HIV/AIDSカウンセリング11年間の話題分析

The purpose of this study is to describe and consider the historical changes of topics in counseling and psychotherapy sessions with HIV positive patients (HIV +Ps) at Hiroshima University Hospital during a 11-year period(1989-1999). All topics were classified into the following 7 categories : (1)notifications ; (2)self-help groups ; (3)quality of life ; (4)lawsuits for HIV-infection ; (5)diseases and therapies ; (6)problems of learning and working, and (7)psychological problems. The historical changes of rates of each category during the period were examined. Of 33 HIV + Ps, 19(57.6%) were hemopiliacs, and 6(18.2%) were homosexuals. The total number of topics was 1,308. The decrease of the rate of category of quality of life, and the increase of the rate of category of psychological problems were confirmed after HAART had been introduced. In the cases of sexually infected HIV + Ps, the lack of any self-help group was found. Finally, the implications of the those findings for counselings and psychotherapies with HIV + Ps in the HAART era were discussed