Addressing contemporary issues faced by individuals with HIV/AIDS, AIDS and Mental Health Practice: Clinical and Policy Issues provides psychologists, psychiatrists, social workers, and counselors with research and case studies that offers models for effective clinical practice at this stage of the epidemic. Each chapter is written by experts in the field and demonstrates ways to provide better services to different populations, many of whom are ignored in AIDS and mental health literature. As a result, this book will provide professionals in the field and students in training with the most current practice information about mental health practice and HIV/AIDS. AIDS and Mental Health Practice will help you understand the diverse needs of people with HIV/AIDS and organize services to assist these populations. AIDS and Mental Health Practice discusses issues that affect several different groups in order to help you understand the unique situations of your clients. You will learn how to design treatments that will be most beneficial to 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. This book provides you with approaches that will improve services for these populations, including: talking to patients about the positive and negative aspects of taking protease inhibitors and discussing their feelings of hope, skepticism, and fear of being disappointed by the treatment preparing clients to go back to work by exploring the meaning of work and referring them to vocational services if necessary providing support groups for people living with AIDS (PLWAs), their loved ones, their families, and individuals in bereavement as a result of an AIDS-related death organizing a HIV-negative gay men's support group that uses exercises and homework to focus on the members'ambivalent connection to the AIDS community, how they remain HIV negative, and ways to deal with separation and grief issues assessing and/or correcting underlying racism in AIDS service organizationsThe prevention and intervention strategies in Mental Health and AIDS Practice will help you address and treat mental health issues associated with HIV/AIDS and offer clients more effective and relevant services.

In this single volume, William N. Elwood has gathered potent evidence of the impact that the HIV/AIDS epidemic has had on the world, its communities, and its inhabitants, and he addresses the role of communication in affecting the way in which people respond to AIDS. With a multidisciplinary group of contributors and topics ranging from political rhetoric to interpersonal discourse, "Power in the Blood" offers a multitude of ways in which to think about power, politics, HIV prevention, and people living with HIV. Readers will be able to use this information in class discussions, program designs, grant applications, and research, as well as in their own lives. With this volume, Elwood makes a thoroughly convincing argument that communication is the key to understanding, treating, and preventing AIDS, and he inspires further action toward the goal of ending the AIDS crisis.

Love and Anger: Essays on AIDS, Activism, and Politics is one of the first books to take an interdisciplinary approach to AIDS activism and politics by looking at the literary response to the disease, class issues, and the AIDS activist group ACT UP. Containing both literary analysis and interviews with activists, Love and Anger will help you understand the unique struggle of a certain class of gay men, why the author challenges the belief that ACT UP is a radical group, and why the love story is a central part of the literary response to AIDS. Examining ACT UP in relation to class issues, Love and Anger discusses how, for certain middle-to upper-middle-class men in the group, ACT UP represented a political response not to fundamental social inequalities, but to the fact that their class position could not benefit them in the absence of an AIDS cure. In addition, you will gain insight into the political methods and goals of ACT UP through interviews with ACT UP members, and find out why the group is sometimes misperceived as being radical, "too gay, " or "not gay enough." Different from many other recent works, Love and Anger also combines literary analysis with fieldwork in order to examine the literary response to AIDS from historical and sociological contexts, not just a literary context. Drawing on the fields of anthropology, sociology, political science, history, and literary studies, this text provides you with an original interpretation of a number of novels and plays, including: Afterlife, a novel by Paul Monette, and The Normal Heart, a play by Larry Kramer, both of which envision the return of the class privileges that certain gay men had before AIDS emerged People in Trouble, a novel by Sarah Schulman, which challenges gay men to stop striving for the privileges of straight males and instead to focus on an AIDS movement that will support all groups affected by the epidemic Angels in America, a play by Tony Kushner, which demonstrates the incompatibility of love and political struggle in literature about AIDSBy examining AIDS activism and politics through the love story and through real-life examples such as ACT UP, Love and Anger integrates fact and fiction in a scholarly, yet comprehensible manner. It will give you a clearer understanding of the issues surrounding AIDS activism and politics, as well as give you insight into the attitudes and feelings of those affected by the disease.

