In this book, David Silverman offers a fully researched and analytically sensitive account of how counselling, as a process, is dynamically constructed through the interaction of counsellor and client. Drawing on research on counselling of clients undergoing an HIV test, the author explores the ways in which conversations between counsellors and clients reflect, embody and subtly alter assumptions about the purpose, method and practice of counselling. This critical appreciation of the modes of engagement between counsellor and client will be of interest to researchers and students of counselling, psychotherapy and associated helping professions. Practitioners - particularly those involved in HIV and other health counselling - will be stimulated to reflect on and respond to Silverman's analysis in their own practice. The book will also be essential reading for researchers and students in the traditions of sociological work on interactionism, conversation analysis and ethnomethodology, applying these approaches in a sophisticated manner to the interactionist and conversational strategies adopted in a health promotion environment.

This volume presents a systems approach to understanding and managing the AIDS crisis - an approach that addresses the needs not only of HIV- infected individuals, but also of families and communities at risk from AIDS. Discussions are included on HIV epidemiology and risk reduction, medical management of the AIDS patient, and neuropsychiatric aspects of HIV infection. Strategies for psychotherapeutic intervention, from individual through group to extended family system, are described in detail. The authors examine spiritual, religious and cultural factors in communities and offer guidelines for building a community network for AIDS prevention and intervention. Full consideration is also given to ethical and policy issues, and to the risks faced by health care providers. First published in 1993. Routledge is an imprint of Taylor & Francis, an informa company.

Despite the growth of various forms of online discussion, their impact on American political life is only beginning to be examined systematically. In Politics Online Richard Davis provides a thorough analysis detailing the political attitudes, behavior, and demographic nature of the electronic discussion community contrasting that community with the general public.

Despite the growth of various forms of online discussion, their impact on American political life is only beginning to be examined systematically. In Politics Online Richard Davis provides a thorough analysis detailing the political attitudes, behavior, and demographic nature of the electronic discussion community contrasting that community with the general public.

Dermatologists are often the first medical professionals to see patients with HIV infection, as skin diseases are common in acquired immunodeficiency syndrome. This book aims to help dermatologists recognize the cutaneous manifestations of HIV infection and AIDS, so that diagnosis can be made quickly and therapy begun as soon as possible. The book covers the entire spectrum of HIV-associated cutaneous diseases, and emphasizes how they present in immunocompromised patients. A wide range of skin disorders are covered, including infections caused by bacterial, parasitic and fungal agents. The latest treatments are described, including Highly Active Antiretroviral Therapy (HAART). Each condition is discussed in detail, with information on clinical presentation, histopathological findings, morphology, and treatment - as well as possible side-effects. The text is accompanied by colour photos of the highest quality.

South African born-and-raised Hollywood screenwriter Helena Kriel is researching the ancient text of the Kama Sutra for a movie she’s writing. At the same time, she is travelling to India to meet with sages and find answers to the universal challenges of sex and love. While searching for love in her doomed relationships, little does she know she will find her answers in caring for her dying brother, Evan, in South Africa.

Set in the mid-1990s, South Africa is just emerging from the darkness of apartheid and bursting with vibrant chaos. The story zooms in on an intense year in the narrator’s life. It centres around the lively and eccentric South African Kriel family: Maya, the combative but inspired mother; Lexi, the sister recently returned from living in a temple in India; Ross, the younger brother diving with sharks; and Helena, the narrator, herself on a journey to understand love and death. At the heart of the story is Evan, her terminally ill 30-year-old gay brother, who has been keeping his illness a shameful secret. Conscious, sensitive, terrified and trying to hang onto sanity as his world changes, Evan becomes paralysed then finally goes blind as death draws ever closer. But it is Evan who leads the family through the fire.

In living through her brother’s fight to stay alive, the narrator finds herself at the heart of a savage story, one she would not have chosen. How could she know when she set out to India to find ancient solutions to the modern problems of our age that her brother’s approaching death would be her greatest teacher? How could she imagine that dying brings everything to life?

The Year Of Facing Fire is an astoundingly written memoir by one of South Africa’s finest writers. It traverses universal themes including love, death and sex, and finds value in the ordinary and great beauty in the uncertain.

