moments	
  in	
  the	
  recent	
  political	
  developments	
  in	
  Serbia	
  
was	
   Parliament’s	
   vote	
   for	
   the	
   Anti-­‐discriminatory	
   law	
   in	
   2009.	
   The	
   deputies	
   voted	
   on	
  
26th	
   March	
   2009,	
   with	
   the	
   majority	
   of	
   127	
   votes	
   in	
   250	
   seats	
   Parliament	
   for	
   the	
   Anti-­‐
discriminatory	
   law	
   in	
   which	
   are	
   addressed	
   issues	
   of	
   equality	
   and	
   which	
   makes	
   illegal	
  
discrimination	
   of	
   any	
   kind.50	
   Nevertheless,	
   in	
   the	
   same	
   debate,	
   an	
   amendment	
   to	
   the	
  
penal	
   code	
   which	
   would	
   have	
   explicitly	
   outlawed	
   discrimination	
   of	
   PLHIV	
   and	
   their	
  
families	
  was	
  rejected.51	
  In	
  2009,	
  a	
  parliamentary	
  group	
  of	
  9	
  members	
  of	
  the	
  Parliament	
  
came	
   together	
   to	
   lobby	
   the	
   Serbian	
   Parliament	
   and	
   parliamentarians	
   on	
   HIV/AIDS	
   and	
  
the	
   reproductive	
   health	
   issues.	
   There	
   has	
   been	
   no	
   achievement	
   around	
   this	
   issue	
   but	
  
mere	
  paying	
  of	
  the	
  lip	
  service	
  and	
  showing	
  off	
  of	
  political	
  correctness.	
  It	
  is	
  expected	
  that	
  
the	
  Parliamentary	
  group	
  will	
  continue	
  its	
  work	
  in	
  the	
  newly	
  formed	
  National	
  Assembly	
  
which	
  commenced	
  its	
  term	
  of	
  office	
  in	
  July	
  2012.	
  It	
  would	
  be	
  productive	
  if	
  the	
  Parliament	
  
focused	
  its	
  attention	
  on	
  regulations	
  concerning	
  sexual	
  and	
  reproductive	
  health	
  education	
  
in	
  schools.	
  Nonetheless,	
  today	
  in	
  Serbia,	
  the	
  question	
  of	
  the	
  implementation	
  of	
  existing	
  
law	
   and	
   how	
   the	
   legislature	
   deals	
   with	
   this,	
   is	
   the	
   crux	
   of	
   the	
   matter	
   for	
   vulnerable	
   social	
  
groups.52	
  	
  
The	
  Ministry	
  of	
  Health	
  of	
  the	
  Republic	
  of	
  Serbia	
  has	
  a	
  track	
  record	
  of	
  5	
  years	
  of	
  
strategic	
   responses	
   in	
   dealing	
   with	
   HIV/AIDS	
   issues	
   and	
   is	
   providing	
   the	
   guidance	
  
through	
  its	
  cornerstone	
  document	
  –	
  called	
  ‘National	
  strategy	
  for	
  the	
  responses	
  to	
  HIV	
  

	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
   	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  
47	
  Smith,	
  1997,	
  p.115	
  
48	
  Marković,	
  2002,	
  p.23	
  
49	
  Buden,	
  2011,	
  pp.72-­‐82	
  
50	
  www.aidsresurs.com	
  
51	
  See	
  www.q-­‐club/org.rs/sr/view/vesti?page=4	
  
52	
  Dimitrijević	
  et	
  al.,	
  2010,	
  pp.	
  9-­‐31	
  

21
infection	
  and	
  AIDS’	
  which	
  was	
  put	
  in	
  place	
  from	
  2005	
  onward.53	
  The	
  regulatory	
  body	
  of	
  
the	
   politics	
   around	
   the	
   AIDS	
   epidemic	
   and	
   HIV	
   infection	
   in	
   Serbia	
   is	
   the	
   Republic	
  
National	
   AIDS	
   Committee	
   (RAC)	
   formed	
   in	
   2001.54	
   The	
   chairing	
   of	
   the	
   RAC	
   is	
   the	
  
responsibility	
  of	
  the	
  Ministry	
  of	
  Health	
  of	
  the	
  Republic	
  of	
  Serbia,	
  with	
  the	
  participation	
  of	
  
some	
  other	
  Ministries	
  (	
  Education,	
  Work	
  &	
  Social	
  Policy,	
  Internal	
  Affairs,	
  Defence,	
  Youth	
  
&	
   Sport)	
   and	
   from	
   the	
   civil	
   sector,	
   NGO’s	
   dealing	
   with	
   PLHIV,	
   health	
   institutions,	
   the	
  
media,	
   and	
   some	
   international	
   agencies	
   such	
   as	
   UNAIDS,	
   UNICEF,	
   UNDP,	
   etc.55	
   Through	
  
the	
  medical	
  and	
  the	
  educational	
  systems,	
  collectively,	
  those	
  institutions	
  are	
  supposed	
  to	
  
be	
   the	
   enactors	
   of	
   the	
   processes	
   of	
   the	
   biogovernmentality	
   	
   and	
   pharmaceuticalization	
   of	
  
public	
   health	
   where	
   HIV/AIDS	
   are	
   concerned.	
   There	
   have	
   been	
   cursory	
   references	
   to	
  
address	
   the	
   challenges	
   of	
   the	
   gay	
   sexual	
   minority	
   and	
   of	
   HIV/AIDS56	
   that	
   show	
   little	
  
serious	
   intent,	
   beyond	
   using	
   the	
   ‘politically	
   correct’	
   rhetoric.	
   Even	
   those	
   initiatives	
  
funded	
   by	
   international	
   organisations,	
   such	
   as	
   UNICEF,	
   are	
   well-­‐intentioned	
   but	
   feeble	
  
and	
   inadequate.	
   Among	
   recent	
   publications,	
   there	
   is	
   only	
   one	
   addressing	
   the	
   behaviour	
  
of	
   MSM	
   –	
   a	
   piece	
   of	
   work	
   that	
   was	
   carried	
   out	
   by	
   the	
   Ministry	
   of	
   Health	
   in	
   September	
  
2010.57	
   These	
   studies	
   were	
   starting	
   point	
   for	
   the	
   creation	
   of	
   the	
   ‘National	
   Strategy	
  
against	
  HIV/AIDS’	
  document,	
  laying	
  out,	
  as	
  it	
  was	
  supposed	
  to	
  do,	
  the	
  basis	
  upon	
  which	
  
Parliament	
   intended	
   to	
   carry	
   out	
   its	
   mandate;	
   to	
   lead	
   the	
   response	
   of	
   the	
   state	
   to	
   the	
  
prevalence	
   and	
   growth	
   of	
   HIV/AIDS	
   up	
   until	
   2015.58	
   However,	
   in	
   July	
   2012,	
   Serbia	
  
elected	
   a	
   new,	
   right-­‐wing	
   President	
   and	
   a	
   strongly	
   right-­‐wing	
   coalition	
   government	
   to	
  
lead	
  the	
  country.59	
  
Even	
   whilst	
   legal	
   frameworks	
   in	
   Europe	
   and	
   North	
   America	
   are	
   opening	
   their	
  
systems	
   up	
   to	
   anti-­‐discriminatory	
   policy60,	
   in	
   Serbia,	
   even	
   at	
   this	
   point	
   –	
   when	
   the	
  
Serbian	
  legislature	
  is	
  expected	
  to	
  follow	
  EU	
  regulations	
  in	
  practice	
  –	
  in	
  the	
  everyday	
  life	
  
of	
   its	
   citizens,	
   such	
   policies	
   as	
   exist	
   are	
   not	
   being	
   implemented.61	
   Discriminatory	
  
practices	
   and	
   stigmatisation	
   are	
   widespread	
   in	
   Serbia,	
   especially	
   against	
   some	
   social	
  
groups	
  like	
  Roma	
  people	
  and	
  the	
  gay	
  sexual	
  minority.62	
  The	
  materials	
  of	
  the	
  right-­‐wing	
  
organisations	
   show	
   the	
   present	
   state	
   of	
   non-­‐acceptance	
   and	
   non-­‐tolerance	
   of	
   sexual	
  
differences	
  and,	
  in	
  their	
  particular	
  use	
  of	
  quasi-­‐scientific	
  and	
  semi-­‐religious	
  language,	
  are	
  
	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
   	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  
53	
  See	
  http://www.minzdravlja.info/downloads/Zakoni/Strategije/HIVAIDS%20Strategija%202005.pdf	
  
54	
  Godinho	
  et	
  al.	
  2006,	
  p.	
  132	
  
55	
  ibid,	
  p.15	
  
56	
  Cucić,	
  2002,	
  p.15	
  
57	
  Rakić	
  et	
  al.,	
  2010	
  
58	
  See	
  http://www.minzdravlja.info/downloads/Zakoni/Strategije/HIVAIDS%20Strategija%202005.pdf	
  
59See	
  http://www.guardian.co.uk/world/2012/jun/21/serbian-­‐lawyers-­‐aides-­‐karadzic-­‐mladic	
  
60	
  See	
  Beger,	
  1996;	
  Rayside,	
  1998;	
  Herman,	
  2000;	
  Watney,	
  2000;	
  Dorais,	
  2010	
  
61	
  See	
  Gajin	
  et	
  al.,	
  2007;	
  Dimitrijević	
  et	
  al.,	
  2010	
  
62	
  See	
  Cucić,	
  2002;	
  Gajin	
  et	
  al.,	
  2007;	
  Rakić,	
  2010;	
  Ministry	
  of	
  Health	
  of	
  the	
  Republic	
  of	
  Serbia,	
  2010;	
  
http://gsa.org.rs/2012/05/godisnji-­‐izvestaj-­‐2011/	
  	
  

22
trying	
   to	
   portray	
   homosexuality	
   as	
   a	
   disease,	
   or	
   a	
   fashion	
   trend,	
   which	
   is	
   a	
   threat	
   to	
   both	
  
society’s	
  fragile	
  youth	
  and	
  the	
  unity	
  of	
  the	
  nation.63	
  	
  In	
  his	
  famous	
  article	
  ‘The	
  Ideology	
  of	
  
Homosexuality’,	
  first	
  published	
  in	
  the	
  ‘New	
  Serbian	
  Political	
  Thought’	
  on-­‐line	
  magazine,	
  
and	
  before	
  being	
  printed	
  in	
  the	
  magazine	
  Pečat,	
  Glišić	
  has	
  referred	
  to	
  homosexuality	
  in	
  
general	
   as	
   a	
   concept	
   whose	
   ‘totalitarian	
   intolerance’64	
   should	
   not	
   be	
   tolerated	
   within	
  
society	
  because	
  it	
  is	
  extremely	
  ‘anti-­‐social,	
  aggressive,	
  a	
  betrayal	
  and	
  on	
  top	
  of	
  everything	
  
else	
   promotes	
   the	
   consumer	
   society’.65	
   The	
   only	
   possible	
   defender	
   against	
   such	
  
