Mema's house is in the poor barrio Nezahualcoyotl, a crowded urban space on the outskirts of Mexico City where people survive with the help of family, neighbors, and friends. This house is a sanctuary for a group of young, homosexual men who meet to do what they can't do openly at home. They chat, flirt, listen to music, and smoke marijuana. Among the group are sex workers and transvestites with high heels, short skirts, heavy make-up, and voluminous hairstyles; and their partners, young, bisexual men, wearing T-shirts and worn jeans, short hair, and maybe a mustache.
Mema, an AIDS educator and the leader of this gang of homosexual men, invited Annick Prieur, a European sociologist, to meet the community and to conduct her fieldwork at his house. Prieur lived there for six months between 1988 and 1991, and she has kept in touch for more than eight years. As Prieur follows the transvestites in their daily activities--at their work as prostitutes or as hairdressers, at night having fun in the streets and in discos--on visits with their families and even in prisons, a fascinating story unfolds of love, violence, and deceit.
She analyzes the complicated relations between the effeminate homosexuals, most of them transvestites, and their partners, the masculine-looking bisexual men, ultimately asking why these particular gender constructions exist in the Mexican working classes and how they can be so widespread in a male-dominated society--the very society from which the term "machismo" stems. Expertly weaving empirical research with theory, Prieur presents new analytical angles on several concepts: family, class, domination, the role of the body, and the production of differencesamong men.
A riveting account of heroes and moral dilemmas, community gossip and intrigue, "Mema's House, Mexico's City" offers a rich story of a hitherto unfamiliar culture and lifestyle.

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.

Since the early days of the AIDS epidemic, many bizarre and dangerous hypotheses have been advanced as to the origins of the disease. In this compelling book, Nicoli Nattrass explores the social and political factors prolonging the erroneous belief that the American government manufactured the human immunodeficiency virus (HIV) to be used as a biological weapon, as well as the myth’s consequences for behavior, especially within African American and black South African communities.

Contemporary AIDS denialism, the belief that HIV is harmless and that antiretroviral drugs are the true cause of AIDS, is a more insidious AIDS conspiracy theory. Advocates of this position make a “conspiratorial move” against HIV science by implying its methods cannot be trusted, and that untested, alternative therapies are safer than antiretrovirals. These claims are genuinely life-threatening, as tragically demonstrated in South Africa when the delay of antiretroviral treatment resulted in nearly 333,000 AIDS deaths and 180,000 HIV infections thatcould have been prevented – a tragedy of stunning proportion.

Nattrass identifies four symbolically powerful figures ensuring the lifespan of AIDS denialism: the hero scientist (dissident scientists who lend credibility to the movement), the cultropreneur (alternative therapists who exploit the conspiratorial move as a marketing mechanism), the living icon (individuals who claim to be living proof of AIDS denialism’s legitimacy), and the praise-singer (journalists who broadcast movement messages to the public). Nattrass describes how pro-science activists have fought back by deploying empirical evidence and political credibility to resist AIDS conspiracy theories, which is part of the crucial project to defend evidence-based medicine.

This publication is a multi-authored investigation into HIV reporting in South Africa, and combines journalism with research to present an analysis that is at once broad in its scope and focused on the important issues. What is left unsaid: Reporting the South African HIV epidemic is a collection of work produced by the fellows of the HIV/AIDS & the Media Project, started by Helen Struthers and Anton Harber in 2003. It contains a selection of the best journalism and research produced by the Media Project Fellows, which gives an important insight into the history and key issues of South African health politics and media reporting on HIV in the last decade. The texts range from in-depth quantitative and qualitative research documents to radio and television transcripts and candid interviews. The title's first section contains research and news reporting reflecting on how the media has reported HIV-related issues, while the second section consists of reporting on pertinent aspects of HIV: stigma, denial, disclosure; PMTCT; orphans and vulnerable children; abstinence and faithfulness; and traditional healers. Each half informs and elucidates the other and works to, as journalism should, shine a light on one the world's most pressing concerns, both at the grassroots and higher levels, and give a voice to those whose voices are often not heard against the din of political controversy that surrounds HIV.

At the age of twenty-nine, Sizwe Magadla is among the most handsome, well-educated, and richest of the men in his poverty-stricken village. Dr. Hermann Reuter, a son of old South West African stock, wants to show the world that if you provide decent treatment, people will come and get it, no matter their circumstances.

Sizwe and Hermann live at the epicenter of the greatest plague of our times, the African AIDS epidemic. In South Africa alone, nearly 6 million people in a population of 46 million are HIV-positive. Already, Sizwe has watched several neighbors grow ill and die, yet he himself has pushed AIDS to the margins of his life and associates it obliquely with other people's envy, with comeuppance, and with misfortune.