This book explores the normalization of HIV and AIDS, reflecting upon the intended and unintended consequences of the multifarious "AIDS industry." The Normalization of the HIV and AIDS Epidemic in South Africa deals with the manner in which the HIV and AIDS epidemic has become such a well-known disease with such wide-ranging ramifications. With its focus on the "AIDS industry," this book examines issues such as the framing of the HIV and AIDS epidemic in a manner that greatly fostered notions of stigmatization and moralization. This book looks at the complexities of dealing with the epidemic in contemporary South Africa, examining the difficulties of addressing the social aspects of a disease in the context of increased focus on technological quick-fix solutions. De Wet explores these issues thoroughly, looking at the social determinants of the spread of the disease as well as the configuration and the nature of the responses to it, and their increasing marginalization as factors to address in an era of increased biomedicalization and concomitant normalization. This book will intrigue scholars and students of public health, global health care, medical sociology, and African Studies.

In this broad-ranging book, Michael Bloor gives an overview of our current understanding of the social conditions and contexts of HIV transmission. The author examines the social epidemiology of HIV transmission in its different manifestations in the developing world and in the West, looking at heterosexual and homosexual transmission, sex tourism and prostitution, injecting drug users, haemophiliacs and transfusion recipients. He goes on to look at reports of sociological studies of risk behaviour among men who have sex with men, among heterosexual and bisexual men and women, and among those who share syringes. Drawing on his own research, Michael Bloor presents a critical examination of the different theoretical models of risk and considers their implications for disease prevention.

Evidence shows that nutritional supports can help maintain health in the HIV-infected patient by replacing lost nutrients, compensating for nutritional damage done by the retrovirus-induced immunodeficiency, and stimulating the remaining immune system and cells for better host defenses.

This new edition of Nutrition and AIDS is a timely look at what dietary materials, supplements, and foods may benefit or treat AIDS, as well as nutritional deficiencies that can accelerate progression to AIDS and death. It offers a variety of alternative dietary and herbal remedies, including some that have been tested in animals and humans to stimulate immune defense or compensate for changes induced by HIV infection. In addition, it surveys items that may accelerate nutritional depletion in AIDS patients, such as cocaine, alcohol, and tobacco use. It includes data from animal studies modeling AIDS and nutrition, studies not yet done in humans but applicable to them.

Including updated reviews on topics from the author's earlier publications on the subject, with a focus on how to use this nutritional information to treat or retard development of AIDS, Nutrition and AIDS brings to the forefront the most recent advances in understanding the nutritional deficiencies of AIDS and HIV-positive patients.

The latest in the crucial series documenting scientific discoveries at the forefront of HIV and AIDS research
This volume updates the most important and controversial issues facing physicians, nurses, microbiologists, pharmacists, and epidemiologists who deal directly with patients suffering from HIV and AIDS, focusing on specific areas in which important new advances have occurred in diagnosis, therapy, and prevention of infection and related complications.
Outlines new disease management strategies being tested in prospective clinical trials and observational studies
Combining elements of virology, epidemiology, immunology, oncology, endocrinology, neurology, psychiatry, and the behavioral sciences, AIDS Clinical Review 2000/2001
clarifies substantive advancements in vaccine development, realistically assessing potential efficacy and limitations
explores short-term antiretroviral therapy for dramatically reducing the rate of vertical transmission from mother to child
evaluates the efficacy of antiretroviral prophylaxis for workers who experience high-risk exposure to HIV-infected blood
discusses preservation of HIV specific immunity when antiretroviral therapy is initiated early in the course of acute infection
considers complex drug interactions that occur when drugs are used in combination
highlights cytokine and other immune-based therapies
suggests chronic hepatitis may ultimately be more fatal than HIV for coinfected patients
and more
Including results recently presented at scientific meetings but not yet published in peer-reviewed journals, AIDS Clinical Review 2000/2001 is essential reading for infectious disease specialists, epidemiologists, virologists, immunologists, pharmacologists, microbiologists, hematologists, hepatologists, oncologists, neurologists, medical students in these disciplines, and all medical professionals involved in both AIDS research and clinical practice.

