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Books > Medicine > Clinical & internal medicine > Diseases & disorders > Infectious & contagious diseases > HIV / AIDS
Along with the distress associated with the diagnosis of a life-threatening disease, individuals with HIV also face huge social challenges based on reactions to their disease by other individuals and society. While there are numerous books covering research on risk of HIV infection and attitudes about the disease, limited empirical research on the social interaction process in coping with HIV exists. Carefully edited, HIV and Social Interaction explores the seropositive personAEs relationships with family, friends, intimate partners, and other members of his or her social network. The contributors present original theoretical models and research, derived from psychology and communication. Written with clarity, HIV and Social Interaction indicates how being HIV positive influences an individualAEs social interactions as well as interpersonal relationships. Chapters include the following topics: + The stigmatization of HIV and AIDS + Weighing the benefits and risks of self-disclosure about the HIV diagnosis + Accessing, finding, and maintaining quality social support + The value of group residence facilities for persons with AIDS + The effects of HIV on intimate relationships + The impact on volunteers who provide assistance to persons with AIDS In addition, the chapter authors discuss implications of their work for interventions and assisting HIV positive individuals, members of their social networks, health providers, and social services providers. A deeper understanding of these and related issues is vital for the comprehensive and empathetic delivery of services by healthcare professionals. HIV and Social Interaction is equally important for social scientists, students, as well as persons who are HIV-positive and anyone within their social network.
The HIV/AIDS epidemic has been a major catastrophe for gay
communities. In less than two decades, the disease has profoundly
changed the lives of gay men and lesbians. Not just a biological
and viral agent, HIV has become an opportunistic social invader,
reshaping communities and the distribution of wealth, altering the
social careers of gay professionals and the patterns of entry into
gay and lesbian life, and giving birth to groups like ACT UP and
Queer Nation.
In an original and stimulating analysis of gender and AIDS, Tamsin Wilton assesses safer sex health promotion and health education discourse, and considers their unintended consequences for the cultural construction of gender and sexuality. Taking a queer/feminist constructionist position, she links issues of power, gender, sexuality and nationalism to offer a sound theoretical foundation for an effective and radical HIV/AIDS health promotion strategy. EnGendering AIDS draws on safer sex materials from the USA, UK, Australia, New Zealand, Canada and Scandinavia, and sets current practice against the historical context of VD/STD education, dissecting the role played by STDs in the cultural construction of gender. Wilton debates the meanings that erotic minorities read into bodies and desires, and how these have been transformed by AIDS, and suggests a new model of pornography that disengages the sexually explicit and/or erotically arousing from gendered power relations.
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.
Stimulating and timely, Discourses of Counseling offers a fully researched and analytically sensitive account of how counseling as a process is dynamically constructed through the interaction of therapist/counselor and client. Author David Silverman draws from research of people undergoing an HIV test while in a therapeutic relationship to explore the ways in which conversations between therapists and counselors reflect, embody, and subtly alter assumptions about the purpose, method, and practice of counseling. Of particular interest to professionals who counsel within the domain of HIV and other health counseling, and those who use narrative in practice, Discourses of Counseling also captures topics of importance to researchers and students in the traditions of sociological work on interactionism, conversation analysis, and ethnomethodology.
The AIDS epidemic continues to grow in this country and around the world. Currently, the only hope of stopping this tragedy is through interventions that change individual behavior. This book provides an excellent overview of current knowledge and research on how to promote the behaviors of safer sex and safer drug use, which will slow down the spread of HIV. It will be a useful resource for researchers who examine HIV prevention and for community workers and clinicians who wish to use sound, well-tested techniques for their intervention work. In addition, the book can serve as a thorough introduction for students who are new to the area of behavioral research on HIV and AIDS. --from the Overview by Suzanne C. Thompson & Stuart Oskamp Bringing together some of the most active and respected researchers in the field, this volume presents a state-of-the-art, integrated examination of behavioral research aimed at reducing the transmission of HIV. In almost 20 years of battling the AIDS epidemic, one theme has consistently emerged: The solution to stopping the spread of the AIDS virus rests with individual behavior. Understanding and Preventing HIV Risk Behavior grapples with the critical question of how to influence people to change high-risk behaviors, particularly in sexual activity and drug use. The contributors take an in-depth look at the most current HIV and AIDS epidemiological findings; the information-motivation-behavioral skills model of risk behavior; and empirical analyses of contraceptive decision making, denial processes, and the role of attraction in heterosexual behavior. This timely volume also examines research with special populations, including African American youths, Latinos, both gay and straight residents of HIV-impacted communities, active drug users, and adolescents in countries that have different AIDS risk levels and public health policies. Representing the latest in research on safer sex and altering drug use behaviors, Understanding and Preventing HIV Risk Behavior will be a valuable resource for HIV-prevention researchers, community workers, and clinicians who want to utilize research findings in their HIV intervention programs. This volume will also benefit students seeking an up-to-date overview of research on HIV/AIDS risk behavior.
