This book examines diplomatic influence and collective decision-making within the transatlantic security regime, focusing on the four major member states of NATO: France, Germany, the UK, and the United States. Two cases of post-Cold War transatlantic military intervention are examined in which regime member states sought to develop and adopt a single, collective policy on the use of military force outside of NATO's territorial area of operations: Bosnia-Herzegovina and Kosovo. The question is, what conditions or factors increase or decrease the likelihood of the member states of the transatlantic security regime adopting a common, collective policy with regard to military intervention in a given case? The author answers that question by testing the roles of six alternative rival explanations: power, threat perception, international institutions, risk analysis, perceptual lenses, and domestic political pressures.

In this nation, in this decade, there is only one way to deal with an individual who is sick-with dignity, with compassion, care and confidentiality, and without discrimi nation. Statement made by President George Bush at the National Business Leadership Conference This book is about the care of sick human beings. It is about the heroic struggle of individuals with AIDS. It is about their daily coping in the workplace and at home; about economic problems, the loss of friendship and family support, and physical and emotional pain. But it is also about empowering them to deal with their disease, viewing them not as victims but as warriors, vital and active par ticipants in their battle against AIDS. This book is also about the social context in which HIV-infected persons and people with AIDS live. It is about how we must learn to deal with sickness in more compassionate and humanitarian ways and what we yet need to learn. It touches on the health care system that confronts those who are ill, on programs of prevention and education, and on the personal implications of broader national and local policies."

An inside look at the devastating impact of the HIV/AIDS epidemic on poor African American women Black Women's Risk for HIV: Rough Living is a valuable look into the structural and behavioral factors in high-risk environmentsspecifically inner-city neighborhoods like the Rough in Atlantathat place black women in danger of HIV infection. Using black feminism to deconstruct the meaning and significance of race, class, and gender, this text gives a voice to a unique disenfranchised population and legitimizes their lives and experiences. This important ethnographic study focuses not only on the problems associated with the continued rise in HIV rates among African American women, but provides viable solutions to these problems as well. As we move into the 21st century, unsafe heterosexual contact has become a common route of HIV infection and an overwhelming majority of those infected are women. More and more, these are women of color who reside in poor inner-city neighborhoods. Black Women's Risk for HIV: Rough Living uses ethnographic methods to define and break down the social, economic, and political factors directly affecting women in high-risk environments. An informative and compassionate rendering of a growing problem, this text offers an inside look at the devastating impact of the HIV/AIDS epidemic on poor African American women and works to link these women's individual circumstances to the larger social context. Some topics Black Women's Risk for HIV: Rough Living explores in-depth are: the 20-year change in the Roughin inner-city Atlantafrom a middle-class African American neighborhood to a high-risk hub of chronic drug users and sellers the history and implementation of the Health Intervention Project (HIP) in the Rough theoretical frameworks that shape the analysis of the impact of this neighborhood as a on the lives of women at high-risk for contracting HIV women's living arrangements in the Rough and their relation to the structural constraints that place them at risk a living-arrangement-based categorization of women in the Roughstreet women and house womenand the defining characteristics of each family relations and the personal histories of women as influential factors women's intimate partner relationships and motivation for condom use in those relationships mother-child relations and views of parenting that cycle between hopeful and hopeless mothering the disappearance of work and welfare from the inner-city community and women's methods of economic survival the meaning and significance of church and religion in the lives of high-risk women four primary methods of reducing HIV risk in these environments and much more! While qualitative health researchers interested in race, class, gender, and behavioral perspectives of HIV risk and protective factors will find Black Women's Risk for HIV: Rough Living a valuable resource, so too will public health practitioners, medical sociologists, substance abuse and mental health researchers, and graduate students focusing on public health, sociology, community psychology, and women's health.

