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Keeping secrets: social workers and AIDS.

M Abramson1

  • 1School of Social Work, Rutgers University, New Brunswick, NJ 08903.

Social Work
|March 1, 1990
PubMed
Summary
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Social workers face significant ethical dilemmas when assisting individuals with human immunodeficiency virus (HIV) infection and acquired immune deficiency syndrome (AIDS). Secrecy emerged as the primary moral theme in practice with people with AIDS.

Area of Science:

  • Social Work Ethics
  • Public Health Crises

Background:

  • The human immunodeficiency virus (HIV) infection and acquired immune deficiency syndrome (AIDS) epidemic presents complex ethical challenges for social work.
  • While psychosocial aspects of AIDS are documented, the specific moral problems encountered by social workers in daily practice remain under-explored.

Purpose of the Study:

  • To identify and analyze the most relevant moral problems faced by social workers in their practice with people diagnosed with HIV/AIDS.
  • To examine the theme of secrecy within social work practice concerning HIV/AIDS.

Main Methods:

  • Qualitative research approach.
  • Semi-structured interviews were conducted with 16 social workers actively involved in practicing with people with HIV/AIDS.
  • Thematic analysis was employed to identify dominant moral issues.
Keywords:
Empirical ApproachHealth Care and Public HealthProfessional Patient Relationship

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Main Results:

  • Secrecy was identified as the dominant moral theme encountered by social workers.
  • The theme of secrecy was analyzed across four dimensions: ethical, technical, behavioral, and existential.
  • The study provides a framework for understanding and addressing secrecy in this context.

Conclusions:

  • The findings highlight the critical role of secrecy as a moral issue in social work practice with people with HIV/AIDS.
  • Further discussion and clarification are needed regarding the ethical justification and application of secrecy in such practices.
  • This research contributes to the ethical discourse within social work concerning vulnerable populations and complex health issues.