‘intolerant	
   totality’	
   is	
   a	
   ‘healthy	
   society’	
   where	
   there	
   is	
   no	
   place	
   for	
   such	
   an	
   unhealthy	
  
practice	
   as	
   homosexuality.66	
   Particularly	
   when	
   considering	
   the	
   stigmatisation	
   of	
   HIV	
  
positive	
   gay	
   men	
   vis	
   a	
   vis	
   illness,	
   it	
   is	
   very	
   significant	
   to	
   see	
   how	
   this	
   ‘scientific’	
   approach	
  
attempts	
   to	
   define	
   the	
   notion	
   of	
   ‘healthy/non-­‐healthy’.67	
   Homosexuality,	
   here,	
   is	
  
perceived	
   as	
   undermining	
   a	
   healthy	
   society’s	
   safety	
   through	
   the	
   ‘unhealthy’	
   practice	
   of	
  
the	
   individual.	
   Consequently	
   it	
   should	
   not	
   be	
   tolerated	
   by	
   society.	
   In	
   this	
   time	
   of	
   crisis	
  
within	
  the	
  post-­‐communist	
  East	
  and	
  the	
  neo-­‐liberal	
  West,	
  when	
  the	
  preservation	
  of	
  the	
  
family,	
   nation,	
   religion	
   and	
   welfare	
   states	
   is	
   seen	
   to	
   be	
   under	
   threat,	
   any	
   attempt	
   even	
   to	
  
acknowledge	
   the	
   existence	
   of	
   ‘otherness’	
   is	
   beyond	
   contemplation.68	
   In	
   his	
   article,	
   ‘Soft	
  
Occupation’,	
  Antonić	
  expresses	
  opinion	
  that	
  the	
  West	
  is	
  responsible	
  for	
  the	
  simplification	
  
of	
   the	
   anti-­‐globalist	
   scene	
   in	
   Serbia.	
   According	
   to	
   him,	
   such	
   simplification	
   arises	
   as	
   the	
  
result	
   of	
   the	
   state	
   persecution	
   of	
   several	
   fascistic	
   organisations.69	
   This	
   is,	
   of	
   course,	
   the	
  
way	
   such	
   right-­‐wing	
   thinkers	
   promote	
   and	
   give	
   rationale	
   for	
   the	
   existence	
   of	
   fascist	
  
organisations.	
   LGBT	
   activists	
   and	
   their	
   organisations	
   are	
   the	
   ‘usual	
   suspects’	
   in	
   such	
  
circumstances.	
   Marko	
   Živković	
   explains	
   a	
   similar	
   pattern	
   of	
   behaviour	
   in	
   Serbia	
   in	
   his	
  
work	
   on	
   ‘the	
   other’	
   in	
   the	
   unified	
   social	
   matrix	
   of	
   the	
   wartime	
   Serbian	
   society	
   of	
   the	
  
1990s.70	
  In	
  his	
  text	
  ‘Ex-­‐Yugoslav	
  Masculinities	
  under	
  the	
  Female	
  Gaze,	
  or	
  Why	
  Men	
  Skin	
  
Cats,	
   Beat	
   up	
   Gays	
   and	
   Go	
   to	
   War’,	
   he	
   attempts	
   to	
   address	
   the	
   issues	
   of	
   the	
   gay	
  
community	
  and	
  gay	
  sexuality	
  in	
  the	
  media,	
  but	
  deals	
  mostly	
  with	
  the	
  normativisation	
  of	
  
gay	
   subjectivity.71	
   One	
   fundamental	
   mistake	
   made	
   by	
   rightists,	
   as	
   well	
   as	
   some	
   LGBT	
  
organisations	
   in	
   Serbia,	
   is	
   in	
   the	
   use	
   of	
   the	
   term	
   ‘gay	
   sexual	
   minority’	
   as	
   a	
   unifying	
  
concept	
  for	
  gay	
  people.	
  This	
  was	
  only	
  recently	
  addressed	
  by	
  some	
  gay	
  activists	
  through	
  
	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
   	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  
63	
  See	
  Antonić,	
  2009;	
  Glišić,	
  2009;	
  www.NSPM.com,	
  2011	
  
64	
  Glišić,	
  2009,	
  p.17	
  
65	
  ibid,	
  p.16	
  
66	
  ibid,	
  2009,	
  pp.15-­‐17	
  
67	
  The	
  persistence	
  of	
  the	
  attitude	
  /	
  belief	
  that	
  homosexuality	
  is	
  a	
  psychiatric	
  illness	
  (a	
  deviance),	
  and	
  the	
  

notion	
  that	
  HIV/AIDS	
  is	
  a	
  form	
  of	
  punishment	
  for	
  deviant	
  sexual	
  behaviour,	
  is	
  at	
  the	
  root	
  of	
  the	
  rightists’	
  
discourse	
  around	
  HIV/AIDS	
  and	
  homosexuality	
  in	
  Serbia.	
  	
  	
  	
  
68	
  Buden,	
  2009	
  
69	
  Antonić,	
  2009,	
  pp.	
  8-­‐10;	
  Antonić,	
  2010	
  
70	
  Živković,	
  2006	
  
71	
  Skrozza,	
  2009,	
  pp.	
  15-­‐17	
  

23
their	
   efforts	
   to	
   explain	
   the	
   failure	
   of	
   the	
   organisation	
   of	
   the	
   LGBT	
   Parade	
   in	
   2011.72	
  
Unfortunately,	
   rare	
   gay	
   publications,	
   such	
   as	
   ‘Optimist’,	
   are	
   still	
   failing	
   to	
   accept	
   that	
   gay	
  
sexual	
  minority	
  is	
  a	
  heterogeneous	
  group.	
  As	
  for	
  the	
  editors	
  and	
  authors	
  included	
  in	
  this	
  
publication,	
   patronising	
   messages	
   to	
   its	
   readers	
   about	
   body	
   image,	
   the	
   political	
  
implications	
  of	
  gay	
  issues,	
  gay	
  life-­‐style	
  and	
  behaviour,	
  simply	
  reflect	
  the	
  poverty	
  of	
  their	
  
ideas	
  and	
  their	
  lack	
  of	
  perception	
  of	
  the	
  diversity	
  of	
  gay	
  people	
  in	
  Serbia.	
  This	
  is	
  just	
  the	
  
other	
  side	
  of	
  the	
  coin	
  which	
  is	
  to	
  be	
  found	
  in	
  the	
  response	
  (and	
  absence	
  of	
  it)	
  from	
  state	
  
institutions	
   to	
   the	
   challenges	
   of	
   HIV/AIDS	
   among	
   gay	
   people.	
   This	
   is	
   most	
   obviously	
  
apparent	
   in	
   the	
   silencing	
   and	
   the	
   rejection	
   of	
   gay	
   sexuality.	
   This	
   rejection	
   also	
   persists	
  in	
  
the	
  gay	
  sexual	
  minority	
  itself,	
  especially	
  if	
  a	
  person	
  is	
  HIV	
  positive.	
  That	
  is	
  why	
  the	
  body	
  
politics	
   of	
   ‘health’	
   mimicry	
   is	
   influencing	
   the	
   increase	
   of	
   HIV	
   infections	
   and	
   the	
   spread	
   of	
  
the	
   AIDS	
   epidemic.	
   What	
   these	
   attempts	
   have	
   in	
   common	
   with	
   the	
   state	
   policies	
   towards	
  
the	
   gay	
   sexual	
   minority	
   in	
   Serbia,	
   is	
   the	
   woefully	
   inadequate	
   sexual	
   education	
   that	
   still	
  
prevails.	
   Indeed,	
   this	
   was	
   identified	
   by	
   those	
   interviewed	
   for	
   this	
   thesis	
   as	
   the	
   biggest	
  
problem	
  in	
  Serbian	
  society.	
  
Vladimir	
  -­‐	
  

V:	
  I	
  would	
  like	
  to	
  change	
  a	
  lot.	
  It	
  is	
  outrageous	
  that	
  some	
  academic	
  books	
  
still	
  in	
  use	
  continue	
  to	
  identify	
  homosexuality	
  as	
  a	
  disease;	
  e.g.	
  as	
  number	
  of	
  
psychiatric	
  text	
  books	
  do.	
  Campaigns	
  that	
  are	
  supposed	
  to	
  focus	
  on	
  
protection	
  against	
  STDs	
  are	
  always	
  very	
  general,	
  and	
  take	
  as	
  their	
  starting	
  
point	
  the	
  presupposition	
  that	
  the	
  whole	
  of	
  the	
  population	
  is	
  heterosexual.	
  
Z:	
  With	
  the	
  nuclear	
  heterosexual	
  family	
  at	
  its	
  centre?	
  
V:	
  Yes.	
  The	
  immediate	
  target	
  population	
  is	
  heterosexual	
  and	
  that	
  is	
  taken	
  for	
  
granted.	
  There	
  is	
  a	
  lack	
  of	
  specific	
  information	
  relating	
  to	
  specific	
  social	
  
groups;	
  gay	
  people	
  for	
  example,	
  with	
  all	
  references	
  to	
  vaginal	
  sexual	
  
intercourse	
  without	
  any	
  mention	
  of	
  anal	
  sexual	
  intercourse.	
  I	
  would	
  say	
  that	
  
anal	
  intercourse	
  is	
  not	
  only	
  a	
  sexual	
  practice	
  of	
  gay	
  people,	
  but	
  of	
  
heterosexuals	
  as	
  well.	
  The	
  same	
  goes	
  for	
  risky	
  behaviour.	
  We	
  should	
  also	
  be	
  
provided	
  with	
  positive	
  attitudes	
  in	
  this	
  information.	
  Distinction	
  should	
  also	
  
be	
  made	
  between	
  prevention	
  from	
  becoming	
  infected	
  with	
  HIV	
  and,	
  having	
  
been	
  infected,	
  living	
  with	
  HIV.	
  Education	
  should	
  not	
  be	
  scary	
  because	
  you	
  
have	
  to	
  motivate	
  someone	
  to	
  act.	
  You	
  should	
  start	
  some	
  process	
  that	
  will	
  
encourage	
  understanding	
  rather	
  than	
  rejection,	
  and	
  if	
  you	
  discover	
  a	
  
	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
   	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  
72	
  Milićević,	
  2011,	
  pp.181-­‐184	
  

24
positive	
  attitude	
  in	
  somebody	
  you	
  should	
  not	
  shatter	
  it.	
  You	
  should	
  present	
  
the	
  perspective	
  that,	
  with	
  ARVs,	
  life	
  can	
  go	
  on	
  with	
  HIV.	
  The	
  other	
  thing	
  is	
  
the	
  need	
  for	
  education	
  among	
  the	
  gay	
  population.	
  The	
  majority	
  of	
  the	
  
Serbian	
  population	
  usually	
  associate	
  gay	
  people	
  with	
  HIV.	
  People	
  think	
  that,	
  
if	
  you	
  have	
  HIV/AIDS,	
  your	
  sexual	
  life	
  should	
  end.	
  I	
  often	
  ask	
  if	
  they	
  would	
  
have	
  sex	
  with	
  someone	
  who	
  is	
  HIV	
  positive	
  and	
  am	
  also	
  asked	
  the	
  same	
  
question	
  in	
  turn?	
  My	
  answer	
  is	
  ‘yes’,	
  and	
  their	
  reaction	
  to	
  that	
  is	
  always	
  
shocking.	
  I	
  then	
  go	
  further	
  and	
  ask	
  them	
  why	
  it	
  is	
  that	
  they	
  use	
  the	
  condom	
  
during	
  the	
  intercourse,	
  and	
  say	
  that	
  this	
  is	
  because	
  every	
  sexual	
  partner	
  they	
  
have	
  could	
  be	
  an	
  HIV	
  carrier.	
  I	
  tell	
  them	
  they	
  are	
  somehow	
  even	
  safer	
  if	
  they	
  
know	
  that	
  the	
  person	
  they	
  are	
  sleeping	
  with	
  is	
  HIV	
  positive,	
  which	
  in	
  turn	
  
should	
  make	
  them	
  use	
  full	
  protection	
  and	
  take	
  every	
  precaution.	
  
