The Journal of AIDS Research
Online ISSN : 1884-2763
Print ISSN : 1344-9478
ISSN-L : 1344-9478
Basic Skills Required to Change Complaints into Solutions in HIV Patients
A Case Study
Yumi OHSHITA
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2007 Volume 9 Issue 1 Pages 54-57

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Abstract
Objective: The purpose of this thesis was to provide an effective clinical social work practice model for HIV patients based on social constructionism. An example of how to address life problems of HIV patients by transforming their complaints into concrete solutions is shown.
Materials & Methods: The Coordinated Management of Meanings (CMM) theory was used to assess deviance amplifying feedback loops (DAFL), which were then altered by applying Solution Focused Brief Psychotherapy (SFBP) skills. Data were collected through a session with a subject, and the effectiveness of the approach was determined.
Results: Using the assessment framework and SFBP skills, the problems of the client were minimized, becoming minor challenges in his daily life. The assessment framework was useful in determining the recommended intervention point, while the SFBP skills were effective in focusing on this intervention point to promote alternative constitutive rules (cR) and regulative rules (rR). The client was able to control his problems as a result, thus allowing him to return to work. His social adaptation level also increased.
Conclusion: A clear area for intervention was illustrated in this case study. The approach involved minimal intervention in dealing with the client's life challenges, as well as facilitating the development of new social relationships. Such clinical social work practice can therefore be used to re-create and find solutions to complaints related to multiple problems.
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© The Japanese Society for AIDS Research
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