When Hermann Reuter establishes an antiretroviral treatment program in Sizwe's district and Sizwe discovers that close family members have the virus, the antagonism between these two figures from very different worlds -- one afraid that people will turn their backs on medical care, the other fearful of the advent of a world in which respect for traditional ways has been lost and privacy has been obliterated -- mirrors a continent-wide battle against an epidemic that has corrupted souls as much as bodies.

A heartbreaking tale of shame and pride, sex and death, and a continent's battle with its demons, Steinberg's searing account is a tour-de-force of literary journalism.

The Invisible People is a revealing and at times shocking look inside the United States's response to one of the greatest catastrophes the world has ever known -- the global AIDS crisis. A true story of politics, bureaucracy, disease, internecine warfare, and negligence, it illustrates that while the pandemic constitutes a profound threat to U.S. economic and security interests, at every turn the United States has failed to act in the face of this pernicious menace. During the past twenty years, more than 65 million people across the globe have become infected with HIV. Already 25 million around the world have died -- more than all of the battle deaths in the twentieth century combined. By decade's end there will be an estimated 25 million AIDS orphans. If trends continue, by 2025, 250 million global HIV-AIDS cases are a distinct possibility. Beyond the ineffable human toll, the pandemic is reshaping the social, economic, and geopolitical dimensions of our world. Eviscerating national economies, creating an entire generation of orphans, and destroying military capacity, the disease is generating pressures that will lead to instability and possibly even state failure and collapse in sub-Saharan Africa. Poised to explode in Eastern Europe, Russia, India, and China, AIDS will have devastating and destabilizing effects of untold proportions that will reverberate throughout the global economy and the international political order. In this gripping account that draws on more than two hundred interviews with key political insiders, policy makers, and thinkers, Greg Behrman chronicles the red tape, colossal blunders, monumental egos, power plays, and human pain and suffering that comprise America's woeful response to the AIDS crisis. Behrman's unprecedented access takes you inside the halls of power from seminal White House meetings to tumultuous turf battles at World Health Organization headquarters in Geneva, heated debates in the United Nations, and chilling discoveries at the Centers for Disease Control. Behrman also brings us into the field to meet the people who live in the midst of AIDS devastation in places like a school yard in Namibia, the red-light district in Bombay, and an orphanage in South Africa. Intensely researched and vividly detailed, The Invisible People is a groundbreaking and compellingly readable account of the appalling destruction caused by more than two decades of American abdication in the face of the defining humanitarian catastrophe of our time.

Aids and Local Government in South Africa studies the impact of HIV/AIDS on the political system of 12 local municipalities in South Africa. This exploratory study by democracy institute Idasa investigates the epidemic's effect on accountability, effectiveness and legitimacy amongst directly elected councillors, against a back-drop of extreme dissatisfaction with local government performance by historically disadvantaged South Africans.

Support groups for people with AIDS have proliferated, but there hasn't been a handbook for AIDS group work for the mental health professional, until now. AIDS Trauma and Support Group Therapy by Martha Gabriel is the first book to offer practitioners and students in training the essential practice knowledge and theory about planning, forming and facilitating support groups for people living with AIDS/HIV. Dr. Gabriel, a leading expert and former senior clinical group supervisor at Gay Men's Health Crisis in New York City, empowers clinicians to effectively harness the enormous resource of support groups for people with AIDS/HIV. By emphasizing the traumatic aspects of AIDS, the book provides a deep understanding of the psychological issues individuals with AIDS bring to the group. Gabriel introduces a new framework for understanding trauma along with rich practice examples from diverse PWA groups. The reader learns how to deal effectively with issues unique to AIDS/HIV clients including social stigma, confidentiality and disclosure, rational suicide and suicidality related to psychiatric disturbance, dementia, and tuberculosis among group members. Dr. Gabriel addresses special considerations in group formation, issues for group therapists in the middle phase, crisis stages, and special termination issues. The impact of multiple deaths on individual members, on the group-as-a-whole and on group facilitators is explored through case narratives and discussion. And Gabriel makes specific treatment suggestions to care for these caregivers - AIDS/HIV group practitioners - who may themselves experience the symptoms of secondary traumatic stress. AIDS Trauma and Support Group Therapy: MutualAid, Empowerment, Connection is essential reading for a wide range of mental health professionals, including social workers, psychologists, psychiatrists, psychiatric nurses, pastoral counselors, and a diverse group of paraprofessionals working with people with life threatening illness.

The acquired immunodeficiency syndrome (AIDS), is a disease of the body's immune system caused by the human immunodeficiency virus (HIV). AIDS is characterised by the death of CD4 cells (an important part of the body's immune system), which leaves the body vulnerable to life-threatening conditions such as infections and cancers. This book explores how this deadly virus has affected America and high-risk children, and presents reports on different forms of funding provided by the international and United States governments, and the fluctuating rates of AIDS cases.