Natasa	
  and	
  Violeta	
  -­‐	
  

N:	
  We	
  should	
  instigate	
  a	
  completely	
  new	
  educational	
  process,	
  starting	
  with	
  
the	
  dismantling	
  of	
  the	
  existing	
  one!	
  There	
  has	
  to	
  be	
  a	
  systematic	
  approach	
  to	
  
education	
  which	
  means	
  that	
  you	
  accept	
  that	
  you	
  cannot	
  transform	
  someone	
  
by	
  simply	
  making	
  them	
  undergo	
  a	
  simple	
  training	
  and	
  assuming	
  the	
  job	
  is	
  
done.	
  Education	
  is	
  a	
  process	
  and	
  it	
  should	
  be	
  tackled	
  as	
  such.	
  When	
  people	
  
seem	
  to	
  change	
  their	
  attitudes	
  after	
  one	
  training,	
  we	
  are	
  very	
  proud	
  of	
  such	
  
an	
  achievement.	
  But	
  actually	
  it’s	
  much	
  harder	
  for	
  people	
  to	
  make	
  a	
  true	
  
change	
  in	
  their	
  attitudes	
  rather	
  than	
  to	
  learn	
  superficially	
  some	
  new	
  
information	
  or	
  to	
  become	
  familiar	
  with	
  it.	
  We	
  tried	
  to	
  educate	
  some	
  health	
  
workers;	
  they	
  appeared	
  to	
  learn	
  something	
  and	
  returned	
  to	
  their	
  duties,	
  but	
  
nothing	
  changed	
  in	
  practice.	
  That’s	
  the	
  problem,	
  it’s	
  pointless.	
  It’s	
  an	
  
investment	
  of	
  time,	
  effort	
  and	
  money	
  but	
  they	
  don’t	
  use	
  it.	
  State	
  institutions	
  
are	
  very	
  immune	
  to	
  change.	
  When	
  health	
  staff	
  return	
  to	
  their	
  duties,	
  it’s	
  
‘business	
  as	
  usual’.	
  	
  
V:	
  When	
  we	
  are	
  talking	
  about	
  education	
  ...	
  if	
  that	
  education	
  is	
  not	
  supported	
  
outside	
  of	
  the	
  learning	
  context,	
  then	
  we	
  haven’t	
  achieved	
  any	
  results.	
  	
  If	
  we	
  
want	
  to	
  change	
  various	
  attitudes,	
  then	
  there	
  are	
  some	
  necessary	
  conditions	
  
for	
  that	
  to	
  happen,	
  like	
  at	
  policy	
  level	
  and	
  in	
  the	
  community.	
  Education	
  has	
  
to	
  go	
  hand	
  in	
  hand	
  with	
  the	
  implementation	
  of	
  the	
  new	
  knowledge	
  acquired.	
  
At	
  the	
  moment,	
  education	
  is	
  organised	
  for	
  people	
  and	
  that’s	
  it.	
  We	
  don’t	
  care	
  

