Reducing Psychological Complications for the Critically Ill AIDS Patier

Durham, Jerry D.; Hatcher, Betty

doi:10.1097/00003465-198409000-00007

Cited by 7 publications

(3 citation statements)

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“…L'infection au VIH aboutit à une double stigmatisation: d'abord, il s'agit d'une maladie grave, mortelle et, qui plus est, contagieuse; ensuite, elle est associée à des groupes déjà stigmatisés, en particulier les homosexuels et les personnes qui s'injectent de la drogue (Abrams et al, 1986;Durham et Hatcher, 1984;Govoni, 1988;Hereket Glunt, 1988). Stapleton (1986) laisse entendre que même si la discrimination qui en résulte n'est pas aussi poussée qu'aux États-Unis, la stigmatisation existe manifestement au Canada.…”

Section: Sources De Stress Psychosocial Lié Au Vihunclassified

Détresse psychologique chez les personnes atteintes du VIH à Montréal

Lamping

Joseph

Ryan

et al. 2008

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Le présent article décrit les préoccupations psychologiques reliées au VIH dans un échantillon montréalais de 128 personnes atteintes du virus, qui ont participé à une enquête nationale plus large sur les besoins et les services en santé mentale en rapport avec cette infection au Canada. Nous avons examiné les problèmes psychologiques causés par le VIH à Montréal, en comparaison d'autres villes du Canada, et dans divers sous-groupes définis selon le sexe, l'âge, le diagnostic et le facteur de risque. Les résultats montrent que même si l'infection au VIH a de fortes et profondes incidences sur la santé mentale, il existe des différences dans les genres de préoccupations et de problèmes qui affligent des groupes particuliers de répondants montréalais. L'incertitude de l'avenir et l'incapacité de réaliser ses buts dans la vie, ainsi que des sentiments d'impuissance et de peur face aux conséquences neurologiques virtuelles du VIH, étaient des sources majeures de détresse psychologique. Les sentiments de dépression, d'anxiété et de colère, de même que les inquiétudes soulevées par une détérioration physique croissante, la douleur, le danger d'infecter autrui, la confidentialité et la situation financière, étaient des sujets d'angoisse prédominants parmi les sous-groupes étudiés. Les différences entre les répondants en termes de sources de revenu, d'âge et de sexe et, dans une moindre mesure, de diagnostic et de facteur de risque, étaient associées à des niveaux variables de détresse psychologique. Bien que les répondants de Montréal (et de Vancouver) étaient moins angoissés que ceux de Toronto et de Halifax, cette divergence semblait tenir principalement à des différences d'âge et de revenu. Les données de l'enquête pourront servir aux décideurs et aux planificateurs du domaine de la santé à mettre au point les services nécessaires pour répondre aux besoins psychologiques des adultes atteints du VIH.This paper describes the HIV-related mental health concerns of a sample of 128 persons with HIV infection in Montréal who participated in a larger national survey of HIV-related mental health needs and services in Canada. We examined mental health distress in persons with HIV infection in Montréal compared to other cities in Canada, and in subgroups of HIV-infected Montrealers defined on the basis of sex, age, diagnosis, and risk factor status. Results demonstrate that although HIV infection has a strong and far reaching impact on mental health, there are differences in the types of concerns and issues that are distressing to specific groups of Montréal respondents. Uncertainty about the future and not being able to realize life goals, as well as feelings of helplessness and fears about potential adverse neurological consequences of HIV disease, were major sources of psychological distress. Feelings of depression, anxiety, and anger, as well as concerns about increasing physical disability, pain, infecting others, confidentiality, and finances were predominant concerns among specific subgroups. Differences between responde...

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Section: Sources De Stress Psychosocial Lié Au Vihunclassified

Détresse psychologique chez les personnes atteintes du VIH à Montréal

Lamping

Joseph

Ryan

et al. 2008

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“…Because of the social stigma attached to HIV / AIDS due to ignorance and fear (Corey & Corey, 1989;Denny & Quadagno, 1988;Rudolph, 1992), persons living with HIV / AIDS often have limited personal, financial, and medical support. These clients experience social rejection at the time they have the greatest need for social support (Herek & Glunt, 1988;King, 1989).Their exclusion from society is well documented (Bickelhaupt, 1986;Durham & Hatcher, 1984;Newmark, 1984;Nichols, 1985). Based on interviews with men with HIV/ AIDS, Bennett (1990) created three common categories of rejection reactions of others received by people with HIV/ AIDS: "shy away," "eek!"…”

Section: Rejectionmentioning

confidence: 99%

Using the Spiritual Perspective in Counseling Persons with HIV/AIDS: An Integrative Approach

Burke

Miller²

1996

Counseling and Values

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The authors explore counseling persons infected with HIV and AIDS, within the specific themes of rejection, powerlessness, and death. These themes have been chosen because they are common concerns of people with HIV and AIDS. Selected quotations from 14 interviews with persons diagnosed with HIV/AIDS are used to clarify these concerns. Specific counseling recommendations are provided to make counseling an effective, compassionate endeavor with this population. Counselors are encouraged to struggle with these themes to enhance the counseling they provide to people with HIV and AIDS.

