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Mark Vosvick, Ph.D. Associate Professor and Director The Center for Psychosocial Health Research Current Behavioral & Psychosocial Interventions for HIV/AIDS The University of North Texas Center for Psychosocial Health Research

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Page 1: Mark Vosvick, Ph.D. Associate Professor and Director The Center for Psychosocial Health Research The University of North Texas Center for Psychosocial

Mark Vosvick, Ph.D.Associate Professor and Director

The Center for Psychosocial Health Research

Current Behavioral & Psychosocial

Interventions for

HIV/AIDS

The University of North Texas Center for Psychosocial Health Research

Page 2: Mark Vosvick, Ph.D. Associate Professor and Director The Center for Psychosocial Health Research The University of North Texas Center for Psychosocial

Before 1996 After 1996

"I was a walking skeleton before I began therapy . . . no one would buy things from my shop. But now I am fine again. My wife has

returned to me and my children are not ashamed to be seen with me".

Highly Active Antiretroviral Therapy (HAART)

The University of North Texas Center for Psychosocial Health Research

Page 3: Mark Vosvick, Ph.D. Associate Professor and Director The Center for Psychosocial Health Research The University of North Texas Center for Psychosocial

Current Antiretroviral Medications

The University of North Texas Center for Psychosocial Health Research

Page 4: Mark Vosvick, Ph.D. Associate Professor and Director The Center for Psychosocial Health Research The University of North Texas Center for Psychosocial

Jeffrey A. Kelly, Ph.D.Medical College of WisconsinCenter for AIDS Intervention Research (CAIR)

Popular Opinion Leader (POL)

The University of North Texas Center for Psychosocial Health Research

Knowledge

Persuasion

Decision

Implementation

Confirmation

Diffusion of Innovations, By Everett Rogers (1995)

Page 5: Mark Vosvick, Ph.D. Associate Professor and Director The Center for Psychosocial Health Research The University of North Texas Center for Psychosocial

Stress

AppraisalCoping

Richard S. LazarusProfessor of Psychology, Emeritus

UC Berkeley1922 – 2002

The University of North Texas Center for Psychosocial Health Research

Page 6: Mark Vosvick, Ph.D. Associate Professor and Director The Center for Psychosocial Health Research The University of North Texas Center for Psychosocial

Coping and Social Support

(Community and Individual)

Mental Health Outcomes

-Negative-Positive

Characteristics of Minority Identity

-Prominence-Valence-Integration

General Stressors

Minority Stress Processes (Distal)

-Prejudice Events (Discrimination, Violence)

Minority Stress Processes (Proximal)

-Expectations of Rejection-Concealment-Internalized Homophobia

Circumstances in the Environment

Minority Identity

(Gay, Lesbian, Bisexual)

Minority Status

-Sexual Orientation-Race/Ethnicity-Gender

A Minority Stress Model Ilan Meyers

The University of North Texas Center for Psychosocial Health Research

Page 7: Mark Vosvick, Ph.D. Associate Professor and Director The Center for Psychosocial Health Research The University of North Texas Center for Psychosocial

Social Support

The University of North Texas Center for Psychosocial Health Research

Page 8: Mark Vosvick, Ph.D. Associate Professor and Director The Center for Psychosocial Health Research The University of North Texas Center for Psychosocial

AdherenceThe University of North Texas Center for Psychosocial Health

Research

Page 9: Mark Vosvick, Ph.D. Associate Professor and Director The Center for Psychosocial Health Research The University of North Texas Center for Psychosocial

Safe Sexual Behaviors

The University of North Texas Center for Psychosocial Health Research

Page 10: Mark Vosvick, Ph.D. Associate Professor and Director The Center for Psychosocial Health Research The University of North Texas Center for Psychosocial

Safe Sexual BehaviorsPrevention strategies that do not solely rely on male condoms:

The use of HIV antibody testing and `negotiated safety‘

Abstinence

Control of sexually transmitted diseases

Treatment advances as prevention

woman-controlled technologies

Structural interventions

Psychopharmacology to assist with behavior change.

The University of North Texas Center for Psychosocial Health Research

Page 11: Mark Vosvick, Ph.D. Associate Professor and Director The Center for Psychosocial Health Research The University of North Texas Center for Psychosocial

Forgiveness

Frederic Luskin, Ph.D.Associate Professor- Stanford University

Director of the Stanford Forgiveness Projects

The University of North Texas Center for Psychosocial Health Research

Page 12: Mark Vosvick, Ph.D. Associate Professor and Director The Center for Psychosocial Health Research The University of North Texas Center for Psychosocial

Mark Vosvick, Ph.D.Associate Professor and Director

The Center for Psychosocial Health Research

CurrentBehavioral & Psychosocial

Interventions for

HIV/AIDS

The University of North Texas Center for Psychosocial Health Research