A cognitive-existential analysis of counselor responses to HIV-positive substance misusers in an outpatient methadone program and a residential therapeutic community.
Counselors of HIV-afflicted substance abusers not only must apply counseling strategies directed toward curbing drug use, but also are called upon to assess suicide risk, attend to the promotion of social support, treat adverse affective reactions, and respond to spiritual and existential concerns. The present study attempted to explore systematically the self-reported feelings, thoughts, and behaviors of counselors as they confront such demands. All counselors reported experiencing increased stress as a result of working with HIV-afflicted clients, and cognitive distortions were sometimes noted in counselor responses. However, more generally, thoughts seemed clearly formulated, and planned behaviors appeared directed toward rendering the best treatment possible.
Capone
C T
CT
Nassau County Department of Drug and Alcohol Addiction, East Meadow, New York 11554.
Melchionda
R
R
DeRovira
N
N
Katowsky
K
K
Condren
R
R
Peterson
M
M
D000163:Acquired Immunodeficiency Syndrome / Q000150:complications*; D000328:Adult; D000553:Ambulatory Care; D001294:Attitude to Health; D001521:Behavior Therapy; D003376:Counseling; D005260:Female; D006679:HIV Seropositivity / Q000150:complications; D006801:Humans; D008297:Male; D008691:Methadone / Q000627:therapeutic use*; D011369:Professional-Patient Relations; D012944:Social Support; D013315:Stress, Psychological; D016320:Substance Abuse Treatment Centers; D019966:Substance-Related Disorders / Q000534:rehabilitation / Q000628:therapy*; D013808:Therapeutic Community
D008691:Methadone