Make sure every child gets a chance to be heard HIV, Substance Abuse and Communication Disorders in Children examines the language problems of young children from special populations. Essential as a textbook for graduate and upper-level undergraduate studies and as a reference resource, this unique book presents up-to-date research and compelling case studies that illustrate how prenatal exposure to drugs, alcohol, and HIV can affect a child in utero and continue to handicap its development after birth. Each chapter includes discussion threads and review questions to promote critical thinking and clinical problem-solving skills in the classroom. HIV, Substance Abuse and Communication Disorders in Children looks at the negative impact a mother's lifestyle practices can have on her developing child with a nod toward the significant prevalence of HIV and substance abuse in today's society. Some estimates place the number of infants born after prenatal exposure to illicit drugs as three-quarters of a millionevery year. When alcohol is added, the figure rises to more than 1 million. This powerful book focuses specifically on the serious consequences of alcohol, marijuana, cocaine, and crack cocaine abuse, including poor language development and speech delays, limited vocabulary, the inability to make their needs known, poor articulation, the inability to follow commands, limited expressive language skills, and the inability to understand the real meaning of words and generalize them. And of the nearly 5,000 children in the United States living with AIDS, almost all will struggle with speech production and communication disorders as the disease affects their brain, spinal cord, and central nervous system. HIV, Substance Abuse and Communication Disorders in Children examines: the effect of drugs on the brain pregnancy and drug use trends common drugs of abuse Kosakoff's syndrome fetal alcohol syndrome (FAS) among Native Americans and African Americans neurologic sequellae speech and language intervention rehabilitation considerations treatment and family counseling and much more HIV, Substance Abuse and Communication Disorders in Children is essential for graduate and undergraduate students working with language disorders in special populations.

Make sure every child gets a chance to be heard HIV, Substance Abuse and Communication Disorders in Children examines the language problems of young children from special populations. Essential as a textbook for graduate and upper-level undergraduate studies and as a reference resource, this unique book presents up-to-date research and compelling case studies that illustrate how prenatal exposure to drugs, alcohol, and HIV can affect a child in utero and continue to handicap its development after birth. Each chapter includes discussion threads and review questions to promote critical thinking and clinical problem-solving skills in the classroom. HIV, Substance Abuse and Communication Disorders in Children looks at the negative impact a mother's lifestyle practices can have on her developing child with a nod toward the significant prevalence of HIV and substance abuse in today's society. Some estimates place the number of infants born after prenatal exposure to illicit drugs as three-quarters of a millionevery year. When alcohol is added, the figure rises to more than 1 million. This powerful book focuses specifically on the serious consequences of alcohol, marijuana, cocaine, and crack cocaine abuse, including poor language development and speech delays, limited vocabulary, the inability to make their needs known, poor articulation, the inability to follow commands, limited expressive language skills, and the inability to understand the real meaning of words and generalize them. And of the nearly 5,000 children in the United States living with AIDS, almost all will struggle with speech production and communication disorders as the disease affects their brain, spinal cord, and central nervous system. HIV, Substance Abuse and Communication Disorders in Children examines: the effect of drugs on the brain pregnancy and drug use trends common drugs of abuse Kosakoff's syndrome fetal alcohol syndrome (FAS) among Native Americans and African Americans neurologic sequellae speech and language intervention rehabilitation considerations treatment and family counseling and much more HIV, Substance Abuse and Communication Disorders in Children is essential for graduate and undergraduate students working with language disorders in special populations.

Russia and a few other Eurasian countries have been home to the fastest-growing epidemics of HIV in the world over the last several years. A study published by the U.S. National Intelligence Council in 2002 identified Russia among five "second wave" countries likely to experience explosive further increases in HIV/AIDS over the next decade if appropriate measures are not taken. It is widely acknowledged that HIV/AIDS is evolving as a serious epidemiological, social, political, and national security problem throughout the Eurasian region. Yet each of these countries confronts a unique set of challenges and strategies for facing those challenges. This volume offers country-specific accounts, authored by the leading players in the analysis of the situation and the fight against the virus.

The devastating effects of HIV/AIDS have propelled a multiplicity of activities at global, national and local level. This book is based on in-depth studies of the major global institutions in health (WHO, UNAIDS, World Bank, WTO, Global Fund); the role of pharmaceutical corporations; the functions of NGOs; and the national responses to HIV/AIDS in Brazil and South Africa. The authors offer a unique political science perspective on this important issue and bring to light the relevance of their conclusions for other areas of health and global governance.