25
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AIDS i nezadovoljstvo - Ucutkivanje gay seksualnosti u Srbiji
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AIDS i nezadovoljstvo - Ucutkivanje gay seksualnosti u Srbiji
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AIDS i nezadovoljstvo - Ucutkivanje gay seksualnosti u Srbiji
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AIDS i nezadovoljstvo - Ucutkivanje gay seksualnosti u Srbiji
AIDS i nezadovoljstvo - Ucutkivanje gay seksualnosti u Srbiji
AIDS i nezadovoljstvo - Ucutkivanje gay seksualnosti u Srbiji
AIDS i nezadovoljstvo - Ucutkivanje gay seksualnosti u Srbiji
AIDS i nezadovoljstvo - Ucutkivanje gay seksualnosti u Srbiji
AIDS i nezadovoljstvo - Ucutkivanje gay seksualnosti u Srbiji
AIDS i nezadovoljstvo - Ucutkivanje gay seksualnosti u Srbiji
AIDS i nezadovoljstvo - Ucutkivanje gay seksualnosti u Srbiji
AIDS i nezadovoljstvo - Ucutkivanje gay seksualnosti u Srbiji
AIDS i nezadovoljstvo - Ucutkivanje gay seksualnosti u Srbiji
AIDS i nezadovoljstvo - Ucutkivanje gay seksualnosti u Srbiji
AIDS i nezadovoljstvo - Ucutkivanje gay seksualnosti u Srbiji
AIDS i nezadovoljstvo - Ucutkivanje gay seksualnosti u Srbiji
AIDS i nezadovoljstvo - Ucutkivanje gay seksualnosti u Srbiji
AIDS i nezadovoljstvo - Ucutkivanje gay seksualnosti u Srbiji
AIDS i nezadovoljstvo - Ucutkivanje gay seksualnosti u Srbiji
AIDS i nezadovoljstvo - Ucutkivanje gay seksualnosti u Srbiji
AIDS i nezadovoljstvo - Ucutkivanje gay seksualnosti u Srbiji
AIDS i nezadovoljstvo - Ucutkivanje gay seksualnosti u Srbiji
AIDS i nezadovoljstvo - Ucutkivanje gay seksualnosti u Srbiji
AIDS i nezadovoljstvo - Ucutkivanje gay seksualnosti u Srbiji
AIDS i nezadovoljstvo - Ucutkivanje gay seksualnosti u Srbiji
AIDS i nezadovoljstvo - Ucutkivanje gay seksualnosti u Srbiji
AIDS i nezadovoljstvo - Ucutkivanje gay seksualnosti u Srbiji
AIDS i nezadovoljstvo - Ucutkivanje gay seksualnosti u Srbiji
AIDS i nezadovoljstvo - Ucutkivanje gay seksualnosti u Srbiji
AIDS i nezadovoljstvo - Ucutkivanje gay seksualnosti u Srbiji
AIDS i nezadovoljstvo - Ucutkivanje gay seksualnosti u Srbiji
AIDS i nezadovoljstvo - Ucutkivanje gay seksualnosti u Srbiji
AIDS i nezadovoljstvo - Ucutkivanje gay seksualnosti u Srbiji
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  • 1.   AIDS  and  its  discontents  in  Serbia:   Silencing  gay  sexuality  in  the  age  of   illness         Zoran  Milosavljević               September  2012             Supervisors:     Dr  Mark  Johnson   University  of  Hull,  UK       Dr  Edyta  Just   University  of  Lodz,  Poland                     Dissertation  submitted  in  partial  fulfilment  of  the  requirements  for  the   degree  of  Master  of  Arts  in  Women’s  and  Gender  Studies  GEMMA,  in  the  University   of  Hull      
  • 2.   AIDS  and  its  discontents  in  Serbia:   Silencing  gay  sexuality  in  the  age  of   illness         Zoran  Milosavljević               September  2012             Supervisors:     Dr  Mark  Johnson   University  of  Hull,  UK   Approved  by:           Dr  Edyta  Just   University  of  Lodz,  Poland               Dissertation  submitted  in  partial  fulfilment  of  the  requirements  for  the   degree  of  Master  of  Arts  in  Women’s  and  Gender  Studies  GEMMA,  in  the  University   of  Hull  
  • 3. Abstract   This   thesis   analyses   the   perpetuation   of   the   HIV/AIDS   epidemic   in   Serbia   as   directly   resulting   from   the   rejection   and   silencing   of   gay   sexuality.   The   increasing   number   of   HIV/AIDS   cases,   with   30%   of   cases   diagnosed   only   at   the   terminal   stage  of  the  illness,  is  a  testament  to  the  spreading  of  the  epidemic  in  Serbia.  The   HIV   positive   gay   men’s   life-­‐management   in   the   HIV/AIDS   discourse   is   further   complicated  with  the  enormous  discrimination  and  stigmatisation  by  the  majority   in   Serbia.   The   HIV   positive   gay   men   are   discriminated   on   grounds   of   both   their   sexuality   and   the   illness.   Such   double   discrimination   causes   them   to   want   to   maintain   undetectability   of   the   virus   (the   illness)   and   of   the   sexual   identity   for   as   long   as   possible.   The   discrimination   and   stigmatisation   on   grounds   of   gay   sexuality  is  structured  around  the  silence  of  the  majority  toward  it.  The  silencing   enforces   mimicry   in   the   body   politics   of   gay   people.   Such   mimicry   is   visible   in   the   variety  of  their  practices:  from  the  masculinisation  of  their  bodies  to  the  testing   and   the   ‘forced   coming-­‐out’   in   the   medical   and   other   state   institutions.   The   biomedicalistation  of  the  public  health  structures  the  identity  of  the  HIV  positive   gay  men  through  the  ‘forced  coming-­‐out’,  leading  them  to  reveal  their  sexuality  in   highly   discriminatory   surroundings   of   Serbian   society.   Sexuality   is   the   main   attribute   of   the   discrimination,   but   is   silenced   in   Serbian   institutions.   The   current   policy  against  HIV/AIDS  and  other  STDs  in  Serbia  is  futile  and  tumultuous.  This  is   especially   evident   in   the   educational   and   medical   discourses.   The   non-­‐existence   of   sexual   education   further   enhances   the   rejection   of   the   differences   among   the   people  in  Serbia.  The  rejection  of  the  HIV  positive  gay  men  is  present  even  among   the  group  of  the  PLHIV,  which  brings  into  the  focus  of  this  thesis  their  inclusion  in   all   levels   of   society:   the   voices   of   these   men   and   women   are   our   best   weapon   against  the  dominant  silence.     Key   words:   HIV/AIDS,   Serbia,   gay,   sexuality,   discrimination,   body   politics,   mimicry        
  • 4. Content     Acknowledgements                   5   List  of  abbreviations                   6   Introduction                   7   1.1  Transitional  Serbian  society             18   1.2  AIDS  epidemiology  in  Serbia             26   1.3  Biomedical  discourse               29   1.4  Educational  discourse               34   2.1  Gay  sexual  minority  in  Serbia  &  homophobia         38     Chapter  I   Chapter  II   2.2  Anthropology  of  everyday  life  of  HIV  positive  gay  men  in  Serbia   44   Chapter  III   3.1  Methodology  of  the  research  and  analyses  of  the  interviews     Conclusion   54                     71   Bibliography                     77      
  • 5. Acknowledgements     My  gratitude  for  the  contribution  to  this  work  goes  to:   my  supervisors,  dr  Mark   Johnson  from  the  University  of  Hull,  UK,  and  dr  Edyta  Just  from  the  University  of   Lodz,   Poland   without   who’s   experience   and   guidance   this   work   would   not   be   possible;   dr   Damir   Arsenijević   for   his   loving   support,   encouragement   and   wittiness,   Tag   McEntegart,   Branko   Marković,   Brankica   Aćimović,   Boris   Gidak,   Nataša  Jović-­‐Cvetković,  Violeta    Andjelković,  Vladimir  Veljković,    Zoran  Railić  M.D.,   Djurica  Stankov,  Dušan  Marjanović,  Dimitar  Matrakoski,  Bojan,  Dimitrije,  Svetlana   Krabel,   Jelena   Petrović,   Alma   Tanović   and   to   my   parents,   Branislava   Anaćijević   and  Siniša  Milosavljević.       5
  • 6. List  of  abbreviations     AIDS  –  Acquired  Immunodeficiency  Syndrome   ARV  –  Antiretroviral  therapy   EU  –  European  Union   HAART  –  Highly  active  antiretroviral  therapy   HIV–  Human  Immunodeficiency  Virus   LGBT–  Lesbian,  gay,  bisexual  and  transgender     MSM  –  Men  who  have  sex  with  men   MSWM  –  Men  who  have  sex  with  men  and  women   NGO  –  Non-­‐governmental  organisations     PEP  –  Post  expositional  prophylaxis     PLHIV  –  People  who  are  living  with  HIV/AIDS   RAC  –  Republic  National  AIDS  Committee  of  Serbia   STD  –  Sexually  transmitted  diseases   UNAIDS  –  Joint  United  Nations  Programme  on  HIV/AIDS   UNDP  –  United  Nations  Development  Programme     UNICEF  –  United  Nations  Children’s  Fund     USOP  –  Union  of  PLHIV  organisations  in  Serbia         6
  • 7. Introduction   Numerous  questions  arise  when  information  comes  to  light,  during  the  course  of  World   AIDS  Day,  on  the  1st  December  2011,  that  the  promoter  of  safer  sex  in  Serbia  is  a  famous   gay   porn   actor   from   barebacking   online   sites   –   not   to   mention   that   he   has   been   HIV   positive  for  seven  years.  You  could  ask  yourself  if  this  is  a  mistake  of  the  organiser,  the   Ministry  of  Health  of  the  Republic  of  Serbia,  or  a  bad  joke  perpetrated  between  activists   to   discredit   each   other   in   the   battle   to   secure   funds   from   the   Global   Fund1   for   the   fight   against  HIV/AIDS.  Or  you  could  ask  yourself  whether  the  famous  gay  porn  actor  has  an   equal  right  to  be  represented  in  the  media  and  to  share  his  experience  about  HIV/AIDS?   What   about   achievements   in   the   education   of   youth   concerning   HIV/AIDS,   and   the   population  in  general  in  Serbia?  You  would  probably  ask  yourself  (if  or  when  you  find  out   about   it!)   why   it   is   that,   in   Serbia,   in   2011,   33%   of   the   people   infected   with   HIV   are   diagnosed   in   the   last   stages   of   AIDS?   Why   did   they   do   that   to   themselves?   What   is   the   cause   of   such   irresponsible   behaviour?   Is   it   a   lack   of   knowledge   about   HIV/AIDS   or   maybe  it’s  fear?  But  then,  fear  of  what?     This  ‘schizoid’  episode  is  a  microcosm  of  the  state  of  the  AIDS  epidemic  in  Serbia   today.   This   thesis   seeks   to   investigate   if,   and,   if   so,   how   the   negative   social   response   to   gay   sexuality   is   intensifying   the   HIV/AIDS   epidemic   in   Serbia.   The   rising   number   of   the   infected   gay   men   and   the   33%   of   PLHIV   diagnosed   in   the   last   stages   of   AIDS   should   be   signalling  a  state  of  ‘high  alert’.  Something  is  seriously  malfunctioning  in  the  response  to   HIV/AIDS  in  Serbia.  Paradoxically,  in  this  time  of  easy  access  to  information,  the  present   state   of   the   AIDS   epidemic   in   Serbia,   and   the   discourses   around   AIDS,   are   showing   confusion;   a   lack   of   clear   ideas   as   to   how   to   proceed   to   tackle   it;   as   result   of   economic   instability,  slow  progress;  rejection  of  the  ‘other’(s)  sexualities;  and  institutional  neglect.   As  the  result  of  the  present  situation,  the  identity  politics  of  HIV  positive  gay  men  further   evolve   into   the   body   politics   of   mimicry   and   defence   against   stigmatisation.   Taken   together,  all  those  are  the  excellent  conditions  for  the  vicious  spiral  that  is  HIV/AIDS  in   Serbia.     The  silencing  is  an  unbearable  process  for  the  one  who  is  doing  it.  In  that  way  you   are  pushing  the  problem  deeper  without  the  resolution.  Silencing  is  also  an  aspect  of  the   human   condition.   It   is   not   problematic   if   you   are   dealing   with   a   small   problem.   Maybe   you  will  forget  about  it.  However,  if  you  try  to  ignore  a  big  problem  for  long  enough,  the                                                                                                                           1  Global  Fund  To  Fight  AIDS,  Tuberculosis  and  Malaria,  see  http://www.theglobalfund.org/en/   7
  • 8. problem   could   become   greater.   This   is   most   certainly   the   case   when   you   have   deadly   disease   spreading   among     people   already   scared   that   they   are   going   to   be   stigmatized   because   of   their   sexuality   and   then,   on   top   of   that,   because   of   the   disease.   This   is   the   situation  facing  the  overwhelming  majority  of  gay  people  in  Serbia  infected  with  HIV,  or   living  with  AIDS  related  illnesses.       In  this  thesis  I  will  examine  the  connections  between  the  double  stigmatisation  of   HIV  positive  gay  men,  and  the  persistence  and  growth  of  the  AIDS  epidemic  in  Serbia.  I   will   examine   the   social   response   that   ‘silences’   gay   sexuality,   as   well   as   the   politics   of   resistance   of   HIV   positive   gay   men   to   the   predominant   social   stigmatisation.     Stigmatisation   on   the   ground   of   sexuality   and   stigmatisation   on   the   ground   of   illness   (HIV/AIDS)   are   the   two   predominant   components   of   the   double   stigmatisation   of   HIV   positive  gay  men  in  Serbia.     The   stigmatisation   on   the   ground   of   illness   is   shaped   by   the   discourses   that   are   structuring   HIV   positive   gay   men’s   subjectivity,   mostly   through   the   biomedical   and   educational  discourse.  The  discourse  of  biomedicine,  and,  as  its  integral  part  of  that,  the   pharmaceuticalization2  of  public  health,  is  emerging  from  the  development  of  the  medical   knowledge  and  the  advantages  that  affords  those  fighting  the  disease.  For  so  many    HIV   positive  gay  men,  the  moment  of  truth  embodied  in    an  HIV  positive  result,    also  becomes   the   moment   of   ‘forced   coming   out’,   within   their   own   social   circle   of   their   sexual   identity   .   In   Serbia,   where   the   gay   sexual   minority   is   still   stigmatized,   and   its   rights   are   ignored,   that   moment   is   very   stressful   for   the   gay   individual   and,   if   at   all   possible,   should   be   mitigated.     Stigmatisation   on   the   grounds   of   their   sexuality   of   HIV   positive   gay   men   is   the   most   visible   manifestation   of   the   social   ‘silencing’   of   it,   and,   in   the   politics   of   mimicry   adopted   by   the   gay   sexual   minority,   its   result   is   apparent.   Social   policy   in   the   field   of   HIV/AIDS  is  also  an  important  factor  for  the  life  management  of  HIV  positive  gay  men  in   the   AIDS   discourse.   Unfortunately,   such   policy   is   under   the   constant   influence   of   the   predominant   social   model   of   the   rejection   of   gay   sexuality   and   is   very   visible   through   the   process  of  its  silencing.     The  undetectability  of  the  virus  (upheld  by  avoiding  the  biomedical  procedures)   and  the  undetectability  of  the  gay  sexuality  (upheld  through  the  politics  of  mimicry  and   social   silencing)   are   the   two   major   components   of   the   body   politics   of   HIV   positive   gay                                                                                                                           2  Under  the  notion  of  ‘pharmaceuticalization  of  public  health’  Biehl  assumes  the  involvement  of   pharmaceutical  companies,  producers  of  ARV  therapy,  in  the  different  processes  of  providing  and  subsidising   ARV  therapy  in  the  policy  of  the  state  ‘therapy  for  all’.  See  Biehl,  2009,  p.97-­‐101     8
