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HIV-Related Threats

  • Lena Nilsson Schönnesson
  • Michael W. Ross
Chapter
  • 56 Downloads
Part of the AIDS Prevention and Mental Health book series (APMH)

Abstract

The person living with HIV is not only confronted with the HIV diagnosis as such but also to various physical, social, and sexual threats toward his physical, social, and sexual existence throughout the disease process. In this chapter we describe each of the threats and illuminate them by empirical data from other studies and the quantitative and qualitative analysis of Dr. Schönnesson’s psychotherapeutic notes of gay men with HIV.

Keywords

Sexual Desire Disease Phase Love Relationship Multiple Loss Perfect Body 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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References

  1. 1.
    Hacking I. Rewriting the Soul. Multiple Personality and the Sciences of Memory. Princeton, N.J.: Princeton University Press; 1995.Google Scholar
  2. 2.
    Lazarus RS, Folkman S. Stress, Appraisal, and Coping. New York: Springer; 1984.Google Scholar
  3. 3.
    Janoff-Bulman R. Shattered assumptions. Towards a New Psychology of Trauma. New York: Free Press; 1995.Google Scholar
  4. 4.
    Diagnostic and Statistical Manual of Mental Disorders, DSM IV. Washington D.C.: American Psychiatric Association; 1994.Google Scholar
  5. 5.
    Lifton RJ. The concept of the survivor. In: Dimsdale JF, ed. Survivors, Victims, and Perpetrators: Essays on the Nazi Holocaust. Washington D.C.: Hemisphere; 1980.Google Scholar
  6. 6.
    Hammelstein P. How gay men cope with HIV infection—A review of German literature. ALGP Europé Newsletter 1996; 5(2):7–9.Google Scholar
  7. 7.
    Weeks, J. Invented Moralities. Sexual Values in an Age of Uncertainty. New York: Columbia University Press; 1996.Google Scholar
  8. 8.
    Rabkin J, Remien RH, Wilson C. Good Doctors Good Patients. Partners in HIV Treatment. New York: NCM Publishers; 1994.Google Scholar
  9. 9.
    Maasen T. Lacking the lust for extended gay life: counselling gay survivors of the AIDS epidemic from a psychodynamic view. Paper presented at the 2nd European conference on the methods and results of social and behavioral research on AIDS, Paris January 12-15, 1998.Google Scholar
  10. 10.
    Winiarski MG, ed. HIV Mental Health for the 21st Century. New York: New York University Press; 1997.Google Scholar
  11. 11.
    Klein SJ. Heavenly Hurts. Surviving AIDS-Related Deaths and Losses. Death, Value, and Meaning series. New York: Baywood Publishing; 1997.Google Scholar
  12. 12.
    Nilsson Schönnesson L. HIV infection: Trauma, psychic metabolism, and psychological well-being. A study of 29 Swedish gay HIV-positive men. Unpublished research report (in Swedish). Stockholm; 1993Google Scholar
  13. 13.
    Klitzman, R. Being Positive: The Lives of Men and Women with HIV. Chicago: Ivan R. Dee; 1997.Google Scholar
  14. 14.
    Kierkegaard S. The Concept of Dread. Princeton, N.J.: Princeton University Press; 1944.Google Scholar
  15. 15.
    Goffman E. Stigma. Notes on the Management of Spoiled Identity. Englewood Cliffs, N.J.: Prentice-Hall; 1963.Google Scholar
  16. 16.
    Weitz R. Life with AIDS. New Brunswick, N.J.: Rutgers University Press; 1992.Google Scholar
  17. 17.
    Schmidt G. Moral. und Volksgesundheit. In: Sigusch V, ed. Aids als Risiko. Hamburg: Kronkret Literatur Verlag; 1987; 24–38.Google Scholar
  18. 18.
    Stevens LA, Muskin PR. Techniques for reversing failure of empathy towards AIDS patients. Journal of the American Academy of Psychoanalysis 1987; 15:539–551.PubMedGoogle Scholar
