Matot JP, Misrachi A, Josse E, Dopchie N; International Conference on AIDS.
Int Conf AIDS. 1990 Jun 20-23; 6: 399 (abstract no. 2182).
St Pierre University Hospital, Brussels, Belgium
The wide variety of HIV patients' psychological needs led us to point out several criteria enabling the choice between brief or long-term psychotherapeutic interventions (defined by the number and frequency of sessions). This work results from our clinical activity as psychoanalytical therapists with HIV in- and outpatients followed in a Division of Infectious Diseases. We retrospectively studied the files of the first 40 patients entering a psychotherapeutic process after May 1st, 1989. A twelve-points anamnestic data collection investigates: 1) The course and treatment of HIV infection; 2) the life style and some social aspects; and 3) the context of the first psychotherapeutic sessions. Six factors seem to influence the kind of intervention: 1) The infection staging. 2) The initiation of an AZT treatment. 3) The in- or outpatient status at the time of the first session. 4) Significant objectal loss during the previous years. 5) Patient's involvement in self-actualizing activities or relationships. 6) Several interactive characteristics of the course of the fist session. In conclusion, we developed the following hypotheses: a) Most of the above-mentioned factors are related to the status and the outcome of the narcissistic failure among HIV patients. b) Brief psychotherapeutic interventions seem to be indicated when the patient has or rapidly finds an actual narcissistic support. c) Long-term psychotherapies are indicated when the patient/therapist relationship represents the main source of narcissistic reconstruction.
Publication Types:
Keywords:
- Acquired Immunodeficiency Syndrome
- Communicable Diseases
- HIV Infections
- HIV Seropositivity
- Humans
- Psychotherapy
- methods
Other ID:
UI: 102197187
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