The AIDS epidemic continues to grow in this country and around the world. Currently, the only hope of stopping this tragedy is through interventions that change individual behavior. This book provides an excellent overview of current knowledge and research on how to promote the behaviors of safer sex and safer drug use, which will slow down the spread of HIV. It will be a useful resource for researchers who examine HIV prevention and for community workers and clinicians who wish to use sound, well-tested techniques for their intervention work. In addition, the book can serve as a thorough introduction for students who are new to the area of behavioral research on HIV and AIDS. --from the Overview by Suzanne C. Thompson & Stuart Oskamp Bringing together some of the most active and respected researchers in the field, this volume presents a state-of-the-art, integrated examination of behavioral research aimed at reducing the transmission of HIV. In almost 20 years of battling the AIDS epidemic, one theme has consistently emerged: The solution to stopping the spread of the AIDS virus rests with individual behavior. Understanding and Preventing HIV Risk Behavior grapples with the critical question of how to influence people to change high-risk behaviors, particularly in sexual activity and drug use. The contributors take an in-depth look at the most current HIV and AIDS epidemiological findings; the information-motivation-behavioral skills model of risk behavior; and empirical analyses of contraceptive decision making, denial processes, and the role of attraction in heterosexual behavior. This timely volume also examines research with special populations, including African American youths, Latinos, both gay and straight residents of HIV-impacted communities, active drug users, and adolescents in countries that have different AIDS risk levels and public health policies. Representing the latest in research on safer sex and altering drug use behaviors, Understanding and Preventing HIV Risk Behavior will be a valuable resource for HIV-prevention researchers, community workers, and clinicians who want to utilize research findings in their HIV intervention programs. This volume will also benefit students seeking an up-to-date overview of research on HIV/AIDS risk behavior.
Counseling interventions are a proven and powerful way to help
individuals with HIV cope with the enormous changes in their lives
wrought by the disease. Proposing an innovative conceptual model
for HIV clinical work, this book integrates empirical research on
the psychosocial aspects of HIV with extensive case material. It
provides a framework for assessing clients' psychosocial concerns
and implementing interventions to facilitate adjustment; reviews
medical and neurocognitive aspects of HIV disease progression;
explores the psychotherapeutic context of HIV clinical work; and
addresses risk reduction and prevention.
Camcorder AIDS activism is a prime example of a new form of
political expression--an outburst of committed, low-budget,
community-produced, political video work made possible by new
accessible technologies. As Alexandra Juhasz looks at this
phenomenon--why and how video has become the medium for so much
AIDS activism--she also tries to make sense of the bigger picture:
How is this work different from mainstream television? How does it
alter what we think of the media's form and function? The result is
an eloquent and vital assessment of the role media activism plays
in the development of community identity and
self-empowerment.
The title of this book is taken from Albert Camus, who wrote, "In the midst of winter, I finally learned that there was in me an invincible summer." Indeed, the AIDS epidemic has hit like a cold blizzard in the gay community and in inner cities afflicted by high levels of drug abuse. In the Midst of Winter chronicles the brave struggles of families, couples, and individuals caught in that storm and speaks to their strengths, as well as to those of their therapists, even in the bleakest of circumstances. Powerful and practical, immediate and inspiring, it shows the way through the storm to the "invincible summer."
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.
