Psychologists' Advice for HIV Patients
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From the initial denial and wishful thinking upon learning of infection, accompanied by repeated testing, doubts, and fantasies, to complaints, anger, and the resulting sleepless nights, smoking, drinking, or even drug use, thoughts of revenge against society or others, to acceptance, regret, fear of isolation or abandonment by family and society, and the depression and despair stemming from lost faith in the future,and finally to calm reflection, reintegration into society, and proactive treatment—people living with HIV or AIDS endure immense suffering and endure mental anguish unimaginable to most.Life can be shattered by disaster, or it can be elevated through it. How should we adjust our mindset when facing HIV? First is trust in society and in ourselves. Without it, we isolate ourselves, losing our sense of belonging and basic security.Government emphasis and extensive science outreach campaigns are fostering an increasingly open societal attitude toward people living with HIV/AIDS, particularly among healthcare workers. Thomas, known online as "Big Brother T," sank into despair after his HIV diagnosis. His father's resolute determination led him to cling to a sliver of hope, seeking medical examination and treatment.The attentive care and meticulous concern from medical staff restored his confidence in life. After treatment, his condition improved significantly. Using income from his work and writing to purchase medication, he even managed to improve his and his father's living conditions. Currently, the Chinese government has invested substantial funds, prioritizing the fight against AIDS as a critical task in the medical field. Increasingly, patients can access proper treatment at lower costs or even free of charge.Sacrificing the interests of a minority ultimately harms the collective good. A civilized society must strive to protect every one of its members. Resentment and retaliation cannot eradicate societal prejudice. When we cease to respect others, we cannot expect respect in return. The image we present to the world profoundly shapes how those around us perceive us.The American film Philadelphia depicts an AIDS patient confronting societal prejudice and fighting for his legal rights. No viewer would discriminate against the protagonist because he has AIDS; instead, they would admire his courage.
Second is facing reality. Denial serves as a psychological defense mechanism, offering temporary protection for health in the immediate aftermath of disaster. Yet prolonged denial plunges us into deeper psychological conflict and delays precious time for early treatment. HIV present in the body does not vanish simply because we refuse to acknowledge it. Therefore, we must seize the moment and seek treatment as early as possible. Current evidence confirms that earlier treatment leads to better outcomes.
Third is taking proactive action. Only action can ultimately transform a person. Thomas said: "HIV is an opportunity; AIDS may be a turning point for personal change." "It forces immediate, thorough moral self-reflection.... AIDS elevates your perspective, allowing you to see further," and "it makes one cherish life more deeply. In truth, many people live their lives without ever contemplating the day of their death, so much of life is squandered. AIDS reveals that life is finite, and you must treasure it."Some patients or infected individuals live in anxiety and depression, some indulge in self-destructive behavior, some survive in quiet resignation, while an increasing number live in active resistance. Choosing how to live now determines how you will live in the future—this is true for everyone.
Physical exercise is a simple and accessible method of self-regulation. Through exercise, you strengthen your body while simultaneously relaxing and adjusting tense or depressed emotions.
Engage in responsible and constructive actions for society and yourself. First, choose and advocate for safe sexual practices, resolutely refusing to become a source of infection and sparing others from suffering due to your actions. Recommend relevant testing to those with whom you've had sexual contact. Only by doing this can our society become healthier, the fear surrounding HIV-positive individuals gradually fade, and our own psyches avoid new shocks.Second, contribute meaningfully to society to elevate your life and experience your own worth. Song Pengfei, China's first openly acknowledged HIV carrier, now leads the art workshop "Laughing at the Future," where over a hundred infected individuals regularly gather to paint and discuss life and the future. With social support, HIV-positive Zhu Jinzhong established a care home specifically for AIDS orphans.Li Jiaming authored The Final Declaration of War, chronicling his authentic mindset and life after contracting AIDS. He states: "I have already paid the price with my life. If revealing the sorrow of my own demise can save even one young, vibrant life, then what I have done is worthwhile. Let my words help more people avoid this catastrophe."
An increasing number of psychologists worldwide are employing various psychological therapies to assist AIDS patients and HIV-positive individuals. Seeking help from a counselor or therapist when necessary is an appropriate choice.
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