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M94A0657.TXT
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1994-10-21
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Document 0657
DOCN M94A0657
TI Counselling for difficult patient.
DT 9412
AU Waters B; Department of Psychiatric Services, St. Vincent's Hospital,;
Sydney.
SO Annu Conf Australas Soc HIV Med. 1993 Oct 28-30;5:54 (abstract no. SP4).
Unique Identifier : AIDSLINE ASHM5/94348998
AB HIV has not afflicted a representative cross section of the community.
IDU's have a greatly increased risk of having pre-existing personality
disorder and/or unstable interpersonal relationships. HIV+ male
homosexuals are more likely than their HIV-counterparts to have a
history of prior mental health interventions, personality disorder and
interpersonal problems. For these reasons, counsellors are often called
on to assist with more than a simple adjustment reaction to HIV and its
consequences. Moreover, as health deteriorates, the early signs of AIDS
related psychiatric disorders--mania, organic personality change and
organic depression--may attract counselling assistance. Counselling
these more difficult patients requires a different focus such as more
limited goals, a more directive approach and a preparedness to consider,
and protect, if necessary, others in the patients life. Lack of
recognition of the nature of the problems can lead to self imposed sense
of failure in counsellors and can contribute to burn out. The back-up of
experienced clinical psychologists or psychiatrist is necessary for
counselling services.
DE Adjustment Disorders/*PSYCHOLOGY Adult AIDS Dementia
Complex/*PSYCHOLOGY Burnout, Professional/PSYCHOLOGY
*Counseling/METHODS Goals Homosexuality/PSYCHOLOGY Human HIV
Seropositivity/*PSYCHOLOGY Male *Sick Role MEETING ABSTRACT
SOURCE: National Library of Medicine. NOTICE: This material may be
protected by Copyright Law (Title 17, U.S.Code).