The treatment of HIV is perhaps the most demanding and complex aspect of work for today's health care provider. Often the first decision providers and patients make is whether or not to test for the virus; this is only the first in a series of involved--and often troubling--decisions confronting both provider and patient. HIV Care considers many of the diverse elements affecting and affected by this illness, from its physical and neuropsychological manifestations to its legal and financial implications. Addressing concerns about HIV testing, the authors introduce a practical risk assessment tool and discuss some of the subjects and approaches germane to pre- and posttest counseling. Medical management is surveyed, exploring not only traditional therapies but experimental and complementary ones such as acupuncture, exercise, and diet. The psychological, psychosocial, and spiritual impacts of HIV are also considered, often generating conflicting perspectives. Finally, pragmatic issues including housing and home care, financial assistance, and legal issues pertaining to the counseling of HIV-positive patients are presented. Appendixes record laws related to HIV by state, catalog available legal assistance, and list state and national resources for HIV patients. Offering a thorough look at the most recent developments in HIV treatment, this handbook will serve as a powerful reference guide for practitioners in primary care, nursing, and public health, or anyone working with HIV patients. "The authors have compiled an extremely useful and easy-to-use handbook that should be on the desk of all primary care providers who treat HIV-positive individuals. Of particular interest are the legal issues where the state laws for each state are outlined concerning reporting, informed consent, confidentiality, affirmative duty to disclose, quarantine, mandatory testing, and transmission crime. This is a highly recommended book for all medical, public, and academic libraries; but especially for the professional primary care provider. It answers many questions for those who have not had the years of experience of dealing with HIV-positive patients." --AIDS Book Review Journal
The treatment of HIV is perhaps the most demanding and complex aspect of work for today's health care provider. Often the first decision providers and patients make is whether or not to test for the virus; this is only the first in a series of involved--and often troubling--decisions confronting both provider and patient. HIV Care considers many of the diverse elements affecting and affected by this illness, from its physical and neuropsychological manifestations to its legal and financial implications. Addressing concerns about HIV testing, the authors introduce a practical risk assessment tool and discuss some of the subjects and approaches germane to pre- and posttest counseling. Medical management is surveyed, exploring not only traditional therapies but experimental and complementary ones such as acupuncture, exercise, and diet. The psychological, psychosocial, and spiritual impacts of HIV are also considered, often generating conflicting perspectives. Finally, pragmatic issues including housing and home care, financial assistance, and legal issues pertaining to the counseling of HIV-positive patients are presented. Appendixes record laws related to HIV by state, catalog available legal assistance, and list state and national resources for HIV patients. Offering a thorough look at the most recent developments in HIV treatment, this handbook will serve as a powerful reference guide for practitioners in primary care, nursing, and public health, or anyone working with HIV patients. "The authors have compiled an extremely useful and easy-to-use handbook that should be on the desk of all primary care providers who treat HIV-positive individuals. Of particular interest are the legal issues where the state laws for each state are outlined concerning reporting, informed consent, confidentiality, affirmative duty to disclose, quarantine, mandatory testing, and transmission crime. This is a highly recommended book for all medical, public, and academic libraries; but especially for the professional primary care provider. It answers many questions for those who have not had the years of experience of dealing with HIV-positive patients." --AIDS Book Review Journal
Based on research by a leading geographer and specialist in diffusion theory, The Slow Plague discloses the geographic dimension of the AIDS pandemic. It provides a lucid description of the HIV, its origins, and the extent to which it has now permeated our lives. The author shows how the virus jumps from city to city, creating regional epicenters from which it spreads into surrounding areas. Four case studies at different geographic scales demonstrate the devastating effects of the disease. In Africa the situation is catastrophic, in Thailand it is rapidly becoming so. In the US there are over 300,000 people with AIDS and more than one million infected by the HIV. The relationships between poverty, drugs and HIV infection are brought out poignantly in a chapter about the Bronx. The author argues that a real understanding of AIDS has been hampered by conscious or unconscious beliefs that those affected are, and will continue to be, confined to specific minority groups and to parts of the Third World. He shows that such views have led to fundamental misconceptions about the pattern of the spread of the disease and about those who will be most at risk, now and in the immediate future.
The authors of The Essential AIDS Fact Book suggest ways to control the HIV virus while more effective treatments are being developed. Sections include HIV Antibody Testing; Obtaining Treatment; Health Care Strategies; Drugs that Help; Living with HIV; Managing Complications; and more.
