1/28. housing for people with AIDS.People with AIDS are homeless for a variety of reasons, including financial devastation, rejection based on fear of contagion or fear of the dying process, and homelessness prior to a diagnosis of AIDS. The author developed and directed the Shanti AIDS Residence Program in san francisco, the first program to provide housing for people with AIDS. This model is appropriate for single, independent people able to live cooperatively with others. It provides shared living situations for three to six people per apartment, and office staff physically maintain the houses and assure that the needs for community-based home care and other services are met. Other models are proposed for people who are physically or cognitively dependent (and require physical care or supervision in addition to housing), who are socially unable to live cooperatively with others in an unstructured living environment (e.g., active substance users or the emotionally disturbed), or who have families (e.g., mothers with dependent children or gay men who live with their lovers).- - - - - - - - - - ranking = 1keywords = fear (Clic here for more details about this article) |
2/28. perception of voluntary screening for paediatric hiv and response to post-test counselling by Nigerian parents.nigeria may be taken to represent countries with an evolving hiv/AIDS epidemic. With particular reference to paediatric hiv, the voluntary testing of young children and their parents may provide an important entry point for the institution of control measures. However, there is a paucity of knowledge about how individuals perceive voluntary testing. This knowledge is important to the development of guidelines for counselling. To reduce this gap, 258 parents of hospitalized children (> 1 month to 15 years of age) were interviewed using a structured questionnaire. In addition, to complement the data, four examples of seropositive mother's responses during post-test counselling are presented and analyzed. In the survey, 223 (86%) parents were hiv/AIDS aware but only 88 (39%) of these parents could describe one or more route(s) of transmission and none described vertical transmission. Among the respondents, 153 (62%) of 248 would consent to the screening of self, and 195 (85%) of 230 to the screening of a hospitalized child if based on his/her clinical condition. Perceptions of good health and lack of exposure, and despair owing to lack of a specific treatment, were the common reasons for refusing consent. These represent some of the issues which would need to be addressed to increase the acceptance of voluntary testing. The fear of a break up of families with seropositive mothers but seronegative fathers was a major concern expressed during post-test counselling. hiv-discordance among couples may be frequent and should be considered in the formulation of policies on counselling and voluntary testing.- - - - - - - - - - ranking = 0.5keywords = fear (Clic here for more details about this article) |
3/28. Irrational fear of AIDS associated with suicidal behavior.This article concerns patients who have an irrational conviction that they have AIDS, despite medical evidence to the contrary, and who, despite medical reassurance, go on to complete suicide or make serious suicide attempts. patients with such irrational convictions often develop this symptom complex in the setting of extramarital affairs and subsequent feelings of guilt and shame. Two case reports are presented, one of completed suicide and one of serious attempted suicide. Both patients were on inpatient chemical dependency wards at the time of their suicidal acts. A comparison is made to syphilophobia. The literature on the irrational fear of AIDS and syphilophobia is reviewed. Although such cases are not common and suicidality among such patients is not common, it is helpful for clinicians to be aware of the potential risk for serious suicidal acts in patients who develop this irrational belief system.- - - - - - - - - - ranking = 2.5keywords = fear (Clic here for more details about this article) |
4/28. School placement for human immunodeficiency virus-infected children: the baltimore City experience.Over the past 6 years, the city of baltimore has successfully implemented a school placement policy for human immunodeficiency virus (hiv)-infected children and children with acquired immunodeficiency syndrome (AIDS). Both policy and specific procedures are based on nationally promulgated guidelines. School placement policy is part of an overall AIDS policy that includes education of students and staff and adoption of universal precautions to prevent transmission of communicable diseases in school. Implementation has been marked by excellent collaboration between the departments of health and education. Important policy components include expedited clinical investigation of each case, an interagency review panel, strict protection of confidentiality, a restricted setting for certain children, a school site visit for each placement, and continued monitoring of the school placement by school nurses. Many hiv-infected students need special educational services and/or school health services. The baltimore City school placement process has avoided the exaggerated publicity endured by some communities, where media reporting has aggravated community fears and invaded the lives of families with hiv-infected children. baltimore City has succeeded in ensuring access to education, protecting families' confidentiality, and providing special care for hiv-infected students. Local communities should emphasize national guidelines in designing school placement policies for hiv-infected children. School placement policies work best in the context of a comprehensive policy incorporating AIDS education and care.- - - - - - - - - - ranking = 0.5keywords = fear (Clic here for more details about this article) |
