By Daniel Defert (auth.), David G. Ostrow (eds.)
As we input the decade of the 20 th century, the AIDS epidemic looms ever higher and dangerous. the threat of upwards of one million deaths within the usa and maybe many hundreds of thousands around the globe from a sexually transmitted virus shakes our trust in modem scientific technological know-how, whereas tough the rules of democratic society. nearly ten years into the epidemic, and with an important physique of simple technology learn at the Human Immunodeficiency Virus (HIV), we nonetheless have no idea why AIDS emerged while it did or the right way to cease its unfold. a really humbling event for scientists, clinicians, public overall healthiness specialists, politicians, and most people. but there are indicators good coordinated multidisciplinary learn software can triumph over the epidemic and, probably, give you the foundation for fighting destiny epidemics. The HIV kin of viruses is now higher understood, either when it comes to constitution and serve as, than the other virus. Genetically engineered peptides and nucleic acids are being validated as particular remedies or vaccines opposed to HIV infection/disease. such a lot promenade ising are the strides which were made in figuring out these points of human habit that have contributed to the unfold of HIV an infection and which needs to be considerably changed if AIDS is to be managed and at last eliminated. the foundation of that figuring out has roots in a various set of disciplines that have converged within the paintings awarded during this book.
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Additional info for Behavioral Aspects of AIDS
22 MICHAEL W. ROSS Other psychological factors may have both direct and indirect effects on infection rates, particularly environmental stresses. " The stresses of immigration are similarly acknowledged by Armytage, 17 who comments that one half of the men with gonorrhea in the United Kingdom during the 1960s were immigrants; OrieP 1 also noted that single migrants frequently have numerous sexual encounters until they settle into their new cultural background. This apparently holds for nonwestern societies, as Hart 18 reported that in single laborers and married immigrants in Papua New Guinea, recourse to prostitutes and, to a lesser extent, homosexual behavior, are more common outlets, of which venereal disease is a prominent sequel.
Motivation is not sufficient in and of itself to produce positive change, which must also be facilitated by a variety of psychosocial, educational, and institutional supports and resources. The role of psychiatry in this model is to promote and enable positive behavioral change while minimizing the negative biological, social, and psychological consequences of that change. As psychiatrists we can accomplish this through research, education, therapy, social activism, and even by example. The responsibilities of such a role are enormous.
Among the psychiatric problems embodied in the HIV antibody test are its ambiguities. " There is enormous anxiety about being tested, with some persons seriously decompensating when given a positive test result. There is also denial present in the belief that a negative test result definitively indicates that one has not been exposed or will not develop AIDS. Conversely, a positive test result embodies many of the aspects of isolation and stigmatization that were discussed for the disease itself.
Behavioral Aspects of AIDS by Daniel Defert (auth.), David G. Ostrow (eds.)