HIV/AIDS Archives - The Affirmative Couch

Out On The Couch

Defining Power for Affirmative Therapists

Posted: 8-4-21 | Melissa Dellens

Clinics, treatment centers, and group practices play an important role in the communities they serve. Power flows through every relationship from the individual dyad in treatment to a community clinic’s relationship with federal policy (Hess & Schultz, 2008).  Moreover, these dynamics can be seen as both a commodity and resource (Peterson & Zimmerman, 2004) in [...]

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4 Barriers to Affirmative Clinic Change

Posted: 6-9-21 | Melissa Dellens

Gerald Caplan is seminal in developing some of the early theories of consulting work (Caplan, 1960). Caplan worked in Israel after World War II providing mental health support to 16,000 displaced and orphaned teens in overwhelmed residential and refugee facilities (Mendoza, 1993). Caplan’s resources were limited, and his team had no way of serving the [...]

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Long-term Survivors Living with HIV: History and Clinical Considerations

Posted: 6-23-20 | Jill Gover, Ph.D.

This year, more than 70% of people living with HIV (PLWH) in the U.S. will be ages 50 and older–up from 50% in 2015 (Anderson, 2015). The HIV epidemic has disproportionately impacted LGBTQIA+ people and people of color since its inception (Anderson, 2015). As anti-retroviral therapy (ART) continues to improve, the number of older PLWH [...]

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Telepsychotherapy Protects Queer Communities From COVID-19

Posted: 3-15-20 | The Affirmative Couch

Telehealth offers psychotherapists a way to provide quality mental health services while still practicing and promoting extreme social distancing. This practice, instituted early, can help save lives during the COVID-19 pandemic (Pueyo, 2020; Stevens, 2020). Psychotherapists who work with queer communities should be switching to telehealth in order to decrease the risk faced [...]

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Helping Queer and Trans Clients Navigate Fatphobia During the Holidays

As we approach winter and prepare for “hibernation,” diet culture often kicks into high gear.  Family meals, holiday parties, and New Year’s resolutions surround us, regardless of whether we celebrate, and become fertile ground for fat shaming. The “holiday season” is already hard enough for many LGBTQIA+ folx*. It can also be an exceptionally dangerous [...]

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HIV Long Term Survivors: Time to Thrive

Posted: 9-17-19 | Jacob Rostovsky

By Jacob Rostovsky, MA

How do you learn how to live when you spent most of your young adult life thinking you were going to die? This question resonates for many of my gay male identified clients who are HIV long term survivors (HLTS). For someone to be considered an HLTS they must have survived [...]

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