'This book will make you love her as much as I do' FORMER PRESIDENT BILL CLINTON 'Breath-taking courage and compassion [...]a beautiful book' THE SUNDAY TIMES 'A renegade Florence Nightingale cares for the ill in a remarkable tale of compassion and combating prejudice' GUARDIAN 'An extraordinary tale' EVENING STANDARD 'If I have one message with this book it's that we all have to care for one another. Today, not just in 1986. Life is about caring for each other, and I learned more about life from the dying than I ever learned from the living. It's in an elephant ride, it's in those wildflowers dancing on their way to the shared grave of two men in love, and it's in caring for that young man who just needed information without judgement.' In 1986, 26-year-old Ruth Coker Burks visits a friend in hospital when she notices that the door to one of the patient's rooms is painted red. The nurses are reluctant to enter, drawing straws to decide who will tend to the sick person inside. Out of impulse, Ruth herself enters the quarantined space and begins to care for the young man who cries for his mother in the last moments of his life. And in doing so, Ruth's own life changes forever. As word spreads in the community that she is the only person willing to help the young men afflicted by the growing AIDS crisis, Ruth goes from being an ordinary young mother to an accidental activist. Forging deep friendships with the men she helps, Ruth works to find them housing and jobs, and then funeral homes willing to take their bodies - often in the middle of the night. She prepares and delivers meals to 'her guys,' supplementing her own income with discarded food found in the dumpsters behind supermarkets. She defies local pastors and the medical community to store rare medications for her most urgent patients, and teaches sex education to drag queens after hours at secret bars. Emboldened by the weight of their collective pain, she fervently advocates for their safety and visibility, ultimately advising Governor Bill Clinton on the national HIV-AIDS crisis, and in doing so becomes a beacon of hope to an otherwise spurned group of ailing gay men on the fringes of society. Ruth kept her story a secret for years, fearful of repercussions within her deeply conservative community. But at a time when it's more important than ever to stand up for those who can't, Ruth has found the courage to have her voice - and the voices of those who were stigmatised, rejected and abandoned - heard.

This book summarizes the etiology, presentation, and treatment of the complex symptoms, infections, and opportunistic cancers of people living with HIV/AIDS. Presents therapies that strike a balance between controlling and eliminating cancer and minimizing the damage to the immune system. Illustrates points with clear and easily read figures, tables, and flow charts! Written to survey the magnitude of the impact HIV and AIDS have had on public health and oncology, AIDS-Related Cancers and Their Treatment -identifies types of cancer and gives evidence for their associations with immunosuppression -compares and contrasts AIDS-related cancer with non-HIV malignancies -investigates the pathogenesis of malignancy in HIV/AIDS patients -provides guidelines for recognizing possible symptoms and making accurate diagnoses -supplies algorithms for evaluating and staging patients at presentation -outlines potential problems and obstacles in caring for AIDS-related cancer patients -suggests optimal therapeutic approaches for the care of patients with AIDS and cancer -discusses prognostic factors in response to therapy and survival statistics -describes preliminary experience with emerging therapies and projects new approaches -advises how to enroll patients to participate in clinical trials of new therapies -considers the psychological impact on patients and their need for counseling and support -reviews access-to-care issues in AIDS and the community burden of this epidemic -provides information sources for both AIDS patients and their physicians -and more With contributions from nearly 25 clinicians and citing more than 1200 references to support and elaborate on text material, AIDS-RelatedCancers and Their Treatment is a crucial reference for oncologists, immunologists, infectious disease specialists, hematologists, internists, microbiologists, virologists, epidemiologists, molecular and cell biologists, pathologists, and medical students in these disciplines.

