In this paper I will address Jose’s case. Jose is a young Hispanic male who has recently been diagnosed HIV positive. The implications that his HIV diagnosis has had in his life and how attending an HIV support group has helped him to deal with his current situation. HIV is not only a health problem; it also has implications of social and psychological nature for people who are diagnosed with HIV. A social work assessment can help provide comprehensive treatment to the patient, where his/her medical and psychosocial needs are met. To analyze Jose’s case I will use Systems Perspective, Psychodynamic Perspective, Rational Choice Perspective, and their applications to Jose’s case assessment. Systems theory sees society as a set of systems (biological, …show more content…
2011. p. 53). According to this theory the unconscious mind (id, ego and superego) as well as conscious mind which help us to decide what is right or wrong and take decisions play a role in human behavior. It also states that childhood events have a profound impact on people’s lives and how they develop throughout life; a person uses defense mechanisms to cope with traumatic or stressful events. In Jose’s case he first started coping with his diagnosis by repressing his emotions and feelings about his diagnosis. As a result of this he often became sick. It was not until he had a really bad gum infection that he decided to disclose his HIV status to his …show more content…
(Hutchison, 2011. p. 46) this theory can help us to understand Jose’s decisions regarding to confessing his diagnosis to the rest of his family or not. ”The potential for rejection, abandonment, physical and emotional abuse and other adverse consequences creates substantial barriers to disclosing HIV status” (Kalichman, C. S. et al.2007) as mentioned before Jose biggest fear is being rejected by the rest of his family, especially being rejected by his father. Now that Jose is attending the support group he knows that it is important that his family learn about his HIV status. So they can help Jose to make the necessary adjustments he needs to do to live a satisfactory. “Human interaction involves trade of social resources such as love, approval, information, money and physical labor. “ (Hutchison, D. E. 2011. p. 46). Jose is aware that disclosing his HIV status to the rest of his family would be beneficial to all of them. Because he and his family need to make changes in their lifestyle and they all need to be educated on HIV. Moreover Jose also is aware of the consequences this entails for both him and the rest of his family. Some negative consequences that this may bring to Jose is being rejected by his family and social stigmatization to which his family might be
“Clinically, the HIV infected adolescents present as physically stunted individuals, with delayed puberty and adrenarche. Mental illness and substance abuse are important co-morbidities” (Naswa, 2010). Naswa, 2010 also reports that adolescences with HIV have a higher susceptibility rate to contract STD’s that the average individual due to the thinner lining of mucus in the ovaries at this stage of their development. The stigma of living with HIV is also a factor for her psychosocial development. The fact that she contracted this disease from her father further contributes to emotional trauma.
a disease process, few have explored the benefits of using their highly developed intuitive thinking
On 11/9/17 at 9:56 AM, Security Officer Larry Mayer notified Security Account Manager Enmanuel Cabrera, that he witnessed IH Services Supervisor Roberto Medina take a soda from the bistro and not pay for it. Immediately an investigation was launch to see exactly what happened. Upon further review of the video surveillance system, one can see that Roberto Medina goes to the pay kiosk near the coffee machine at 9:45:54 AM. While at the kiosk, Roberto appears to refill his US Connect card. Shortly after that, Roberto goes to the refreshment refrigerator and grabs a grape crush soda. Upon grabbing the soda, he goes to get a cup, then some ice, and sits back down. At no point and time is Roberto seen paying or returning to the kiosk.
Leonard Fleck, a commentator, argues in favor of Carlos, a twenty-one year old homosexual, Hispanic male, not telling his older sister Consuela about him being HIV positive in order for her to care for him. The first commentator’s thesis argues that Carlos’s physician does not have to disclose that Carlos is HIV positive, because no major harm will come to Consuela, there are other option so Carlos could keep his other illness covert, and if breach does happen then it could lead to Carlos being ostracized or even not being cared for. The second commentator, Marcia Angell, argues that Consuela has the right to know that Carlos’s is HIV positive, because she would be deceived, pressured to provide nursing care by the hospital, and exploited by the hospital. Leonard Fleck and Marcia Angell both have compelling arguments; however, I agree more with well-supported Fleck’s arguments and conclusion while Marcia Angell arguments and conclusion are idealistic rather than concrete.
Vronsky, P. (2004). Serial killers: The method and madness of monsters. New York, NY: Berkley Book.
