Revelação do diagnóstico da infecção pelo HIV no contexto do aconselhamento: a versão do usuário

The present study emerged from a research done in two Testing and Couseling Centers for STD/AIDS in São Paulo. It aims at describing the reagent HIV test disclosure processes within the context of the serological counseling. The study involved 14 subjects interviewed after they were disclosed their test results. In the analysis and understanding of the counseling processes investigated, concepts from D. W. Winnicott’s psychoanalytical theory were applied. The results showed that facing the HIV infection diagnosis and being willing to take care of one’s health after the reagent result disclosure have different effects on the subjects, depending on how the counseling takes place. From one side, they can have the opportunity to confront themselves, their own problems and the anguish generated by the result disclosure, observing more or less psychic integrity from the subjects. On the other hand, this was not observed in cases where the subjects did not feel welcome and supported during counseling. It is important that an intersubjective relationship of support be established on the moment of the reagent HIV result 1 Endereço para correspondência: Praça Baronesa de Bocaina, 83. Sumarezinho. São Paulo. SP. Brasil. CEP: 05440-030. E-mail: dmfcm@usp.br e albereis@usp.br Moreno, D. M. F. C., Reis, A. O. A. 592 disclosure so that the counseling can fulfi ll its strategic function to focus on the specifi c problem and the healthiest resources from the individual.