Over the past few years, ever since the advent of HIV and AIDS, there has been increasing discussion of the concept of sexual health. This upsurge is especially noticeable not only in the field of health education and promotion but also in academic sources. The recent discourse on sexual health is paralleled by an upsurge in the debate on sexual rights. This book examines the social construction of sexual health in India through an analysis of HIV and AIDS messages. The broad objective of the chapters is to trace the growth and evolution of the concept of sexual health from a health communication perspective and to understand the role of the state in determining its form and structure. The methodology used includes comparative analysis of HIV and AIDS policies, document analysis on HIV and AIDS, poster and short films analysis, in depth and open-ended Interviews and case studies. The book shows that Sexual Health is constructed in various modes in India. The models that are elaborated are the Medical model that constructs HIV scientifically and in terms of a compromised immune system; the Epidemic model that identifies risk behaviours and transmission routes and the Moralistic model. Social constructions of AIDS as plague or punishment against society are advanced by moralists who equate HIV with taboo social and sexual behaviour and the political constructions highlights public health in the face of obstacles to treatment and the delivery of services to people living with HIV. Bringing together current research and discussions on the three areas of policy, practices and theoretical perspectives related to the use and social construction of sexual health through HIV and AIDS communication approaches with specific reference to India, this book will be of interest to academics in the field of health communication, HIV and AIDS, and South Asian Studies.

Treating HIV with Nutrition

Nutrition and HIV addresses the issues of nutrition and HIV from the perspective of the patient as well as the physician. Everyone who is interested in the problems of--and solutions to--nutritional therapy in HIV owes it to themselves to read this book.
--Paul A. Volberding, M.D., director, Center for AIDS Research, San Francisco

This reference book offers a sound nutritional model for sustaining and improving quality of life for HIV positive men and women. It outlines an easy-to-follow program for the prevention and treatment of weight loss--a common problem that if left untreated could lead to serious health decline or even death.

Mental Health Problems and HIV Infection provides an up-to-date overview of the mental health consequences and of the kind of psychological, psychopharmacological and community forms of intervention available to deal with the adverse psychological effects of HIV infection. Divided into three parts, the book examines psychological and brain-related consequences of HIV infection, key areas of intervention, and three areas of controversial debate: euthanasia, psychoimmunology and complementary therapies. Assuming no specialist psychological, psychiatric or medical knowledge, this book is important reading for caregivers and healthcare workers to HIV positive individuals and their families, nurses, psychologists and counsellors.

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 stigmatize their members, leaving people to die in the most appalling conditions. This book looks at the diversity of family and community responses to HIV and AIDS. By examining contexts as diverse as nuclear, extended and refugee family households, and gay community networks and structures, it offers important insight into the factors which lead to positive responses and those which trigger negative ones.

"Heavenly Hurts Surviving AIDS-Related Deaths and Losses" imparts vital information for anyone touched by deaths and losses of HIV/AIDS. In the AIDS pandemic, efforts are focused on persons living with AIDS (PLWA). Neglected are professional and non-professional caregivers, families, and friends. They are surviving deaths of loved ones from AIDS-related illness, or are dealing with multiple losses of HIV/AIDS. "Heavenly Hurts" provides guidance, support and coping skills, along with discussions of death language; AIDS grief; death in the workplace; and cultural and spiritual issues around death.

Men Who Sell Sex is the first comprehensive international account of male prostitution and AIDS. While much is known about female prostitution and sex work, relatively little is known about men who sell sex - either to women or other men. This book brings together an authoritative collection of essays from different countries and examines sexual behaviour, the reasons men sell sex, the meanings involved, and implications for HIV prevention. The authors are all experts in their fields and individual chapters offer a compelling description of the reasons men sell sex and the pleasures and risks involved.

First published in 1998.This text reviews current knowledge and research in key areas of adolescent sexuality, focusing on the implications of this for young people's sexual health. The book includes chapters on adolescent sexual knowledge, teenage relationships and sexual behaviour, HIV/AIDS education, sexual identity, peer education and the prevention of teenage pregnancy. The book is aimed at all those who work with young people, including those involved in health education, youth work, sex education and those in youth organisations. The book is written in straightforward language, with the aim of disseminating relevant research to all those who work with young people. The focus of the book is on understanding the implications of research in this area for young people's sexual health, risk reduction and education.