Mongers in Heaven is an exploration of "Monger Culture." Mongers, as defined by the author in relation to sexual tourism to Costa Rica, are tourists and expatriates who have developed a unique culture of simulation, lying, marriages, gender games, and sexual liberation. Schifter-Sikora analyzes the relatively new phenomenon of American senior citizens mass-traveling to Central America in search of sex and love from prostitutes. The social and economic impact of their travel, as well as the increase in new HIV infections in the U.S. and the Central American countries, is at the core of Schifter-Sikora's analysis. The author also makes a unique psychological analysis that includes both the sex worker and her American client and their mutual aspirations and disappointments. The study features unique quantitative data on this population of sex workers and clients and the group's reasons for and expectations of sexual tourism. Also under analysis by Schifter-Sikora, is Jean Baudrillard's theory of simulation and simulacra, here in relation to the disappearance of the "real" in sexual tourism. American sex tourists are creating a sexual culture where truth is no longer relevant or desired. Costa Rican sex workers, for their part, hope for the traditional "real" that the Americans are escaping from. Both groups are turning a former Banana Republic into a sexualized fantasy land where women who charge are lovers and prospective wives, and those who do not are seen as the real prostitutes.

Urban Action Networks is a study of how communities organize in response to threats to their lives and well being. As HIV/AIDS wreaked havoc on the worlds of some of the most marginal and disenfranchised people in New York, they came together to create a shared response, forming a new organizational field within which their various efforts were coordinated. This book traces the interorganizational processes by which the groups negotiated shared meanings, collective strategies, and a complex, shifting set of relations with local and national government. It covers the first decade of AIDS, when the organized community groups actively set the agenda. How the communities of the most affected people organized, reorganized, and redefined the social and political context of HIV/AIDS offers an encouraging glimpse into the way in which marginal communities can convert shared needs into collective action.

Everything you need to know about dealing with HIV/AIDS in one concise volume

Written by nurses for nurses, this thoroughly revised edition of ANAC's Core Curriculum for HIV/AIDS Nursing highlights the extraordinary improvements in clinical and symptom management in HIV/AIDS over the last 10 years.

Containing not only the essential information that every practitioner needs to know (such as taking a medical and social history, physical examination, symptomatic conditions and management, HIV testing, and laboratory and diagnostic evaluation), ANAC's Core Curriculum also covers specialized nursing information such as case management, ethical and legal concerns, infection control, and patient education.

Essential for those new to HIV/AIDS care as well as a refresher for those with years of experience in infectious diseases, ANAC's Core Curriculum is a concise, but thorough reference for clinical, symptomatic, and psychosocial management of adults, adolescents, children, and infants at different stages of HIV/AIDS.

ANAC's Core Curriculum presents key details of symptomatic conditions, AIDS indicator diseases, and comorbid complications. It also describes how to manage anorexia/weight loss, cognitive impairment, cough, dyspnea, dysphagia, oral lesions, fatigue, fever, insomnia, nausea, vomiting, diarrhea, sexual dysfunction, and vision loss. Most importantly, ANAC?s Core Curriculum offers suggestions about how to help clients handle their own health, including preventing transmission, health care follow-up, managing anti-retroviral therapy, and improved adherence to prescribed regimes.

Dispensing not only clinical help, ANAC?s Core Curriculum details psychological assessment and deals with the psychosocial concerns of both clients and their significant others, including partners, spouses, families and friends. These important sections include information on how to help clients deal with the initial diagnosis, transitional issues (safer sex, depression), and coming to acceptance.

Other important sections include discussions of the special needs of pediatric patients, including nutritional concerns, risks associated with treatments, and clinical problems such as developmental delay. ANAC?s Core Curriculum also briefly covers special populations, such as commercial sex workers, health care workers, older adults, pregnant women, and incarcerated people.

ANAC's Core Curriculum for HIV/AIDS Nursing, New Century Edition belongs in every nursing library and on the desk of every floor that deals with HIV/AIDS clients. Check it out today!

