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AIDS: the roller coaster of psychology at the crossroads
The recent XVII International Conference on AIDS in Mexico City covered many interesting topics, including up to date medical treatments and the impressive increase programs aimed at ensuring the AIDS calamity in Africa. Conspicuously absent was any discussion on the psychological vicissitudes experienced by AIDS victims and their families in the developed world. In the last quarter of century, Americans have struggled with the disease both medically and psychologically AIDS patients have passed through the acceptance of shame and respect for oneself. In Today we are at a crossroads that will determine whether the road will be psychologically healthy.
Shame date: During the first years of the AIDS pandemic in the United States, victims had to suffer the humiliation of her illness called "the gay plague." Even the scientists first used the nomenclature GRID demeaning to gays immunodeficiency disease related. People known as the Reverend Jerry Falwell said that "it was necessary to return to the moral reason" and not "for homosexuals in medical research. The President Ronald Reagan refused to talk about the disease during the first six years of his presidency eight years. The late Senator Jesse Helms has passed what is known as the Helms amendment – a law that imposes a travel-ban on people with HIV who are tourists or immigrants proposed entry to the United States. This abuse, combined managed to establish a sense in many parts of America that "homosexuals got what they deserved" although there are adequate statistics (and logic) to prove that the virus has no sexual preference. Before 1987 it was almost impossible to a patient with AIDS know no shame.
Acceptance: The Third International Conference on AIDS held in June 1987 in Washington, DC, was a psychological turning point for AIDS patients and their families. More than 6,000 politicians, researchers and doctors, some fifty countries heard and then Vice President George Bush will deliver a speech at the trial. The keynote comments U.S. Surgeon General's and C. Everett Koop finally focus on education and acceptance.
Because AIDS has decimated the arts world, including Hollywood, many celebrities have begun to speak. Elizabeth Taylor, for example, was clear on his support for friends who are struggling with AIDS. At the AIDS conference in Washington, DC, appears real emotion while presenting Koop, surgeon general, with an award for its efforts to promote the acceptance of AIDS patients.
In 1989, protests were well organized in eruption. In March, several thousand angry demonstrators organized by Act-Up picketing City Hall in New York to protest against the lack of Koch, mayor of progress in providing assistance to AIDS patients. Shortly after, Act-Up have continued their protests in strategic, effective, including the NYSE and Burroughs Wellcome AZT manufacturer headquartered. This demonstration has notably led to reduced pharmaceutical giant in the price of AZT in one hundred and twenty years. Other demonstrations took place in Montreal, Canada and the Golden Gate from San Francisco to commemorate the bridge "Day Without Art" because of the large number of artists. The result was that the average American there was a human face protestors still anger against HIV / AIDS as the major news networks covered with banners saying "Silence = Death."
AIDS watched in amazement that HIV positive Mary Fisher spoke at the Republican National Convention in 1992. It seemed unimaginable that the daughter of billionaire philanthropist Max Fisher and advisor to several Presidents become an AIDS activist and open vocal Republican. His speech emphasized the emotional tolerance and reprimanded some members of his party who said that HIV / AIDS was a "self-inflicted plague caused by immoral behavior. A strong sense of acceptance of AIDS was established.
Respect Yourself: In 1995, anger and acceptance began to become self-respect in the gay community. It was the days when the actor Rock Hudson hid his illness until the end. AIDS is no longer considered a curse "gay" and disease is rapidly spreading to the heterosexual community, the neighborhoods of the city, particularly the urban poor. Disclosure many celebrities well-known gay "from their HIV positive status fueled a sense of pride. The four-time Olympic medalist, Greg Louganis, considered as the diver more competitive all the time, admitted he had been "diagnosed" (with HIV) before the 1988 Olympics in Seoul, Korea.
At the same time, HIV researchers and doctors that infectious diseases had been observed with considerable contempt becomes very respected. The transition is complete when AIDS and scientific Pioneer protease inhibitor, David Ho, 1996 was designated by Time magazine as "Man of the Year ", which adds a new sense of identity in the world proud HIV.
The Crossroads: Toward the end of last century, most Americans knew, or knew someone who had been victims of AIDS, more and more exposed and compassion in the same way that we understand the tragedy of cancer. Fear and hatred began to develop empathy and the thirst for information gradually replaced discrimination.