Our understanding, prevention, and treatment of HIV have made remarkable strides in the past two decades, but the way has not been smooth or straight. Part history, part narrative, and mainly "scientific autopsy," this book is an insider's account of the errors, controversies, and corrections that have marked the first 25 years of the HIV/AIDS epidemic in the United States. The author discusses the sources of these errors and controversies and provides many examples. These range from the scientifically contentious and protracted-- such as laboratory contaminations that lead to identifying HTLV-III and HTLV-IV, or arguments that there were HIV patients who were "silently infected," and not detectable by standard HIV tests--to controversies that the scientific community quickly evaluated and discarded--such as the belief that HIV is spread by mosquitoes, or that one AIDS-associated cancer is caused by "poppers," nitrates inhaled for sexual stimulation. This book describes how these many scientific errors occurred, how they got propagated, how they distracted researchers and the public, and how they got corrected. Holmberg, a longtime past Chief of Epidemiology in the CDC's Division of HIV/AIDS Prevention, shows us how scientific errors and controversies inevitably occur in the absence, ignorance, or dismissal of good data, and the promotion of bad data or analyses. He suggests reforms of governmental processes, medical and scientific journal review, and in graduate education that may help scientists recognize and correct errors faster, and so deal with future epidemics more efficiently.

Southeast Asian sex workers are stereotypically understood as passive victims of the political economy, and submissive to western men. The advent of HIV/AIDS only compounds this image. Sex Work in Southeast Asia is a cultural critique of HIV/AIDS prevention programmes targetting sex tourism industries in Southeast Asia.

eBook available with sample pages: 020346267X

All over the world, families and communities are key providers of care and support. This is particularly true in relation to serious illnesses such as HIV and AIDS. Yet families and communities can also stigmatise their members, leaving people to die in the most appalling conditions. This book examines the diversity of family and community responses to HIV and AIDS. By examining contexts such as nuclear, extended and refugee family households, and gay community networks and structures, it offers insight into the factors which lead to positive responses and those which trigger negative ones.

This timely book looks critically at the policy response to AIDS and its institutionalization over time. It raises important questions about who benefits, who decides, and in whose interests decisions are made. Taking the early international response to the epidemic as its starting point, and focusing on the work of agencies such as UNAIDS, it identifies two logics underpinning strategy to date. First, the idea of HIV as a 'global emergency' which calls for an extraordinary response. Second, the claim that medicine offers the best way of dealing with it. The book also identified the rise of something more dominant - namely Global AIDS - or the logic and system that seeks to displace all others. Promulgated by UNAIDS and its partner agencies, Global AIDS claims to speak the truth on behalf of affected persons and communities everywhere. Founded on solidarity claims concerning the international HIV movement, and distinctive knowledge practices which determine what needs to be done. Alternative views about the nature of the epidemic or the best response are rejected as irrelevant for falling outside the master framing of the epidemic that Global AIDS provides. But to what extent is this biomedical and emergency framing of the epidemic sustainable, and to what extent does it speak to the sustainability of lives as affected people wish them to be lived? Does scientific and biomedical advance provide all the answers, or do important social and political issues need to be addressed? This book provides an innovative framework with which to think about these and other sustainability challenges for the future.

The unfolding tragedy of the AIDS epidemic is an instance where a disease with local origins has created consequences worldwide. Todd Sandler (2001a) Health concerns are ?rmly embedded in the developing world. Conditions of poverty like inadequate health infrastructures and sanitation, limited access to treatment of diseases etc. have increased the susceptibility to diseases. However, there is an increasing awareness that health problems of the poor cross national borders and, hence, affect the well-being of people globally. Of all the health crises originating from the developing world the HIV/AIDS epidemic does not only seem to be the largest humanitarian concern but also possesses major economic, de- graphical and social consequences. AIDS could cause even bigger consequences in the future if the spread of HIV is not stopped. The international community has recognised this necessity by determining the 1 ?ght against AIDS as one of the eight Millennium Development Goals (MDGs ).