As HIV/AIDS continue to plague societies around the world, more and more social workers encounter HIV-infected individuals and their families and friends who are searching for help and support. In HIV and Social Work: A Practitioner's Guide, experienced social workers share their practice wisdom, knowledge, and skills on a broad range of issues. Their words of wisdom will give you the willingness to follow problems through and the flexibility and creativity that are required when dealing with issues concerning HIV/AIDS. At the same time, you will achieve a sense of empowerment and optimism as you realize that there are things you can do--very specific kinds of help you can offer--that can make an enormous difference in the lives of people with HIV/AIDS and those who love and care for them. HIV and Social Work is a practical, user-friendly resource for social workers who practice in a variety of settings and fields. You'll find it a rich and useful book if you're moving into HIV/AIDS work and want guidance, or if you're experienced and want to sharpen your skills, or if you just want to be prepared for when you find people with HIV or their family members in your office in need of help. Specifically, you'll gain valuable insight about: basic psychosocial interventions for people with HIV/AIDS in-depth practical suggestions for specific problem areas and specific groups of people with HIV/AIDS better listening skills how to know your own limitations and live your own life more fully in the face of sadness the importance and challenge of returning to fundamental social work skills You'll refer to HIV and Social Work time and time again as you confront new HIV-related situations in your practice for which you need easy-to-understand descriptions of what to do and how to do it. Acknowledging your busy schedule, the book is organized so that you may use it on a "knowledge as needed" basis or read it straight through. Written specifically by and for social workers, HIV and Social Work is highly recommended as required reading in social work programs at the Bachelor's and/or Master's levels.

For many women, the advice "Use a condom " is not enough to help protect them from HIV infection. As Women and AIDS reveals, "negotiating" safer sex practices is a very complex issue for women who are involved in relationships where they do not enjoy physical, social, or economic equality. The book s authors maintain that the key to curbing the spread of HIV and to caring for those already infected--is communication. Women and AIDS is the first volume to address HIV/AIDS and women from a communication perspective.This helpful guidebook addresses how women might achieve safer sexual and drug injection practices with partners, but it also explores women s negotiation of the health care system as patients, medical research subjects, and caregivers. It challenges traditional assumptions about the relationship between care providers and patients and the meaning of patient compliance and raises important questions about gender, race, and class that are exacerbated by the epidemic. Designed to ground interventions in the realities of women s lives, Women and AIDS discusses what women can do to get around communication and health care obstacles. To this end, you will learn about: using the media for HIV-related social action and to promote women s views of HIV and sexuality prison health care for HIV-positive women cultural constructions of sex and drug sharing in a variety of communities long-term changes that will empower women delivering an HIV-positive diagnosis to patients gender roles and caregiving the language we use to talk about "Third World" women and "Asian AIDS" women AIDS filmmakers/videographersFor the benefit of AIDS activists, health care providers, and counselors, Women and AIDS discusses women and their communication and awareness from virtually every angle. This book analyzes situations where communication breaks down--from the woman who can t openly discuss safe sex with her partner, to the drunk college student who "hooks up," to the doctor who gives an HIV-positive diagnosis without compassion--and offers communication solutions. This will help women avoid such risks, establish communication and safety in their lives, and construct meaningful roles in relationship to HIV/AIDS.

In this enlightening book, you ll explore the life struggles and adaptations leading up to and following HIV infection in young Americans. The cases presented in Youths Living with HIV envisage a variety of experiences of youths living with HIV and AIDS, including individuals of different races, of each gender, and of different sexual preferences. This discussion of the private "troubles" and experiences of youths helps you understand and identify dependent and larger public issues surrounding HIV infection and AIDS, and demonstrates the need for comprehensive and targeted intervention and preventive measures.This book is the result of the first federally funded multi-site study to research, develop, and provide HIV education and prevention specifically to young Americans. Detailed narrative descriptions were collected by ethnographers of the Joven Project, which started in October 1992, and explored and documented the lives of youths living with HIV and AIDS over a two-year period. This ethnographic exploratory study was one component of a larger National Institute on Drug Abuse (NIDA) supported Secondary AIDS Education and Prevention Program. Youths Living with HIV reconstructs the past and present struggles that young people living with HIV and AIDS face(d), employing qualitative field interviews. Larger and interrelated developmental, social, cultural, and political factors are also illustrated and discussed. As you read through the chapters, you ll gain insight into: youth development--coming of age, sexual development, and risk-taking behaviors gay development and activity--coming out, establishing relationships, and power-imbalanced/cross-generational relationships self-harmful behaviors--drug use, sex, and poverty notification and reaction to infection impression management and disclosure of infection status adaptation to HIV status and necessary life changes sexual activity and relationships after infection social worlds and support networks/pathological or destructive networks availability and success of existing AIDS-related services future orientation and life expectations Whether you re a counselor, teacher, policymaker, physician, mental health professional, social worker, or advocate who specializes in or focus on youth development, gay youths, field methodology (qualitative research), public health, women s health, drug use, sex work, and/or AIDS, you will find Youths Living with HIV essential to understanding and helping this affected population.

