Entering the Discomfort Zone: Counseling Trainees’ Perspectives on Counseling Clients with HIV/AIDS

Joe, J. Richelle; Heard, Nevin J.; Yurcisin, Katey

doi:10.1007/s10447-018-9340-4

Cited by 4 publications

(14 citation statements)

References 30 publications

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“…Stigma can cause a psychological challenge to people living with HIV/AIDS (Varni, Miller, McCuin & Solomon, 2012), and the psychosocial effects of HIV/AIDS are compounded by the stigma associated with the disease. According to Joe et al (2019), PLWHA will be faced with a variety of mental health challenges; thus, will require service from mental health professionals at some point in their lives. The social stigma and discrimination can cause adverse emotional outcomes that affect PLWHA.…”

Section: Living With Stigma and Discriminationmentioning

confidence: 99%

“…Unfortunately, those who contract the disease are labeled as victims or patients, guilty or innocent, and/or heroic or pitiable (Herk et al, 2003). The intense stigma surrounding HIV/AIDS is attributed to the assumed behaviors associated with HIV transmission, such as sexual activity and IDU (Joe, Heard & Yurcisin, 2019;Herek et al, 2003). Because HIV is often spread through sexual contact, sexual intercourse and/or drug use, a large proportion of Americans regard PLWHA as degenerates and blame them for their illness.…”

Section: Living With Stigma and Discriminationmentioning

confidence: 99%

“…Because HIV is often spread through sexual contact, sexual intercourse and/or drug use, a large proportion of Americans regard PLWHA as degenerates and blame them for their illness. Additionally, irrational fears of contamination have deprived many PLWHA of adequate care and even basic human contact (Joe et al, 2019;Herek et al, 2003).…”

Section: Living With Stigma and Discriminationmentioning

confidence: 99%

“…Another study that focuses on counseling professionals -in-training was conducted by Joe et al in 2018 (results published in 2019). They surveyed 111 masters-level counseling trainees in counseling programs across the US in conjunction with factors they believed would affect a counselor's comfort serving clients living with HIV/AIDS (Joe et al, 2019). Several themes emerged and were conceptualized using Bronfenbrenner's ecological model of development to contextualize the findings and their implications (Joe et al, 2019).…”

Section: Counseling Literature On Hiv/aidsmentioning

confidence: 99%

“…They surveyed 111 masters-level counseling trainees in counseling programs across the US in conjunction with factors they believed would affect a counselor's comfort serving clients living with HIV/AIDS (Joe et al, 2019). Several themes emerged and were conceptualized using Bronfenbrenner's ecological model of development to contextualize the findings and their implications (Joe et al, 2019). Knowledge and fear were prominent themes, which indicated the counselor trainee's concerns about their preparation levels and personal beliefs affecting the therapeutic relationship (Joe et al, 2019).…”

Section: Counseling Literature On Hiv/aidsmentioning

confidence: 99%

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A phenomenological study examining the lived experiences of counseling professionals working with individuals living with HIV

Britton¹

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Although there are 50,000 cases of new HIV diagnoses each year in the U.S., people are living longer with HIV/AIDS (CDC, 2016). Due to the paucity of literature containing current experiences of counseling professionals who have actively or are currently working with people living with HIV/AIDS (PLWHA), this research explored the counseling professionals' role and significance in HIV/AIDS mental health care services and prevention for treating PLWHA. The purpose of this phenomenological research study is to examine the life experiences of counseling professionals who are actively working with clients who are living with HIV/AIDS to answer this study's research question "what are the lived experience of counseling professionals is working with clients with HIV?" vi PUBLIC ABSTRACT Although there are 50,000 cases of new HIV diagnoses each year in the U.S., people are living longer with HIV/AIDS (CDC, 2016). This research explored the counseling professionals' role and significance in HIV/AIDS mental health care services and prevention, for treating PLWHA. The purpose of this phenomenological research study is to examine the life experiences of counseling professionals who are actively working with clients who are living with HIV/AIDS to answer this study's research question "what are the lived experience of counseling professionals is working with clients with HIV?" Counselors and allied professionals in this study described the limitation, implications and experiences of providing services to PLWHA. This resulted in the emergence of 6 major themes from the interviews. vii TABLE OF CONTENTS LIST OF TABLES .