In this startling new collection of case studies entitled HIV/AIDS and the Drug Culture: Shattered Lives, you'll take an eye-opening and informative look at the lifestyle and culture of the HIV/AIDS intravenous drug users (IVDUs). You'll see how health care providers and caregivers can update their methods and mindsets in order to meet the needs of this special cross-section of patients.In each chapter of HIV/AIDS and the Drug Culture, you'll gain instant access to full medical and psychosocial histories. You'll also find summaries of important events, clues to recognize, and strategies to safely manage each problematic situation that might arise, all of which will speed you on your way to more effectively and professionally administering to current and former intravenous drug users. Specifically, you'll read about: facts about needle exchange programs, injection drug use, and seroprevalence among IVDUs developing and assessing coping skills applying harm reduction models relapse prevention identifying and dealing with manipulative behaviorsBecause most health care providers only deal with a small number of HIV/AIDS IVDU cases, they lack the opportunity to construct valuable and viable plans for dealing with such patients. Now, finally, you have this guide to help you. So, if you're a nurse, social worker, health care provider, case manager, therapist, or someone interested in learning about the latest information regarding health care and intravenous drug use, let HIV/AIDS and the Drug Culture introduce you to the culture of the drug user and the best plans for meeting his or her health care needs.

This edited collection investigates the biomedical and social technologies used to control the HIV pandemic through case studies and critical commentaries from Africa, Europe, North America and Australia. With reference to global and local complexities, the volume engages with HIV treatment access, community-based health promotion, sexual health, HIV prevention and the relations between treatment and prevention. The volume includes chapters from leading authors in their fields and takes a trans-disciplinary approach by making reference to theoretical and empirical research from sociology, psychology, cultural studies and science and technology studies, thus helping to establish new ways of understanding current and future configurations of HIV technologies.

Drug Injecting and HIV Infection is a comparative international study of drug injecting behaviour and HIV infection based on the World Health Organization's study of 13 cities as disparate as Athens, Bangkok, Glasgow and Rio de Janeiro. Using a standardized methodology for the collection of data, as well as central data management and analysis, this study represents the largest international project of its kind. It presents a comprehensive overview of what is currently known about drug injecting, HIV infection, epidemic dynamics and possibilities for prevention.
Stressing the importance of linking research to intervention and policy, the contributors emphasize the need to place HIV and policy issues on the international agenda. Written by experts in the field, this global study offers an in-depth and definitive analysis of the subject.

Contents:
Global perspectives on drug injecting; the social context of injectors' risk behaviour; health and social consequences of injecting drug use; drug injecting and HIV-1 infection - major findings from the multi-city study; new injectors and HIV-1 risk; the structure of stable seroprevalence HIV- 1 epidemics among injecting drug users; mobility and the diffusion of drug injecting and HIV infection; modelling the HIV-1 and AIDS epidemic among drug injectors; drug injecting and sexual safety - cross-national comparisons among cocaine and opioid injectors; cities responding to HIV- 1 epidemics among injecting drug users; prison and HIV-1 infection among drug injectors; preventing epidemics of HIV-1 among injecting drug users; overview - policies and interventions to stem HIV-1 epidemics associated with injecting drug use; appendix 1 - methodology of the World Health Organization multi-city study on drug injecting and risk of HIV infection; appendix 2 - city epidemics and contexts; appendix 3 - contributors and collaborating agencies in the World Health Organization multi-city study on drug injecting and risk of HIV infection.

This study draws on feminist theory, cultural studies, the philosophy of science, and gay and lesbian studies to problematize the factual scientific discourse about AIDS, and interpret it as a political discourse. Waldby argues that much AIDS discourse relies on an implicit and unconscious equation between sexual health and heterosexual masculinity. In this equation, women, bisexual and gay men are the targets of preventative programmes, while heterosexual men tend to remain unaddressed by such programmes. Drawing upon examples of preventative policies from Australia, Britain and the USA, Waldby investigates the concept of public health and questions whose interests are represented in a "healthy society". It demonstrates the extent to which established ideas about the virus: the immune system, the HIV test and the epidemiology of the disease, rely upon unexamined, conservative assumptions about sexual identity and sexual difference.

