This article builds upon Paul Preciado’s conceptualisation of pharmaco-pornographic power to understand the ongoing affects and effects of Pre-Exposure Prophylaxis (PrEP) on queer men’s sexual socialities and subjectivities. Drawing from a new-materialist epistemology, we analyze data from a sexual health pilot study in NYC to trace the techno-sexual health assemblages forming in queer life worlds. Our analysis suggests that these assemblages, entangling PrEP and other pharmacological substances, pornographic imaginaries together with mediatic technologies and public health rationalties, are creating paradoxical desires and practices of intimacy that are both normative and exceed rational health-actor logics and normative understandings of risk. These effects have population-level biopolitical implications.
BrewerM (2018) Good Ol' country boys playin' on the farm: Online articulations of rural masculinity by men who have sex with men. Sexuality & Culture22(2): 355–379.
6.
BrissonJNguyenVK (2017) Science, technology, power and sex: PrEP and HIV-positive gay men in Paris. Culture, Health & Sexuality19(10): 1066–1077.
7.
ButlerJ (1997) The psychic life of power: Theories in Subjection. Stanford, CA: Stanford University of Press.
8.
CrathRGaubingerARangelC (2019) Studying the "sexuality-health-technology nexus": a new materialist visual methodology. Culture, Health & Sexuality21(11): 1290–1308.
9.
da Silva-BrandaoRRIanniAMZ (2020) Sexual desire and pleasure in the context of the HIV pre-exposure prophylaxis (PrEP). Sexualities23(8): 1400–1416.
10.
DeanT (2009) Unlimited Intimacy: Reflections on the Subculture of Barebacking. Chicago IL: University of Chicago Press.
11.
DeanT (2015) Mediated intimacies: Raw sex, truveda and the biopolitics of chemoprophlaxis. Sexualities18(1/2): 224–246.
FoucaultM. (1990) The History of Sexuality. Translation R. Harley. New York: Vintage Press, Volume 1.
14.
FoxNAldredP (2017) Sociology and the New Materialism. Theory, Research and Action. London: Sage.
15.
HammackPLToolisEEWilsonBDM, et al. (2019) Making meaning of the impact of pre-exposure prophylaxis (PrEP) on public health and sexual culture: narratives of three generations of gay and bisexual men. Archives of Sexual Behavior48: 1041–1058.
16.
LalLAudsleyJMurphyDA, et al. (2017) Medication adherence, condom use and sexually transmitted infections in Australian preexposure prophylaxis users. AIDS31(12): 1709–1714.
17.
LuptonD (2019a) Toward a more-than-human analysis of digital health: inspirations from feminist new materialism. Qualitative Health Research29(4): 1998–2009.
18.
LuptonD (2019b) 'It's made me a lot more aware': a new materialist analysis of health self-tracking. Medical Image Analysis171(1): 66–79.
19.
MayerKHAgwuAMalebrancheD (2020) Barriers to the wider use of pre-exposure prophylaxis in the United States: a narrative review. Advances in Therapy37(5): 1778–1811.
MeunierÉEscoffierJSiegelK (2019) Rethinking risks and interventions beyond HIV: the importance of contextualizing collective sex. Archives of Sexual Behavior48(1): 51–56.
22.
MøllerK.LedinC. (2021) Viral hauntology: Specters of AIDS in infrastructures of gay sexual sociability. Affects, Interfaces, Events: 147–162. DOI: 10.22387/IMBAIE.06.
23.
MøllerK (2020) Hanging, blowing, slamming and playing: Erotic control and overflow in a digital chemsex scene. Sexualities. DOI: 10.1177/1363460720964100.
24.
MowlabocusS (2021) Fucking with Homonormaativity. The Ambiguous Politics of Chemsex. Sexualities. DOI: 10.1177/1363460721999267.
25.
PreciadoB (2008) Pharmaco-pornographic politics: Towards a new gender ecology. Parallax14(1): 105–117.
26.
PreciadoP (2013) Testo Junkie. Sex, Drugs and Biopolitics in the Pharmacopornographic Era. New York City, NY: Feminist Press.
RoseN (2007) The Politics of Life Itself: Biomedicine, Power, and Subjectivity in the Twenty-First Century. Princeton: Princeton University Press.
33.
YoungIDavisMFlowersP, et al. (2019) Navigating HIV citizenship: Identities, risks and biological citizenship in the treatment as prevention era. Health, Risk & Society21(1/2): 1–16.
34.
YoungIBoydellNPattersonC, et al. (2020) Configuring the PrEP User: Framing Pre-exposure Prophylaxis in UK Newsprint 2012–2016. Culture,Health & Sexuality772–787.
