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arrowWinter 2008 Newsletter / Volume 9, Issue 2

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Winter 2008 - In This Issue

Biopsychosocial Update

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HIV Prevention News

HIV Treatment News

References

 

 

Tool Boxes

 
     

 

   
     

Books & Articles

Baumgartner, L.M. (2007). The incorporation of the HIV/AIDS identity into the self over time. Qualitative Health Research, 17(7), 919-931.

"In this qualitative study the author examines how people incorporate the HIV/AIDS identity into their selves at three points in time. Findings demonstrate a five-component process, including diagnosis, postdiagnosis turning point, immersion, post-immersion turning point, and integration. In addition, the disclosure process corresponds to ... component[s] of [the identity] incorporation [process]. ... Findings augment the literature on HIV/AIDS, chronic illness, and identity and have practical implications for HIV/AIDS educators" (p. 919).

 

Bouis, S., Reif, S., Whetten, K., Scovil, J., Murray, A., & Swartz, M. (2007). An integrated, multidimensional treatment model for individuals living with HIV, mental illness, and substance abuse. Health & Social Work, 32(4), 268-278.

"This article describes a treatment model that was created for a study of integrated treatment for HIV-positive individuals with substance use and mental disorders. The treatment model was based on the transtheoretical model of behavior change as well as evidence-based practices that are widely used in the treatment of individuals dually diagnosed with substance use and mental disorders. The model involved collaboration between medical and behavioral health care professionals and emphasized the importance of goal reinforcement across disciplines. Furthermore, it included the development and enhancement of client motivation to modify medical and behavioral health-risk behaviors using individual readiness for change and offered comprehensive care addressing a continuum of client needs that may influence treatment outcomes. Treatment modalities included individual therapy, group therapy, and psychiatric medication management. This treatment intervention was associated with positive outcomes in the integrated treatment study and can be adapted for use in a variety of psychiatric or medical treatment settings" (p. 268).

 

DiClemente, R.J., Salazar, L.F., & Crosby, R.A. (2007). A review of STD/HIV preventive interventions for adolescents: Sustaining effects using an ecological approach. Journal of Pediatric Psychology, 32(8), 888-906.

"In this article, we identify and briefly review antecedents to adolescents' STD/HIV risk. Next, we discuss previous preventive approaches and highlight the strengths and weaknesses in those approaches. Subsequently, we articulate directions for future research to address gaps in the literature, while proposing an integrated strategy that targets the social ecology of the STD epidemic among adolescents" (pp. 888-889).

 

Edgar, T., Noar, S.M., & Freimuth, V.S. (Eds.). (2007). Communication perspectives on HIV/AIDS for the 21st century. New York: Routledge.

From the publisher: "With new topics, new contributors, and a broadened scope, this book goes beyond a revision of the 1992 volume to reflect the current state of communication research on HIV/AIDS across key contexts. It is designed for academics, researchers, practitioners, and students in health communication, health psychology, and other areas of AIDS research. As a unique examination of communication research, it makes an indelible contribution to the growing knowledge base of communication approaches to combating HIV/AIDS."

 

Goggin, K., Liston, R.J., & Mitty, J.A. (2007). Modified directly observed therapy for antiretroviral therapy: A primer from the field. Public Health Reports, 122(4), 472-481.

"Modified directly observed therapy (mDOT), in which a portion of total doses of a medication regime is ingested under supervision, has demonstrated efficacy as an intervention to assist patients in maintaining adherence to complicated antiretroviral therapy[.] ... The aim of this article is to provide a primer for practitioners and researchers who wish to implement mDOT interventions" (p. 472).

 

Kelly, A. (2007). Hope is forked: Hope, loss, treatments, and AIDS dementia. Qualitative Health Research, 17(7), 866-872.

"In this article, the author explores ethnographically personal hope from the perspective of 'Matthew,' a significant other to a person with AIDS dementia, and how treatments influence this [hope]. Hope is present in Matthew's narrative, but its nature is complex and fluctuates with the arrival and perceived failure of HAART [highly active antiretroviral therapy]. The author concludes by suggesting that hope in this context is forked, which is suggestive of the tenacious nature of hope in the context of AIDS dementia in the era of HAART" (p. 866).

 

Malitz, F.E., & Eldred, L. (2007). Evolution of the Special Projects of National Significance Prevention with HIV-Infected Persons Seen in Primary Care Settings Initiative. AIDS & Behavior, 11(Suppl. 1), S1-S5.

"This special supplement [pp. S1-S137] details the implementation of behavioral prevention interventions in 10 of the 15 demonstration sites funded as part of the Prevention with Positives Initiative. HRSA [the Health Resources and Services Administration] also funded an evaluation center to conduct both quantitative and qualitative evaluations of the initiative. Baseline findings from these cross-site evaluations also are presented in this supplemental issue" (p. S1).