In this guidebook, People With HIV and Those Who Help Them, author Dennis Shelby uses the reported experiences of HIV-positive men to chart the course of living with HIV. He offers a consistent clinical-theoretical framework that encompasses the vast range of clinical problems clinicians may encounter in their work with HIV-positive individuals across the span of infection.This book provides a detailed account of the many psychological transformations that infected people experience. People With HIV and Those Who Help Them enables clinicians and students to better address the problems commonly encountered in clinical practice with persons with HIV. Clinicians will be able to gain perspective on the process of knowing one is infected, infected men will see their process mirrored and validated, and family, friends, and partners of infected men will gain a greater appreciation for the experience of their relative, friend, and partner. As clinicians have gained experience in working with HIV-positive people, they have become increasingly aware of the complexity of successful clinical intervention with HIV-related problems. In his book, Shelby "breaks down" this complex process into its component aspects: psychological impact of HIV infection the process of adapting to the knowledge of infection the dynamic process involved with HIV infection common problems and solutions encountered by infected people case examples that illustrate the clinical framework intensive psychotherapy and HIV infectionThe study that is the basis for this book charts the initial psychological impact and many changes and transformations of the experience of being HIV-positive. While infected people are often encouraged to maintain hopeful outlooks and to think of themselves as living with HIV rather than dying from it, it is often a long and arduous process to achieve and maintain this perspective. People With HIV and Those Who Help Them is a guide to help those with HIV to keep a positive outlook on life.

Despite educational efforts, the majority of Americans are still under the misconception that they are not at risk from HIV/AIDS infection. In addition, the federal government only spends 2% of the total designated federal AIDS funding toward prevention. Thus, information in respect to AIDS and health communication in any comprehensive nature is almost nonexistent.; This book aims to rectify the situation by presenting detailed analysis and actions necessary to confront the AIDS pandemic on every level of the communication realm. Contributors are experienced researchers, educators, government officials, and physicians. They examine the issue from a number of standpoints, including: communication, adolescent medicine, public administration, psychology, journalism, audiology, speech and language pathology, neurological surgery, preventive medicine and public health.

Written by researchers at a federally funded outreach program to combat the spread of AIDS, this book analyzes the efforts of the Miami Community Outreach Project to intervene in AIDS-related risk behavior among intravenous drug users and their sexual partners. The work provides background information on the history of AIDS, the risk behaviors of drug abusers, and federal intervention programs. It discusses the prevalence of the HIV virus in the Miami area and gives a detailed description of the project, discussing the theoretical basis for the project, the intervention strategies used, the rationale behind those strategies, and the results achieved. Appendixes provide information on the health of the subjects, the material used, and the Belle Glade Community Outreach Project modeled after the Miami project. The book begins with background information on the history of AIDS, the risk behaviors of drug abusers and their sexual partners, and federal attempts to combat the spread of AIDS. It then discusses the prevalence of the HIV virus in the Miami area, drug abusers in the community, and the Miami Community Project. Providing a detailed description, the authors discuss the theoretical basis for the Project, the intervention strategies used, the rational behind those strategies, and the results achieved. Appendixes provide information on the health of the subjects, the research manual and educational materials used, and the Belle Glade Community Outreach Project modeled after the Miami project. The book will be of interest to drug abuse and AIDS researchers as well as to clinicians and counselors.

Applying research into assessments of community theatre, epidemiology, and young people's shared and private stories using a wide range of methodologies, this book explores the potential efficacy of community theatre to prevent the spread of HIV/AIDS in Tanzania with reference to several other comparable sites in Africa.

