Abstract
The Latino community in New York City and across the country is disproportionally represented in the AIDS epidemic. This article explores the impact of multiply oppressed group membership on the psychotherapeutic group treatment of Latino, HIV-infected injecting drug users. The interaction of traditional Latino values with injecting drug user and seropositive identities is described. Clinical examples drawn from a bilingual group held in a methadone maintenance clinic in the South Bronx highlight how oppressed group memberships affect Yalom's curative factors.
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Anglin, M., Booth, M., Ryan, T., & Hser, Y. I. (1988). Ethnic differences in narcotics addiction: Chicano and Anglo addiction career patterns.International Journal of the Addictions, 23(12), 1011–1027.
Badillo-Ghali, S. (1982). Understanding Puerto Rican traditions.Social Work, 27(1), 98–102.
Blechner, M. J. (1993). Psychoanalysis and HIV disease.Contemporary Psychoanalysis, 29(1), 61–80.
Canino, G., & Canino, I. (1980). Impact of stress on the Puerto Rican family: Treatment considerations.American Journal of Orthopsychiatry, 50, 535–541.
Centers for Disease Control. (1993, October).HIV/AIDS surveillance report. Atlanta: US Department of Health and Human Services.
Child, R., & Getzel, G. S. (1990). Group work with inner city persons with AIDS. In J. H. Schopher & M. I. Galinsky (Eds.),Groups in health care settings (pp. 65–80). New York: Haworth Press.
Chung, J. Y., & Magraw, M. M. (1992). A group approach to psychosocial issues faced by HIV-positive women.Hospital and Community Psychiatry, 43(9), 891–894.
Church, G. J., Goodgame, D., Leavitt, R., & Lopez, J. (1985, July). Hispanics: A melding of cultures.Time, 36–39.
De La Cancela, V. (1989). Minority AIDS prevention: Moving beyond cultural perspectives towards a sociopolitical empowerment.AIDS Education and Prevention, 1(2), 141–153.
De La Cancela, V., Flateau, A., & Hall, J. Y. (1993). Latinos, substance use and HIV/AIDS: Prevention and treatment issues for comprehensive service delivery.Journal of Multi-Cultural Community Health, 1(1), 33–40.
De La Rosa, M. (1991). Patterns and consequences of illegal drug use among Hispanics. In M. Sotomayor (Ed.),Empowering Hispanic families: A critical issue for the '90s. Milwaukee: Families International.
Delgado, M. (1983). Hispanics and psychotherapeutic.International Journal of Group Psychotherapy, 33(4), 507–520.
Delgado, M., & Humm-Delgado, D. (1982). Natural, support systems: Source of strength in Hispanic communities.Social Work, 27(1), 83–89.
Espin, O. M. (1987). Psychological impact of migration on Latinas: Implications for psychotherapeutic practice.Psychology of Women Quarterly, 11, 489–503.
Freire, P. (1983).Pedagogy of the oppressed. New York: Continiuum.
Garcia-Preto, N. (1982). Puerto Rican families. In M. McGoldrick, J. K. Pearce & J. Giordano (Eds.)Ethnicity and family therapy. New York: Guilford Press.
Gomez, A. G., & Vega, D. M. (1981). The Hispanic addict. In J. H. Lowinson & P. Ruiz (Eds.),Substance abuse: Clinical problems and perspectives (pp. 717–728). Baltimore: Williams & Wilkins.
Grace, W. C., Genser, S. G., & Coslett, R. N. (1992). Psychotherapeutic principles and AIDS counseling for drug injectors.Focus, 8(2), 1–4.
Harrison, B. W. (1985).Making the connections: Essays in feminist social ethics. Boston: Beacon Press.
Inclan, J., & Hernandez, M. (1992). Cross-cultural perspectives and codependence: The case of poor Hispanics.American Journal of Orthopsychiatry, 62(2), 245–255.
Langrod, J., Alksne, L., Lowinson, J., & Ruiz, P. (1981). Rehabilitation of the Puerto Rican addict: A cultural perspective.International Journal of the Addictions, 16(5), 841–847.
