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An intersectionality-informed psychotherapy approach to reduce HIV stigma.

Shufang Sun1, Eugene W Farber2

  • 1Department of Psychiatry and Human Behavior, Brown University Alpert Medical School.

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HIV stigma hinders treatment adherence and retention. This article proposes intersectionality-informed psychotherapy to address stigma

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Area of Science:

  • Psychology
  • Public Health
  • Social Sciences

Background:

  • HIV stigma is a significant barrier in HIV care, impacting treatment engagement, retention, and adherence.
  • Current interventions lack a gold-standard, evidence-based psychotherapy for addressing HIV stigma.
  • Addressing stigma is crucial for improving health outcomes for people with HIV.

Purpose of the Study:

  • To examine psychotherapy's role in mitigating the negative cognitive, emotional, and behavioral effects of HIV stigma.
  • To promote psychological well-being and support health behaviors for enhanced HIV treatment outcomes.
  • To propose an intersectionality-informed psychotherapy approach for addressing HIV stigma.

Main Methods:

  • The article reviews the impact of HIV stigma on individuals living with HIV.
  • It proposes a psychotherapy framework informed by intersectionality theory.
  • Clinical case examples illustrate intersectionality-informed strategies for stigma reduction.

Main Results:

  • Psychotherapy can address adverse effects of HIV stigma.
  • An intersectionality-informed approach considers multiple identity factors influencing stigma experiences.
  • This framework supports therapist advocacy for marginalized populations.

Conclusions:

  • Intersectionality-informed psychotherapy offers a novel approach to combatting HIV stigma.
  • This framework can improve psychological well-being and treatment adherence for people with HIV.
  • Therapist advocacy is essential within this integrated approach to care.