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Working with HIV/AIDS sufferers: "when good enough is not enough".

Duncan Cartwright1, Michael Cassidy

  • 1School of Psychology, University of Durban-Westville. duncanc@pixie.udw.ac.za

American Journal of Psychotherapy
|July 20, 2002
PubMed
Summary
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This study explores the psychological trauma of HIV/AIDS diagnosis, detailing defense mechanisms and the collapse of symbolic function. It examines insight-oriented therapy

Area of Science:

  • Psychology
  • Psychiatry
  • Medical Social Work

Background:

  • Examines the intrapsychic implications of HIV/AIDS diagnosis.
  • Focuses on the psychological impact and trauma precipitated by knowledge of infection.

Observation:

  • Analyzes two case studies to understand the traumatizing process.
  • Identifies key defensive strategies: splitting, projective dynamics, and identifications.
  • Highlights the collapse of the symbolic function in patients with HIV/AIDS.

Findings:

  • Therapeutic work centers on fantasies about the limitations of support systems.
  • Insight-oriented therapy addresses the central organizing fantasy related to diagnosis.
  • Analytical therapists face technical dilemmas in managing frame deviations, roles, interpretation, and countertransference.

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Implications:

  • Understanding defensive mechanisms is crucial for effective psychoanalytic treatment of HIV/AIDS.
  • Therapists must navigate complex countertransference dynamics and frame issues.
  • The study informs therapeutic approaches for individuals coping with life-threatening diagnoses.