Ostrow D G
Int J Neurosci. 1987 Feb;32(3-4):647-59. doi: 10.3109/00207458709043319.
As the AIDS epidemic has unfolded, a growing number of psychiatric consequences have been manifested. Based on his experiences as a researcher, clinician, and public health advisor, the author presents a number of conceptual models to assist in our understanding of the psychological, social and political consequences of AIDS, fear of AIDS, and infection with the Human Immunodeficiency Virus (HIV). These include a structural model for AIDS related behavioral change, a psychosocial model of the various types of social response, a biological model, and an integrated model for psychiatry's role in promoting positive social change which will control the spread of disease and fear. The author concludes that the magnitude of the psychiatric challenges of AIDS and the potential "holocaust" outcome if we fail to properly address that challenge necessitate the active mobilization of the mental health professions.
随着艾滋病疫情的发展，越来越多的精神方面的后果显现出来。基于其作为研究者、临床医生和公共卫生顾问的经验，作者提出了一些概念模型，以帮助我们理解艾滋病的心理、社会和政治后果、对艾滋病的恐惧以及人类免疫缺陷病毒（HIV）感染。这些模型包括一个与艾滋病相关行为改变的结构模型、一个关于各类社会反应的心理社会模型、一个生物学模型以及一个关于精神病学在促进积极社会变革中所起作用的综合模型，这种积极社会变革将控制疾病和恐惧的传播。作者得出结论，艾滋病带来的精神方面挑战的规模以及如果我们未能妥善应对这一挑战可能产生的潜在“大屠杀”后果，使得必须积极动员精神卫生专业人员。
