Alex: But really, as the Gary Kinsman one of my fav scholars and queer AIDS activists wrote about in 1996, the concepts of responsibility and irresponsibility are used as a tactic of social control and governance for people living with HIV.  The “responsible” people living with HIV are the ones who are engaged with ASOs, who volunteer at condom pack stuffing events, who speak publically about their experience as examples of what not to be; who have the stories of sobriety on a panel where everyone claps at the end. It’s the same story: “I was a disorganized person living with HIV and through my engagement with HIV organizations I have now become an organized and responsible person”. Not in any way to disrespect people who live this story, as these stories can be powerful. But this is all part of making us better and more “productive citizens”. 

From 
Not All Redemption Songs,
Conversation between Mikiki and Alex McClelland
for Positive Lite.com, March 18, 2012