AIDS and Mental Health Practice: Clinical and Policy Issues

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ISBN: 9780789006240 | 0789006243
Cover: Nonspecific Binding
Copyright: 9/24/1999

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Addressing the difficult emotional issues faced by individuals with HIV/AIDS, this exceptional book looks at the unique needs of these individuals and shows how to help them achieve a positive mental outlook. Readers will examine many techniques that are designed to address specific issues faced by Latinos, intravenous drug users, orphaned children, African Americans, HIV-negative gay men, HIV nonprogressors, HIV-positive transsexuals, end-stage AIDS clients, couples of mixed HIV status, and individuals suffering from HIV-associated cognitive motor disorder.

Written by experts, this exceptional guide offers tips on providing support for people living with AIDS (PLWAs), their loved ones, their families, and individuals in bereavement as a result of an AIDS-related death. In addition, AIDS and Mental Health Practice gives advice on how to help HIV-negative men deal with their connections to the AIDS community and how to remain HIV negative.

About the Editor

Contributors

xvii

Introduction

xxiii

Michael Shernoff

Clinical Issues

The Role of Mental Health Professionals in Medical Decision Making Regarding Protease Inhibitors

(16)

Darrell P. Wheeler

Michael Shernoff

Introduction

(1)

Mental Health Practice and Protease Inhibitors

(1)

Mental Health Workers' Translational Roles

(1)

Barriers to Success with Protease Inhibitors

(2)

Advocacy and Empowerment

(2)

Racial and Cultural Barriers to Protease Inhibitor Treatment

(1)

When Protease Inhibitors Work

(3)

When the Drugs Do Not Work

(2)

Conclusion

(3)

Intrapsychic and Systemic Issues Concerning Returning to Work for People Living with HIV/AIDS

(12)

Michael Bettinger

Disability and the Return to Work

(2)

Adapting to Change

(3)

Case Study

(4)

Conclusion

(2)

An Exploration of Change: The Influence of Combination Therapies on PWA Support Groups

(12)

Mark Thomas

Effect of Combination Therapies on AIDS Support Group Participation

(6)

The Integration of Support Group Experience and the Social World

(1)

Implications for the PWA Support Group Leader

(2)

Summary

(1)

Telephone Support Groups for HIV-Positive Bereaved Mothers of Young Children

(12)

Lori Wiener

Introduction

(2)

Group Membership

(1)

Session One

(1)

Sessions Two and Three

(1)

Sessions Four, Five, and Six

(1)

Sessions Seven, Eight, Nine, and Ten

(2)

Sessions Eleven and Twelve

(1)

Conclusion

(3)

HIV Prevention, Women, and the Kitchen Sink Model

(12)

Annette ``Chi'' Hughes

AIDS Is Not a Gay Disease-or Is It?

(3)

HIV Prevention and Women: The Kitchen Sink Model

(3)

Inventing the WHEEL

(3)

Looking to the Future with the Past Alongside

(3)

Losing Lawrence: The Death of a Child in a Residential Child Welfare Facility

(10)

Gerald P. Mallon

A Question of Survival: Issues in Counseling Homeless Persons with HIV

(8)

Ken Howard

Introduction

(1)

City of West Hollywood Profile

(1)

HIV Counseling Needs Assessment

(1)

Homelessness As a Phenomenon

(1)

Treatment Considerations

(2)

Conclusion

(2)

Support Groups for HIV-Negative Gay Men

(10)

Steven Ball

An Integrated Model

(3)

Member Profiles

(1)

Member Selection

(1)

The Stages Described

(4)

Finding Their Voices in Group: HIV-Negative Gay Men Speak

(22)

Carl Locke

Composition of Groups

(1)

Specific Techniques Utilized

(1)

The Beginning Phase of the Groups: Finding a Place

(7)

The Middle Phase of the Groups: Anger

104

(3)

Depression and Feeling Overwhelmed

107

(2)

HIV As a Lesson

109

(1)

Relationships and Sex Revisited

110

(2)

Group Endings

112

(2)

Conclusion

114

(3)

Spiritual Issues and HIV/AIDS in the Latino Community

117

(8)

Eduardo J. Baez

HIV/AIDS Mental Health Services to Black Men

125

(20)

Darrell P. Wheeler

Dale V. Miller

The African Diaspora in America

126

(3)

Sexual Orientation and Identification

129

(3)

Race, Sexuality, and HIV/AIDS

132

(3)

Practice Implications

135

(5)

Conclusion

140

(5)

In the Eye of the Hurricane: Clinical Issues for HIV-Positive Slow and Nonprogressors from a Self Psychology Perspective

145

(14)

James Cassese

HIV Care for Male-to-Female Pre-Operative Transsexuals

159

(20)

James Grimaldi

Introduction

159

(1)

Defining Transsexual

160

(2)

Countertransference

162

(2)

Battling Social Isolation: The Support Group Process

164

(3)

Safeguarding Gender Identity Through the AIDS Illness Progression

167

(2)

Hormone Treatment

169

(2)

Finances

171

(1)

Sex Work

172

(3)

Life Review: A Group Process

175

(1)

Conclusion

176

(3)

Internalized Homophobia in the Psychotherapy of Gay Men with HIV/AIDS

179

(8)

Maria R. Derevenco

Ronald J. Frederick

Introduction

179

(1)

Manifestations of Unconscious Internalized Homophobia

180

(2)

