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                                       Topic:
                                       
                                       HIV/AIDS: How This Epidemic Affects the 
                                       Mental Health of the World 
                                       How has the AIDS Epidemic Affected the 
                                       Mental Health of the World? The World 
                                       AIDS Campaign 2003 continues to focus on 
                                       stigma and discrimination under the 
                                       slogan Live and let live…. HIV and AIDS 
                                       can touch raw nerves in all our 
                                       communities. The stigma of HIV and AIDS 
                                       relates to deep taboos within society. 
                                       For many the disease has a strong 
                                       association with prolonged illness, 
                                       death, sex and drug use -- issues that 
                                       many of us find difficult to talk about 
                                       openly. Along with general discomfort 
                                       about discussing these 'taboo' issues, 
                                       many communities are also dealing with 
                                       high levels of ignorance, denial, fear 
                                       and intolerance about the disease itself. 
                                       This potent combination can lead to 
                                       rejection and even aggression against 
                                       people living with HIV. As a result, 
                                       people with HIV have been disowned by 
                                       their families, fired from their jobs, 
                                       asked to leave their homes. They can face 
                                       discrimination in receiving medical care. 
                                       In extreme cases they have even been 
                                       physically attacked. 
                                        Stigma and discrimination can lead to 
                                       depression, lack of self-worth and 
                                       despair for people living with HIV. But 
                                       people living with the disease are not 
                                       the only ones endangered by this fear and 
                                       prejudice. 
                                        Negative attitudes about HIV can 
                                       create a climate in which people become 
                                       more afraid of the stigma and 
                                       discrimination associated with the 
                                       disease than of the disease itself. When 
                                       fear and discrimination prevail, people 
                                       may choose to ignore the possibility that 
                                       they may be HIV-positive - even if they 
                                       know they have taken risks. And people 
                                       may decide not to take measures to 
                                       protect themselves in fear that in doing 
                                       so they could be associating themselves 
                                       with HIV. All of this helps to create an 
                                       environment in which the disease can more 
                                       easily spread. 
                                        This year's World AIDS Campaign 
                                       encourages both individuals and 
                                       institutions to reflect on how they 
                                       respond to those living with HIV and 
                                       AIDS. With challenging posters and 
                                       television images the campaign clearly 
                                       shows how the most painful symptoms of 
                                       HIV and AIDS are often the reactions of 
                                       others. When someone feels safe within 
                                       their own community, they are more likely 
                                       to take responsibility for their HIV 
                                       status. This is why it is so important 
                                       for all of us to examine our own 
                                       attitudes. We need to ask ourselves: are 
                                       we helping to create an environment where 
                                       people can take responsibility for 
                                       themselves and others? Or do our 
                                       attitudes contribute to an environment of 
                                       shame, fear and denial that prevents 
                                       people from taking action? Only by 
                                       confronting stigma and discrimination 
                                       across the world will the fight against 
                                       HIV/AIDS be won. 
                                        Live and let live. Help us fight fear, 
                                       shame, ignorance and injustice worldwide. 
                                        
                                       (source:
                                       
                                       www.unaids.org) 
                                       Guest: Mandee S. Rowley, MC, CAC, NCC 
                                       Mandee Rowley received her bachelor of 
                                       arts in psychology and religious studies 
                                       at Arizona State University in 2000, then 
                                       received her Master's in Counseling at 
                                       Arizona State University in 2003. She has 
                                       had a desire to work with people with 
                                       HIV/AIDS since taking a class during her 
                                       undergraduate years on HIV/AIDS 101 - 
                                       basically all aspects of HIV, 
                                       medical/physiological, legal, historical, 
                                       social, and psychosocial. 
 During her graduate studies she had the 
                                       opportunity to do her internship at 
                                       Phoenix Shanti Group, a local AIDS 
                                       service organization in the valley. When 
                                       she completed her studies and became 
                                       certified, the agency hired her on as a 
                                       behavioral health therapist. She 
                                       currently is involved in providing both 
                                       individual and group counseling to people 
                                       who are infected or affected by HIV/AIDS.
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