In this important book, editor Michael Ross brings together the latest knowledge and research concerning the relationship between HIV and AIDS and sexual functioning. HIV/AIDS and Sexuality explores the experiences of being HIV-infected and the impact of infection on an individual's sexuality. It describes differences that may be associated with individuals who are infected or concerned about infection, and it provides new in-depth analyses of the effect of HIV on sexuality and sexual risks. The book provides clinical perspectives on sexual problems associated with HIV infection as well as some treatment approaches. Contributing authors represent the United States, Australia, and Europe and discuss heterosexual men and women, gay men, lesbians, and injecting drug users. This diversity provides a more complete picture of the experiences of people with HIV in terms of explicit and implicit sexuality. Chapters include cross-sectional and cohort study designs as well as qualitative, quantitative, and clinical approaches. Some of the topics explored are: the centrality of sexuality to equality of life and identity and the impact of HIV on sexuality in gay-identified men the psychological impact of making changes in sexual behavior on gay men with HIV infection risk behaviors in seropositive and seronegative women a study of a cohort of HIV-infected women associated with the military sexual addiction in gay men and its association with HIV risks overt and subtle communications processes that occur between health care providers and clients about sexuality and HIV stages of change in safer sexual practices in a cohort of gay men personality variables associated with risk and infection in both homosexual and heterosexual menHIV/AIDS and Sexuality opens up the area of sexuality in people living with HIV and focuses much-needed attention on the issues involved in sexual expression, HIV transmission risk, and living with HIV infection. This book is an illuminating exploration into the subject that helps professionals better understand their clients and thus provide more compassionate and effective care.

Every year over a quarter of a million children die of AIDS. Another two million children currently live with HIV, most in sub-Saharan Africa. Millions more are affected when AIDS enters their families or their communities. Orphans are perhaps the most visible: 15 million children have lost one or both parents to AIDS; 12 million of them live in sub-Saharan Africa. The increasing burden of care due to HIV/AIDS falls mainly on extended family: first they care for the sick and dying relatives, and then they take responsibility for the children left behind. Today, the extended family cares for over 90% of double orphans. Adults who take on these immense caregiving burdens have less time for their own children, fewer financial resources, and greater difficulties securing food and shelter. Thus, children who have parents providing care to sick relatives or who share scarce resources with foster children may also experience disadvantage. In communities severely affected by AIDS, traditional safety nets are often eroded by cumulative mortality: teachers are absent from school because of their own illness or that of family members, and basic health facilities can be overwhelmed by AIDS care needs, all of which leave children increasingly vulnerable. The impact is most severe in environments where government- and state-level support is weakest-where universal education, health care, and social welfare are either partially available or not available at all. Protecting Childhood in the AIDS Pandemic will bring together lessons from experts around the world on what has worked, and what would need to be done to transform the outcomes of children of all ages whose lives have been affected by HIV/AIDS. Examining which public policies and programs have worked best to meet the full range of children's needs, from medical care to social support and from infancy to adolescence, this is the volume for academics, social scientists, policymakers, and on-the-ground practitioners.

This much-needed book presents an introduction and overview of multicultural AIDS issues in social work practice. In a culturally diverse nation, it is essential that professionals look at AIDS within a cultural context in order to find the most effective treatment and prevention strategies for everyone. Emphasizing this need for a culturally sensitive approach, Multicultural Human Services for AIDS Treatment and Prevention increases social workers'often limited knowledge and experience with various social and ethnic groups. It provides specific suggestions and recommendations for program development and acts as a foundation upon which to build new strategies for policy, research, and practice. Multicultural Human Services for AIDS Treatment and Prevention emphasizes the importance of encouraging and sharing research that addresses AIDS and minority populations and assessing prevention, education, and behavioral change strategies from culturally specific and relevant perspectives. It includes chapters focusing on African Americans, Native American Indians, Hawaiians, Puerto Ricans, and Mexican prostitutes--groups that often suffer disproportionately from poverty and its myriad effects. Some topics discussed in the book are: helping clients reduce cultural dissonance how to enhance behavior change child welfare and permanency planning empowerment of clients and health care models knowledge, attitudes, and behaviors regarding HIV/AIDS cultural contradictions and ambivalence in response to AIDSMulticultural Human Services for AIDS Treatment and Prevention is an extremely useful and informative book for all professionals in social work and human services who want to be better prepared to help all groups of people. The book is also an ideal text for upper-level social work students studying topics such as multicultural issues in social work practice, AIDS in a cultural context, and health policy and health care systems.

