Jayle D, Tourette-Turgis C
Unité d'immunologie clinique, Hôpital Broussais, Paris.
Rev Prat. 1995 Mar 15;45(6):690-4.
The prevention of AIDS can no longer rely solely on the wide availability of facts regarding the modes of contamination and the means of protection. Although almost everyone is now properly informed, and many are fully aware of the issues involved, still the epidemics keeps on developing. Therefore, time has come to recognize that new approaches have to be found. For example, we must take into account the psychic, social and cultural elements that define human sexuality. Putting the stress on changing someone's behaviours can induce a negative reaction if the injunction applied are deemed oppressive. Physicians must first of all be able to determine the type of prevention best suited to the particular situation of the patient that implies the setting up of a relationship based on mutual trust and listening. Counselling methods are an integral part of the health education strategies that can be applied by physicians.
艾滋病的预防不能再仅仅依赖于广泛传播有关感染方式和防护手段的信息。尽管现在几乎每个人都已得到适当的告知，而且许多人也充分意识到了相关问题，但疫情仍在不断发展。因此，现在是时候认识到必须找到新的方法了。例如，我们必须考虑到界定人类性行为的心理、社会和文化因素。如果所施加的禁令被认为具有压迫性，强调改变某人的行为可能会引发负面反应。医生首先必须能够确定最适合患者具体情况的预防类型，这意味着要建立基于相互信任和倾听的关系。咨询方法是医生可以采用的健康教育策略的一个组成部分。
