Pregnant, drug dependent women present for treatment with a variety of medical and psychosocial issues. When medical sequelae include HIV infection, effective medical and psychosocial management is essential for both mother and fetus/infant. To better understand and characterize this high-risk population, the present study examined personality features and psychopathology in a sample of HIV+, pregnant, drug dependent women. Personality was assessed using the Minnesota Multiphasic Personality Inventory--Revised (MMPI-2). The mean MMPI-2 codetype, (6-8), although relatively rare in standard drug treatment settings, characterized nearly one-fifth of study participants. The 6-8 codetype is typically associated with unusual thought processes, feelings of hostility and suspiciousness as well as apathy, which may mask symptoms of nervousness, anxiety and depression. Treatment implications of study findings are discussed.

El fenómeno social de la prostitución se encuentra inmerso en una gran cantidad de situaciones, lamentablemente la mayor parte de ellas invisibilizadas y oscurecidas desde los estigmas generados a partir del orden moral y social imperante. Es posible, sin embargo, dentro de esta variedad de situaciones, interpretar a la prostitución desde el contexto de un antiguo prostíbulo con licencia que, desde los años setenta, ha albergado a un gran número de mujeres que optaron por ejercer la prostitución. Es a partir de este contexto que se busca desentrañar una situación paradójica a partir de seis entrevistas a profundidad a mujeres que se prostituyen en El Trocadero: mujeres que aun trabajando en un prostíbulo legal se encuentran estigmatizadas socialmente.

Based on ten months of ethnographic fieldwork in marginal, low-income, Belenino river communities located in Iquitos, a fluvial city in the Amazon basin. By using ethnographic methods and semi-structured interviews, this article traces how risk is associated with life in Belenino communities and how the identity of Beleninos and the river at the heart of a resettlement project are politically constructed rather than empirically constructed. In this case study of resettlement, understandings of risk and development by Belenino river communities and the government both conflicted and overlapped, I identified three elements that help to shape the concept of risk in both groups that highlight the disjunctive meanings provided by culture and demonstrate the complexity of the analysis of both populations. Finally, by putting the state’s weak presence after a developmental project failure under ethnographic approximation, the article reveals an imbalance in validity and power in terms of the perspectives of the river and Belen.

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