AIDS: Rights, Risk and Reason contains a mix of papers linking research with the development of theoretical frameworks in a readable and accessibole style. Issues examined include: perceptions of risk and risk-taking behaviour; rights and responsibilities; and the rationality that underpins individual and collective responses to HIV/AIDS.

In a riveting portrait of the world's largest HIV/AIDS medical-care provider, award-winning journalist Patrick Range McDonald reveals AIDS Healthcare Foundation's unlikely rise from a feisty grassroots organization during the height of 1980s AIDS crisis to its position today as a global leader in the fight to control HIV and AIDS. This untold story highlights AHF's bold history of activism, its hard-charging advocacy on the behalf of vulnerable people, and its heroic efforts to provide free HIV drug treatment around the world. With insider access, McDonald follows AHF for a year as it clashes with the Obama administration, the state of Nevada, and the World Health Organization. He interviews AHF's key players, including firebrand president Michael Weinstein, and travels to AHF outposts around the globe. Along the way, McDonald discovers that AHF is a tenacious "people power" organization that brings hope and change to nearly all corners of the world.

Why is there so little HIV education at present directed towards bisexual men and women? This book offers a critical analysis of the issues in public health research and education that prevent adequate attention from being paid to bisexual realities. Addressing the implications of such limited knowledge, the authors raise important questions about the weaknesses of our current response to the HIV/AIDS pandemic. Through interviews with a variety of bisexual men and women, HIV Prevention and Bisexual Realities uncovers innovative, important directions to consider for more effective HIV prevention strategies. The authors' epistemological and methodological assessments of the current state of HIV/AIDS education will be indispensable for community health educators, policy makers, and those who study or work in public health.

AIDS has grown in just two decades from a rare disease to one that has already killed millions of men, women, and children worldwide. To help high school and college students understand the history and current status of AIDS as a social, political, psychological, public health, and cultural phenomenon, this documentary history provides 228 short and highly readable selections from primary and secondary sources of information about AIDS and HIV. Its scope covers the entire history of the epidemic from its beginnings to early 1997. The documents, many of which cannot easily be found elsewhere, will help the reader to understand and debate the many perspectives and points of view on this controversial topic.

Douglas A. Feldman, one of the country's leading specialists in international and domestic AIDS social research, and Julia Wang Miller, a research consultant, have selected documents and provided explanatory introductions to them to help readers gain a deeper understanding of the sociocultural ramifications of AIDS. Following a narrative historical overview of the AIDS crisis, the work is organized into nine topical chapters: the history of HIV/AIDS; the impact of the epidemic in the United States and globally; HIV/AIDS within communities and populations; AIDS in the developing world; the human side of AIDS; the politics of AIDS; education and behavioral change; legal and ethical issues; and the future of AIDS. Each chapter contains an introductory narrative overview of the topic, brief explanatory introduction to each document, and list of suggested readings. A glossary of terms and an AIDS resource directory of organizations to contact for further information complete the work. This important documentary history belongs on the shelves of every public school and college and university library.

In a series of case studies of sexually transmitted disease and HIV/AIDS from around Africa, contributors examine the social, cultural, and political-economic bases of risk, transmission, and response to epidemic disease. This book brings together major contributions to the historical study of epidemic disease in developing countries and considers how particular constellations of cultural, social, political, and economic factors in different countries have affected the historical patterns of disease and collective (official and community) response to them. This book is a companion volume to "Sex, Disease, and Society: A Comparative History of Sexually Transmitted Diseases and HIV/AIDS in Asia and the Pacific" (Greenwood, 1997).

From this endeavor to provide insight into the conjunctions and disjunctions between the histories of STDs and the AIDS pandemic in Sub-Saharan Africa certain common issues have emerged. These include medical ambiguity and epidemiologic diversity; cultural change; racism; gender, labor migration, and economic instability; and the practice of biomedicine and epidemiology in African contexts. All of these factors are embedded in the colonial legacy and post-colonial political economic conditions across the continent.