When a nursing facility for AIDS patients is planned for a city neighborhood, residents might be expected to respond, "Not in my backyard." But, as Jane Balin recounts in A Neighborhood Divided, when that community is known for its racial and ethnic diversity and liberal attitudes, public reaction becomes less predictable and in many ways more important to comprehend.An ethnographer who spent two years talking with inhabitants of a progressive neighborhood facing this prospect, Jane Balin demonstrates that the controversy divided residents in surprising ways. She discovered that those most strongly opposed to the facility lived furthest away, that families with young children were evenly represented in the two camps, and that African Americans followed a Jewish community leader in opposing the home while dismissing their own minister's support of it. By viewing each side sympathetically and allowing participants to express their true feelings about AIDS, the author invites readers to recognize their own anxieties over this sensitive issue. Balin's insightful work stresses the importance of uncovering the ideologies and fears of middle-class Americans in order to understand the range of responses that AIDS has provoked in our society. Its ethnographic approach expands the parameters of NIMBY research, offering a clearer picture of the multi-faceted anxieties that drive responses to AIDS at both the local and national levels.

Today young adults are contracting HIV more rapidly than virtually any period during the past two decades. Young women, particularly those who are black and Latina, are bearing the brunt of this 'new wave' of infection. Putting Risk in Perspective explores the many factors associated with HIV infection among young black women. HIV infection often occurs as a result of high risk behavior. Understanding what causes a young woman to take sexual and reproductive risks requires a consideration of the kinds of life issues she faces. Drawing on ethnographic study and interviews, RenZe T. White introduces to the reader many young women who are dealing with economic pressures, family relationships, dating and courtship, intimate relationship issues, and questions of sexual identity. These along with the mythology surrounding HIV and AIDS_and knowledge about contraception_influence whether or not a black teenager will engage in risky activity. This powerful book shows why the fight against AIDS must incorporate a commitment to improving the social and economic opportunities available to young black women.

Synthesizing disparate information into a readily accessible format, this insightful volume presents state-of-the-art reviews on the basic and clinical features of pulmonary diseases in HIV-infected individuals-informing critical decision making as well as suggesting avenues for future research.
A beneficial compendium for those dealing with pulmonary complications of HIV infection, Human Immunodeficiency Virus and the Lung
surveys current knowledge on the epidemiology of HIV infection
examines HIV's effects on lung cells in addition to immune functions within the lung
details individual pulmonary infections in terms of etiology, clinical presentation, diagnosis, treatment, and prophylaxis
emphasizes the indications and limitations of various diagnostic techniques, including invasive and noninvasive testing and screening
considers noninfectious pulmonary complications from neoplastic and inflammatory to immunological disorders
advises on the management of individuals in intensive care with the aid of morbidity and mortality data
assesses common recommendations as well as provides clear guidelines for preventing the transmission of infectious pathogens
and more

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.

AIDS Alibis tackles the cultural landscape upon which AIDS, often accompanied by poverty, drug addiction, and crime, proliferates on a global scale. Stephanie Kane layers stories of individuals and events -- from Chicago to Belize City, to cyberspace -- to illustrate the paths of HIV infection and the effects of environment, government intervention, and social mores. Linking ordinary yet kindred lives in communities around the globe, Kane challenges the assumptions underlying the use of police and courts to solve health problems. The stories reveal the dynamics that determine how the policy decisions of white-collar health care professionals actually play out in real life. By focusing on life-changing social problems, the narratives highlight the contradictions between public health and criminal law. Look at how HIV has transformed our social consciousness, from intimate touch to institutional outreach. But, Kane argues, these changes are dwarfed by the United States's refusal to stop the war on drugs, in effect misdirecting resources and awareness. AIDS Alibis combines empirical and interpretive methods in a path-breaking attempt to recognize the extent to which coercive institutional practices are implicated in HIV transmission patterns. Kane shows how th e virus feeds on the politics of inequality and indifference, even as it exploits the human need for intimacy and release.

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.
The distinguished contributors to this volume discuss the ways HIV/AIDS has changed collective and individual identities, as well as lives, of gay men and lesbians, and how these alterations have changed our perceptions of the epidemic. They cover such topics as the impact of the epidemic on small towns, cultural barriers to AIDS prevention, gay youth and intergenerational relations, and the roles of lesbians in AIDS organizations. This collection provides compelling insights into the new communities among gay men and lesbians and the new kinds of identities and relationships that are emerging from the social and cultural ferment engendered by HIV/AIDS.
Contributors include Barry D. Adam, Lourdes Arguelles, Rafael Miguel Diaz, John H. Gagnon, Gilbert Herdt, Gregory M. Herek, Nan D. Hunter, Peter M. Nardi, John L. Peterson, Anne Rivero, Gayle S. Rubin, Beth E. Schneider, and Nancy E. Stoller.

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.

This book presents the frightening story behind one of the most ominous trends in contemporary America. AIDS in adolescents is increasing at alarming rates yet teen access to HIV prevention and treatment services is limited and uneven. It seems that apathy and risk denial are major problems in developing meaningful HIV prevention programs. This book is based on excerpted materials from a report of Congress dealing with AIDS augmented with an extensive subject index for easy access and a bibliography especially compiled for this edition.