| Abstract: | Early reports of the psychological ramifications of acquired immune deficiency syndrome (AIDS) emerged shortly after the first incidence of the isease was officially reported in this country in 1981. These preliminary reports were based on clinical observations and anecdotal information which showed that the psychological reactions of AIDS patients were similar to those stages of death and dying described by Kubler-Ross (1969) although they appeared to be intensified and compounded by other issues related to the stigmatized status of most carriers of this disease. Two specific models of the staging of these psychological reactions are outlined. The psychological problems most commonly requiring therapeutic intervention are discussed with attention paid to the importance of distinguishing between those whose etiology is functional versus organic. The suspected pathogenesis, symptomatology and progression of the most common form of organic neurological disorder associated with AIDS, AIDS dementia complex, is summarized. Finally, a model of integrated treatment for the psychological aspects of adaptation to AIDS is described. |