Internalized Homophobia and HIV/AIDS

182

(2)

Clinical Implications

184

(3)

Dying Well: Counseling End-Stage Clients with AIDS

187

(12)

Michael Shernoff

Categories of Dying

190

(1)

Preparing for Serious Illness

190

(4)

Pain Management

194

(1)

Choices in Dying

194

(5)

Psychotherapy, Counseling, and Self-Deliverance

199

(12)

Michael E. Holtby

``Storytelling'' in a Bereavement Support Group for Pediatric HIV/AIDS Case Managers of the Brooklyn Pediatric AIDS Network

211

(10)

David Strug

Craig Podell

Martine Cesaire

Roy Ferdinand

Hillary Kallor

Dorothy Moore

Josephine Walker

Introduction

211

(1)

The Bereavement Group

212

(3)

Institutional and Social Critique

215

(1)

A Baby Needs Burying

216

(2)

Discussion

218

(1)

Conclusion

218

(3)

Social Work with Hospitalized AIDS Patients: Observations from the Front Lines of an Inner-City Hospital

221

(14)

Barbara Halin-Willinger

Martha Powers

Chris Carlson

Lorna Lee

Mary Beaudet

Miriam Bernson

John Kleinschmidt

Harper Model: Responses and Vignettes

222

(6)

A Model of Hospital AIDS Work

228

(5)

Conclusion

233

(2)

African-American Women Still Remain Invisible: Are Mental Health Professionals Doing Enough? Clinical Cultural Competence Issues

235

(14)

Ednita Wright

Evelyn Blackburn

Susan Taylor-Brown

Introduction

235

(2)

Literature Review

237

(1)

The Historical Relationship of Health Care and African Americans

238

(2)

Case Example: Sharon

240

(1)

Case Example: Adella

241

(2)

Clinical Cultural Competence Issues: Handling Historical Mistrust

243

(1)

Communication Challenges

244

(1)

Building Empowering Relationships

245

(1)

Conclusion

246

(3)

Reflections from the Field: Looking Beyond the Behavior to See the Need A Case Study

249

(6)

Patricia A. Stewart

Entrusted with Secrets-Working with Immigrants with HIV

255

(10)

Hank Flacks

Couples of Mixed HIV Status: Therapeutic and Policy Issues

265

(20)

Robert H. Remien

Raymond A. Smith

Introduction

265

(1)

Psychological Distress within Couples

265

(1)

Challenges for the Couple

266

(1)

Sexual Risk Behavior

267

(1)

Caretaking Concerns

268

(1)

Future Planning

269

(1)

Isolation

269

(1)

The Therapeutic Process

270

(1)

Session Content

271

(5)

Themes Throughout Therapy

276

(1)

Policy Implications

277

(4)

Summary

281

(4)

HIV-Associated Cognitive/Motor Complex: Early Detection, Diagnosis, and Intervention

285

(24)

Stephan L. Buckingham

Wilfred G. Van Gorp

Brief History

285

(2)

Incidence/Prevalence of HIV-Associated Cognitive/Motor Complex

287

(1)

Neuroanatomic and Clinical Features of HIV Associated Cognitive/Motor Complex

288

(1)

Differential Diagnosis: HIV Associated Cognitive/Motor Impairment versus Other

HIV Related Neuropsychiatric Disorders

289

(3)

Screening for Cognitive Impairment in HIV Disease

292

(3)

Clinical Intervention with HIV Associated Cognitive/Motor Complex

295

(5)

Conclusion

300

(9)

Criteria for Clinical Diagnosis of Central Nervous System Disorders in Adults and Adolescents

300

(9)

Policy Issues

Identifying and Confronting Racism in AIDS Service Organizations

309

(10)

Larry M. Gant

Identifying Personal and Organizational Responses to Racism

310

(3)

Confronting Racism in the Agency and Among Colleagues

313

(2)

People Recovering from Racism

315

(2)

Conclusion

317

(2)

The Challenges of HIV/AIDS Education and Training for Social Workers and Other Mental Health Professionals

319

(10)

Arnold H. Grossman

The AIDS Professional Education/Training Program

320

(1)

Assessing HIV/AIDS Education Needs

321

(2)

Program Goals and Activities

323

(3)

Conclusions and Implications for Further Training

326

(3)

Models Created in Response to the HIV/AIDS Pandemic: The New York Peer AIDS Education Coalition

329

(8)

Edith Springer

Models Created in Response to AIDS

329

(2)

Community Empowerment Models

331

(1)

The New York Peer AIDS Education Coalition

332

(4)

Conclusion

336

(1)

HIV, Suicide, and Hastened Death

337

(14)

Michael E. Holtby

Introduction

337

(3)

The Extent of AIDS Suicide

340

(1)

Impact on Health Professionals

341

(1)

Establishing Assessment Standards

342

(2)

Differential Diagnosis

344

(2)

The Clinician's Role Beyond Assessment

346

(5)

Coming Out Positive? HIV Prevention for Gay, Lesbian, and Bisexual Youths

351

(16)

Peter A. Newman

Youths and HIV/AIDS

352

(4)

Coming Out and HIV Related Risk-Taking Behavior

356

(2)

HIV Prevention for LGB Youths

358

(3)

Conclusion

361

(6)

Index

367

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AIDS and Mental Health Practice: Clinical and Policy Issues

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