5/28. Understanding the experience of hiv/AIDS for women: implications for occupational therapists.BACKGROUND: Within the past few years, hiv/AIDS has shifted from being an acute, palliative disease to one that is more chronic and episodic in nature. This shift has major implications for the role of occupational therapy in women's lives. Very few studies, however, have examined the perspective of women living with hiv/AIDS from an occupational therapy perspective. PURPOSE: This qualitative study was designed to examine the experiences of five women living with hiv/AIDS in Southern ontario and to begin to explore the implications of these findings for occupational therapy. METHOD: Through the implementation of five in-depth interviews, a phenomenological approach was used to explore the lived experience of women with hiv/AIDS. RESULTS: Four main themes emerged: fearing disclosure, experiencing challenges (physical and psychological), having supportive networks, and coping positively with being hiv positive (spirituality and opportunity for living and learning). PRACTICE IMPLICATIONS: There are several potential roles for occupational therapy in working with women who are living with hiv/AIDS More studies need to be pursued in this area of rehabilitation.- - - - - - - - - - ranking = 0.5keywords = fear (Clic here for more details about this article) |
6/28. Exploring the doctor-patient relationship reduces staff stress and enhances empathy when caring for AIDS patients.At our AIDS outpatient clinic we presently care for more than 1,200 hiv-infected patients. All physicians in this unit have participated for 1 year in a case work group supervised by a liaison psychiatrist. The doctor-patient relationship, the assessment in the case work group and the ensuing influence on perception and behavior are demonstrated by 3 cases. Different issues challenge the doctor-patient relationship: the serious prognosis of predominantly young AIDS patients; isolation and stigmatization of patients; fear of contagion, and questions of confidentiality regarding contact tracing. Reflection upon the doctor-patient relationship improves communication skills and increases empathy towards AIDS patients.- - - - - - - - - - ranking = 0.5keywords = fear (Clic here for more details about this article) |
7/28. fear of AIDS related to development of obsessive-compulsive disorder in a child.fear of acquired immune deficiency syndrome (AIDS) has been associated with a variety of psychiatric disorders in adults and in some adolescents. A case is reported of a child with an unrealistic fear of AIDS who developed an obsessive-compulsive disorder. This case illustrates the importance of providing adequate AIDS information to children.- - - - - - - - - - ranking = 0.5keywords = fear (Clic here for more details about this article) |
8/28. Behavioural treatment of AIDS-focused illness phobia.Seven cases are described in which the central symptoms were fear of contracting AIDS, avoidance of related cues, rituals and reassurance-seeking. Associated features include previous illness phobias and obsessive-compulsive disorder. Treatment with exposure and response prevention (plus a cognitive session in one case), led to improvement sustained up to three months after discharge, although one patient stopped treatment prematurely. Controlled trials of behavioural treatment in hypochondriasis are required.- - - - - - - - - - ranking = 0.5keywords = fear (Clic here for more details about this article) |
9/28. family members' willingness to care for people with AIDS: a psychosocial assessment model.This article presents a model for assessing psychosocial factors that influence family members' willingness to care for people with acquired immune deficiency syndrome (AIDS). Factors that may influence willingness to care include caregiver resources and coping characteristics, the degree to which the person with AIDS is held accountable for the illness, perceived adequacy of social support, familial obligation and affection, fears of acquiring the human immunodeficiency virus, perceptions of self-efficacy, acceptance of homosexuality, and family stigma resulting from the high-risk profile of people with AIDS. Implications for service planning and delivery are discussed.- - - - - - - - - - ranking = 0.5keywords = fear (Clic here for more details about this article) |
10/28. Eight cases of patients with unfounded fear of AIDS.This article describes eight cases of patients treated at the Psychiatric Department of the University Central Hospital of Turku (UCHT) finland who all had as a common feature an unfounded fear of AIDS. Three of the patients committed suicide and one of them had overt suicidal tendencies. An unfounded fear of AIDS may be a sign of psychiatric disturbance with increased suicidal risk. Increased fear of AIDS seems to have correlation with media and counselling services. Owing to the fact that these patients primarily seek medical help from other fields of medicine than psychiatry, they are a new problem especially for general hospital psychiatry.- - - - - - - - - - ranking = 3.5keywords = fear (Clic here for more details about this article) |
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