Diagnosis and Treatment of Acute Psychological Problems Related to HIV Infection and Disease

  • David Miller


Human immunodeficiency virus (HIV) infection and disease are as much social issues as medical issues. A distinguishing characteristic of the response of the health care establishment to patients and their social milieus is the imperative to change the ways in which people act. Such imperatives for change include the motivating of safer sexual and drug-use practices and of increased public tolerance and understanding of those (groups) directly affected.


Eating Disorder Acquire Immune Deficiency Syndrome Immune Deficiency Syndrome Suicidal Activity Acquire Immune Deficiency Syndrome Patient 
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.


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. 1.
    Wolcott DL: Psychosocial aspects of acquired immune deficiency syndrome and the primary care physician. Ann Allergy 57: 95–102, 1986.PubMedGoogle Scholar
  2. 2.
    Miller D: Psychology, AIDS, ARC and PGL, in Miller D, Weber J, Green J (eds): The Management of AIDS Patients. London, Macmillan Press, 1986, p 131.Google Scholar
  3. 3.
    Christ GH, Weiner LS: Psychosocial issues in AIDS, in DeVita VT, Hellman S, Rosenberg SA (eds): AIDS: Etiology, Diagnosis, Treatment and Prevention. Philadelphia, JB Lippincott, 1985, p 275.Google Scholar
  4. 4.
    Kelly JA, Saint Lawrence JS, Hood HV, et al: Nurses’ attitudes towards AIDS. J Contin Ed Nurs 19: 78–83, 1988.Google Scholar
  5. 5.
    Gordin FM, Willoughby AD, Levine LA: Knowledge of AIDS among hospital workers: Behavioral correlates and consequences. AIDS 1: 183–188, 1987.PubMedGoogle Scholar
  6. 6.
    Wolcott DL, Fawzy FI, Pasnau RO: Acquired immune deficiency syndrome (AIDS) and consultation—liaison psychiatry. Gen Hosp Psychiatry 7: 280–292, 1985.PubMedCrossRefGoogle Scholar
  7. 7.
    Carballo M, Miller D: HIV counselling: Problems and opportunities in defining the new agenda for the 1990s. AIDS Care 1: 117–123, 1989.PubMedCrossRefGoogle Scholar
  8. 8.
    Dilley JW, Ochitill HN, Perl M, et al: Findings in psychiatric consultations with patients with acquired immune deficiency syndrome. Am J Psychiatry 142: 82–86, 1985.PubMedGoogle Scholar
  9. 9.
    Morin SF, Charles KA, Malyon AK: The psychological impact of AIDS. Am Psychol 39: 1288–1292, 1984.PubMedCrossRefGoogle Scholar
  10. 10.
    Nichols SE, Ostrow DG: Psychiatric Implications of Acquired Immune Deficiency Syndrome. Washington DC, American Psychiatric Press, 1984.Google Scholar
  11. 11.
    Nichols SE: An overview of the psychological and social reactions to AIDS, in Gluckman JC, Vilmer E (eds): Acquired Immunodeficiency Syndrome: International Conference on AIDS, Paris, 23–25 June, 1986. Paris, Elsevier, p 261.Google Scholar
  12. 12.
    Miller D: Living With AIDS and HIV. Basingstoke, Macmillan Press, 1987.Google Scholar
  13. 13.
    Piot P, Plummer FA, Mhalu FS, et al: AIDS: an international perspective. Science 239: 573–579, 1988.PubMedCrossRefGoogle Scholar
  14. 14.
    Carnwath T, Miller D: Behavioural Psychotherapy in Primary Care: A Practice Manual. London, Academic Press, 1986.Google Scholar
  15. 15.
    Cooper DA, Gold J, Maclean P, et al: Acute AIDS retrovirus infection; definition of a clinical illness associated with seroconversion. Lancet 1: 537–540, 1985.PubMedCrossRefGoogle Scholar
  16. 16.
    Miller D, Green J: Counselling for HIV infection and AIDS, in Pinching AJ (ed): Clinics in Immunology and Allergy, Vol. 6, (3): AIDS and HIV Infection. London, WB Saunders, 1986, p 661.Google Scholar
  17. 17.
    Miller D, Pinching AJ: HIV tests and counselling: Current issues. AIDS 3 (suppl 1): 5187 - S193, 1989.Google Scholar
  18. 18.
    Fisch] MA: State of antiretroviral therapy with zidovudine. AIDS 3 (suppl 1): S137–5143, 1989.CrossRefGoogle Scholar
  19. 19.
    Temoshok L, Mandel JS, Moulton JM, et al: A longitudinal psychosocial study of AIDS and ARC in San Francisco: Preliminary results, in Annual Meeting of American Psychiatric Association, Washington DC, May 13, 1986.Google Scholar
  20. 20.
    Tross S, Holland J, Hirsch D, et al: Psychological and social impact of AIDS spectrum disorders, in International Conference on AIDS, Paris, June 23–25, 1986.Google Scholar
  21. 21.
    Maj M: Psychiatric and mental health aspects of HIV infection and AIDS. Psychol Med. In press.Google Scholar
  22. 22.
    World Health Organization: Report of the Consultation on the Neuropsychiatrie Aspects of HIV Infection,Geneva, 14–17 March, 1988.Google Scholar
  23. 23.
