Utilizing longitudinal research, the authors have identified the mediational nature of the process of how traumatic events in childhood lead to increased HIV risk as adults. The book approaches the outcomes of childhood maltreatment systematically; demonstrates for the first time the need to examine the mediators of abuse, the indirect paths from childhood experiences to adult behaviors; offers useful measures of HIV risk based on risky behaviors; presents a feminist analysis of cultural norms that support HIV risk in women. The research presented clarifies present conceptualizations of interpersonal power, and gender's impact on the process and negotiation of, and desire to engage in, safer sexual practices. Knowing the importance of mediators will enable counselors and therapists to intervene on these variables at an early stage, thereby helping to reduce the incidence of subsequent risky behavior.

This book is a practical guide in understanding how to prevent HIV transmission, to recognize risk behaviors, and to add something else to their repertoires. It aims to empower clinicians and provide a sense of security and competence with the recognition and understanding of some of the psychiatric illnesses that complicate and perpetuate the HIV pandemic that continue to persist throughout every area of the world despite the magnitude of the progress that has transformed the illness from a rapidly fatal to chronic illness that is no longer life-limiting. Missing in most of the literature on HIV is the subtle, and sometimes not so subtle, contribution of psychiatric symptoms, psychiatric illness, and risk behaviors that drive the pandemic and serve as catalysts for new infections. This practical guide provides state-of-the-art understanding of not only prevention but also a way to recognize risk behaviors, psychiatric symptoms, and psychiatric illnesses that will demystify and decode the sometimes enigmatic and frustrating reasons for nonadherence with diagnostic procedures and life-saving treatments and care. All behaviors and pathology are covered as well as the resources and treatments available. The goal of this text is to refresh knowledge on the current state of psychiatric illness management among people living with HIV, to provide a concise volume on the psychiatric aspects of HIV prevention and treatment that substantially impact the overall care of the patient, and to help understand the psychiatric catalysts of the pandemic Written by experts in the field, HIV Psychiatry: A Practical Guide for Clinicians provides enduring guidance to medical and other professionals caring for complicated clinical patients as they face ongoing challenges in working with persons with HIV and AIDS.

Learn powerful techniques for healing the scars of early sexual abuse in gay men! The first book of its kind, Gay Men and Childhood Sexual Trauma: Integrating the Shattered Self addresses the specific therapeutic needs of gay men in recovery. All too often, gay men hide their childhood memories of being sexually victimized, because of fear, shame, and the stigma of stereotypes which equate homosexuality with child abuse. Some gay men may view these histories as “rites of passage” and dismiss other perspectives as betrayals of their community or inadvertant support for the anti-gay agenda of the religious right. Certain therapists and so-called support groups ridicule them as hysterics with false memories. Groups like the North American Man-Boy Love Association or the Rene Guyon Society dismiss the source of their anguish as wishful thinking or a healthy, consensual intergenerational romance. Finally here is a book that addresses the unique emotional and psychological needs of gay male survivors of sexual abuse. Gay Men and Childhood Sexual Trauma offers new hope by separating the crime of pedophilia from the consensual intimacy of an adult male same-sex relationship. It provides specific guidance for therapists working with gay men either in individual or group therapy settings, and offers practical treatment suggestions as well as moving insights into the painful conflicts gay men may have in accepting their own sexuality and revealing their status as child survivor of an adult sexual predator. Gay Men and Childhood Sexual Trauma discusses practical ways to help the survivor heal, including: adopting eye movement desensitization and reprocessing techniques to treat traumatized gay men helping gay men to break the old arousal patterns associated with their abusers handling survivors’formidable issues of trust, addictions, depression, and low self-esteem leading survivor groups of mixed sexual orientation discerning the special meaning of HIV to traumatized gay men respecting cross-cultural differences in treating the gay male sexual trauma survivor finding new directions for research This powerful volume offers sufficient technical detail to be useful for the therapist working with gay men, yet it is written with enough clarity and compassion to be used as bibliotherapy for men just coming out as gay, as survivor, or as both. Gay Men and Childhood Sexual Trauma is an essential resource for mental health professionals, as well as for gay men who have themselves survived sexual abuse or who love someone who did.

