Musacchio de Zan A, D'Agnone O A
Med Law. 1989;8(2):119-23.
Current research in Buenos Aires shows that approximately 35 per cent of intravenous users are HIV positive. These patients have behaviour disorders. Usually they are sent from one specialist to another, which increases their anxiety that originated in their suspicion of a serious prognosis. They are listened to when they discuss their disease but not enough when they try to talk about themselves as people with doubts about their future. Unconsciously physicians are trying to avoid involvement in the anxiety of the patient by means of a referral to a psychiatric consultation. The psychiatrist must handle this situation as a crisis in the doctor-patient relationship (both need help) to preventing further acts, additional anxiety and psychotic reactions. These patients need strong support not only because of the seriousness of the disease but also because of the situation of abstinence. Global treatment of a patient should be unified and managed by a physician with psychological training or assessed by one liaison psychiatrist, trying to avoid any split in the health team.
布宜诺斯艾利斯目前的研究表明，约35%的静脉注射吸毒者感染了艾滋病毒。这些患者存在行为障碍。通常他们会从一个专科医生被转诊到另一个专科医生那里，这加剧了他们因怀疑病情严重而产生的焦虑。当他们讨论自己的疾病时会有人倾听，但当他们试图作为对未来充满疑虑的人谈论自己时，倾听就不够了。医生们不自觉地试图通过转介到精神科会诊来避免卷入患者的焦虑之中。精神科医生必须将这种情况视为医患关系中的一场危机（双方都需要帮助），以防止进一步的行为、额外的焦虑和精神反应。这些患者不仅因为疾病的严重性，还因为禁欲的状况而需要强有力的支持。对患者的整体治疗应该由经过心理培训的医生统一管理，或者由一名联络精神科医生进行评估，尽量避免医疗团队出现任何分裂。