 

Masten, J., Kochman, A., Hansen, N.B., & Sikkema, K.J. (2007). A short-term group treatment model for gay male survivors of childhood sexual abuse living with HIV/AIDS. International Journal of Group Psychotherapy, 57(4), 475-496.

"HIV-positive gay male survivors of childhood sexual abuse (CSA) face three layers of trauma: childhood abuse, homophobic oppression, and HIV/AIDS. Additionally, CSA has been shown to increase HIV risk behavior among gay men, and the trauma of HIV infection often parallels the experience of CSA. ... This article presents a [15-session coping] group model found to be efficacious for treating gay male survivors of CSA living with HIV/AIDS" (p. 475).

 

Meyer, I.H., & Northridge, M.E. (Eds.). (2007). The health of sexual minorities: Public health perspectives on lesbian, gay, bisexual, and transgender populations. New York: Springer Science + Business Media.

From the publisher: "The Health of Sexual Minorities is written for social and behavioral scientists and students in public health and health-related fields, public health professionals and health practitioners (including physicians and nurses, social workers, therapists and counselors) interested in the health of lesbians, gay men, bisexuals and transgender [LGBT] people. With over 50 contributions from the field, the book encourages clear thinking, informed practice and effective, progressive policy for improved health and well-being of LGBT individuals and communities."

 

Ramsey, S.W., Engler, P.A., & Stein, M.D. (2007). Addressing HIV risk behavior among pregnant drug abusers: An overview. Professional Psychology: Research & Practice, 38(5), 518-522.

"[T]here is a need to develop new interventions that directly target sex- and drug-related HIV risk behavior among pregnant drug abusers, taking advantage of a period in the women's lives in which the potential negative consequences of risk behavior are more significant given the possible impact on their unborn children and in which there may be a heightened desire to make healthier behavior choices. Recent work suggests that a promising new direction for the field may be incorporating motivational interviewing components into traditional HIV risk reduction interventions, which focus on providing HIV risk information and building sex- and drug-related HIV risk reduction skills" (p. 518).

 

Remien, R.H., & Mellins, C.A. (2007). Long-term psychosocial challenges for people living with HIV: Let's not forget the individual in our global response to the pandemic. AIDS, 21(Suppl. 5), S55-S63.

"This paper highlights several critical psychological and behavioral aspects of HIV disease, a few of which require focused attention, including mental health, stigma and disclosure, adherence, and sexual behavior. Although the focus is primarily on adults living with HIV, we also comment on some of the additional challenges for children and young people. Our critical examination in these areas draws upon the lessons learned in contexts in which [antiretroviral therapy] has been available for a decade, and we explore what is currently happening in settings with more recent treatment access. In the end we offer our insights into what we may expect in the future, and provide recommendations for ongoing prevention and care initiatives with adults, children, and young people affected by this disease" (p. S55).

 

Smith, B.D. (2007). Sifting through trauma: Compassion fatigue and HIV/AIDS. Clinical Social Work Journal, 35(3), 193-198.

"This article explores the compassion fatigue of the author and the graduate students he supervised while conducting psychotherapy with persons living with HIV/AIDS at a counseling center in Atlanta, Georgia. The metaphor of a sifter is suggested to represent the self-care strategies that providers employ to avoid and manage compassion fatigue. Several vignettes are presented and discussed from the perspective of the provider. The vignettes facilitate an examination of the contribution of trauma experienced by persons living with HIV/AIDS to the compassion fatigue of social service providers" (p. 193).

 

Wainberg, M.L., McKinnon, K., Mattos, P.E., Pinto, D., Mann, C.G., dos Santos de Oliveira, C.S., de Oliveira, S.B., Remien, R.H., Elkington, K.S., Cournos, F., & the PRISSMA Project. (2007). A model for adapting evidence-based behavioral interventions to a new culture: HIV prevention for psychiatric patients in Rio de Janeiro, Brazil. AIDS & Behavior, 11(6), 872-883.

"[N]o HIV prevention interventions have been tested for efficacy with psychiatric patients in Brazil. We conducted participatory research with local providers, community leaders, patient advocates, and patients using an intervention adaptation process designed to balance fidelity to efficacious interventions developed elsewhere with fit to a new context and culture. Our process for adapting these interventions comprised four steps: (1) optimizing fidelity; (2) optimizing fit; (3) balancing fidelity and fit; and (4) pilot testing and refining the intervention. This paper describes how these steps were carried out to produce a Brazilian HIV prevention intervention for people with severe mental illness. Our process may serve as a model for adapting existing efficacious interventions to new groups and cultures, whether at a local, national, or international level" (p. 872).

 

– Compiled by Abraham Feingold, Psy.D.


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