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.

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.

Psychological treatments seek to support changes in patients's lives. Normally, they get better and move on with their lives. The time line is often different in dealing with the medically ill, including those with HIV. While making progress psychologically, patients may become more physically dependent. Divided into 3 parts, this book presents information and clinical material in a range of topics to support psychologically informed treatment of individuals who are HIV-positive. Each chapter proposes techniques and methods to address different concerns commonly encountered with this population. In addition, case studies are provided throughout.

HIV/AIDS affects women worldwide. Yet intervention programmes often fail to take into account the different cultures and behaviours that make women more vulnerable than men. Although policy debates increasingly include women and gender considerations, funds and resources for women, especially those already suffering with HIV/AIDS, remain inadequate. "Women's Experiences with HIV/AIDS" recounts the experiences of individual women whose daily struggles and concerns are ignored in the larger dialogues about HIV/AIDS. Women and men from diverse backgrounds discuss the differences between women within and across cultures and how particular traditions and attitudes can determine a woman's vulnerability to HIV/AIDS. This collection provides a much-needed examination of the interventions and policies that do not yet fully address the needs and limitations of women suffering with infection, or confronted by that possibility.

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.

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.

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."

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.
An AIDS videomaker herself, Juhasz writes from the standpoint of an AIDS activist and blends feminist film critique with her own experience. She offers a detailed description of alternative AIDS video, including her own work on the Women's AIDS Video Enterprise (WAVE). Along with WAVE, Juhasz discusses amateur video tapes of ACT UP demonstrations, safer sex videos produced by Gay Men's Health Crisis, public access programming, and PBS documentaries, as well as network television productions.
From its close-up look at camcorder AIDS activism to its critical account of mainstream representations, AIDS TV offers a better understanding of the media, politics, identity, and community in the face of AIDS. It will challenge and encourage those who hope to change the course of this crisis both in the 'real world' and in the world of representation.

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.

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

AIDS strikes most heavily at those already marginalized by conventional society. With no immediate prospect of vaccination or cure, how can liberty, dignity, and reasoned hope be preserved in the shadow of an epidemic? In this humane and graceful book, philosopher Timothy Murphy offers insight into our attempts - popular and academic, American and non-American, scientific and political - to make moral sense of pain. Murphy addresses the complex moral questions raised by AIDS for health-care workers, politicians, policy makers, and even people with AIDS themselves. He ranges widely, analyzing contrasting visions of the origin and the future of the epidemic, the moral and political functions of obituaries, the uncertain value of celebrity involvement in anti-AIDS education, the functional uses of AIDS in the discourse of presidential campaigns, the exclusionary function of HIV testing for immigrants, the priority given to AIDS on the national health agenda, and the hypnotic publicity given to 'innocent' victims. Murphy's discussions of the many social and political confusions about AIDS are unified by his attempt to articulate the moral assumptions framing our interpretations of the epidemic. By understanding those assumptions, we will be in a better position to resist self-serving and invidious moralizing, reckless political response, and social censure of the sick and the dying.

Here are stories and encouragements for people with AIDS / HIV. This powerful and inspiring book goes beyond the usual stereotypes of AIDS sufferers to impart the realities of ordinary people who have acquired the syndrome and of those who love and care for them. Selected as one of The 1993 Books for the Teen Age by The New York Public Library.

When AIDS was first recognized in 1981, most experts believed that it was a plague, a virulent unexpected disease. They thought AIDS, as a plague, would resemble the great epidemics of the past: it would be devastating but would soon subside, perhaps never to return. By the middle 1980s, however, it became increasingly clear that AIDS was a chronic infection, not a classic plague. In this follow-up to AIDS: The Burdens of History, editors Elizabeth Fee and Daniel M. Fox present essays that describe how AIDS has come to be regarded as a chronic disease. Representing diverse fields and professions, the twenty-three contributors to this work use historical methods to analyze politics and public policy, human rights issues, and the changing populations with HIV infection. They examine the federal government's testing of drugs for cancer and HIV, and show how the policy makers' choice of a specific historical model (chronic disease versus plague) affected their decisions. A powerful photo essay reveals the strengths of women from various backgrounds and lifestyles who are coping with HIV. A sensitive account of the complex relationships of the gay community to AIDS is included. Finally, several contributors provide a sampling of international perspectives on the impact of AIDS in other nations.

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.

With contributions from an international team of leading researchers, the book pulls together updated research results in the area of HIV/AIDS modeling to provide readers with the latest information in the field. Topics covered include: AIDS epidemic models; vaccine models; models for HIV/cell dynamics and interactions; cellular kinetics; viral dynamics with antiviral treatments; modeling of drug resistance and quasispecies.Extensive deterministic models, statistical models, stochastic models and state space models on treating AIDS patients with anti-retroviral drugs are provided, as well as an in-depth discussion of these models. The book also contains updated reviews on mathematical models for assessing effects of AIDS vaccines, statistical methods for analyzing clinical trial data on AIDS vaccines, and overviews of models and statistical methods for assessing drug resistance of HIV to anti-retroviral drugs. Some important statistical methods specific to the intervention and prevention of HIV epidemic are also discussed.This will be a useful reference source for graduate students and researchers in biomathematics and biostatistics, as well as for HIV/AIDS epidemiologists and clinical investigators learning quantitative methods to study AIDS epidemics and HIV infection.

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.

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.

AIDS is not solely a medical issue but also has profound implications for social and family relationships. Traditionally when a person is ill, the family is seen to provide emotional, practical and social support. Experience has shown, however, that AIDS disrupts this conventional pattern of support. On the one hand AIDS, like any other serious illness, affects family members both from day to day and in the long term. What distinguishes AIDS from so many other illnesses is the associated social stigma and the fact that HIV may be transmissible, or may have been transmitted, within a relationship. Most psychological and social research has concentrated on the impact of AIDS on individuals. Only recently has attention turned to the effect of AIDS on the family. This is the first book to address AIDS in the family and draws on the work of experienced researchers and practitioners from around the world. It is most fitting that the book should first be published in 1994, the United Nations International Year of the Family. Recognizing the role of the family may mark a change in emphasis in future social research and policy in relation to HIV and AIDS.

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.

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.

Skin diseases are common problems in patients with HIV infection and AIDS. Patients with HIV infection may present first to the dermatologist or to many other groups of physicians. This book is designed to help dermatologists and nondermatologists alike to recognize the cutaneous manifestations of HIV infection and AIDS so that diagnosis can be made quickly and therapy begun as soon as possible.

It covers the entire spectrum of HIV associated cutaneous diseases and emphasizes how they present in immunocompromised patients. Each entity is discussed in detail, including clinical presentation, histopathological findings, morphology and treatment. The text is accompanied by colour photos of the highest quality.

The latest treatments are described, including Highly Active Antiretroviral Therapy (HAART). While HAART has transformed the lives of patients with HIV and AIDS, these medications have side effects and the authors reinforce the warning that HAART is not a cure.