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Catherine Campbell, PhD, Carol Ann Foulis, MA, Sbongile Maimane and Zweni Sibiya

Catherine Campbell is with the Department of Social Psychology, London School of Economics and Political Science, London, England, and the Centre for HIV/AIDS Networking, University of KwaZulu-Natal, KwaZulu-Natal, South Africa. At the time of this study, Carol Ann Foulis was with the Centre for HIV/AIDS Networking, University of KwaZulu-Natal. Sbongile Maimane and Zweni Sibiya are with the Centre for HIV/AIDS Networking, University of KwaZulu-Natal.

Correspondence: Requests for reprints should be sent to Catherine Campbell, PhD, Social Psychology, London School of Economics, Houghton Street, London WC2A 2AE, England (email: c.campbell{at}lse.ac.uk).

We examined the social roots of stigma by means of a case study of HIV/AIDS management among young people in a South African community (drawing from interviews, focus groups, and fieldworker diaries). We highlight the web of representations that sustain stigma, the economic and political contexts within which these representations are constructed, and the way in which they flourish in the institutional contexts of HIV/AIDS interventions.

Stigma serves as an effective form of "social psychological policing" by punishing those who have breached unequal power relations of gender, generation, and ethnicity. We outline an agenda for participatory programs that promote critical thinking about stigma’s social roots to stand alongside education and, where possible, legislation as an integral part of antistigma efforts.

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