Does Counseling Matter in the Context of HIV Testing?

Blog Category: HIV Health, HIV Testing, counseling — Blogged by: diego on April 16, 2007 at 2:08 pm

Talk about perspective.  Right now, you can get a thoughtful view HIV counseling from someone who’s been in both the HIV counselor’s chair and in the client’s, being told of an HIV positive diagnosis.  Stewart Landers, JD, MCP, a long-time expert on issues of HIV/AIDS, LGBTI health and substance treatment, selflessly peels away the surface and takes time to share his experienced lens.  Read the full piece on LifeLube.org’s Blog.

—Diego

I think it’s not a coincidence that the move to reduce or eliminate counseling as part of HIV testing comes at the same time many are pushing for “routine” or other forms of expanded HIV testing.

The main barrier to widespread HIV testing has been providers’ discomfort or lack of willingness to “go there.” That is many do not want to talk to their patients about a stigmatized disease that may suggest behaviors they (the provider) are uncomfortable discussing or providing counseling or other information about.

Getting a positive test result for HIV is still a shocking piece of news for most people. It changes the course of their lives - how they think about partnering, parenting, sexuality, survival, work and much more. While I’m all for the mainstreaming of AIDS care and the de-stigmatization of the illness, I often find myself in a quandary about how we do that and still acknowledge all the life changing aspects of the illness.

—Stewart  (read full post)

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3 Comments »

Comment by dr george pradhan,mbbs/1950

April 17, 2007 @ 6:19 am

If StewertLanders JD MCP sees the futility of vain talk talk tallk that is counseling He may be right indeed.
I am DrGeorgePradhan,MBBS/1950, in the HIV drop- in personal and psycho - med counseling line.
counseling has its role, but as always we give all importance to that which an important person fancies as essential for the time. This holds until another more important person or study comes up w an other suggestion, and the whole world flocks to that. Like the foolish circumcision for the millions for example. But for a Pos person i have found all equally important or unimportant even.Religious, medical, paramedical,nurse,sociologist,family, friend,all counselors take part in advice, guidance, help, assistance. The most important is to resettle rehab the Pos Person, ECONOMY- , children- , job, living, dying- wise. I am GP of 56 years, seen AIDS in Zambia, seen the Clap in Vietnam 1969-74,and havbeen volunteer med in city village jungle in India.

Comment by dr george pradhan,mbbs/1950

May 2, 2007 @ 12:36 pm

2May2007:during these 2 months we are seeing dozens of frank statements and reports of funds misused world wide, in the name of counselling, awareness campaigning,food support plans.I have now a young man knows all all about nutrtion but never follows the basics.We even now read of positives 20% not using protection for stray affairs.The only needs i see are 1. 24 hour availability [by shifts] of whatever facilities are there or coming up, 2.ART acc to WHO and NACO, 3.counseling guidance assistance by all all all workers, 4.Food assistance 5.protection for the negative surviving members of the families.6. Hospices for the endstages.

Comment by dsaklad@zurich.csail.mit.edu

July 5, 2007 @ 2:12 am

We do not have counseling for tuberculosis testing before attending school. We do not have counseling when vaccinating for smallpox. Imposing counseling when testing for human immunodeficiency virus is like a political propaganda campaign. We are not treating acquired immune deficiency syndrome with the protocols that have worked in fighting other epidemics. We have been attempting to treat it like a political issue when it’s just a disease.

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