The founder of "POZ" magazine shares "a captivating...eyewitness account from inside the AIDS epidemic" ("Next") and "a moving, multi-decade memoir of one gay man's life" ("San Francisco Chronicle").
As a politics-obsessed Georgetown freshman, Sean Strub arrived in Washington, DC, from Iowa in 1976, with a plum part-time job running a Senate elevator in the US Capitol. He also harbored a terrifying secret: his attraction to men. As Strub explored the capital's political and social circles, he discovered a parallel world where powerful men lived double lives shrouded in shame.
When the AIDS epidemic hit in the early 1980s, Strub was living in New York and soon found himself attending "more funerals than birthday parties." Scared and angry, he turned to radical activism to combat discrimination and demand research. Strub takes you through his own diagnosis and inside ACT UP, the organization that transformed a stigmatized cause into one of the defining political movements of our time.
From the New York of Studio 54 and Andy Warhol's Factory to the intersection of politics and burgeoning LGBT and AIDS movements, Strub's story crackles with history. He recounts his role in shocking AIDS demonstrations at St. Patrick's Cathedral as well as at the home of US Sen-ator Jesse Helms. With an astonishing cast of characters, including Tennessee Williams, Gore Vidal, Keith Haring, Bill Clinton, and Yoko Ono, is a vivid portrait of a tumultuous era: "A page-turner... with] the suspense and horror of Paul Monette's memoir "Borrowed Time" and the drama of Larry Kramer's play "The Normal Heart."...What a lot of action--and life--there is in this gripping book" ("The Washington Post").

"I'm like a whirling leaf in the wind," said one of Dr. Lena Nilsson SchOnnesson' s patients, and another "I'm in the claws of HIV." Their voices and those of other HIV-positive patients frame the humanistic and scholarly discussion in this impor tant book. Dr. SchOnnesson, a Fulbright scholar at the HIV Center for Clinical and Behavioral Studies, Columbia University in 1995, has unusually extensive clinical experience in counseling HIV-positive gay men. Her work with 38 such patients treated between 1986 and 1995 is discussed in the pages that follow. Dr. SchOnnesson's longitudinal approach to clinical data is extremely unusual in the psychotherapy literature generally, and in the literature on counseling HIV positive men in particular. Building upon the experience of such recent scholar clinicians as Klitzman, Isay, Schaffner, and others, Dr. SchOnnesson adds some thing unique by analyzing her ongoing detailed notes of the psychotherapeutic process in a systematic quantitative as well as qualitative manner. The analysis of her data is further informed by her coauthor, Dr. Michael Ross, a therapist and investigator whose contribution to the clinical and research literature on the psychotherapeutic treatment of gay men has already been substantial."

Drawing on never before used archival materials, Replacing the Dead exposes the history of Soviet and Russian abortion policy. It is not unusual for nations recovering from wars to incentivize their populations to raise their birthrates. The post-World War II Soviet pronatalism campaign attempted this on an unprecedented scale, aiming to replace a lost population of 27 million. Why, then, did the USSR re-legalize abortion in 1955? Mie Nakachi uses previously hidden archival data to reveal that decisions made by Stalin and Khruschev under the rubric of 'family law' created a society of broken marriages, "fatherless" children, and abortions, each totaling in the tens of millions. The government reversed laws regarding paternal responsibility, thereby encouraging men to impregnate unmarried women and widows, and blocked available contraception, overriding the advice of the medical establishment. Some 8.7 million out-of-wedlock children were born between 1945 and 1955 alone. In the absence of serious commitment to supporting Soviet women who worked full-time, the policy did extensive damage to gender relations and the welfare of women and children. Women, famous cultural figures, and Soviet professionals initiated a movement to improve women's reproductive health and make all children equal. Because Soviet leaders did not allow any major reform, an abortion culture grew among Soviet women and spread throughout the Soviet sphere, including Eastern Europe and China. Based on groundbreaking research, Replacing the Dead traces how the idea of women's right to an abortion emerged from an authoritarian society decades before it did in the West and why it remains the dominant method of birth control in present-day Russia.

This book explores the experiences and emotional expression of 30 people Living with HIV/AIDS (PLWHA) using qualitative research methods such as "illness narratives," and analyzes the dilemmas of "sicknesses of the society" including "Acquired Needs Deficiency" Syndrome, "Acquired Expectation Insufficiency" Syndrome, and "Acquired Punishment" Syndrome at the micro, meso and macro levels, so as to investigate higher-intensity negative emotions.In turn, the book draws on the perspectives of conflict and game, structure and function, and system and interaction, in order to propose a dynamic mechanism of emotion and expression, and argues that these negative emotions can be transformed, strengthened and presented through defense mechanisms such as suppression and attribution, which will influence social institutions at the micro, meso and macro levels and even possibly bring about positive changes in the social structure.