Purpose: Americans with rheumatoid arthritis (RA) represent an emerging vocational rehabilitation (VR) clientele. Method: Following an overview of the etiology, incidence, prevalence, and impact of RA, the authors present strategies to meet the service and support needs of Americans with RA across the phases of the VR process. Results: The…

Chronic fatigue syndrome (CFS) is an increasingly common chronic medical condition that affects not only patients but also their families. Because family dynamics, particularly the family life cycle, can and does influence the disease process, those providing counseling to CFS patients and their families would do well to recognize these dynamics.…

The authors examine the history and development of the counseling profession in Kenya. This profession is deeply rooted in responses to the HIV/AIDS epidemic, the emergence of mental health needs created by the impact of political and community-based violence, increasing student unrest in public institutions, and government efforts to provide…

Background: Diabulimia, the omission or reduction of insulin use by persons with type 1 diabetes, is a harmful method of weight control. The purpose of this article is to present school health personnel with the information they may need to become more aware of the possibility of diabulimia in their students--especially females--with type 1…

AIDS continues to be a death sentence for many individuals living in South Africa where it remains the leading cause of death. Little is currently known about what it is like to experience the loss of a loved one to AIDS from the South African perspective and how to assist individuals who are living in a context vastly different from similarly…

In prison populations around the world, the prevalence of HIV is often higher than that of the general population. The prison population is at high risk for HIV infection, particularly through the sharing of contaminated needles and high-risk sexual activity. Counselling is regarded as a key element in the prevention and treatment of HIV…

In Kenya alone, where the infection rate is estimated to have reached 13 percent of the population, 27,000 teachers will die and more than 2 million children will lose one or both parents to AIDS in the next five years. The Kenyan project uses "study circles," in which teachers learn together about HIV, script new sexual behaviors for…

Fragile X syndrome is an inherited genetic condition identified by a break or a weakness on the long arm of the X chromosome, and associated with mental retardation. Described on this single-sheet information guide are the prevalence of fragile X syndrome, its increased rate of incidence in boys as compared to girls, physical characteristics,…

Reviews some of the literature on seriously ill children and the use of art in counseling these children. Discusses self-concept, spontaneous drawings, and counseling techniques. Presents and comments on artwork produced in the last 18 months of the life of a young girl with leukemia. (ABL)

The past 2 decades have shown that HIV prevention can work. Evidence worldwide indicates that concerted national HIV prevention efforts have resulted in maintenance of low seroprevalence rates or decline in rates where they would have otherwise risen. The best efforts are based on sound scientific research. Advances in, challenges to, and future…