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“…To do so, it is necessary to know not only how the virus is transmitted but also the multifaceted psychological world of AIDS and HIV infection. This includes the immediate and long-term psychological reactions to HIV testing (Cleary et al, 1986; Cochran, 1987; Dlugosch, Gold, & Dilley, 1986; Green, 1986; McCombie, 1986), the impact of AIDS infection on families and individuals (Cohen, 1987; Deuchar, 1984; Durham & Hatcher, 1984; Miller & Green, 1985; National Institute of Mental Health, 1986; Nichols, 1985), possible neuropsychological sequelae (Navia & Price, 1986; Perry & Jacobsen, 1986), the emotional repercussions of AIDS/ARC-related discrimination (Cassens, 1985; Cohen, 1987), and the complexities of fertility and reproductive decisions that HIV-infected women must make (Mantell, Schinke, & Akabas, in press; Murphy, 1987). There are also special issues for women who are caregivers for those with AIDS, for those who have lost friends or former sexual partners to AIDS, and for mothers who must confront their sense of responsibility and fear in the case of a drug-addicted or sexually active child, including those with gay male sons.…”

Section: Dilemmas Of the Practicing Psychologistmentioning

confidence: 99%

Women and AIDS-related concerns: Roles for psychologists in helping the worried well.

Cochran¹,

Mays²

1989

American Psychologist

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Acquired Immunodeficiency Syndrome (AIDS) has important implications for the practice of psychology. As the epidemic continues, the role of behavior change and psychosocial factors in the spread and transmission of Human Immunodeficiency Virus (HIV) infections assumes increasing significance. Psychologists, as behavior change experts, have a special and challenging role to play in educating the public, particularly women, about AIDS. This article examines AIDSand HIV-related concerns in women with a focus on the personal dilemmas for the practicing psychologist, problems in health behavior advocacy, and methods and pitfalls in modifying sexual behaviors.The appearance of Acquired Immunodeficiency Syndrome (AIDS) in this country introduced not only a new behaviorally transmitted disease into the population, but also a psychosocial force toward change. As with discovery of oral contraceptives over 20 years ago, women are again rethinking their intimate relationships with men and with their own bodies. Articles in popular women's magazines (e.g., Edwards, 1987;Greenberg-Adair, 1987;Weber, 1987) underscore this new source of anxiety for dating women. In recent years, several books have been published with advice on how to date safely in the now uncertain world of premarital sexuality (e.g., Douglas & Pinsky, 1987;Everett & Glanze, 1987;Mandel & Mandel, 1986;Ulene, 1987).For psychologists, too, AIDS presents a unique and complex challenge. Although AIDS is a physical disease, in most instances its transmission and spread is dependent on the volitional behaviors of people (Ward, Hardy, & Drotman, 1987). AIDS is not inadvertently "caught" by contact with airborne germs or contaminated food products. Instead, the majority of individuals who contract Human Immunodeficiency Virus (HIV) infection do so through participating in behaviors that involve intimate contact with HIV-infected bodily fluids, such as blood, semen, and possibly vaginal secretions (Friedland & Klein, 1987). This infectious contact can be prevented. Even though biomedical science has made dramatic strides in our understanding of HIV and its endstage manifestation, AIDS, behavioral science contributions to prevention efforts have come more slowly (Clarke & Sencer, 1987;Des Jarlais, Tross, & Friedman, 1987 an effective AIDS vaccine is developed (National Academy of Sciences, 1988), the importance of prevention efforts through behavior change is clear (Osborn, 1986). Psychologists have a special role to play in developing these interventions.In this article, we will examine AIDS-and HIV-related issues pertinent to women in psychotherapy. In doing so, our focus will be on the personal dilemmas faced by some psychologists, problems in health behavior advocacy, and methods and pitfalls in modifying sexual behaviors. First, however, a brief review of the incidence and prevalence of AIDS in women may be helpful. Epidemiology of AIDS in WomenAlthough a primary focus here will be on the concerns of women in psychotherapy, the truth is that women who are m...

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Reducing Psychological Complications for the Critically Ill AIDS Patier

Cited by 7 publications

References 0 publications

Détresse psychologique chez les personnes atteintes du VIH à Montréal

Détresse psychologique chez les personnes atteintes du VIH à Montréal

Using the Spiritual Perspective in Counseling Persons with HIV/AIDS: An Integrative Approach

Women and AIDS-related concerns: Roles for psychologists in helping the worried well.

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