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Psychosocial Perspectives on Risk Behavior
83
Psychological Theories of Behavior Change
84
Social Science Perspectives on Behavior and Behavior Change
88
Interventions to Change Behavior
98
Individual-Focused Interventions
99
Community-Focused Interventions
114
Maintaining Behavior Change and Preventing Relapse,
116
Evaluating the Effects of AIDS Interventions
119
Conclusion and Recommendations
121
4
DISEASE PROGRESSION AND INTERVENTION
124
The Relationship Between HIV and the Central Nervous System
125
Effects of HIV on the Central Nervous System: Defining the Issues
Staging and Cellular Sites of Central Nervous System Infection in AIDS Dementia Complex
127
Mechanisms for Causing Symptoms
128
Mechanisms of Central Nervous System Injury
129
Significance of AIDS Dementia Complex for Other Central Nervous System Disorders
133
Clinical Significance of AIDS Dementia Complex
134
Interactions Among HIV, Substance Use, and Mental Illness
Alcohol and the Immune System
Drug Use and HIV/AIDS
135
Interventions for the Seriously Mentally Ill
140
The Relationship Between Psychosocial Factors and HIV Infection
Psychoneuroimmunology
141
Coping with HIV/AIDS
142
Caregiving for People with HIV/AIDS
145
151
PART II MANAGING THE AIDS RESEARCH PROGRAMSAT NIAAA, NIDA, AND NIMH:
5
THE CONTEXT OF AIDS PROGRAMS AT NIAAA, NIDA, AND NIMH
157
The Reorganization of ADAMHA
158