Communicating the HIV positive result within the counseling process: the subject’s version.
Moreno, Diva Maria Faleiros Camargo
São Paulo (BR): Faculdade de Saúde Pública da Universidade de São Paulo; 2006.
Abstract
Introduction – Counseling is the strategy chosen by the World Health Organization against the aids epidemic since it is a method for help, support and prevention. Objective – To analyze the characteristics of counselor-subject interactions within the process of disclosing the positive diagnosis for HIV in two STD and Aids Counseling and Testing Centers in the city of São Paulo, according to the subjects’ version and based on their repercussions of the activity’s procedures and results. Methods – The technique used to gather data was the interview, performed after the counseling moment when test result was communicated. In total, 20 interviews were carried with 14 research subjects. All interviewed were men. The criteria chosen to include a subject in the research were: greater than 18 years of age; positive for HIV; and having received the positive diagnosis for HIV at the researched CTC. In order to organize the data, the author used the technique of analysis of content by interview and by theme, elaborating analytical categories based on the study objectives. The data was interpreted using the concepts of the psychoanalytical theory of D. W. Winnicott. Results – Based on the subjects’ reports, it is considered that professionals follow the protocol for counseling, reaching its objectives, which are: a) dealing with feelings caused by the diagnosis; b) providing the opportunity to the subjects to express their suffering and anxiety; c) surpassing difficulties sharing the diagnosis with their family and partners; and d) clarifying questions about STD/HIV prevention and therapy. In the investigated counseling the interactions were characterized by the support and assistance for most of the subjects, acting as a shared reality and providing support to their feelings and concerns. However, some subjects felt the need for more time to discuss their feelings and personal issues, besides the ones related to their new HIV carrier condition. Conclusions – In the subjects’ version, the counselors welcome them, provide information and support for their needs. The study revealed the psychological processes occurred during the post-test counseling between the subject and the counselor. Listening to the subject is the primary condition to establish a sharing environment. The study provides data to improve the service currently available to the population.
Palavras-chave em Inglês
AIDS Serodiagnosis, Communicating the HIV Positive Result, Counseling, Disclosing the Seropositive Diagnosis, Psychoanalytical Theory from D W Winnicott
Avaiable at:
http://www.teses.usp.br/teses/disponiveis/6/6136/tde-04102006-160458/publico/Tese-DMFCMoreno.pdf
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