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Clinical Child Psychology and Psychiatry
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Children with HIV and AIDS: Challenges for the Family and the Professional

Rebekah Lwin

Great Ormond Street Hospital for Children

Candy Duggan

Great Ormond Street Hospital for Children

Since the 1982 report of AIDS in children, over five million children have been infected with HIV worldwide. The psychological and social implications of the disease for the family are extensive, varied and frequently challenge conventional approaches to therapeutic interventions. Effective professional help requires that the disease process be understood and its impact on individual family members, the family as a whole and the wider social and cultural system. Although there are similarities with other chronic illnesses, there are also features unique to HIV infection which require different management. These may have their greatest impact at different stages of the disease process. Some issues and dilemmas are discussed in relation to case histories and the provision of services at a tertiary referral hospital. The importance of acknowledging local expertise and collaborative shared care is emphasized.

Key Words: confidentiality • HIV/AIDS in children • long-term survival • professional issues in HIV/AIDS • testing • counselling

Clinical Child Psychology and Psychiatry, Vol. 1, No. 1, 45-58 (1996)
DOI: 10.1177/1359104596011005
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[Abstract]