In the global race to reach the end of AIDS, why is the world slipping off track? The answer has to do with stigma, money, and data. Global funding for AIDS response is declining. Tough choices must be made: some people will win and some will lose. Global aid agencies and governments use health data to make these choices. While aid agencies prioritize a shrinking list of countries, many governments deny that sex workers, men who have sex with men, drug users, and transgender people exist. Since no data is gathered about their needs, life-saving services are not funded, and the lack of data reinforces the denial. The Uncounted cracks open this and other data paradoxes through interviews with global health leaders and activists, ethnographic research, analysis of gaps in mathematical models, and the author's experience as an activist and senior official. It shows what is counted, what is not, and why empowering communities to gather their own data could be key to ending AIDS.

This volume summarizes recent advances in understanding the mechanisms of HIV-1 latency, in characterizing residual viral reservoirs, and in developing targeted interventions to reduce HIV-1 persistence during antiretroviral therapy. Specific chapters address the molecular mechanisms that govern and regulate HIV-1 transcription and latency; assays and technical approaches to quantify viral reservoirs in humans and animal models; the complex interchange between viral reservoirs and the host immune system; computational strategies to model viral reservoir dynamics; and the development of therapeutic approaches that target viral reservoir cells. With contributions from an interdisciplinary group of investigators that cover a broad spectrum of subjects, from molecular virology to proof-of-principle clinical trials, this book is a valuable resource for basic scientists, translational investigators, infectious-disease physicians, individuals living with HIV/AIDS and the general public.

This book is the first full-length study of HIV/AIDS work in relation to government and NGOs. In the early 2000s, Pakistan's response to HIV/AIDS was scaled-up and declared an area of urgent intervention. This response was funded by international donors requiring prevention, care and support services to be contracted out to NGOs - a global policy considered particularly important in Pakistan where the high risk populations are criminalized by the state. Based on unparalleled ethnographic access to government bureaucracies and their dealings with NGOs, Qureshi examines how global policies were translated by local actors and how they responded to the evolving HIV/AIDS crisis. The book encourages readers to reconsider the orthodoxy of policies regarding public-private partnership by critiquing the resulting changes in the bureaucracy, civil society and public goods. It is a must-read for students, scholars and practitioners concerned with neoliberal agendas in global health and development.

The challenges faced by individuals and families at the end of life are still incredibly diverse, and many behavioural interventions and clinical approaches have been developed to address this great diversity of experiences in the face of dying and death, helping providers to care for their clients. Perspectives on Behavioural Interventions in Palliative and End-of-Life Care is an accessible resource that collates and explores interventions that can be used to address a wide range of behavioural, psychological, social and spiritual issues that arise when people are facing advanced chronic or life-limiting illness. With perspectives from experienced clinicians, providers, and caregivers from around the world, this book offers a strong foundation in contemporary evidence-based practice alongside seasoned practice insights from the field. Its chapters explore: Interventions to enhance communication and decision making The management of physical and mental health symptoms Meaning-Centred Psychotherapy for cancer patients Dignity Therapy Interventions embracing cultural diversity and intersectionality. Together with Perspectives on Palliative and End-of-Life Care: Disease, Social and Cultural Context, the book provides a foundation for collaborative international and interprofessional work by providing state-of science information on behavioural interventions addressing mental health and wellness. It is of interest to academics, researchers and postgraduates in the fields of mental health, medicine, psychology and social work, and is essential reading for healthcare providers and trainees from psychosocial and palliative medicine, social work and nursing.

It is now forty years since the discovery of AIDS, but its origins continue to puzzle doctors, scientists and patients. Inspired by his own experiences working as a physician in a bush hospital in Zaire, Jacques Pepin looks back to the early twentieth-century events in central Africa that triggered the emergence of HIV/AIDS and traces its subsequent development into the most dramatic and destructive epidemic of modern times. He shows how the disease was first transmitted from chimpanzees to man and then how military campaigns, urbanisation, prostitution and large-scale colonial medical interventions intended to eradicate tropical diseases combined to disastrous effect to fuel the spread of the virus from its origins in Leopoldville to the rest of Africa, the Caribbean and ultimately worldwide. This is an essential perspective on HIV/AIDS and on the lessons that must be learned as the world faces another pandemic.

Leading clinical experts survey the latest information available on the key rheumatic and allergic issues that physicians face in treating the HIV-infected patient. The physicians focus on the rheumatologic and dermatologic manifestations of HIV-1 infection, which include arthritis, myopathies, vasculitis, sicca syndrome, other autoimmune phenomena, and psoriasis. They also examine the question of allergic reactions in HIV patients, including drug hypersensitivity, with special attention given to adverse reactions to trimethoprim-sulfamethoxazole, the most frequently prescribed anti-infective. Practical advice for the diagnosis and treatment of these problems is given in full.