  • 9. men   in   Serbia.   These   two   components   are   the   main   cause   of   the   devastation   being   wrought  by  the  HIV/AIDS  epidemic  in  Serbia.   This   thesis   argues   for   a   separation   to   be   made   between   gay   sexuality   and   the   dominant   perception   of   gay   sexuality   as   the   illness.   The   aim   of   this   thesis   is   to   emphasise   the  importance  of  the  necessary  recognition,  by  Serbian  society,  of  gay  sexuality  and  its   impact   on   HIV/AIDS   epidemic.   The   connection   between   these   two   should   be   taken   into   account   for   any   successful   strategy   against   AIDS.   To   provide   a   basis   for   the   correction   and   the   redefinition   of   the   educational   procedures   that   claim   to   educate   about   the   illness   and   the   sexual   differences   in   Serbia   is   one   of   the   main   purposes   of   this   thesis.   It   is   hoped   that  such  an  outcome  will  be  attributable      to  this  thesis.  The  voices  of  HIV  positive  gay   men  and  the  people  around  them,  seeing  the  light  of  day  for  the  first  time  in  this  thesis   speak  firmly  in  favour  of  this  aim.  Their  life  experiences  are  of  immensurable  help  in  the   endeavour   to   understand   the   problems   they   face   everyday   in   their   fight   against   HIV/AIDS.     Finally,   this   thesis   is   about   the   social   construction   of   sexuality   and   the   social   construction   of   lies   (about   difference,   sexuality,   and   illness).   It   provides   an   insight   into   how   deliberate   neglect   of   sexual   differences   in   Serbia   has   provided   and   continues   to   provide  fertile  conditions  for  the  spread  of  the  disease  and  for  the  dangerous  spiral  of  the   HIV/AIDS  epidemic.     Theoretical  framework   The  complex  power  web  around  HIV  positive  gay  men’s  subjectivity  and  the  structuring   of   gay   sexual   identity   are   inevitably   embedded   in   the   context   of   the   Serbian   society.   To   understand  such  a  complex  web  of  discourses  I  decided  to  use  a  map  structure  as  the  tool   that   would   most   usefully   unlock   deeper   and   wider   insight   into   the   perpetuating   HIV/AIDS   epidemic.3   The   map   will   complement   the   theoretical   framework   and   to   illustrate  the  improved  understanding  of  the  process  of  silencing  of  gay  sexuality  and,  as   the  result  of  that,  the  perpetuation  of  HIV/AIDS  epidemic.     In   the   first   chapter,   I   take   a   closer   look   into   recent   Serbian   history.   When   combined   this   history,   the   epidemiological   situation   with   regard   to   HIV/AIDS   and   the   biomedical   and   educational   discourse   of   HIV/AIDS   will   provide   the   context   of   Serbian   society.                                                                                                                           3  See  the  table   9
  • 11. The   second   chapter   will   closely   examine   the   gay   sexual   minority   in   Serbia   and   an   anthropology  of  the  everyday  life  of  HIV  positive  gay  men.    The  second  chapter  focuses   on  the  interconnections  between  social  rejection  and  the  body  politics  of  mimicry  of  HIV   positive  gay  men  toward  health  and  sexuality’s  mimicry.    When  considering  the  politics   of  mimicry,  the  study  investigates  the  variety  of  practices  of  HIV  positive  gay  men:  from   avoiding  ‘forced  coming  out’  in  medical  institutions;  through  the  masculinisation  of  their   bodies  and  the  abuse  of  steroids  in  AIDS  related  illnesses;  to  the  disclosure  of  gay  sexual   identity   in   their   social   surroundings.   This   politics   is   the   protective   shield   against   the   discriminatory  politics  towards  gay  people  in  Serbia.     The   third   chapter   analyses   interviews   of   HIV   positive   gay   men   and   people   who   are  coming  from  the  different  professions  connected  to  with  HIV  positive  gay  men:    using   feminist   and   gay   studies’   methodology,   this   provides   evidence   of   their   everyday   life   practices   and   analyses   their   attitudes   and   notions   of   gay   identity   in   the   HIV/AIDS   discourse  in  Serbia.             At   the   beginning   of   the   thesis,   describing   the   context   of   the   Serbian   society   introduces  the  origin  of  the  social  construction  of  sexuality  and  the  rejection  of  it.  In  his   work   ‘The   Construction   of   Homosexuality’,   Jeffrey   Weeks   defines   the   importance   of   the   social  context  of  gay  sexuality  and  of  gay  representation  thus:  “...it  is  no  longer  possible  to   talk   of   the   possibility   of   a   universalistic   history   of   homosexuality;   it   is   only   possible   to   understand   the   social   significance   of   homosexual   behaviour,   both   in   terms   of   social   response   and   in   terms   of   individual   identity,   in   its   exact   historical   context.   To   put   it   another   way,   the   various   possibilities   of   same   sex   behaviour   are   variously   constructed   in   different   cultures   as   an   aspect   of   wider   gender   and   sexual   regulation.”4   Weeks   is   also   trying  to  analyse  the  construction  of  sexuality  and  sexual  identity  positions  grounded  in   ‘the   discourse   of   choice’   as   the   result   of   collective   or   individual   autonomy.5   Unfortunately,  the  discourse  of  choice  and  sexual  differences  were  deliberately  narrowed   in   Serbia   at   the   beginning   of   the   90s,   when   the   nationalistic   tendencies   in   Yugoslavia   culminated  in  the  outbreak  of  war.  Thus  far,  through  the  Serbian  tendency  to  ‘purify’  the   nation  from  the  ‘others’  of  any  kind,  the  choice  of  sexual  difference  has  been  narrowed.   The   recent   history   and   the   fall   of   Yugoslavia,   as   well   as   the   rise   of   an   independent   Serbia   through   xenophobic   leaderships   and   interethnic   conflicts   have   been   in   the   spotlight   of   numerous   international   and   domestic   researchers.6   The   rise   of   nationalistic   and   right   wing   policies   has   followed   not   only   that   internal   political   shift,   but   the   global   political                                                                                                                           4  See  Jeffrey  Weeks’  ‘The  Construction  of  Homosexuality’  in  Seidman,  1996,  p.42   5  See  Plummer,  1993,  pp.  121  -­‐130   6  See  Marković,  2001;  Bowman,  2005;  Jensen,  2005;  Milosavljević,  2006   11
  • 12. change   brought   about   by   the   economic   crisis,   the   collapse   of   welfare   states   and   the   generic  shift  of  policy  to  the  right.  Ann  Marie  Smith  showed  how  populism  operates  when   she   described   the   impact   of   local   political   aspiration   towards   a   universal   mode   of   state   reform   through   the   processes   of   neoliberal   capitalism   and   globalisation.7   The   nationalistic   tendencies   in   the   Serbian   context   and   the   rise   of   populism   and   right-­‐wing   policies,   and   the   opposite   social,   anti-­‐nationalistic   movement   in   Serbia   during   the   90s,   have   marked   major   social   and   political   changes   in   the   traditional   Balkan   societies.8   Taking  the  global  perspective  on  the  processes  of  dismantling  welfare  states  in  the  period   of   post   communism   and   the   uncertainty   of   a   neo-­‐liberal   society   shaken   by   economic   crisis  and  social  tensions,  has  been  the  central  point  of  examination  in  the  work  of  Boris   Buden.9   Buden   refers   to   some   of   the   characteristics   of   post-­‐communist   societies   as   a   result   of   the   ‘re-­‐traditionalization’   of   the   past   and   the   role   of   ‘liberated’   religion   as   its   integral   part   of   these   characteristics.10   In   the   transition   of   its   society   from   socialism   to   neo-­‐liberal   capitalism,   Serbia   adopted   fully   these   processes   of   re-­‐traditionalization,   emerging  as  a  crucial  case  study  in  this  regard.  Nevertheless,  as  Dimitrije,  the  one  of  the   HIV  positive  gay  men  interviewed  noticed:   Dimitrije  –   Today,  it  seems  that  we  are  going  backwards,  thinking  that  we  are  going   forward  and  every  time  when  we  talk  about    transition  in  society...   transition  is  not  something,  at  the  end  of  the  day,  that  we  can  be  certain  of.     You  might  end  in  deep  in  a  hole  or  you  might  be  on  the  top  of  a  hill  with  a   beautiful  view  and  clean  air.  In  that  search  for  identity  in  society,  if  a  person   is  not  empowered  and  does  not  have  supportive  surroundings...then  such  a   person  will  not  take  care  of  himself.   In   the   case   of   Serbia,   the   reimposition   of   tradition   and   religion   and   the   role   of   religious  communities,  influence  widely  and  deeply  the  institutional  response  to  specific   social   problems.   The   connections   between   HIV/AIDS,   the   gay   sexual   minority   and   religious   fundamentalism   of   any   kind   (Orthodox   Christianity   as   well   as   Islam   and   Catholicism)   at   root   follow   the   logic   of   ‘non-­‐acceptance’   and   ‘non-­‐tolerance’   of   sexuality   per  se  as  fundamental  human  attribute.                                                                                                                           7  Smith,  1997,  p.115   8  Jensen,  2005   9  See  Buden,  2009   10  ibid,  p.89   12
  • 13. The   context   of   Serbian   society   presented   in   the   first   chapter   could   not   be   addressed   fully   without   study   of   the   epidemiological   situation   of   HIV/AIDS   in   Serbia   today.  Those  data  are  showing  the  dynamics  of  the  epidemic  and  the  inadequate  result  of   the  institutional  response  towards  the  spread  of  HIV/AIDS.  The  construction  of  the  main   social   policy   document   about   HIV/AIDS   in   Serbia   from   2005   until   2015,   the   ‘National   Strategy  against  HIV/AIDS’    demonstrates  the  same  level  of  inconsistency  toward  the  gay   sexual  minority,  particularly  in  its    estimate  of  the    number  of  gay  people  in  Serbia  and   the  level  of  testing  for  HIV  that  has  been  carried  out  among  them.11  The  epidemiological   data  show  the  increasing  number  of  those  newly  infected,  particularly  among  the  group   of  men  who  have  sex  with  men  –  MSM.12  The  epidemiological  data  are  very  easily  reached   on   the   NGO’s   websites   and   are   thoroughly   updated.13   The   two   major   tendencies   in   the   HIV/AIDS  epidemic  in  Serbia  are  the  following;  firstly,  the  acceleration  in  the  number  of   the  newly  infected,  mostly  among  MSM,  and  secondly,  a  third  of  the  AIDS  cases  (33%)  are   first   diagnosed   in   the   disease’s   terminal   phase.14   The   acceleration   in   the   HIV/AIDS   epidemic   has   doubled,   firstly,   as   the   total   population   of   Serbia   has   decreased   by   some   5%15  since  2002.  Secondly,  the  number  of  cases  of  HIV/AIDS  has  increased,  especially  in   young  adult  males.16     Together   with   the   history   and   the   epidemiological   data   the   first   chapter   also   tackles   an   examination   of   the   educational   discourse   in   Serbia   about   HIV/AIDS.   The   silencing  of  gay  sexuality  is  at  the  core  of  the  aims  of  this  educational  process.  The  official   material   of   the   2nd   Serbian   PLHIV   Conference   provides   an   excellent   example   of   the   claim,17   offering   excellent   proof   as   to   how,   when   religion   comes   to   determine   social   practices,  religion  itself  then  takes  over  the  role  of  society.18  How  is  it  possible  to  provide   the  functions  of  the  state  and  biogovernmentality  in  such  circumstances?  What  about  the   de  facto  life-­‐management  of  minority  groups  that  arises  from  the  hypocrisy  of  the  state   and   society’s   discriminatory   politics?   Such   symbiosis   could   impede   the   ability   to   address   specific   social   questions   such   as   those   to   which   HIV/AIDS   give   rise.   Later   in   the   thesis,   the   case   of   Serbia,   and   the   present   state   of   HIV/AIDS   epidemic   and   gay   minority   in   the   country,  will  show  how  the  unity  of  re-­‐traditionalized  society  and  religion  is  undermining   efforts   to   deal   with   the   problem.   That   pattern   is   also   traced   in   the   processes   of                                                                                                                           11  See  http://www.minzdravlja.info/downloads/Zakoni/Strategije/HIVAIDS%20Strategija%202005.pdf   12  See  Rakić  et  al.,  2010;  Ministry  of  Health  of  the  Republic  of  Serbia,  2010;  www.aidsresurs.rs,  2012;   www.jazas.rs,  2012     13  See  www.aidsresurs.rs,  2012;  www.jazas.com,  2012   14  ibid   15  See  www.mediapopis2012.rs   16  Rakić,  2010   17  Vukašinović  et  al.,  2012   18  Buden,  2009,  p.  166   13
