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This volume, first released in 1996, was written to provide mental health professionals with a single source of information on the medical, social and psychological aspects of HIV-AIDS. It remains the only authored book concerning the psychology of AIDS that is thoroughly grounded in the empirical literature. With this extensively revised second edition, author Seth C. Kalichman explains the many significant advances in research on how the virus works and on immune responses to HIV, and he discusses the revolutionary treatments for HIV infection that have increased both life-span and quality of life for increasingly large numbers of patients living with HIV-positive and AIDS diagnoses. Kalichman also focuses impressive attention on new insights regarding psychological reactions to HIV-AIDS, coping and adjusting, and psychological treatments as well as slowly growing literature on women, children and minorities with AIDS and on sexual adjustment after diagnosis.

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• Foreword to the Second Edition
• Foreword to the First Edition
• Acknowledgments
• Introduction
• Part 1 Virology, Epidemiology, and Clinical Manifestations
• 1. The HIV-AIDS Pandemic
• Discovery of the Human Immunodeficiency Virus
• Viral Cycle of HIV
• HIV and the Immune System
• Routes of HIV Transmission
• Patterns of the Epidemic
• Characteristics of Highly Affected Subpopulations
• Global Patterns of AIDS
• AIDS and Poverty
• Conclusion
• 2. Clinical Course and Manifestations
• HIV Testing
• Primary HIV Infection
• Asymptomatic HIV Infection
• Factors Associated With HIV Progression to AIDS
• Later Stage HIV Infection
• Nonprogressive HIV
• AIDS Diagnosis
• Reversals of AIDS Diagnoses
• Pediatric AIDS
• Conclusion
• 3. Medical Treatments
• Antiretroviral Therapies
• Drug Resistance and Toxicity
• Delaying Treatment
• Anti-HIV Drugs and Prevention
• Standards of Care for Antiretroviral Therapy
• Anti-HIV Treatments on the Horizon
• Prophylaxis and Treatments for Opportunistic Illnesses
• AIDS Clinical Trials
• Complementary Treatments
• Treatment Adherence
• Conclusion
• Part 2 Psychological, Neuropsychological, and Social Sequelae
• 4. Psychological Sequelae
• The Stress Context of HIV-AIDS
• Receiving a Positive HIV Test Result
• HIV-Related Stressors
• HIV Disease Trajectory
• Emotional Reactions at Each Phase of HIV Infection
• Emotional Distress
• Quality of Life
• Emotional Distress and Health
• Conclusion
• 5. Neuropsychological Sequelae
• Diagnosis and Classification
• HIV-Encephalopathy
• HIV-Related Disease of the Nervous Systems
• Differentiating Neuropathology From Other Conditions
• Neuropsychological Manifestations
• Early HIV Infection
• Asymptomatic HIV Infection
• Late HIV Infection and AIDS
• Opportunistic Illnesses of the Central Nervous System
• Neuropsychological Assessment
• Functional Deficits
• Conclusion
• 6. Social Sequelae
• Sources of HIV-Related Stigmatization
• Effects of HIV-Related Social Stigmatization
• Discrimination
• Stigmatization by Medical Professionals
• Stigmatization by Mental Health Professionals
• Disclosure
• Conclusion
• Part 3 Sexual, Psychological, and Social Adjustment
• 7. Sexual Adjustment
• HIV and Sexuality
• Sexual Behavior
• Sexual Adjustment Counseling
• Conclusion
• 8. Coping, Adjustment, and Social Support
• Meaning, Control, and Self-Esteem
• Problem-Focused Coping
• Emotion-Focused Coping
• Optimism and Spirituality
• Enhancing Coping Capacities
• Social Support
• Conclusion
• 9. Counseling and Psychotherapy
• Assessment and Treatment Planning
• Social Support Interventions
• Volunteering
• Palliative Care and Hospice
• Psychotherapy
• Themes in Psychotherapy
• Ethical Issues
• Conclusion
• References
• Appendix A Summary of U.S. Epidemiology
• Appendix B Glossary
• Appendix C Resource Guide
• Author Index
• Subject Index
• About the Author