mental health AIDS

Spring 2006 Newsletter / Volume 7, Issue 3

Books & Articles

Basu, S., Chwastiak, L., & Bruce, R.D. (2005). Clinical management of depression and anxiety in HIV-infected adults [Editorial review]. AIDS, 19(18), 2057–2067.

Basu and colleagues "review diagnostic and treatment approaches designed to assist the treating HIV clinician in the management of depression and anxiety among HIV-infected adults" (p. 2057).

Buki, L.P., Kogan, L., Keen, B., & Uman, P. (2005). In the midst of a hurricane: A case study of a couple living with AIDS. Journal of Counseling & Development, 83(4), 470-479.

"This case study provides insight into 1 heterosexual couple's experience with AIDS. ... Recommendations are given for counselors working with persons with AIDS and their heterosexual partners" (p. 470).

Cysique, L.A.J., Maruff, P., Darby, D., & Brew, B.J. (2006). The assessment of cognitive function in advanced HIV-1 infection and AIDS dementia complex using a new computerised cognitive test battery. Archives of Clinical Neuropsychology, 21(2), 185-194.

Cysique and colleagues "demonstrated that the use of a computerised battery including traditional reaction time as well as broader cognitive domain (e.g., learning and memory) measures[, CogState,] appears to be beneficial in the detection of neuropsychological impairment on a single assessment in individuals with AIDS and [AIDS dementia complex]. The inclusion of both reaction time and brief measures of learning and memory appear[s] to be useful for a screening role in detection of HIV-associated neurocognitive impairment" (pp. 193-194).

Dorell, K., & Cohen, M.A. (2005). Preserving a sense of wonder: The integration of an ego-supportive psychodynamic approach to supervision in an AIDS psychiatry fellowship. Journal of the American Academy of Psychoanalysis & Dynamic Psychiatry, 33(3), 453-463.

Dorell and Cohen present "a psychodynamic, ego-supportive approach to the supervision of the psychiatric care of a severely medically and mentally ill and addicted person with HIV infection. The traumas, deprivations, and losses of our patients in the face of severe illness may place demands on the trainee that make caring and empathy difficult. The nurturing process of ego-supportive supervision is helpful in preserving a sense of wonder and providing both competent care and empathy for patients with complex medical illness" (p. 461).

Gerbert, B., Danley, D.W., Herzig, K., Clanon, K., Ciccarone, D., Gilbert, P., & Allerton, M. (2006). Reframing "prevention with positives": Incorporating counseling techniques that improve the health of HIV-positive patients. AIDS Patient Care & STDs, 20(1), 19-29.

Gerbert and colleagues "suggest [that] efforts to increase provider-delivered transmission-prevention counseling be reframed so that 'prevention with positives' includes the goal of protecting HIV-positive patients' health" (p. 19). This article "review[s] the specific consequences of … risky behaviors on HIV-positive patients' health and review[s] brief counseling strategies appropriate for HIV care providers" (p. 19).

Miller, R.L. (2005). Look what God can do: African American gay men, AIDS and spirituality. Journal of HIV/AIDS & Social Services, 4(3), 25-46.

"This qualitative study describes how ten African American gay men understand and utilize spirituality while living with AIDS. ... The participants describe spirituality, a relationship with God, as interactive, integrative, and protective. They indicate that spirituality helps them live with AIDS and alleviates death anxiety. The participants also posit that their experience with AIDS has strengthened their spirituality. ... The data suggest ... [that clinicians] who work with this population explore the salience of spirituality in the lives of their clients" (p. 25).

Parsons, J.T. (2005). Motivating the unmotivated: A treatment model for barebackers. Journal of Gay & Lesbian Psychotherapy, 9(3/4), 129-148.

"Documented increases in sexual risk practices among gay and bisexual men and subsequent increases in HIV infection rates may be attributable, in part, to barebacking. ... Motivational Interviewing (MI), an intervention approach with demonstrated effectiveness across a wide variety of behaviors, may be useful for working with men who bareback. The general principles and strategies of MI are presented with examples of the application of this model to barebacking" (p. 129).