  • 14. representation   of   the   gay   sexual   minority   in   Serbia,   as   well   as   the   connection   between   representation   and   sexuality.   Tim   Stüttgen   expresses   this   connection   between   representations   and   sexuality   in   a   letter   to   the   Spanish   feminist   Beatriz   Preciado,   thus:       “Representation,  you  wrote  once,  ’belongs  together  with  medical  and  legal  discourses,  to   the  biopolitical  processes  of  normalization  and  control  of  bodies  and  sexuality’.”19     The   context   of   the   Serbian   society,   presented   in   the   first   chapter,   would   not   be   complete   without   the   biomedical   discourse.   The   introduction   of   biomedicine   and   biomedical   structuring   of   subjectivities   around   HIV/AIDS   provide   the   pattern   of   the   implementation  of  biogovernmentality  in  society,  introduced  and  examined  by  Foucault   in  ‘The  Birth  of  Biopolitics’,  and  further  developed,  at  the  molecular  levels  of  governing,   in    recent  times.20  The  work  of  Marsha  Rosengarthen  brings  the  biomedical  structuring  of   gay  identity  in  a  society  ruled  by  information  and  HIV/AIDS  control.21  The  body  politics   of   HIV   positive   gay   men   is   controlled   by   ARV   (antiretroviral)   therapy,   as   well   as   their   life   management.22   That   is   why   a   good   structuring   and   framing   of   social   policy   toward   HIV/AIDS   are   very   important   for   the   halting   of   the   epidemic.   The   recent   work   of   some   researchers   is   developing   our   understanding   of   new   social   organisation   around   shared   body   politics   in   the   gay   community.23   The   strategies   of   resistance   and   mimicry   are   guiding  the  gay  sexual  minority  in  Serbia.  Their  body  politics  are  structured  around  the   undetectability   of   the   virus,   and   the   undetectability   of   gay   identity   positions   in   widely   homophobic  and  discriminatory  surroundings.     The   work   of   Joao   Biehl   draws   on   the   biopolitical   and   pharmaceutical   processes   that   shape   identities   in   his   native   Brasil.24   Nevertheless,   the   biomedical   approach   to   HIV/AIDS   in   Brasilian   society   provides   an   insight   as   to   how   identity   politics   has   been   productively   structured   through   relations   against   ‘the   other’,   the   virus   and   the   representation   of   ‘the   other’.25   Such   identity   politics   is   important   for   similar   situations   worldwide.   For   Rosengarthen,   the   biomedical   construction   of   the   identity   of   HIV   infected   and  the  AIDS  patients  in  the  UK  is  an  inseparable  part  of  the  contemporary  subjectivity  of   the   PLHIV.   The   processes   of   the   pharmaceuticalization   of   AIDS   discourse,   and   the                                                                                                                           19  Stüttgen,  2009,  p.  44   20  Using  the  concept    of  the  molecular  level  of  biogoverning  (or  biogovernmentality),  we  have  to  consider  the   level  of  the  ‘tube’  and  the  ‘tube  testing’  where  the  identity  is  structured  by    positive  or  the  negative   biomedical  test  results  of  any  kind,  eg.  Elisa  testing  on  HIV  antibodies,  PCR  testing  on  HIV,  the  screening   testing  for  CD4  lymphocytes  as  the  marker  of  ARV  efficiency,  etc.,  See  Rose,  2007;  Rosengarthen,  2009;  Biehl,   2009;  Whitacre,  2011     21  ibid   22  Rosengarthen,  2009   23  Biehl,  2009;  Whitacre,  2011   24  Biehl,  2009   25  Rosengarthen,  2009   14
  • 15. introduction   of   ARV   therapy,   are   shaping   new   identity   positions   for   PLHIV.   Nevertheless,   class  and  race  remain  the  defining  factors  of  the  life-­‐management  of  HIV  positive  gay  men   in   Brazil,   UK   and   Serbia   as   well.   The   political   position   espousing   ‘therapy   for   all’   is   still   at   the   heart   of   official   social   policy   in   low   income   countries   such   as   Serbia.   Unfortunately   the  present  economic  situation  is  not  conducive  to  such  policy.   The  organisation  of  life  and  the  body  politics  of  HIV  positive  gay  men  have  been   transformed  in  recent  years  by  the  regulatory  mechanism  of  seropositivity  and  the  viral   load.26   The   viral   load   defines   the   body   politics   of   the   carrier   of   the   HIV   and   brings   completely  new  insight  into  gay  social  organisation  in  the  AIDS  discourses.  ARV  therapy   has   brought   new   perspectives   for   HIV   positive   gay   men   and   provides   a   space   for   new   strategies   of   resistance   against   stigmatization   based   on   sexuality   or   illness   or   both.   Through   matching   sexuality   and   sexual   preferences,   HIV   positive   gay   men   are   trying   to   identify  similar  identity  positions  and  thus,  in  some  aspects,  are  aligning  their  everyday   life   practices   and   their   body   politics.   New   insights   into   the   organisation   and   the   life-­‐ management   of   HIV   positive   gay   men   in   specific   social   and   geographical   areas,   such   as   the   San   Francisco   Bay   Area,   has   brought   to   light   the   phenomenon   of   everyday-­‐life   practices   in   a   community   where   gay   sexuality   is   not   a   taboo   anymore.27     Such   insights   could  provide  a  basic  understanding  as  to  how  the  similar    patterns  of  behaviour  operate   in   communities   with   a   high   level   of   discrimination   and   stigmatisation   toward   HIV   positive   gay   men,   such   as   in   Serbian   society.   While   the   silencing   of   gay   sexuality   is   the   Serbian  response  to  gay  issues  (including  HIV/AIDS  among  gay  people  and  other  PLHIV),   visibility   and   recognition   are   the   progressive   factors   being   used,   in   Western   countries,   with  more  or  less  success,  to  address  the  same  issues.     The   second   chapter   addresses   directly   the   gay   sexual   minority   in   Serbia   and   its   recognition   by   and   in   Serbian   society.   The   philosophy   of   recognition,   as   developed   by   Alexander   Garcia-­‐Düttmann,   will   be   used   in   this   chapter.28   Reflecting   on   recognition   as   the   ‘question   of   the   voice   of   non-­‐identical’,   Garcia-­‐Düttmann   is   providing   a   starting   point   to   understand   the   processes   of   non-­‐acceptance   (non-­‐recognition)   of   minority   identity.                                                                                                                           26  See  Whitacre,  2011,  p.  V:  “Viral  load  is  a  measurement  of  the  amount  of  virus  in  an  organism  and  typically,   in  the  bloodstream.  In  the  case  of  HIV  this  measurement  is  obtained  through  a  viral  load  test,  formally   referred  to  as  the  Human  Immunodeficiency  Virus  RNA  Quantitative  and  is  expressed  in  virus  particles  or   copies  per  milliliter  (copies/mL)  of  blood  plasma.  As  an  important  distinction,  the  HIV  antibody  test,  not  the   HIV  viral  load  test,  is  the  recommended  method  for  the  diagnosis  of  HIV.  The  HIV  viral  load  test  is  used  for   monitoring  the  level  of  virus  after  the  initial  diagnosis  of  HIV.  Knowing  the  viral  load  is  crucial  in  matters  of   prognosis,  prevention  and  the  management  of  HIV  therapy,  but  the  perceptibility  of  the  viral  load   complicates  such  efforts  and  has  the  potential  to  create  scenarios  of  misrepresentation  and  subsequent   misunderstanding.”   27    ibid,  pp.  12-­‐14   28  Garcia-­‐Düttmann,  1996;  Garcia-­‐Düttmann,  2000   15
  • 16. Garcia-­‐Düttmann   states:   “...in   order   to   gain   knowledge   of   what   the   pain   of   the   other   is,   then   the   failing   recognition   or   the   absence   of   a   response   may   suggest   an   absence   of   knowledge   –   an   absence   which   does   not   determine   the   failure   of   recognition...”.29   The   importance   of   recognition   of   the   gay   sexual   minority,   (and   in   its   core   gay   sexuality)   in   Serbia,   is   the   cornerstone   of   any   successful   state   policy   and   politics,   including   policy   about  HIV/AIDS  and  PLHIV.  In  talking  about  the  extent  of  the  influence  of  the  politics  of   recognition,  Garcia-­‐Düttmann  confirms:  “Politics  is  a  politics  of  recognition  to  the  extent   that   self-­‐consciousness,   identity,   difference,   culture,   society,   the   state   and   the   legal   system   cannot   be   formed   and   thought   without   recognition,   whatever   one’s   concept   of   recognition  may  be.”30  The  recognition  of  the  gay  sexual  minority  should  include  the  core   identity  factor  of  recognition;  that  is  –  the  recognition  of  gay  sexuality.  This  is  the  main   problem   for   Serbian   society   and   the   state,   otherwise   the   tumult   over   gay   sexual   minority   rights  in  Serbia  would  not  be  at  the  pitch  that  it  has  been  for  over  two  decades   –  and  that   is   before   even   taking   into   consideration   the   ever-­‐expanding   HIV/AIDS   epidemic.   The   discourse   of   AIDS,   also   prominent   in   the   work   of   Garcia-­‐Düttmann,   problematises   the   body  politics  of  the  gay  sexual  minority  and  wider  social  concepts  organized  around  the   same  discourse.  In  discussing  who,  how,  and  what  is  relevant  in  the  problematisation  of   AIDS,  Garcia-­‐Düttmann  points  out:  “Thinking  and  talking  about  AIDS  cannot  be  detached   from  the  context  of  practical  politics;  they  are  inscribed  in  it  and  create  it  with  the  first   word   and   first   thought”.31   In   this   way,   the   politics   around   HIV   positive   gay   men   in   Serbia   is   inadequate   to   deal   with   two   recognitions:   the   recognition   of   the   virus   (HIV,   and   consequently  AIDS)  at  the  organisational  level,  and  the  recognition  of  gay  sexuality.   The   aim   of   prevention   and   the   numerical   targets   to   achieve   this   that   have   been   missed   are   just   one   element   of   the   failing   politics   of   recognition.   In   1996,   Lewis-­‐Allen   pointed  out  the  relation  between  prevention  and  recognition:  “Prevention   –   even  today   the   most   important   weapon   against   AIDS   by   far   –   continues   to   be   misunderstood,   underfunded,   and   ineffectual;   prejudices   remain.”32   In   fighting   these   patterns   of   prejudices,   discrimination,   and   stigmatisation,   new   approaches   should   introduce   a   different   social   response   than   has   so   far   been   seen.   One   of   the   biggest   challenges   for   Serbian  society  and  the  global  perspective  of  HIV/AIDS  today  is  the  societal  inclusion  of   every   individual   HIV   positive   gay   man   and   the   transformation   of   all   of   the   social   structures  affecting  and  affected  by  HIV/AIDS.                                                                                                                             29  Garcia-­‐Düttmann,  2000,  p.9   30  ibid,  p.190   31  Garcia-­‐Düttmann,  1996,  p.49   32  Lewis-­‐Allen,  2000,  p.  127   16
  • 17. Finally,   in   the   third   chapter,   the   interviews   conducted   as   part   of   this   study   are   analysed   and   this   analysis   is   integrated   into   the   theoretical   conceptualization   of   the   previous  two  chapters.       17
