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M94A2389.TXT
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Document 2389
DOCN M94A2389
TI The psychic mechanisms in HIV-positive women that favored contamination.
DT 9412
AU Verissimo J; Pucheu D; Morais De Sa CA; Gaffree and Guinle University
Hospital, Rio de Janeiro, Brazil.
SO Int Conf AIDS. 1994 Aug 7-12;10(1):315 (abstract no. PC0192). Unique
Identifier : AIDSLINE ICA10/94370186
AB OBJECTIVE: Unveiling some of the psychic mechanisms of HIV-positive
women that played a role in their contamination. METHOD: 25 low-income,
HIV-positive women, within the age bracket 27 to 55, were followed
during a period of at least six months, while undergoing group or
individual psychotherapeutic treatment at the Immunology Division of
Clinica Medica B at Hospital Universitario Gafree e Guinle. The data
extracted from the interviews were qualitatively analysed under the
conceptual framework of psychoanalysis, within a psychosomatic
perspective as to the ways of contamination. RESULTS: 100% of the women
interviewed declared to have contracted HIV through sexual relationship
with their partners. 100% of the women started their interviews claiming
to have strictly heterosexual partners. None reported to have used IV
drugs or to have undergone blood transfusion. 88% declared to have
acquired HIV through sexual contact with their steady partners and
affirmed to have had no extra-marital relationships. From the 16 women
who have had a steady relationship with male partners. 90.9% came to
think about the idea that their partners could have had homosexual
relationships only during therapy. Before that, they put the blame on
other heterosexual relationships. 15 women (86.4%) thought about this
possibility after reanalyzing give-away facts that happened before
contamination, but that they repressed then 3 women (17%) got to know
about their partner's homosexual relationships through other people. 2
women (11%) still remain in doubt about the ultimate cause of their
contamination. CONCLUSION: This research evidences what seems to be
women's greatest risk of HIV contamination--the secretive homosexual
practices kept by their sexual partners, without the use of condoms. It
was also relevant that although the subjects in steady relationships had
had several hints of homosexual practice from the part of their male
spouses, they took these hints for granted, since the awareness of their
spouses' homosexuality would represent a great source of humiliation and
pain to them. Thus, denying the evidences, these women were put in the
very vulnerable position of practicing unsafe sex and being
contaminated.
DE Adult Bisexuality Female Homosexuality Human HIV
Infections/PSYCHOLOGY/*TRANSMISSION Male Marriage Middle Age Risk
Factors *Sex Behavior MEETING ABSTRACT
SOURCE: National Library of Medicine. NOTICE: This material may be
protected by Copyright Law (Title 17, U.S.Code).