The AIDS epidemic has touched the lives of all Americans. An entire generation has been forced to redefine the way it looks at intimacy. Our very images of ourselves are being altered in the wake of this tragic illness. Yet we are only now beginning to discover the true extent of the change AIDS has wrought on American society. This massive challenge to public health is creating a fault line beneath our institutions, threatening to undermine much that we have taken for granted about the pillars of our culture. Looking out across the landscape of AIDS, we sense a fundamental shift in the way we think about ourselves, about others, and about government. Shattered Mirrors is a deeply moving meditation on the impact AIDS is having on American consciousness. AIDS has become a moral lesson for our nation, Monroe Price argues, but not the narrow lesson about the dangers of deviancy that certain segments of society have professed. The AIDS epidemic challenges some of our most cherished ideas about individual autonomy, free expression, fairness, and confidence in the future. As this book points out, the ultimate legacy of the AIDS epidemic is far more than its terrible impact on the health of the citizenry. As the disease grinds on, several traditional barriers between church and state, government and the media, citizen and consumer have begun to erode, while other barriers of class, race, and lifestyle are growing larger. It is too early to say whether these and similar changes will be permanent, but as long as there is uncertainty about how devastating AIDS will prove to be to our society, we will continue to debate its meaning and how we should respond to the threat it poses to all of us. In the long run, Price maintains, AIDS may force us to reexamine the role government should play in shaping our personal lives. More than this, it may well oblige us to redefine what we mean by identity and community in a democracy under siege.
AIDS is unquestionably the most serious threat to public health in this century--yet how effective has the United States been in coping with this deadly disease? This sobering analysis of the first five years of the AIDS epidemic reveals the failure of traditional approaches in recognizing and managing this health emergency; it is an extremely unsettling probe into what makes the nation ill equipped to handle a crisis of the magnitude of the one that now confronts us. Sandra Panem pays particular attention to the Public Health Service, within which the vast majority of biomedical research and public health services are organized, including the Centers for Disease Control and the National Institutes of Health. We learn in dismaying detail how shortcomings in communication within and among the many layers of the health establishment delayed management of the crisis. She also investigates other problems that surface during a health emergency, involving issues such as federal budgeting, partisan politics, bureaucratic bungles, educating the public, the complications of policymaking, and the vexing role of the press. Panem makes specific recommendations for a centrally coordinated federal response to health emergencies, including the creation of a national health emergency plan.
A New York Times Notable Book of 2007 "The Invisible Cure" is an account of Africa's AIDS epidemic from the inside--a revelatory dispatch from the intersection of village life, government intervention, and international aid. Helen Epstein left her job in the US in 1993 to move to Uganda, where she began work on a test vaccine for HIV. Once there, she met patients, doctors, politicians, and aid workers, and began exploring the problem of AIDS in Africa through the lenses of medicine, politics, economics, and sociology. Amid the catastrophic failure to reverse the epidemic, she discovered a village-based solution that could prove more effective than any network of government intervention and international aid, an intuitive response that calls into question many of the fundamental assumptions about the AIDS in Africa. Written with conviction, knowledge, and insight, "The Invisible Cure" will change how we think about the worst health crisis of the past century--and indeed about every issue of global public health.
This work includes a foreword by Jeffrey Koplan, Vice President, Academic Health Affairs, Emory University, Atlanta, Formerly Director, Centers for Disease Control and Prevention (CDC). This groundbreaking new book blows apart the myths about who is at risk of getting AIDS and shows how these myths are driven by moral and political pressures. It provides an objective, logical, clear, epidemiologically based analysis on the current situation and situates itself firmly at marked variance with the politically correct position of UNAIDS and most AIDS activists. "The AIDS Pandemic" argues that the story of HIV has been distorted by UNAIDS and AIDS activists in order to support the myth of the high potential risk of HIV epidemics spreading into the general population. In the past, most policy makers and members of the public have uncritically accepted UNAIDS' high prevalence estimates and projections when in fact lower HIV prevalence estimates are more accurate. Time, money and resources are being wasted worldwide. This book is full of fresh analysis for all people working in any capacity in HIV/AIDS programmes. It will be invaluable to undergraduate and postgraduate healthcare students, health and social care professionals and the international media. Policy makers and shapers will find the pioneering information crucial to the future of the AIDS strategy. 'For close to a half century, my work as a public health epidemiologist has involved field research, program management, and teaching, mostly on public health surveillance and prevention and control of communicable diseases. [Since 1981] I have been involved virtually full time with the international response to the AIDS pandemic which is without question one of the most severe infectious disease pandemics in modern times. During my public health career that began in the early 1960s, I have always been considered a part of conventional or mainstream medical science. However, since the mid-1990s, I have found myself swimming upstream against mainstream AIDS organisations. I have, during this period, gradually come to the realisation that AIDS programs developed by international agencies and faith based organizations have been and continue to be more socially, politically, and moralistically correct than epidemiologically accurate.' - James Chin, in the Preface. 'Controversy and differing opinions have been hallmarks of the AIDS epidemic since its onset. The scope of the problem, how to identify high risk groups without increasing the burden of stigma, the safety of blood products, the best balance between prevention and treatment, have all been hot issues sometimes dividing the public health community. The passion and conflicts about how to consider and address the AIDS pandemic reflect the huge impact this disease has had globally and its interplay with macro economic, legal, social, political, national security and ethical domains. Vital, provocative, thoughtful, direct, passionate, rational and willing to challenge conventional wisdom. "The AIDS Pandemic" is filled with information, rational arguments and opinions, often intermingled. It is a rare book on epidemiology that puts so much of the author's personality and viewpoints, along with his knowledge and experience, before the reader. The result is a thought-provoking, likely-to-be-controversial, contribution to the AIDS literature that should engage and stimulate the reader.' - Jeffrey Koplan, in the Foreword.