HIV and AIDS information on the Internet can be very overwhelming. HIV/AIDS Internet Information Sources and Resources organizes the information on the Internet about HIV and AIDS so you don?t have to. Don?t allow access to the most up-to-date HIV and AIDS-related Web sites be an impossible challenge! With HIV/AIDS Internet Information Sources and Resources, you?ll know where to go to educate yourself and those you care about in an effort to stop the spread of this disease.HIV/AIDS Internet Information Sources and Resources is guaranteed to help you find the best Web sites to answer questions you may have regarding HIV and AIDS. Even if what you are searching for isn?t in the main recommended Web sites, you?ll be directed to discussion and support destinations tailored to suit your needs. HIV/AIDS Internet Information Sources and Resources reviews, evaluates, and categorizes all HIV and AIDS related Web sites according to who designed the Web site, the type of information within the Web site, and the Web site target audience. You?ll find the details of the best HIV/ AIDS information about: women, children, adolescents and minorities websites created by organizations such as the National Institute of Health (NIH) and the Center for Disease Control and Prevention (CDC) news sites general HIV and AIDS sites, a profile of HIV insite drug therapy sites, including one for alternative medicine medical management and Internet library resourcesSome newer Web sites use unusual terminology you may have never heard before. HIV/AIDS Internet Information Sources and Resources clarifies this new language so you?ll understand exactly what is meant. You?ll never have to waste your time reading scattered articles about HIV and AIDS information on the Internet after buying your own copy of HIV/AIDS Internet Information Sources and Resources.

The way in which the Netherlands has responded to AIDS is arguably regarded as well organized and effective. This is possibly due to the timely and effective response to the threat of the disease, with a prevention programme starting in 1982. This book uses the Dutch example to provide an instructive case study for other countries with relevance for policy makers now and in the future. It documents and discusses the Dutch prevention policy, most specifically the prevention policies and activities for various target groups. It examines prevention research and studies on sexuality and health behaviour with the emphasis on individual responsibility.

The way in which the Netherlands has responded to AIDS is arguably regarded as well organized and effective. This is possibly due to the timely and effective response to the threat of the disease, with a prevention programme starting in 1982. This book uses the Dutch example to provide an instructive case study for other countries with relevance for policy makers now and in the future. It documents and discusses the Dutch prevention policy, most specifically the prevention policies and activities for various target groups. It examines prevention research and studies on sexuality and health behaviour with the emphasis on individual responsibility.

Since nearly the beginning of the AIDS epidemic, activists have signaled the inadequacy of prevention strategies and drug protocols that have been developed from research done primarily on men. The latest C.D.C. figures prove they were right; for the first time since the beginning of the epidemic, AIDS cases among white men have fallen, yet the largest increases are among women.
Weaving together theoretical, critical, and practical perspectives, "Gendered Epidemic" is a collection of essays that questions the "add women and stir" model that governs most HIV/AIDS prevention and treatment efforts. The individual essays describe conflicts and contradictions, and pose new theories and practices. Written by HIV positive women, theorists, teachers, artists, policy makers and activists, it offers insights necessary to stem the spread of HIV.

Since nearly the beginning of the AIDS epidemic, activists have signaled the inadequacy of prevention strategies and drug protocols that have been developed from research done primarily on men. The latest C.D.C. figures prove they were right; for the first time since the beginning of the epidemic, AIDS cases among white men have fallen, yet the largest increases are among women.
Weaving together theoretical, critical, and practical perspectives, "Gendered Epidemic" is a collection of essays that questions the "add women and stir" model that governs most HIV/AIDS prevention and treatment efforts. The individual essays describe conflicts and contradictions, and pose new theories and practices. Written by HIV positive women, theorists, teachers, artists, policy makers and activists, it offers insights necessary to stem the spread of HIV.

Meddling with Mythology examines the role of research in the construction of modern mythology or folklore surrounding HIV/AIDS.
Researchers from a variety of disciplines reflect on the insights gained and the impact of their work, in light of the initial panic surrounding the prediction of an AIDS epidemic.
Issues discussed include: -
* power
* representation
* the politics of text
* understanding research relationships
* impact of research on researchers and responders
* potential for change.
Meddling with Mythology takes the reader from the theoretical to the practicable and from the public to the personal in the representations of AIDS. The issues raised here also have great significance for those concerned with the social construction of knowledge, theory building and the research process more generally.