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Section: Living With Stigma and Discriminationmentioning

confidence: 99%

Section: Living With Stigma and Discriminationmentioning

confidence: 99%

Section: Living With Stigma and Discriminationmentioning

confidence: 99%

Section: Counseling Literature On Hiv/aidsmentioning

confidence: 99%

Section: Counseling Literature On Hiv/aidsmentioning

confidence: 99%

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A phenomenological study examining the lived experiences of counseling professionals working with individuals living with HIV

Britton¹

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Adverse Childhood Experiences and HIV-Related Stigma: A Quantitative Survey of Tanzanian Men, June 2019

Kaur,

Brown,

Kangogo

et al. 2024

AIDS Behav

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Experiencing adverse childhood experiences (ACEs) may impact personal opinions, attitudes, and judgments, which can further result in HIV-related stigma. HIV-related stigma consequentially may impact HIV preventive measures such as HIV testing, pre-exposure prophylaxis uptake, and condom use. The extent to which ACEs influence HIV-related stigma perception has not been well studied. Therefore, the study aimed to examine the association between ACEs and perceived and interpersonal HIV-related stigma among Tanzanian HIV-negative men. Quantitative survey data were obtained from the Tanzania STEP (Self-Testing Education and Promotion) project established in four wards: Mabibo, Manzese, Tandale, and Mwanyanamala. A total of 507 men responded to the ACEs and HIV-related stigma questionnaires. ACEs were operationalized as types of ACEs (environmental, physical/psychological, sexual abuse) and ACE score (0 (reference) vs. 1, 2, 3, ≥ 4). Perceived HIV-related stigma was analyzed both as a binary (HIV stigma vs. no HIV stigma) and a continuous variable. Unadjusted and adjusted multinomial logistic and linear regression models were used to assess the associations between ACEs and HIV-related stigma. ACE types were associated with HIV stigma (b = 0.237, 95% CI [0.122–0.352], p = < .0001). Findings of the adjusted multinomial logistic regression model show that experiencing one ACE (aOR = 1.9; p-value = 0.023), two ACEs (aOR = 1.8; p-value = 0.044), four or more ACEs (aOR = 4.1; p-value = < 0.0001) were associated with greater perceived HIV-related stigma. Moreover, experiencing environmental (aOR = 8.6; p-value = 0.005), physical/psychological (aOR = 2.5; p-value = 0.004), and sexual abuse (aOR = 3.4; p-value = < 0.0001) were associated with higher odds of HIV-related stigma. Our study findings suggest that those who experience childhood trauma are more likely to have a higher perception of HIV-related stigma. Intervention programs targeting HIV stigma should consider addressing ACEs entailing the behavioral and psychological impact of childhood trauma.

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White therapists grappling with racist comments in therapy

Hunt¹

2022

ppi

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Therapists can be seen to have a moral obligation to use their power to work against social injustice. Engaging with the dialogue of privilege and oppression in relation to race is one example of this. Since responses from white people in being named as privileged can sometimes lead to defensiveness and frustration, a challenge is posed in how to respond to this in therapy. This article suggests that understanding the intersectionality of privilege and oppression in all individuals facilitates the opportunity for more nuanced discussion. It proposes that tools such as the Multicultural and Social Justice Counselling Competencies approach could be used to enable clients to explore their own white privilege. A fictional case example of a white, gay man who is HIV (human immunodeficiency virus)-positive is presented and discussed in order to exemplify this proposal.

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Entering the Discomfort Zone: Counseling Trainees’ Perspectives on Counseling Clients with HIV/AIDS

Cited by 4 publications

References 30 publications

A phenomenological study examining the lived experiences of counseling professionals working with individuals living with HIV

A phenomenological study examining the lived experiences of counseling professionals working with individuals living with HIV

Adverse Childhood Experiences and HIV-Related Stigma: A Quantitative Survey of Tanzanian Men, June 2019

White therapists grappling with racist comments in therapy

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