Counseling Clients with HIV Disease

Mary Ann Hoffman is Associate Professor at the University of Maryland, College Park, and Co-Director of the Counseling Psychology Program. Dr. Hoffman is a Fellow of the American Psychological Association and serves on the editorial board of the Journal of Counseling Psychology. In addition to her work on the psychosocial aspects of HIV disease, she has published on the process and outcome of psychotherapy and of career counseling and on issues related to the training of psychotherapists. She is active in numerous professional organizations, consults to national organizations, and maintains a private practice in psychotherapy.

• 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 withHIV 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 InterventionsEpilogue: What We Can Learn from HIV Disease Appendix: Resources for Mental Health Professionals Counseling Clientswith HIV Disease

Likely to become one of the premier sourcebooks for training health care professionals providing mental health care and counseling to HIV-infected individuals, Mary Ann Hoffman's Counseling Clients with HIV Disease is one of the most comprehensive, integrated and empathic books on the psychosocial aspects of HIV infection available today. Dr. Hoffman has truly synthesized over a decade of empirical research and clinical experience in the context of a well-conceived and practical model for counseling persons with this unique, chronic, but manageable disease. The use of multiple case histories, reflecting Dr. Hoffman's years of experience in the field, folded into all of the assessment and intervention sections of this work provides a vibrant pulse that propels a huge amount of clinical research findings into the everyday reality of professionals who struggle with this challenging disease. In sum, Hoffman has produced both a scholarly volume and a hands on tutorial that will be widely used by academicians in their teaching and research endeavors as well as by psychiatrists, health psychologists, nurses, social workers and anyone dealing directly with the health care needs of people with HIV. --Michael Antoni, Ph.D., Associate Professor of Psychology and Psychiatry, Co-Director of Program in Behavioral Management of HIV Infection and Program in Biopsychosocial Training in Immunology and AIDS, University of MiamiThis book is an invaluable resource of information about the HIV/AIDS disease and suggestions for therapists about how to deal with people with HIV/AIDS.Dr. Hoffman presents a thorough, compassionate, scholarly, and readable text for psychotherapists on how to assess, treat, and prevent HIV/AIDS.This book is a must-read for all therapists who now work with or ever will work with clients who have HIV/AIDS.Dr. Hoffman presents excellent clinical examples of the experiences of people with HIV/AIDS and of how therapists have to change their typical therapeutic styles to work with clients who have HIV/AIDS.Dr. Hoffman forces us to examine our feelings about HIV/AIDS and death so that we can be more helpful to our clients. --Clara E. Hill, Ph.D., University of MarylandThis book is a comprehensive and organized compilation of existing research and theory on psychosocial aspects of HIV/AIDS written for, and accessible to, the front line providers of human services during this epidemic. Unique amidst a rapidly growing proliferation of books for human service providers on HIV/AIDS, this book integrates social science scholarship into a practice-oriented text filled with excellent case examples. A book that has such impressive scope and scholarly underpinnings while simultaneously being immediately useful to those doing important work in the `HIV trenches' is rare. --James M. Croteau, Ph.D., Associate Professor of Counselor Education and Counseling Psychology, Western Michigan University[This book] provides information about both the medical and the mental health needs of people with HIV and it also describes interventions that reduce the risk of acquiring HIV....[The authors] successfully combine these topics into a concise handbook that is suitable for students, trainees, and practitioners of all stripes. --Mark H. Townsend, MD, Psychiatric Services...an extensive, wide-ranging synthesis of clinical information and empirical data. Counseling Clients with HIV Disease should be very useful for psychologists, counselors, social workers, psychiatrists, nurses, and other professionals providing mental health services to persons with HIV. --J. Gary Linn, Disability Studies QuarterlyOf particular value is Hoffman's conceptual framework for helping people with HIV disease... Clinical and empirical research is integrated and presented through case examples and counseling interventions. --Barbara Dane, School of Social Work, NYU. National Association of Social Workers, 1997. -