However, the curious and alarming trends have begun to emerge in the AIDS community. A condition known as "Lazarus Syndrome", the name of the biblical figure who returned from death. The term, coined in 1996, refers to relatively young patients who live longer than expected. One problem that arises is the lack of resources, as they had planned for a shorter follow-up of premature death. Many were financially and emotionally challenged by the race failed. Newly formed support programs to AIDS have been quick to react as the economic impact and psychological changes in time. The New York Times Sunday Magazine offers ideas first in the phenomenon of November 10, 1996 an article entitled "When he finished AIDS" by Andrew Sullivan. She discussed the experience without precedent in modern times from the end of the plague, in which victims' Deaths were reviewed and adjusted their lives accordingly, to re-evaluate and monitor their survival possible. Sixty years ago, the father of existentialism, Albert Camus, who described the mentality of a people facing death, in his book, La Peste (The Plague). Sullivan has studied the psychological problems which arise when this condition is at least partially reversed.
In his book, Dry Bones Breathe, the late Eric Rofes analysis of a similar situation in a chapter entitled "The hour of the protease takes over." He noted how, from the 1990s, national marketing campaigns for new HIV drugs has been very healthy, smiling faces above animation trimming bodies that medicine they use. Many patients with AIDS face a life "more beyond AIDS" – a life that is no longer defined solely as having AIDS. Rofes speaks the language of a "new "To meet this requirement with the addition of new behaviors. The challenge now is how to ensure that these new behaviors are healthy as possible.
Almost every town America has at least one non-assistance program for nonprofit AIDS that addresses the vast majority of patients Local AIDS. Nowhere is the need to shape new behaviors more important than in these organizations. The programs are more or less well funded by a combination federal grants to state and supplemented by private donations from local citizens concerned. Their efforts to help "clients" (a term that emphasizes self-esteem) to fight against discrimination in housing, attend support groups and be seen by the health professionals of many disciplines. Most programs also offer free meals, financial subsidies and, especially, assistance for a monthly supply of customers very expensive drugs.
Some agencies encourage customers to be self-sufficient and, when energy levels permit, return to work. This poses a serious dilemma, however. As customers return to the workforce, while or part of the complex combination of local and federal assistance, they evaporate. When income rises the individual may become largely independent, but not quite successful enough to pay the utmost importance, high cost drugs.
However, without being financially self, a sense of magnitude is likely they will develop. The effect is often reduced self-esteem and mental freedom restricted. Equally dangerous behind the "incapacity" and avoid responsibility. Even the most mentally and physically in good people health are obliged to persevere in times of defeat. The most confident among us sometimes doubt his beliefs, but then he is obliged turn the page. These people eventually become bigger and stronger – which shows a feature called "resilience". However, if we may sometimes even encouraged to "give" a day of bad news or a problem, we run the risk of killing instinct of survival.
The challenge for programs of assistance for AIDS is to confront these paradoxes in a person by the person level. Those who may be encouraged to require themselves and the movement of "AIDS victims" to "take responsibility" for an ailment. It is extremely important for mental health counselors to explore not only the concerns of its customers and his elves psychological, but also highlight the potential of the individual to promote resilience.
The youth of today has largely forgotten the ravages of AIDS, because they are often faced with almost the same as the generation that preceded them. Gay Americans in their twenties have lost many friends and make regular visits hospital continues to attend memorial services than the previous generation did. This condition occurs challenges of luck, however. Many young people believe that AIDS is "manageable disease" and therefore safe sex is no longer a priority. The result is a resurgence transmission of HIV among adolescents and the elderly. This tragic situation can be due to fewer churches, schools and Advertisements TV against the risk of HIV transmission, and many community organizations and does not encourage open discussion about safe sex.
In a sense we have come full circle. The new American challenge is to make the progress we have done without losing our focus on how to maintain medical and psychological health. Assistance programs for AIDS have to solve their different capacities and customers to encourage them to provide talent to the community – and be rewarded for them. Programs, community turn the urgent need to redefine the priorities of the importance of educating their constituencies on HIV prevention. If for no other Therefore, we have nearly five hundred thousand Americans who have experienced a horrible death from AIDS during the period during which many so-called leaders humiliated.
© 2008 Richard René Silvin
Author Bio
Born in New York from age seven to eighteen, Silvin raised in the age adult within the strict and homophobic Switzerland interned. After graduating from Georgetown University (1970) and an MBA (1972) Cornell, where he also lectured and was later elected as one of the most successful graduates. The twenty-five years executive in the New York Stock Exchange Company Hospital. Silvin He rose to head the international division of the American Medical International, Inc. which owned and operated one hundred hospitals in ten countries. Rene life with your canine companion beloved T-Cell, in Atlanta, Georgia and Palm Beach, Florida. His honors including being Knight (Chevalier), the former Britanic Order. He has written numerous articles on hospital management and listed in Who's Who in the World (1988), Who's Who in Finance and Industry, and Who's Who in Health Care. His book, Walking the Rainbow, is now available Whitmore Publishing Co.
About the Author
For more information, please visit http://www.walkingtherainbow.com.
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