University of South Africa, Department of Health Studies, Pretoria, South Africa.
Issues Ment Health Nurs. 2011;32(6):355-8. doi: 10.3109/01612840.2011.576128.
HIV thrives in an atmosphere of silence and secrecy. The stigma, real or feared, of HIV/AIDS is often a barrier to support and care that adolescent orphans need. The purpose of this article is to describe the burden of silence borne by adolescents orphaned by HIV and AIDS. A phenomenological study using photography and photo-elicitation was done among orphaned adolescents. Fifteen adolescents orphaned by HIV and AIDS, living in an urban area of South Africa, participated in the study. Participants photographed objects, such as graveyards, hearses, and a room where a parent committed suicide. These photographed objects were grouped as symbols of death. Nature and people also were photographed. Photo-elicitation revealed the psychosocial impact that results from the secrecy about parental cause of death. Implications for mental health practitioners are also discussed.
HIV 在沉默和秘密的氛围中茁壮成长。艾滋病毒/艾滋病的污名，无论是真实的还是担心的，往往是艾滋病毒孤儿获得支持和护理的障碍。本文的目的是描述艾滋病毒/艾滋病孤儿所承受的沉默负担。采用摄影和照片引发法对南非一个城市地区的艾滋病孤儿进行了一项现象学研究。15 名感染艾滋病毒/艾滋病的孤儿参加了这项研究。参与者拍摄了墓地、灵车和父母自杀的房间等物体。这些拍摄的物体被归类为死亡的象征。还拍摄了自然和人。照片引发揭示了对父母死因保密所产生的心理社会影响。还讨论了对心理健康从业者的影响。