  19. 19.
    Becker S. AIDS—die Krankheit zur Wende? Psychologie Heute 1985; 12:60–65.Google Scholar
  20. 20.
    Ross MW, Ryan L. The little deaths: perceptions of HIV, sexuality, and quality of life in gay men. In: Ross MW, ed. HIV/AIDS and Sexuality. New York: Harrington Park Press; 1995; 1–21.Google Scholar
  21. 21.
    Holt R, Court P, Vedhara K, et al. The role of disclosure in coping with HIV infection. AIDS Care 1998; 10(1):49–60.PubMedCrossRefGoogle Scholar
  22. 22.
    Sullivan HS. Personal. Psychopathology. New York: Norton; 1972.Google Scholar
  23. 23.
    Ross MW, Tebble WEM, Viliunas D. Staging of psychological reactions to HIV infection in asymptomatic gay men. Journal of Psychology and Human Sexuality 1989; 2(1):93–104.CrossRefGoogle Scholar
  24. 24.
    Schwartzberg S. A Crisis of Meaning. How Gay Men Are Making Sense of AIDS. New York: Oxford University Press; 1996.Google Scholar
  25. 25.
    Friedman RC. Male Homosexuality. A Contemporry Psychoanalytic Perspective. New Haven and London: Yale University Press; 1988.Google Scholar
  26. 26.
    Schaefer A, Paar G, Siedenbiedel W, et al. Psychosocial correlates of a four-month group therapy in HIV-positives, gay and bisexual men. Presented at the IXth international Conference on AIDS, June, Berlin; 1993.Google Scholar
  27. 27.
    Kaisch K, Anton-Culver H. Psychological and social consequences of HIV exposure: Gays in Southern California. Psychology and Health 1989; 3:63–75.CrossRefGoogle Scholar
  28. 28.
    Wolcott D, Namir S, Fawzy, FI, et al. Illness concerns, attitudes towards homosexuality, and social support in gay men with AIDS. General Hospital Psychiatry 1986; 8:395–403.PubMedCrossRefGoogle Scholar
  29. 29.
    Kohut H. The Analysis of the Self. New York: International. Universities Press; 1971.Google Scholar
  30. 30.
    Yalom I. Existential Psychotherapy. New York: Basic Books; 1980.Google Scholar
  31. 31.
    Bowlby J. Loss, Sadness and Depression: Attachment and Loss. Vol. 3. New York: Basic Books; 1980.Google Scholar
  32. 32.
    Buber M. I and Thou. New York: Charles Schribner; 1970.Google Scholar
  33. 33.
    Maasen, T. Counseling gay men with multiple loss and survival. problems: the breavement group as a transitional object. AIDS Care 1998; 10(1):S57–S63.PubMedCrossRefGoogle Scholar
  34. 34.
    Jacoby Klein, S. AIDS-related multiple loss syndrome. Illness, Crisis and Loss 1994; 4(1):13–25.CrossRefGoogle Scholar
  35. 35.
    Foucault M. The History of Sexuality, Vol. 1, An Introduction. London: Allen Lane; 1979.Google Scholar
  36. 36.
    Schorsch V. Die Theorie der Liebe in der Sexualwissenschaft. In Sexualität: Vorträge im Wintersemester 1986/87. Ruprecht-Karls Univesität: Heidelberg: Studium Generale; 1989.Google Scholar
  37. 37.
    Nilsson Schönnesson L, Dolezal C. HIV-related risk factors among Swedish gay men. Scandinavian Journal of Sexology 1998; 1:1:51–62.Google Scholar
  38. 38.
    Ekstrand MI, Coates TJ. Maintenance of safer sexual behaviors and predictors of risky-sex The San Francisco men’s health study. American Journal of Public Health 1990; 80:973–977.PubMedCrossRefGoogle Scholar
  39. 39.
    Stall RD, Ekstrand MI, Pollack I, et al. Relapse from safer sex: the next challenge for AIDS prevention efforts. Journal of Acquirred Immune Deficiency Syndromes 1990; 3:1181–1187.Google Scholar
  40. 40.
    Dobs AS, Dempsey MA, Ladenson PW, Polk BF. Endocrine disorders in men infected with human immunodeficiency virus. American Journal of Medicine 1993; 84:611–615.CrossRefGoogle Scholar
  41. 41.
