Counseling interventions are a proven and powerful way to help individuals with HIV cope with the enormous changes in their lives wrought by the disease. Proposing an innovative conceptual model for HIV clinical work, this well-organized and comprehensive guide provides a framework for assessing clients' psychosocial concerns and implementing interventions to facilitate adjustment; reviews medical and neurocognitive aspects of HIV disease progression; explores the psychotherapeutic context of HIV clinical work; and addresses risk reduction and prevention. Author Mary Ann Hoffman facilitates assessment with a conceptual model delineating the psychosocial characteristics of HIV disease and the unique life situation of people with HIV, and emphasizing the need to discuss difficult issues such as sexuality, sexual practices, and drug use. Next, interventions to enhance adaptation and alleviate emotional distress are introduced, covering broad areas including emotional reactions and coping; changes in life roles, including employment; risk-reduction; spirituality; and death and dying. The book also examines the unique psychotherapeutic context of HIV clinical work, citing the need to rethink the typical goals and desired outcomes of therapy, and explores perspectives on prevention from both the individual and community standpoint. An exhaustive synthesis of clinical material and empirical date, Counseling Clients with HIV Disease is essential reading for mental health professionals, including counselors, social workers, psychologists, psychiatrists, and psychiatric nurses.
1. Introduction 2. Disease Progression: Physical and Neurocognitive Changes I. Assessment: Overview of the Psychosocial Model of HIV Disease 3. Assessing the Defining Characteristics of HIV Disease 4. Assessing the Social Support of Clients with HIV Disease 5. Assessing the Unique Life Situation of Clients with HIV Disease 6. Assessing Personality, Disease Co-Factors, and Demographic Characteristics of Clients with HIV Disease II. Interventions to Facilitate Adaptation to HIV Disease 7. Interventions to Facilitate Emotional Adaptation to HIV Disease 8. Interventions to Facilitate Cognitive and Behavioral Adaptation to HIV Disease 9. Interventions to Facilitate Health-Promoting Behaviors and Attitudes 10. Interventions to Facilitate Adaptation to Changes in Life Goals and Roles 11. Interventions to Explore Spiritual and Religious Adaptation to HIV Disease 12. Interventions to Prepare for Death and the Dying Process 13. Case Examples: Applying the HIV Psychosocial Model III. The Psychotherapeutic Context 14. The Counseling Relationship: Boundaries, Transference, and Countertransference 15. Multicultural Considerations to Counseling Persons with HIV Disease 16. Ethical and Professional Issues in Counseling Persons with HIV Disease 17. Counseling the Caregivers: Significant Others and Health Care Providers 18. Training Mental Health Professionals to Work with Clients with HIV-Related Concerns IV. Prevention: Risk Factors, Models of Intervention, and Community-Based Interventions 19. Counseling for Prevention: Understanding Risk Factors 20. Models of Intervention 21. Community-Based Interventions Epilogue: What We Can Learn from HIV Disease Appendix: Resources for Mental Health Professionals Counseling Clients with HIV Disease