  • 18. Chapter  I   1.1   Transitional  Serbian  society     To   examine   the   context   of   the   AIDS   epidemic   in   Serbia   is   unimaginable   without   an   introduction   to   recent   Serbian   history   and   politics.     Serbian   society   has   been   through   very   turbulent   times   in   the   last   two   decades.   As   one   of   the   six   republics   of   the   former   Socialist   Federal   Republic   of   Yugoslavia,   Serbia   gained   its   independence   through   the   bloody  Yugoslav  wars  of  the  1990s.  Initially,  many  historians  saw  the  start  of  the  fall  of   the  Yugoslav  Federation  immediately  after  the  death  of  President  Tito  in  1980.  The  rise   of   nationalism,   as   Bowman   explained,   occurred   as   the   response   to   the   socialist   legacy:   “The   discursive   shift   to   nationalist   discourse   occurred   through   the   intervention   of   republican   politicians   who   created   ‘national’   platforms   from   where   they   could   launch   bids   to   increase   their   holds   on   power   in   a   Yugoslav   state   characterised,   after   the   death   of   Tito,   by   a   vacuum   at   the   political   centre”.33   In   trying   to   describe   the   crisis   of   the   Yugoslav   socialist   model   Vladimir   Marković   refers   to   the   1990s   as:   “...years   marked   with   “war   transitions”,   bloody   destruction   of   the   federal   state   and   societal   disintegration.   The   notion  of  the  political  was  commonly  perceived  as  national,  which  was  very  convenient   for  awakening  of  ethnocentric  ressentiment,  the  rediscovery  of  traditional  values  and  the   rise  of  reactionary  right-­‐wing  ideologies”.34  The  rise  to  power  of  Slobodan  Milošević,  who   became   the   Yugoslav   Communist   Party   leader   in   Serbia   in   1987,   and   the   production   of   the  notorious  nationalist  document  –  called  ‘Memorandum’  –  by  the  Serbian  Academy  of   Science  and  Arts  in  Belgrade  in  1986,  by  the  end  of  the  1980s  and  throughout  the  1990s   had   become   the   cornerstones   of   nationalistic   Serbian   politics.35   The   political   elites   in   other   republics   of   Former   Yugoslavia,   especially   Slovenia   and   Croatia,   similarly   and   consequently   on   the   Serbian   nationalist   propaganda   and   the   political   establishment,   created   the   similar   nationalist   approaches   and   rhetoric.36   These   events   were   the   precursors   to   the   bloody   war   between   the   nations   and   the   republics   from   1991–1995,   culminating   with   the   end   of   Bosnian   war,   brokered   through   the   Dayton   Peace   Agreement.37  Even  though  war  clashes  were  avoided  directly  on  Serbian  soil,  Serbia  was   very   much   responsible   for   the   war   activities   played   out   by   the   ethno-­‐nationalist   elites,                                                                                                                           33  Bowman,  2005,  p.134   34  Marković,  2001,  p.27   35  See  http://www.scribd.com/doc/19499149/Olivera-­‐Milosavljevi-­‐Jugoslavija-­‐kao-­‐zabluda   36  Bowman,  2005,  pp.135-­‐141   37  See  http://www.ohr.int/dpa/default.asp?content_id=379   18
  • 19. especially   in   Bosnia   and   Herzegovina.38   Catalysed   by   the   result   of   the   conflict   between   Serbs   and   Albanians   in   Kosovo,   on   March   24th   1999,   NATO   commenced   its   bombardment   of  Serbia,  which  continued  until  June  10th  1999.39  Alongside  these  developments,  during   the  1990s,  a  strong  anti–nationalistic  movement  had  grown  in  Serbian  society.   40  Jansen   points  out  that  both  Serbian  and  Croatian  nationalisms  were  based  in  the  repression  of   ‘the  other’.41   Traditional   Serbian   patriarchal  society  has  found  its  immaculate  imperative   in   the   nationalistic   ideology   of   ‘the   purity   of   the   nation’,   and   consequently,   there   is   no   place   for   any   form   of   ‘otherness’   that   might   undermine   it.   However,   after   the   defeat   of   Slobodan   Milošević   in   the   election,   and   post-­‐election   revolution   of   the   masses   on   the   streets   of   Belgrade   in   5th   October   2000,   and   as   a   result   of   the   exposure   of   Milošević’s   election  fraud,  Serbia  became  what  can  be  described  as  a  fully  transitional  society.42  The   end   of   socialist   Yugoslavia   and   the   post-­‐revolution   changes   in   various   different   countries   of   Eastern   Europe   at   the   end   of   the   1980s   and   the   beginning   of   1990s,   signalled   the   establishment  of  a  regional  period  of  transition  from  socialism  to  neo-­‐liberal  capitalism.   The  fallen  welfare  states  and  the  economic  insecurity,  encountering  the  same  problems   as   Northern   Europe   and   Northern   America,   are   facing   the   majority   of   people   with   problems   which   they   are   ill-­‐equipped   to   deal   or   cope   with.   In   this   situation,   Serbian   society   is   no   exception.   As   a   World   Bank   study   in   2005   exposed:   “Poverty   rose   sharply   in   the  1990s  and  remains  widespread.  Using  a  poverty  threshold  level  of  2.40€  a  day  finds   that   11   percent   of   the   Serbian   population   falls   below   the   poverty   line.”43   Economic   insecurity  has  followed  a  deeply  unstable  political  situation.  After  the  fall  of  the  regime  of   Slobodan  Milošević  in  October  2000,  the  government  of  the  Prime  Minister  Zoran  Djindjić   (2001–2003)  was  pursuing,  transparently,  a  path  to  a  democratic  Serbian  society  where   human   rights,   including   minority   rights,   would   have   been   high   in   the   list   of   the   priorities   of   social   reorganisation.   Recovering   from   the   wars   and   the   unstable   economic   and   political  situation  and  even  in  just  two  years,  Serbian  society  had  made  some  significant   progress   towards   the   path   of   a   democratic   society   with   respect   to   basic   human   rights.   However,  in  March  2003,  the  assassination  of  Prime  Minister  Djinjić  in  Belgrade,  slowed   and,  in  some  aspects,  reversed  these  attempts  at  democratic  progress,  driving  a  reversion   towards  revisionist  nationalistic  rhetoric  and  politics,  and  the  return  of  uncertainty  to  the   political  and  social  system  in  Serbia.44                                                                                                                           38  See  http://www.opendemocracy.net/globalization-­‐institutions_government/icj_bosnia_serbia_4392.jsp   39  See  http://news.bbc.co.uk/2/hi/special_report/1998/kosovo/312003.stm   40  Jansen,  2005   41  ibid,  2005,  p.85   42  See  http://news.bbc.co.uk/hi/english/static/in_depth/europe/2000/milosevic_yugoslavia/downfall.stm   43  Godinho  et  al.,  2005,  p.122   44  See  http://news.bbc.co.uk/2/hi/europe/2843433.stm   19
  • 20. In   the   21st   century,   following   not   only   the   local,   but   the   global   reality   of   failing   welfare   states   and   the   rise   of   economic   and   ethnic   tensions,   Serbia   has   experienced   ‘democratic’  governments  which  have  shown  enormous  shifts  to  the  right  of  ideology  and   policy.   Following   the   intensification   of   the   global   economic   crisis   since   2007,   populism   has   been   on   the   rise.   As   a   political   strategy   and   tactic,   ever-­‐increasing   populism   has   been   a   key   tool   to   gain   power   in   nations   where   citizens   are   weakened   by   years   of   wars,   uncertainty   and   poor   economic   development.   The   transformation   of   Serbian   society   seems   to   be   uniting   nationalist   and   traditional   tendencies   with   the   European   Union   policy.   On   the   1st   March   2012   Serbia   gained   the   status   of   the   candidacy   for   the   EU   membership.45  When  there  is  no  external  enemy,  there  is  always  somebody  to  remind  the   people  of  the  purity  of  the  family,  the  nation  and  the  ‘motherland’.  As  different  analyses   demonstrate,   this   instability   is   still   present   in   Serbia:   “Although   the   acute   phase   of   war   may   have   ended,   tensions   continue   over   many   matters;   for   example:   Kosovo’s   recent   declaration   of   independence   from   Serbia;   tribunals;   the   status   of   refugees   and   returnees;   poverty;   instability   of   legal   institutions;   lack   of   health   and   social   services;   lack   of   opportunities   for   new   ways   of   knowing,   potential   for   involvement   in   societal   reorganization,   and   for   critical   thinking”.46   Since,   at   the   level   of   rhetoric   and   its   publication,   all   the   conflicts   between   former   Yugoslav   nations   and   states   are   no   longer   ‘politically  correct’  and  since  all  of  these  states  are  influenced  by  the  qualitative  lurch  in   the   economic   crisis   that   became   most   strongly   visible   in   2007,   the   easiest   way   to   base   populist  policy  on  the  creation  of  new  threats  to  the  national  interest  in  the  form  of  ‘the   other’.  Sexual  minorities  and  other  ethnic  minorities,  such  as,  for  example,  Roma  people   are  among  the  first  to  be  labelled  as  ‘different’  in  Serbian  society  and  therefore  to  come   under   threat   of   fascist   actions.   As   Anna   Marie   Smith   defined:   “A   hegemonic   authoritarian   project   must   provide   the   necessary   structures   for   these   contradictory   identifications.   A   total  exclusion  of  the  demonized  figure  may  weaken  the  authoritarian  project’s  claim  to   universality.  It  must  pretend  to  accommodate  virtually  every  legitimate  social  element;  it   must   appear   to   be   utterly   unaffected   by   the   multiplication   of   new   social   differences.   At   the   same   time,   it   must   pursue   populist   strategies.   It   must   mobilize   and   reproduce   the   reactionary   forces   that   provide   its   political   momentum.   It   must   also   drag   the   political   centre  so  far  to  the  right  that  the  conservative  elements  within  the  centrist  and  centre-­‐ left   parties   become   more   prominent   and   move   their   parties   to   the   right.   This   in   turn   contributes  to  the  increasing  alienation  among  the  voters  who  traditionally  support  the   centre-­‐left   and   leftist   parties,   such   as   progressive   lesbians   and   gays,   workers,   blacks,   and   feminists.   Ultimately,   the   authoritarian   populism   of   the   new   right   and   the                                                                                                                           45  See  http://www.bbc.co.uk/news/world-­‐europe-­‐17225415   46  Daiute,  2010,  p.  23   20
  • 21. neoconservatives   is   itself   contradictory   since   it   depends   simultaneously   on   the   permanent   mobilization   of   a   small   cadre   of   right-­‐wing   voters   and   the   virtual   disenfranchisement   of   the   majority   of   the   electorate.”47   In   addressing   the   topic   of   contemporary   fascism   and   its   political   continuing   manifestation,   Marković   posits   its   resurgence  on  the  ‘ideological  crisis  of  the  West’  and  admits  that  the  survival  of  fascism   globally  is  occurring  through  very  subtle  and  disguised  adaptations.48  In  Serbia,  as  well  as   in  the  other  republics  of  ex-­‐Yugoslavia,  the  ideology  of  neoliberal  capitalism  has  gained   the  substantial  power  it  has  in  combination  with  a  ‘transitional’  hybrid  social  system.   49   This   socio-­‐political   ground   has   been   and   continues   to   be   very   productive   for   the   ‘disguised’   fascism   and   national-­‐socialist   tendencies   targeting   ‘others’   among   the   population,  especially  sexual  minorities.  Yet  the  process  of  becoming  a  full  member  of  EU   has  put  Serbia  constantly  in  the  spotlight  vis  a  vis  having  to  negotiate  national  interests   under  scrutiny.  One  of  the  crucial  moments  in  the  recent  political  developments  in  Serbia   was   Parliament’s   vote   for   the   Anti-­‐discriminatory   law   in   2009.   The   deputies   voted   on   26th   March   2009,   with   the   majority   of   127   votes   in   250   seats   Parliament   for   the   Anti-­‐ discriminatory   law   in   which   are   addressed   issues   of   equality   and   which   makes   illegal   discrimination   of   any   kind.50   Nevertheless,   in   the   same   debate,   an   amendment   to   the   penal   code   which   would   have   explicitly   outlawed   discrimination   of   PLHIV   and   their   families  was  rejected.51  In  2009,  a  parliamentary  group  of  9  members  of  the  Parliament   came   together   to   lobby   the   Serbian   Parliament   and   parliamentarians   on   HIV/AIDS   and   the   reproductive   health   issues.   There   has   been   no   achievement   around   this   issue   but   mere  paying  of  the  lip  service  and  showing  off  of  political  correctness.  It  is  expected  that   the  Parliamentary  group  will  continue  its  work  in  the  newly  formed  National  Assembly   which  commenced  its  term  of  office  in  July  2012.  It  would  be  productive  if  the  Parliament   focused  its  attention  on  regulations  concerning  sexual  and  reproductive  health  education   in  schools.  Nonetheless,  today  in  Serbia,  the  question  of  the  implementation  of  existing   law   and   how   the   legislature   deals   with   this,   is   the   crux   of   the   matter   for   vulnerable   social   groups.52     The  Ministry  of  Health  of  the  Republic  of  Serbia  has  a  track  record  of  5  years  of   strategic   responses   in   dealing   with   HIV/AIDS   issues   and   is   providing   the   guidance   through  its  cornerstone  document  –  called  ‘National  strategy  for  the  responses  to  HIV                                                                                                                           47  Smith,  1997,  p.115   48  Marković,  2002,  p.23   49  Buden,  2011,  pp.72-­‐82   50  www.aidsresurs.com   51  See  www.q-­‐club/org.rs/sr/view/vesti?page=4   52  Dimitrijević  et  al.,  2010,  pp.  9-­‐31   21
