Bonuck K A
Montefiore Medical Center/Albert Einstein College of Medicine, Bronx, NY 10467-2490.
Soc Work Health Care. 1993;18(2):75-89. doi: 10.1300/J010v18n02_05.
AIDS has touched the nation's families on a number of levels. More than a decade into the epidemic, it is clear that the cultural, psychosocial, and functional impact of AIDS stretches beyond that on our traditional concept of kin to a broader view of family. At the cultural level AIDS has challenged our notions of who is and functions as a family, while also shaping our behaviors and language. Within families, the psychosocial impact of a family member having a stigmatized illness generates a range of emotional responses. While certain of these responses are common to all families, they will also vary by the family constellation affected. At the functional level we see an illness in which persons other than kin often play important caregiving roles. In all family types family caregiving for persons with AIDS brings about role reconfiguration, financial, and other impacts.
艾滋病在多个层面影响了美国的家庭。在这一流行病爆发十多年后,很明显,艾滋病在文化、心理社会和功能方面的影响,已超出了我们对传统亲属关系的概念,延伸到了更广泛的家庭观念。在文化层面,艾滋病挑战了我们对于谁是家庭成员以及家庭功能的观念,同时也塑造了我们的行为和语言。在家庭内部,家庭成员患有受歧视疾病所产生的心理社会影响引发了一系列情绪反应。虽然其中某些反应在所有家庭中都很常见,但它们也会因受影响的家庭结构不同而有所差异。在功能层面,我们看到一种疾病,在这种疾病中,亲属以外的人常常扮演重要的照料角色。在所有家庭类型中,为艾滋病患者提供家庭照料都会带来角色重新配置、经济及其他方面的影响。