    Deuchar N: AIDS in New York City with particular reference to the psycho-social aspects. Br J Psychiatry 145: 612–619, 1984.PubMedCrossRefGoogle Scholar
  24. 24.
    Miller D: Psychosocial problems associated with HIV infection and disease, in Miller D, Weber J, Green J (eds): The Management of AIDS Patients,ed 2. London, Macmillan Press, in press.Google Scholar
  25. 25.
    Zieh J, Temoshok L: Perceptions of social support in patients with ARC and AIDS. J Appl Soc Psychol 17 (3): 193–215, 1987.CrossRefGoogle Scholar
  26. 26.
    Atkinson JH, Grant, I, Kennedy CJ, et al: Prevalence of psychiatric disorders among men infected with human immunodeficiency virus. Arch Gen Psvchiat 45: 859–864, 1988.CrossRefGoogle Scholar
  27. 27.
    Miller D: The worried well: Phenomenology, predictors of psychological vulnerability and suggestions for management, in Temoshok L, Baum A (eds): Psychological Perspectives on AIDS: Etiology, Prevention and Treatment. New York, Lawrence Erlbaum, in press.Google Scholar
  28. 28.
    Miller D, Acton TMG, Hedge B: The worried well: Identification and management. J Roy Coll Phys Lond 22 (3): 158–165, 1988.Google Scholar
  29. 29.
    Holland J, Tross S: The psychosocial and neuropsychiatrie sequelae of the immunodeficiency syndrome and related disorders. Ann Intern Med 103: 760–764, 1985.PubMedCrossRefGoogle Scholar
  30. 30.
    DesJarlais DC, Friedman SR: HIV infection among intravenous drug users: Epidemiology and risk reduction. AIDS 1 (2): 67–76, 1987.Google Scholar
  31. 31.
    Namir S, Wolcott DL, Fawzy FI, Alumbaugh MJ: Coping with AIDS: Psychological and health implications. J Appl Soc Psychol 17 (3): 309–328, 1987.CrossRefGoogle Scholar
  32. 32.
    Miller D, Riccio M: Functional psychiatric syndromes associated with HIV 1 infection and disease. Submitted for publication, 1990.Google Scholar
  33. 33.
    Miller, D, Jeffries DJ, Green J, et al: HTLV-III: Should testing ever be routine? BrMed J 292: 941–943, 1986.Google Scholar
  34. 34.
    Marzuk PM, Tierney H, Tardiff K, et al: Increased risk of suicide in persons with AIDS. DAMA 259 (9): 1333–1337, 1988.Google Scholar
  35. 35.
    Rundell J, Thomason R, Zajac D, et al: Psychiatric diagnosis and attempted suicide (AS) in HIV infected USAF personnel. Paper presented at the Fourth International Conference on AIDS, Stockholm, 12–16 June, 1988.Google Scholar
  36. 36.
    Gala C, Merkin S, Pergeuni A, et al: Psychiatric history among homosexuals and drug addicts infected with HIV. Poster presented at the Fifth International Conference on AIDS, Montreal, 4–9 June, 1989.Google Scholar
  37. 37.
    Engelman J, Hessol NA, Lifson AR, et al: Suicide patterns and AIDS in San Francisco. Paper presented at the Fourth International Conference on AIDS, Stockholm, 12–16 June, 1988.Google Scholar
  38. 38.
    Halstead S, Riccio M, Harlow P, et al: Psychosis associated with HIV infection. Br J Psychiat 153: 618623, 1988.Google Scholar
  39. 39.
    Church J, Kocsis AE, Green J: Effects on lovers of caring for HIV infected individuals related to perceptions of cognitive, behavioral and personality changes. Paper presented at the Fourth International Conference on AIDS, Stockholm, 13–16 June, 1988.Google Scholar
  40. 40.
    Green J, McCreaner A (eds): Counselling in HIV Infection and AIDS. Oxford, Blackwell Scientific, 1988.Google Scholar
  41. 41.
    Miller, R, Bor R: AIDS: A Guide to Clinical Counseling. London, Science Press, 1988.Google Scholar
  42. 42.
    Jacoby-Klein S, Fletcher W (III): Gay grief: An examination of its uniqueness brought to light by the AIDS crisis. J Psychosoc Oncol 4 (3): 15–25, 1986.CrossRefGoogle Scholar
  43. 43.
    Schmidt U, Miller D, Ikkos G, et al: Dilemmas in psychiatric management of HIV infection and disease, in Miller D, Weber J, Green J (eds): The Management of AIDS Patients, 2nd ed. Basingstoke, Macmillan Press, in press.Google Scholar
  44. 44.
    Miller D: Predictors of chronic psychosocial disturbance arising from the threat of HIV infection: Lessons from heterosexual, bisexual and homosexual worried well patients. Poster presented at the Third International Conference on AIDS, Washington D.C., 1–6 June, 1987.Google Scholar
  45. 45.
    Jager H, Hualla T: AIDS phobia: Irrational and pathologic anxiety in HIV seronegative persons. Poster presented at the Fourth International Conference on Aids, Stockholm, 12–16 June, 1988.Google Scholar

Copyright information

© Springer Science+Business Media New York 1990

Authors and Affiliations

  • David Miller
    • 1
  1. 1.Academic Department of Genitourinary MedicineThe Middlesex Hospital Medical SchoolLondonEngland

Personalised recommendations