Document 1003
 DOCN  M94A1003
 TI    Notification and counseling--two cases of hemophilia A patients.
 DT    9412
 AU    Murata R; Miura T; Hanabusa H; Department of Pediatrics, Haga Red Cross
       Hospital, Mohka City,; Tochigi, Japan.
 SO    Int Conf AIDS. 1994 Aug 7-12;10(2):230 (abstract no. PB0932). Unique
       Identifier : AIDSLINE ICA10/94371572
 AB    OBJECTIVE: It is very hard to perform notification of HIV infection to a
       patient who does not want to accept the truth. In such a case counseling
       is very useful to notify the fact of HIV infection. We report two cases
       of hemophilia A patients with successful notification of HIV infection
       by counseling. Cases: Case 1; A hemophilia A patient who did not want to
       accept the truth himself. Case 2; A hemophilia A patient whose family
       did not want to let him know the truth. RESULTS: In both cases we
       introduced counseling and notification was performed smoothly.
       DISCUSSION: To treat a patient with HIV infection smoothly, notification
       is essential. In our cases it was very important to examine the reasons
       why they were so anxious and what were the causes of their trembling. To
       resolve these problems, psychological treatment which fitted into a
       patient himself was needed in addition to a usual counseling by HIV
       manual.
 DE    Case Report  *Counseling  Family/PSYCHOLOGY  Hemophilia/*COMPLICATIONS
       Human  HIV Infections/*PSYCHOLOGY  Truth Disclosure  MEETING ABSTRACT

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