Lawson, G. W. (1984). Group counseling in the treatment of chemical dependency. In G. W. Lawson, D. C. Ellis, & P. C. Rivers (Eds.),Essentials of chemical dependency counseling. Gaithensburg, MD: Aspen.
Levine, E. S., & Padilla, A. M. (1980).Crossing cultures in therapy: Pluralistic counseling for the Hispanic. Monterey, CA: Brooks/Cole.
Marcos, L. R. (1988). Understanding ethnicity in psychotherapy with Hispanic patients.American Journal of Psychoanalysis, 48(1), 35–42.
Marin, B. V. (1990). Drug abuse treatment for Hispanics: A culturally appropriate, community-oriented approach. In R. R. Watson (Ed.),Prevention and treatment of drug and alcohol abuse. Clifton, NJ: Humana Press.
Marin, B. V., & Marin, G. (1990). Effects of acculturation on knowledge of AIDS and HIV among Hispanics.Hispanic Journal of Behavioral Sciences, 12(2), 110–121.
McKinley, V. (1987). Group therapy as a treatment modality of special value for Hispanic patients.International Journal of Group Psychotherapy, 37(2), 255–268.
Millan, F., & Chan, J. (1991). Group therapy with inner-city, Hispanic, acting-out, adolescent males: Some theoretical observations.Group, 15(2), 109–115.
Millan, F., Cherry N., Elia, N., Romano, K., Winiarski, M., & Caban, M. (1993, June). Oppressed group membership and group therapy with HIV-infected, Latino injection drug users. Paper presented at the 19th International Conference on AIDS, Berlin.
New York City Department of Health. (1993, October).AIDS surveillance update. New York: Office of AIDS Surveillance, NYC Department of Health.
Nine-Curt, C. J. (1983).Intercultural interaction in the Hispanic-Anglo ESL classroom from a non-verbal perspective. Puerto Rico: University of Puerto Rico.
Padilla, M. A. (1981). Pluralistic counseling and psychotherapy for Hispanic Americans. In A. J. Marsella & P. B. Pedersen (Eds.),Cross-cultural counseling and psychotherapy. New York: Pergamon Press.
Price, R. E., Omizo, M. E., & Hammett, V. L. (1986). Counseling clients with AIDS.Journal of Counseling and Development, 65, 96–97.
Soriano, F. I. (1991). AIDS: A challenge to Hispanics and their families. In M. Sotomayor (Ed.),Empowering Hispanic families: A critical issue for the '90s. Milwaukee: Families International.
Sue, D. W. (1978). Eliminating cultural oppression in counseling: Toward a general theory.Journal of Counseling Psychology, 5, 419–428.
Torres-Matrullo, C. (1976). Acculturation and psychopathology among Puerto Rican women in mainland United States.American Journal of Orthopsychiatry, 46, 710–719.
Tunnel, G. (199?).
Werbin, J., & Hynes, K. (1975). Transference and culture in a Latino group.International Journal of Group Psychotherapy, 25, 396–401.
Winiarski, M. G. (1991).AIDS-Related psychotherapy. Needham Heights, MA: Allyn & Bacon.
Wurzman, I., Rounsaville, B. J., & Kleber, H. D. (1983). Cultural values of Puerto Rican opiate addicts: An exploratory study.American Journal of Drug and Alcohol Abuse, 9(2), 141–153.
Yalom, I. D. (1975).The theory and practice of group psychotherapy (2nd ed.). New York: Basic Books.
Zayas, L. H., & Bryant, C. (1984). Culturally sensitive treatment of adolescent Puerto Rican girls and their families.Journal of Child and Adolescent Social Work, 1(4), 235–253.
Zayas, L. H., & Palleja, J. (1988). Puerto Rican familism: Considerations for family therapy.Family Relations, 37(3), 260–264.
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This article was written with the support of a Ryan White CARE Act Title I grant to Montefiore Medical Center through the City of New York, contract OHF-4165.
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Millan, F., Ivory, L.I. Group therapy with the multiply oppressed: Treating Latino, HIV-infected injecting drug users. Group 18, 154–166 (1994). https://doi.org/10.1007/BF01456586
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DOI: https://doi.org/10.1007/BF01456586