A Couple’s Marital Disharmony and its Psychological Effects on their Children during the HIV Disclosure Process in Kenya
| Autor: | Grace Gachanja |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2015 |
| Předmět: |
lcsh:R5-920
HIV disclosure Lived experience lcsh:HN1-995 resource-poor nation Hiv testing Hiv disclosure medicine.disease Kenya parent HIV status disclosure Developmental psychology Acquired immunodeficiency syndrome (AIDS) medicine HIV/AIDS Full disclosure lcsh:Social history and conditions. Social problems. Social reform Psychology lcsh:Medicine (General) Clinical psychology psychological effects of HIV disclosure |
| Zdroj: | Health, Culture and Society, Vol 8, Iss 1, Pp 34-47 (2015) |
| ISSN: | 2161-6590 |
| Popis: | HIV-positive parents are challenged with disclosure to their children. Limited published data exists on how HIV-positive parents perform disclosure to all their children in the household. To start addressing this gap, data is presented on a couple’s HIV disclosure experiences to all their children. The couple participated in a larger study conducted to understand the lived experiences of HIV-positive parents and their children during the disclosure process in Kenya. Each underwent an individualized in-depth semi-structured interview. Their interviews were transcribed and transferred into NVivo 8 for analysis using the Van Kaam method. Three themes emerged including HIV testing, full disclosure delivery accompanied by marital disharmony, and post-disclosure psychological effects on the family. The couple’s narration of their diagnoses, and disclosure experiences to their children differed significantly. Ongoing poor paternal health caused persistent inquisitive questions from children. A poor paternal-children relationship, accompanied with his avoidance and non-involvement in disclosure matters caused the mother to fully disclose both parents’ illnesses to the four oldest children. These children were affected by disclosure and held animosity towards their father. One had an emotional outburst directed at the father, while another still displayed anger and withdrawal years later. Therefore, the couple was hesitant to fully disclose their illnesses to their youngest son and differed in how they wanted to disclose to him. HIV-positive parents with poor relationships among family members before HIV testing and/or disclosure should be provided with intense counseling aimed at increasing family cohesion. Extra support before, during, and after disclosure may be required for these families to increase positive outcomes. |
| Databáze: | OpenAIRE |
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