Features a collection of seven research-based articles on AIDS. This work seeks to cut through popular misunderstanding and conventional ideas about the spread and impact of AIDS by employing a political economic perspective in the analysis of the epidemic in diverse settings.
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.
AIDS is the number one health issue facing the nation today. The way in which AIDS relates to substance abuse is explored by drug abuse researchers in this timely volume. A major focus of AIDS and Alcohol/Drug Abuse is on the problems of conducting AIDS research on racial minorities in this country. Bringing together experts in the field, this volume examines the specific obstacles and challenges researchers have faced in assessing and addressing the needs of underserved populations and maps routes and procedures that can improve both research and available health care services.This unique volume also focuses on aspects of HIV infection that have received little attention elsewhere. It includes the first information published in the open literature about intravenous drug use in Alaska. Another chapter highlights some little-known facts that relate substance abuse to HIV infection in the American Indian/Alaskan Native population, among whom--it has been predicted--a devastating epidemic of HIV infection is likely. Problems with prevention, research, and treatment of individuals who are both intravenous drug users and who are infected with HIV are explored. Other chapters look at the transmission of HIV infection--by gay men who are alcoholics and by intravenous drug users. AIDS and Alcohol/Drug Abuse ends with hopeful chapter for AIDS prevention. Readers interested in the relationship of intravenous drug use and HIV infection, particularly among racial and ethnic minorities, will find this to be a practical, readable book. In particular, substance abuse counselors and researchers, and anyone involved in the AIDS prevention movement will find a valuable wealth of information.
In collaboration with Consulting Editor, Dr. Helen Boucher, Dr. Paul Edward Sax has put together a state-of the-art issue of the Infectious Disease Clinics of North America devoted to HIV. Clinical review articles from expert authors are specifically devoted to the following topics: HIV Diagnostics -- Current Recommendations and Opportunities for Improvement; Update on HIV Prevention -- PreP, PEP, and Other Strategies; Initial Assessment -- What Tests to Order and Why; Why Everyone (Almost) with HIV Needs to be on Treatment -- A Review of the Critical Data; Initial Therapy in the Integrase Inhibitor Era -- Can We Do Better than Two NRTIs plus an INSTI?; Switching Therapy in Patients with Virologic Suppression -- A Why and a How-To Guide; Management of Treatment Failure, With and Without Resistance; Reproduction Options for People with HIV, and Management of Pregnancy; HIV and Addiction - the Role of the ID Clinician; Management of Patients with Advanced HIV Disease - Challenges and Opportunities; HIV and Aging - Focus on Cardiovascular Risk and Metabolic Abnormalities; Key Principles in HIV Pharmacology; One Patient Has Been Cured of HIV - Will There Ever Be More?; and Linkage and Retention in Care - The Keys to Treatment Success. Readers will come away with the latest information they need to manage diagnosis, treatment and outcomes of HIV patients.
Analogous to other infections, evidence suggests that improved micronutrient intake may reduce HIV transmission and progression, as well as morbidity from common and opportunistic infections. This is important information, considering many in the world's HIV-infected population do not yet have access to anti-retroviral drugs. Micronutrients and HIV Infection presents current knowledge on the role of micronutrients in HIV and other infections - knowledge that can be used to improve case management and public health interventions.
In the first part of this thought-provoking book, moral theologians address the worldwide AIDS pandemic and illustrate the complexity of HIV prevention and treatment within the context of local issues and cultural concerns in twenty-six cases from Africa, Asia, Australia, Europe, Latin America, and North America. In the second part, essays by well-known theologians home in on the fundamental moral issues involved and demonstrate how the Roman Catholic tradition can help in constructively mediating the moral conundrum of HIV/AIDS prevention and treatment. A concluding essay by Kevin Kelly focuses on the challenges AIDS presents to moral theology at the beginning of the new millennium. |
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