Shernoff, M. (2005). Condomless sex: Considerations for psychotherapy with individual gay men and male couples having unsafe sex. Journal of Gay & Lesbian Psychotherapy, 9(3/4), 149-169.

"This article explores a variety of interpersonal, intrapsychic, and communal dynamics that have an impact on gay men's safer sex practices. Therapists working with gay men who have condomless sex can have a greater influence in helping them to facilitate change and to understand the meaning of their behavior. This can be done through a non-judgmental ... approach which eschews holding preconceived ideas about how gay men should conduct their sexual lives. Depression, loneliness, intimacy, HIV status, substance abuse, and love may influence gay men's choices about sex. Using clinical case examples, therapeutic strategies for working with individual gay men and couples are discussed" (pp. 149-150).

Shernoff, M. (2006). Without condoms: Unprotected sex, gay men & barebacking. New York: Routledge.

"Using case studies and exhaustive survey research, this timely, groundbreaking book allows men who have unprotected sex, a practice now known as 'barebacking,' to speak for themselves on their willingness to risk it all. Without Condoms takes a balanced look at the profound needs that are met by this seemingly reckless behavior, while at the same time exposing the role that both the Internet and club drugs like crystal methamphetamine play in facilitating high-risk sexual encounters."

Shidlo, A., Yi, H., & Dalit, B. (2005). Attitudes toward unprotected anal intercourse: Assessing HIV-negative gay or bisexual men. Journal of Gay & Lesbian Psychotherapy, 9(3/4), 107-128.

"This study reports on the development of the Unprotected Anal Intercourse Attitudes Inventory (UAI-AI), a multi-factorial measure designed to assess gay and bisexual men who are HIV-negative or untested. This self-report measure may be useful in helping both counselors and clients discuss the complex psychosocial issues that can be associated with UAI and safer sex. ... Based on their work with hundreds of clients at TalkSafe, a NYC prevention program for HIV-negative gay and bisexual men, the authors suggest clinical guidelines for counseling these populations" (pp. 107-108).

Stepleman, L.M., Hann, G., Santos, M., & House, A.S. (2006). Reaching underserved HIV-positive individuals by using patient-centered psychological consultation. Professional Psychology: Research & Practice, 37(1), 75-82.

"To more effectively address barriers to care, the authors propose and implement an innovative model of consultation that allows patients to request and receive a psychological consultation concurrent with their HIV medical care. ... [T]his model increases consult utilization and holds much promise for reaching underserved individuals in HIV clinics" (p. 75).

Sullivan, K.M. (2005). Male self-disclosure of HIV-positive serostatus to sex partners: A review of the literature. Journal of the Association of Nurses in AIDS Care, 16(6), 33-47.

"The purpose of this literature review (1996–2004) is to identify valid and reliable research results that identify factors influencing serostatus disclosure to sex partners by men who are HIV-positive. ... A compilation of research results for 17 articles is presented under the headings of background, contextual, and psychosocial factors influencing disclosure. An analysis of the data suggests that differences in disclosure rates vary based on sex partner factors including serostatus, relationship status, and number of sex partners. ... Recommendations for future research are presented, based on the results included in this review" (p. 33).

Tapia, M.I., Schwartz, S.J., Prado, G., Lopez, B., & Pantin, H. (2006). Parent-centered intervention: A practical approach for preventing drug abuse in Hispanic adolescents. Research on Social Work Practice, 16(2), 146-165.

"Familias Unidas ... [is] an empirically supported, family-based, culturally specific drug abuse and HIV prevention intervention for Hispanic immigrant adolescents and their families. ... Recommendations for and challenges to implementing the intervention in practice-based settings are discussed" (p. 146).

Whyte, J., IV. (2005). The measurement of HIV risk level in African American women who dwell in the southeastern United States. Journal of the Association of Nurses in AIDS Care, 16(6), 48-55.

– Compiled by Abraham Feingold, Psy.D.

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