    Tindall B, Forde S, Goldstein B, Ross MW. Sexual. dysfunction in advanced HIV disease. AIDS Care 1994; 6:1:105–107.PubMedCrossRefGoogle Scholar
  42. 42.
    Meyer-Bahlburg H, Exner TM, Lorenz G, et al. Sexual risk behavior, sexual functioning, and HIV-disease progression in gay men. Journal of Sex Research 1991; 28:3–27.CrossRefGoogle Scholar
  43. 43.
    Bell A, Weinberg M. HomosexualitiesA Study of Diversity Among Men and Women. New York: Simon and Schuster, 1978.Google Scholar
  44. 44.
    Rolland J. In sickness and in health; the impact of illness on couples’ relationships. Journal of Marital and Family Therapy 1994; 20:327–347.CrossRefGoogle Scholar
  45. 45.
    Doll LS, Byers RH, Bolan G, et al. Gay men who engage in high-risk sexual behavior. A multi-center comparison. Sexually Transmitted Diseases 1991; 18(3):170–175.PubMedCrossRefGoogle Scholar
  46. 46.
    Powell-Cope GM. The experiences of gay couples affected by HIV infection. Qualitative Health Research 1995; 5:36–62.CrossRefGoogle Scholar
  47. 47.
    Wardlaw LA. Sustaining informal. caregivers for person with AIDS. Families in Society. Journal of Contemporary Human Services 1994; 75:373–384.Google Scholar
  48. 48.
    Folkman S, Chesney M, Christopher-Richards A. Stress and coping in caregiving partners of men with AIDS. Psychiatric Clinics of North America 1994; 1:35–53.Google Scholar
  49. 49.
    Mattison AM, McWhirter DP. Serodiscordant male couples. Journal of Gay and Lesbian Social Services 1994; 83–98.Google Scholar
  50. 50.
    Remien RH. Couples of serodisconcordant HIV status: Challenges and strategies for intervention with couples. In: Wicks, LA, ed. Psychotherapy and AIDS: The Human Dimension. Washington D.C.: Taylor & Francis; 1997; 167–179.Google Scholar
  51. 51.
    Berger RM. Men together: Understanding the gay couple. Journal of Homosexuality 1990; 19(3):31–49.PubMedCrossRefGoogle Scholar
  52. 52.
    Bosga MB, de Wit JBF, de Vroome EMM, et al. Differences in perception of risk for HIV infection with steady and non-steady partners among gay men. AIDS Education and Prevention 1995; 7(2):103–115.PubMedGoogle Scholar
  53. 53.
    Henriksson B. Risk factor love. Homosexuality, sexual interaction and HIV prevention. Doctorial. dissertation, University of Gothenburg, Sweden; 1995.Google Scholar
  54. 54.
    McLean J, Boulton M, Brookes D, et al. Regular partners and risky behavior: Why do gay men have unprotected intercourse? AIDS Care 1994; 6(3):331–PubMedCrossRefGoogle Scholar
  55. 55.
    Becker S, Clement U. HIV infektion und AIDS. In: Im Uexkul, ed. Psychosomatische Medizin. 4 Auflage. München: Urben und Schwarzenberg 1990; 889–902.Google Scholar
  56. 56.
    Remien RH, Carballo-Dieguez A, Wagner G. Intimacy and sexual risk behavior in serodiscordant male couples. AIDS Care 1995; 7:429–438.PubMedCrossRefGoogle Scholar
  57. 57.
    Odet W. In the Shadow of the Epidemic. Being HIV-Negative in the Age of AIDS. Durham, N.C.: Duke University Press; 1995.Google Scholar
  58. 58.
    Shelby RD. People with HIV and Those Who Help Them. Challenges, Integration, Intervention. New York: Harrington Park Press; 1995.Google Scholar

Copyright information

© Springer Science+Business Media New York 1999

Authors and Affiliations

  • Lena Nilsson Schönnesson
    • 1
  • Michael W. Ross
    • 2
  1. 1.Department of Social WorkUniversity of GothenburgGothenburgSweden
  2. 2.WHO Center for Health Promotion Research and Development School of Public HealthUniversity of Texas, Houston Health Science CenterHoustonUSA

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