1. How to grasp what is made of scientific developments? Kane Race Department of Gender & Cultural Studies University of Sydney Kane.race@sydney.edu.au

2. C

3. Formation of Committees for the Public Understanding of Science in the 1980s in the US and UK “greater public understanding of science is essential for modern democracy”

4. C

6. There is a critical difference between Public Engagement with Science and questions of engagement in care Public engagement with science enables a reflexive space re: given formulations of prevention and care

7. Outline What are some key approaches in the Public Understanding of Science and Public Engagement with Science literatures? What relations between science and publics do they suppose? What are the implications for HIV science, policy & research?

8. Traditional approaches to Public Understanding of Science Use survey methods to measure scientific literacy What is being measured is people’s understanding of scientifically accredited knowledge

9. Criticisms Premised on a deficit model: (‘people are deficient in the right sort of knowledge and need improvement’) Does not capture people’s knowledge/expertise about local contexts & conditions People may have a reflexive understanding of what they ‘know’ and ‘don’t know’ They may also have an appreciation of how they know what they know (e.g. which sources of authority they trust) …. that is important to register

10. From Van de Ven et al. (1999) HIV treatment optimism and sexual behaviour among gay men in Sydney and Melbourne. AIDS 13(16):2289-94.

12. Cultural approaches to Public Understanding of Science Use qualitative techniques to embed laypersons’ knowledge in local cultural contexts Local knowledge and concerns may be sufficiently compelling to counter certain aspects of scientific knowledge

13. Criticisms Can produce a sense of both scientific and lay knowledge as homogenous, static, self-contained and discrete from each other

14. Citadel Model SCIENCE Lay knowledge Local context Affected community General public

15. Dynamic Heterogeneity

17. Engaging the Recalcitrant What to do with the recalcitrant figure whose behaviour is simply nonsensical according to governing logics??? Who can “neither reply nor discuss the issue” nor “propose anything that counts” because …. “there is something more important…”

18. “What are we busy doing?” In recent work in Public Engagement with Science the recalcitrant figure becomes a creative opportunity to ask “what are we busy doing?” This figure demands “that we slow down, that we don’t consider ourselves authorized to believe that we possess the meaning of what we know” Produces a creative opportunity to reflect on organising logics of the field we’re immersed in The question becomes, how might we “bestow efficacy on the murmurings of” such figures Mike Michael (2012) “What are we busy doing?” Science, Technology & Human Values, 37: 528-554

19. A significant proportion of US racial/ethnic and sexual minority communities subscribe to HIV conspiracy theories Approximately 25% agree with statements such as “HIV/AIDS is a man-made virus that the government made to kill and wipe out this population” Black, Hispanic and Asian Pacific respondents are more likely to agree with such statements. These studies find that conspiracy beliefs are significantly associated with * inconsistent condom use *negative attitudes towards condoms *lower likelihood of treatment adherence Bogart & Thorburn 2005, Bogart et al. 2010, Bohnert et al., 2009

20. Early ACT UP poster, San Francisco 

21. Mackenzie (2013) writes of one marginalized HIV+ participant: “Her words are excessive, they are ‘gibberish’, hence threatening to those outside their narrative … and yet they invoke threads of logic.” They convey a sense of her bodily experience as vulnerable and subject to “structural, intentional, and sustained” forces over which she has little power “Commonly understood as non-sense, her theories represent a form of meaning-making that serves to make “sense” of the experiences of injustice she has endured throughout her life”.

22. “The salience of these counter-narratives … indicates they will likely continue to be uttered – from pulpits, on streets, in classrooms – until the social problems they represent are addressed.”

23. Acknowledgements Cameron Cox (Canada) and Scarlet Alliance (Australia) Mike Michael Marsha Rosengarten & participants in HIV speculative design research group Judith Auerbach (as panel co-chair)