| Abstract: | Many women of low socioeconomic status who have contracted HIV qualify for individual, dual, and multiple psychiatric diagnoses that predate their knowledge of their HIV infection. Two case studies of HIV-infected women are presented. Psychoactive substance use disorders are the most common Axis I diagnoses, followed by depression. The most frequently diagnosed Axis II disorders are borderline and antisocial personality disorders. These women reported histories that often included alcohol and other drug use, childhood sexual abuse, violent interpersonal relationships, depression, and learning disabilities. Earlier intervention addressing these problems might have prevented the onset of psychiatric disorders as well as high-risk behaviors that lead to HIV infection. |
