This introduction and outline correspond to a presentation at the American Counseling Association (ACA) 1999 World Conference. The author recounts his psychotherapeutic work with young gay men diagnosed with AIDS and his increasing awareness of their movement toward psychological health and the development of a deeper spirituality. His quest…

Examines feasibility of palliative approach for all patients, showing reasonable people may refuse even the most exemplary care for themselves or an incompetent relative. Medical realities and alleviation of pointless suffering necessitate that policymakers consider other options, including "active" euthanasia, consistent with patient…

Interprets two literary works--both about old women who have suffered strokes and are near death--and argues that literature can make contributions to gerontology by developing sensitivity to theory, empathy, and self-awareness. Examines these fictional accounts against two perspectives--political economy of aging and theories of personal…

Presents memoirs written by those who have cared for severely ill and disabled loved ones. Such memoirs reveal multiple meanings--many of them positive--inherent in caregiving, contradicting the professional paradigm that family caregiving equals stress. These memoirs can provide an empathic point of entry for clinicians. (RJM)

Participant-observation research was conducted in the home care components of a free-standing inpatient facility associated with several hospice organizations over three years. The data are reported using negotiated order theory as a framework for understanding the hospice movement and its attempts to change the experience of dying. (JPS)

Presents evidence for heightened need among dying to explore religious-spiritual issues and explains how counselors might best approach this need. Approach explicated centers on nonjudgmental openness toward all of client's religious-spiritual explorations. Presents psychosocial tools than can be used to assess, examine, and amplify client's…

Identifies several distinctive characteristics of bereavement in relation to human immunodeficiency virus/Acquired Immune Deficiency Syndrome (HIV/AIDS). Discusses multiple loss syndrome, truant grief, and chronic bereavement that are often experienced by persons living with AIDS and professionals working in HIV/AIDS field. Discusses need for new…

Defines amyotrophic lateral sclerosis (ALS) as motor-neuron disease that is terminal. Discusses symptoms associated with ALS and identifies treatment options. Reviews psychological and behavioral adaptations in regard to ALS clients, their families, and professionals who work with them. Discusses support groups as method of reducing stress for ALS…

The Working Group on the Pre-Clinical Years of the 1997 National Consensus Conference on Medical Education for Care Near the End of Life identifies promising settings and suggests how they might be used for maximum benefit in end-of-life education. Basic-care competencies are in five domains: psychological/social/cultural/spiritual issues;…

Logical analysis of arguments in favor of rational suicide reveals 11 commonly encountered premises. These premises are listed, analyzed, and discussed. The arguments of the rational suicide literature are criticized on historical and philosophical grounds. Consensus-based reasonableness is found to provide an insubstantial base for social policy.…

Introduces art therapists to transgender males with AIDS. Discusses three specific cases, and emphasizes the role that art played in subjects' relationship with their residential community and the ways art served their efforts to resolve issues. Considers common themes, special challenges, and benefits of working with this population. (SNR)

Medical family therapy grew out of the experiences of family therapists working with other professionals to provide comprehensive, integrated healthcare for patients. This is the story of one such patient and provides an account of the experience through quotes from videotaped sessions and electronic mail communications that occurred throughout…

This document discusses the application of a systems approach for family counseling for African American families with a family member infected with Acquired Immune Deficiency Syndrome (AIDS). It begins by citing statistics that illustrate that there exists a disproportionate representation of cases of AIDS among African Americans. A discussion on…

The success of crisis intervention work with international students is highly dependent not only on the skill of the professional staff involved, but also the availability and use of other student services that may be provided to the International Student Services (ISS) Office. There are many cultural issues that must be considered when counseling…

Explored emotional states of dying patients, age, and family support. Findings from 26 terminally ill female cancer patients revealed that younger patients expressed more bargaining and complaints than older patients who revealed more depression and acceptance. Patients with immediate family support expressed less depression and more fears than…