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1996-02-26
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Document 0163
DOCN M9620163
TI Stigma, HIV and AIDS: an exploration and elaboration of a stigma
trajectory.
DT 9602
AU Alonzo AA; Reynolds NR; Department of Sociology, Ohio State University,
Columbus 43210,; USA.
SO Soc Sci Med. 1995 Aug;41(3):303-15. Unique Identifier : AIDSLINE
MED/96083018
AB Stigma is a social construction which dramatically affects the life
experiences of the individuals infected with the human immunodeficiency
virus (HIV) and their partners, family and friends. While it has been
generally recognized that the nature of stigma varies across illnesses,
it has usually not been considered as changing and emerging over the
course of a single illness. In this paper, HIV/AIDS is analyzed in terms
of a stigma trajectory. The primary purpose is to conceptualize how
individuals with HIV/AIDS experience stigma and to demonstrate how these
experiences are affected by changes in the biophysical dimensions of
HIV/AIDS. Four phases of the HIV/AIDS stigma trajectory are depicted:
(1) at risk: pre-stigma and the worried well; (2) diagnosis: confronting
an altered identity; (3) latent: living between illness and health; and
(4) manifest: passage to social and physical death. The essential
processes through which individuals personalize the illness, dilemmas
encountered in interpersonal relations, strategies that are used to
avoid or minimize HIV-related stigma, and subcultural networks and
ideologies that are drawn upon to construct, avow, and adapt to an HIV
identity are considered across the stigma trajectory.
DE Acquired Immunodeficiency Syndrome/*PSYCHOLOGY/TRANSMISSION Adaptation,
Psychological Attitude to Death Bisexuality/PSYCHOLOGY Homosexuality,
Male/PSYCHOLOGY Human HIV Infections/*PSYCHOLOGY/TRANSMISSION
Interpersonal Relations Male *Prejudice Risk Factors *Sick Role
Substance Abuse, Intravenous/PSYCHOLOGY JOURNAL ARTICLE REVIEW
REVIEW, TUTORIAL
SOURCE: National Library of Medicine. NOTICE: This material may be
protected by Copyright Law (Title 17, U.S.Code).