Examine the effects of childhood trauma on sexual orientation and behavior! This pioneering book examines the effects of childhood trauma—including sexual abuse—on sexual orientation and behavior. It will help you expand your sensitivity and expertise in a critically important way: by providing a nonjudgmental look at the profound effects of long-standing early abuse on the sexual identities, orientation, behaviors, and fantasies of the people who come to you for help. From the editors: “In the modern era of trauma studies, clinicians and researchers have been treating and investigating the effects of trauma—including the sexual abuse of children—for more than two decades. And yet, we know far more about sequelae such as post-traumatic and dissociative symptoms, disrupted attachment, addictions, eating disorders, and somatoform symptoms than we do about the effects of trauma on sexual behavior. With the exception of a relatively few articles in the scientific literature (many of which were written by the authors in this collection), little has been published about the sexual effects of sexual abuse and other childhood maltreatment. “Why have we neglected this obvious and important area? Perhaps the reason can be simply attributed to our Victorian legacy of reluctance to openly discuss sexuality. Or, perhaps the reason may be related to some of the expressions of sexuality that are sometimes seen in persons with childhood trauma. At times, expressions such as sexual addiction, homosexuality, sadomasochistic behavior, and prostitution have been classified as deviant. This may have contributed to our reluctance to discuss them openly. Or, perhaps the reason is that we collectively wish to deny the effects of abuse on one of the core aspects of ourselves—to deny that early traumatic events forever change the sexual lives of persons in such an intimate and profound way.” The co

This volume presents a comprehensive overview of childhood trauma, considering the psychopathological definition and its neurobiological implications as well as its impact on different psychiatric disorders. The focus on childhood trauma rather than that occurring in adulthood is important due to its general “neuro-psyco-socio” and its specific biological implications, since trauma during childhood impacts directly on neurodevelopment. It has been suggested that early life stress increases vulnerability to psychiatric disorders; however, the exact mechanisms of this association are not yet completely understood. Although childhood trauma could be considered too unspecific to be an important risk factor for individual psychiatric disorders since it seems to occur across the board, it impacts differently on different psychiatric disorders, and it can modulate their clinical expression. Therefore, the assessment of early trauma needs to be included in the clinical evaluation of patients with psychiatric disorders. The volume will be an invaluable tool for psychiatrists, helping them to select suitable pharmacological, psychotherapeutic and rehabilitative treatments.

The 'Comprehensive Textbook of AIDS Psychiatry' provides insight into the interface between the psychiatric, medical, and social dimensions of HIV and AIDS and the need for a compassionate, integrated, and approach to the HIV pandemic with an emphasis on humanizing destigmatizing HIV

This book has assembled an array of chapters on the social and psychosocial aspects of HIV/AIDS and their impact on HIV/AIDS and related behaviours. The book addresses key areas of HIV and AIDS, including, but not in any way limited to, care-seeking behaviour, adherence, access, psychosocial needs and support services, discrimination and the impact the epidemic has on various sectors of the economy. The book has seventeen chapters; seven chapters deal with social aspects of HIV/AIDS, four with psychosocial aspects of HIV/AIDS, and the remaining six chapters with the impact of social and psychosocial factors on HIV/AIDS and related behaviours. The book is an essential reading for academics, students and other people interested in the field of HIV and AIDS.

This book is the newest edition on the series ‘advances in psychiatry’. The previous 3 volumes can be found online at http://www.wpanet.org/detail.php?section_id=10&content_id=660 . They were highly successful in covering a broad area of psychiatry from different perspectives and angles and by reflecting both specialized but also international and global approaches. This series have guaranteed quality therefore can be used by different scientific groups for teaching and learning and also as a means for fast dissemination of advanced research and transformation of research findings into the everyday clinical practice.

Major research advances have substantially improved our understanding of the biology of HIV and the pathogenesis (i.e., origin and development) of AIDS. The pathogenesis of AIDS is now known to result from the ability of HIV to replicate at the rate of a billion new virions (viral particles) per day and nearly 10 trillion new virions over the course of HIV infection. This, countered by the ability of the body to produce CD4+ T cell lymphocytes (a primary target cell for HIV), sets the stage for the struggle between HIV and the immune system-a struggle that lasts from the first day of HIV infection to end-stage disease and death.