  • 22. infection  and  AIDS’  which  was  put  in  place  from  2005  onward.53  The  regulatory  body  of   the   politics   around   the   AIDS   epidemic   and   HIV   infection   in   Serbia   is   the   Republic   National   AIDS   Committee   (RAC)   formed   in   2001.54   The   chairing   of   the   RAC   is   the   responsibility  of  the  Ministry  of  Health  of  the  Republic  of  Serbia,  with  the  participation  of   some  other  Ministries  (  Education,  Work  &  Social  Policy,  Internal  Affairs,  Defence,  Youth   &   Sport)   and   from   the   civil   sector,   NGO’s   dealing   with   PLHIV,   health   institutions,   the   media,   and   some   international   agencies   such   as   UNAIDS,   UNICEF,   UNDP,   etc.55   Through   the  medical  and  the  educational  systems,  collectively,  those  institutions  are  supposed  to   be   the   enactors   of   the   processes   of   the   biogovernmentality     and   pharmaceuticalization   of   public   health   where   HIV/AIDS   are   concerned.   There   have   been   cursory   references   to   address   the   challenges   of   the   gay   sexual   minority   and   of   HIV/AIDS56   that   show   little   serious   intent,   beyond   using   the   ‘politically   correct’   rhetoric.   Even   those   initiatives   funded   by   international   organisations,   such   as   UNICEF,   are   well-­‐intentioned   but   feeble   and   inadequate.   Among   recent   publications,   there   is   only   one   addressing   the   behaviour   of   MSM   –   a   piece   of   work   that   was   carried   out   by   the   Ministry   of   Health   in   September   2010.57   These   studies   were   starting   point   for   the   creation   of   the   ‘National   Strategy   against  HIV/AIDS’  document,  laying  out,  as  it  was  supposed  to  do,  the  basis  upon  which   Parliament   intended   to   carry   out   its   mandate;   to   lead   the   response   of   the   state   to   the   prevalence   and   growth   of   HIV/AIDS   up   until   2015.58   However,   in   July   2012,   Serbia   elected   a   new,   right-­‐wing   President   and   a   strongly   right-­‐wing   coalition   government   to   lead  the  country.59   Even   whilst   legal   frameworks   in   Europe   and   North   America   are   opening   their   systems   up   to   anti-­‐discriminatory   policy60,   in   Serbia,   even   at   this   point   –   when   the   Serbian  legislature  is  expected  to  follow  EU  regulations  in  practice  –  in  the  everyday  life   of   its   citizens,   such   policies   as   exist   are   not   being   implemented.61   Discriminatory   practices   and   stigmatisation   are   widespread   in   Serbia,   especially   against   some   social   groups  like  Roma  people  and  the  gay  sexual  minority.62  The  materials  of  the  right-­‐wing   organisations   show   the   present   state   of   non-­‐acceptance   and   non-­‐tolerance   of   sexual   differences  and,  in  their  particular  use  of  quasi-­‐scientific  and  semi-­‐religious  language,  are                                                                                                                           53  See  http://www.minzdravlja.info/downloads/Zakoni/Strategije/HIVAIDS%20Strategija%202005.pdf   54  Godinho  et  al.  2006,  p.  132   55  ibid,  p.15   56  Cucić,  2002,  p.15   57  Rakić  et  al.,  2010   58  See  http://www.minzdravlja.info/downloads/Zakoni/Strategije/HIVAIDS%20Strategija%202005.pdf   59See  http://www.guardian.co.uk/world/2012/jun/21/serbian-­‐lawyers-­‐aides-­‐karadzic-­‐mladic   60  See  Beger,  1996;  Rayside,  1998;  Herman,  2000;  Watney,  2000;  Dorais,  2010   61  See  Gajin  et  al.,  2007;  Dimitrijević  et  al.,  2010   62  See  Cucić,  2002;  Gajin  et  al.,  2007;  Rakić,  2010;  Ministry  of  Health  of  the  Republic  of  Serbia,  2010;   http://gsa.org.rs/2012/05/godisnji-­‐izvestaj-­‐2011/     22
  • 23. trying   to   portray   homosexuality   as   a   disease,   or   a   fashion   trend,   which   is   a   threat   to   both   society’s  fragile  youth  and  the  unity  of  the  nation.63    In  his  famous  article  ‘The  Ideology  of   Homosexuality’,  first  published  in  the  ‘New  Serbian  Political  Thought’  on-­‐line  magazine,   and  before  being  printed  in  the  magazine  Pečat,  Glišić  has  referred  to  homosexuality  in   general   as   a   concept   whose   ‘totalitarian   intolerance’64   should   not   be   tolerated   within   society  because  it  is  extremely  ‘anti-­‐social,  aggressive,  a  betrayal  and  on  top  of  everything   else   promotes   the   consumer   society’.65   The   only   possible   defender   against   such   ‘intolerant   totality’   is   a   ‘healthy   society’   where   there   is   no   place   for   such   an   unhealthy   practice   as   homosexuality.66   Particularly   when   considering   the   stigmatisation   of   HIV   positive   gay   men   vis   a   vis   illness,   it   is   very   significant   to   see   how   this   ‘scientific’   approach   attempts   to   define   the   notion   of   ‘healthy/non-­‐healthy’.67   Homosexuality,   here,   is   perceived   as   undermining   a   healthy   society’s   safety   through   the   ‘unhealthy’   practice   of   the   individual.   Consequently   it   should   not   be   tolerated   by   society.   In   this   time   of   crisis   within  the  post-­‐communist  East  and  the  neo-­‐liberal  West,  when  the  preservation  of  the   family,   nation,   religion   and   welfare   states   is   seen   to   be   under   threat,   any   attempt   even   to   acknowledge   the   existence   of   ‘otherness’   is   beyond   contemplation.68   In   his   article,   ‘Soft   Occupation’,  Antonić  expresses  opinion  that  the  West  is  responsible  for  the  simplification   of   the   anti-­‐globalist   scene   in   Serbia.   According   to   him,   such   simplification   arises   as   the   result   of   the   state   persecution   of   several   fascistic   organisations.69   This   is,   of   course,   the   way   such   right-­‐wing   thinkers   promote   and   give   rationale   for   the   existence   of   fascist   organisations.   LGBT   activists   and   their   organisations   are   the   ‘usual   suspects’   in   such   circumstances.   Marko   Živković   explains   a   similar   pattern   of   behaviour   in   Serbia   in   his   work   on   ‘the   other’   in   the   unified   social   matrix   of   the   wartime   Serbian   society   of   the   1990s.70  In  his  text  ‘Ex-­‐Yugoslav  Masculinities  under  the  Female  Gaze,  or  Why  Men  Skin   Cats,   Beat   up   Gays   and   Go   to   War’,   he   attempts   to   address   the   issues   of   the   gay   community  and  gay  sexuality  in  the  media,  but  deals  mostly  with  the  normativisation  of   gay   subjectivity.71   One   fundamental   mistake   made   by   rightists,   as   well   as   some   LGBT   organisations   in   Serbia,   is   in   the   use   of   the   term   ‘gay   sexual   minority’   as   a   unifying   concept  for  gay  people.  This  was  only  recently  addressed  by  some  gay  activists  through                                                                                                                           63  See  Antonić,  2009;  Glišić,  2009;  www.NSPM.com,  2011   64  Glišić,  2009,  p.17   65  ibid,  p.16   66  ibid,  2009,  pp.15-­‐17   67  The  persistence  of  the  attitude  /  belief  that  homosexuality  is  a  psychiatric  illness  (a  deviance),  and  the   notion  that  HIV/AIDS  is  a  form  of  punishment  for  deviant  sexual  behaviour,  is  at  the  root  of  the  rightists’   discourse  around  HIV/AIDS  and  homosexuality  in  Serbia.         68  Buden,  2009   69  Antonić,  2009,  pp.  8-­‐10;  Antonić,  2010   70  Živković,  2006   71  Skrozza,  2009,  pp.  15-­‐17   23
  • 24. their   efforts   to   explain   the   failure   of   the   organisation   of   the   LGBT   Parade   in   2011.72   Unfortunately,   rare   gay   publications,   such   as   ‘Optimist’,   are   still   failing   to   accept   that   gay   sexual  minority  is  a  heterogeneous  group.  As  for  the  editors  and  authors  included  in  this   publication,   patronising   messages   to   its   readers   about   body   image,   the   political   implications  of  gay  issues,  gay  life-­‐style  and  behaviour,  simply  reflect  the  poverty  of  their   ideas  and  their  lack  of  perception  of  the  diversity  of  gay  people  in  Serbia.  This  is  just  the   other  side  of  the  coin  which  is  to  be  found  in  the  response  (and  absence  of  it)  from  state   institutions   to   the   challenges   of   HIV/AIDS   among   gay   people.   This   is   most   obviously   apparent   in   the   silencing   and   the   rejection   of   gay   sexuality.   This   rejection   also   persists  in   the  gay  sexual  minority  itself,  especially  if  a  person  is  HIV  positive.  That  is  why  the  body   politics   of   ‘health’   mimicry   is   influencing   the   increase   of   HIV   infections   and   the   spread   of   the   AIDS   epidemic.   What   these   attempts   have   in   common   with   the   state   policies   towards   the   gay   sexual   minority   in   Serbia,   is   the   woefully   inadequate   sexual   education   that   still   prevails.   Indeed,   this   was   identified   by   those   interviewed   for   this   thesis   as   the   biggest   problem  in  Serbian  society.   Vladimir  -­‐   V:  I  would  like  to  change  a  lot.  It  is  outrageous  that  some  academic  books   still  in  use  continue  to  identify  homosexuality  as  a  disease;  e.g.  as  number  of   psychiatric  text  books  do.  Campaigns  that  are  supposed  to  focus  on   protection  against  STDs  are  always  very  general,  and  take  as  their  starting   point  the  presupposition  that  the  whole  of  the  population  is  heterosexual.   Z:  With  the  nuclear  heterosexual  family  at  its  centre?   V:  Yes.  The  immediate  target  population  is  heterosexual  and  that  is  taken  for   granted.  There  is  a  lack  of  specific  information  relating  to  specific  social   groups;  gay  people  for  example,  with  all  references  to  vaginal  sexual   intercourse  without  any  mention  of  anal  sexual  intercourse.  I  would  say  that   anal  intercourse  is  not  only  a  sexual  practice  of  gay  people,  but  of   heterosexuals  as  well.  The  same  goes  for  risky  behaviour.  We  should  also  be   provided  with  positive  attitudes  in  this  information.  Distinction  should  also   be  made  between  prevention  from  becoming  infected  with  HIV  and,  having   been  infected,  living  with  HIV.  Education  should  not  be  scary  because  you   have  to  motivate  someone  to  act.  You  should  start  some  process  that  will   encourage  understanding  rather  than  rejection,  and  if  you  discover  a                                                                                                                           72  Milićević,  2011,  pp.181-­‐184   24
  • 25. positive  attitude  in  somebody  you  should  not  shatter  it.  You  should  present   the  perspective  that,  with  ARVs,  life  can  go  on  with  HIV.  The  other  thing  is   the  need  for  education  among  the  gay  population.  The  majority  of  the   Serbian  population  usually  associate  gay  people  with  HIV.  People  think  that,   if  you  have  HIV/AIDS,  your  sexual  life  should  end.  I  often  ask  if  they  would   have  sex  with  someone  who  is  HIV  positive  and  am  also  asked  the  same   question  in  turn?  My  answer  is  ‘yes’,  and  their  reaction  to  that  is  always   shocking.  I  then  go  further  and  ask  them  why  it  is  that  they  use  the  condom   during  the  intercourse,  and  say  that  this  is  because  every  sexual  partner  they   have  could  be  an  HIV  carrier.  I  tell  them  they  are  somehow  even  safer  if  they   know  that  the  person  they  are  sleeping  with  is  HIV  positive,  which  in  turn   should  make  them  use  full  protection  and  take  every  precaution.   Natasa  and  Violeta  -­‐   N:  We  should  instigate  a  completely  new  educational  process,  starting  with   the  dismantling  of  the  existing  one!  There  has  to  be  a  systematic  approach  to   education  which  means  that  you  accept  that  you  cannot  transform  someone   by  simply  making  them  undergo  a  simple  training  and  assuming  the  job  is   done.  Education  is  a  process  and  it  should  be  tackled  as  such.  When  people   seem  to  change  their  attitudes  after  one  training,  we  are  very  proud  of  such   an  achievement.  But  actually  it’s  much  harder  for  people  to  make  a  true   change  in  their  attitudes  rather  than  to  learn  superficially  some  new   information  or  to  become  familiar  with  it.  We  tried  to  educate  some  health   workers;  they  appeared  to  learn  something  and  returned  to  their  duties,  but   nothing  changed  in  practice.  That’s  the  problem,  it’s  pointless.  It’s  an   investment  of  time,  effort  and  money  but  they  don’t  use  it.  State  institutions   are  very  immune  to  change.  When  health  staff  return  to  their  duties,  it’s   ‘business  as  usual’.     V:  When  we  are  talking  about  education  ...  if  that  education  is  not  supported   outside  of  the  learning  context,  then  we  haven’t  achieved  any  results.    If  we   want  to  change  various  attitudes,  then  there  are  some  necessary  conditions   for  that  to  happen,  like  at  policy  level  and  in  the  community.  Education  has   to  go  hand  in  hand  with  the  implementation  of  the  new  knowledge  acquired.   At  the  moment,  education  is  organised  for  people  and  that’s  it.  We  don’t  care   25