Waddell and Messeri (2006) found that disclosure to potential helpers is required to gain the most social support possible and that concealing one’s status can limit access to available resources, reduce potential support, and may lead to lower treatment rates. Huber (as cited in Kalichman, DiMarco, Austin, Luke, & DiFonzo, 2003), found that social support, can help to buffer the stress associated with living with HIV and can lead to better emotional health in this population, including a lower incidence of depression. On the other hand, disclosing one’s status is often hindered by the stigma associated with HIV and the fear of rejection and isolation (Deribe, Woldenmichael, Wondafrash, Haile, & Ameberbir, 2008). In a study done in Pakistan regarding stigma specifically in the workplace, researchers found that negative stigma in the workplace can result in negative workplace outcomes, which may lead to a loss of financial support (Bashir,
Armando’s case is a very difficult one to try and find a solution too because there are not many. My first thought when Armando’s story started is there is no way this guy is going to live. Which is exactly what the staff at Hermann thought. They were preparing for a good donor when Armando arrived. “He’s not going to make it… except for the gunshot, he’s basically healthy. He’ll make a good donor” (pg. 53). As I said before when Armando pulled through the staff didn’t really know what to do with him. They knew at that point that he had no insurance and would not be able to pay his bills. They were banking on him wanting to die. When Armando answered yes to the question do you want to live like this, it shocked everyone. At the point of Armando
... the dichotomy disease / Illness established to differentiate between pathology and suffering of the individual. While disease is an organic condition that can be discovered through various laboratory procedures, illness is much more subjectively, describing the status of the individual suffering and how the suffering is influencing his daily experience of life ( EJ Sobo , 2004:3 ) .The concept of illness includes both individual reactions to the state of being ill, and beliefs and attitudes that he has on the disease of suffering ( M. Winkelman 2009:60 ) . At least in theory, disease is universal, pathological damage of the body can be labelled and classified. Illness, however, is a variable factor, influenced by human personality traits, family background and social context, as well as, by the cultural context which acts as a modelling vector of human suffering.
Parmet, Wendy E. "Stigma, Hysteria, and HIV." Hastings Center Report 38.5 (2008): 57. Academic Search Premier. Web. 24 Oct. 2011. .
Finding a definition of child physical abuse is controversial, but the signs of a child being abused is straightforward if you know how to read them. For example, Hitting, punching, kicking them, or using objects to injure to abuse them. All those examples are seen in the case of 8- year- old, Gabriel Fernandez after he was brutally abused for eight months.
Melchert, T., & Patterson, M. (1999). Duty to warn and interventions with HIV-positive clients. Professional Psychology Research and Practice, 30 (2), 180-186.
“To know who was positive and who was negative, [one] just had to stand and watch” (49). People standing in line to get tested were able to tell if others were positive or negative by how long others’ post-test consultations were. A long meeting meant that person was HIV positive and a short meeting meant HIV negative. After the testing day in Ithanga, the entire village knew who had HIV of those who tested. In the context of the village community, HIV is not only a sickness, but also rather a sign of bewitchment. “It takes many months before it sinks into my head that those who speak of the shame of the HIV positive are a hair’s breadth from speaking of the shame of witches [and/or bewitchment]” (188). And to be bewitched means that one can “lose the capacity to make money and to hold on to family assets” (172). Therefore, knowing that one is HIV positive invocates the negative social stigma of bewitchment onto the ill person. The harmfulness in the community is founded on the community knowing the private details about an individual’s life. Therefore, the individual can avoid this whole ordeal if he or she does not know, if he or she does not test. The Ithanga community implicitly promotes living in the unknown of their condition as it encourages the fear of the social stigma. People would rather sustain medical suffering even with the
Chronic illness has a significant impact on the functioning of the individual within the family and community. For individuals living with HIV, the impact of this illness is further exacerbated by the stigma and discrimination associated with the virus. Rosa, a 61 year old woman in Zimbabwe exemplifies the impact of illness on the caregivers and support system. The family systems theory offers a critical lens to understand a family as a “system” with basic units that are interdependent. Understating a family as a system is critical in examining the relationships within a family. According to Dore (2008), practice informed by family systems pays attention to the functioning for the system as a whole, as well as the functioning of the interlocking subsystems. This theoretical background informs the social worker’s assessment of Rosa and her family as they cope with the emotional, physical and medical aspects of HIV/AIDS.
Additionally, individuals who are HIV positive will likely try to hide their diagnosis, resulting in the avoidance of treatment or inconsistency of treatment among other dangerous behaviours. Finally, the stigma of HIV/AIDS has been found to result in the denial of services and discrimination which can make accessing care more difficult. Understanding the full affects of HIV/AIDS stigma on health and disease prevalence could help reduce the incidents of HIV/AIDS. Finally, it could improve quality of life for individuals diagnosed with
To understand Health behavior and the association with HIV/AIDS Storey et al. believed that defining communication and knowing the effectiveness of it can shed some light on how it can be used in a positive way to reach those that may otherwise be unreachable. The authors defined Communication as a “fundamental human process without which most individual, group, organizational, and societal activities could not happen, including how people think about and respond to HIV/AIDS” (2015, p. S241).