women action aids network common threads © hiv positive women the impact of violence vanessa...
TRANSCRIPT
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Women Action AIDS Network
COMMON THREADS ©
HIV Positive WomenThe Impact of Violence
Vanessa Johnson, JDNAPWA
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Common ThreadsDescription of Prevention Intervention
Common Threads is a three day small group prevention intervention designed to reduce HIV/AIDS related stigma by building the capacity of people living with HIV/AIDS to effectively share their life experiences in select geographical areas where there is a high incidence areas for HIV/AIDS.
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A Story of Two GirlsOne Story is About Thriving
One Story is About Being Buried Alive
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Theme: It’s Like Being Buried Alive
• Framework for this talk– An explanation of HIV vulnerability– How our ability to meet our needs impacts HIV
vulnerability– A look at some of the factors that lead to HIV
vulnerability through the use of a personal story
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Primary Factors Leading to HIV Vulnerability
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Primary Factors Leading to HIV Vulnerability
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Primary Factors Leading to HIV Vulnerability
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Maslow’s Hierarchy of Needs
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Maslow’s Hierarchy of Needs
• Physiological Needs– Breathing, drinking, eating, excretion, & sex– Can control thoughts and behaviors
• Safety Needs– Personal, financial, health, and well-being– Can lead to frustration, apathy, and weakness
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Maslow’s Hierarchy of Needs
• Social Needs– Friendship (or peer pressure), intimacy, family– Can overcome physiological and security needs– Can lead to loneliness, anxiety, and depression
• Esteem Needs– Self-esteem, self-respect, and to respect others– Feeling accepted and values– Low self-esteem, inferiority complexes, hyper seeking
attention, and depression
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Primary Factors Leading to HIV Vulnerability
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Family HistoryImportance
• Our most powerful memories and important experiences come from our families
• A knowledge of our family history helps us know who we are and makes sense of our lives
• The family tree can shows family connections between individuals and document their effects
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My Family History
My family history is one of love, spirituality, perseverance, and hard work. But it is also one with a history of substance use (alcohol, prescription drugs, and illegal drugs), violence (verbal, emotional, and physical), and sexual molestation/abuse. My family tree shows how this history flowed through the family, touching multiple generations.
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My Family Tree – Violence
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Family History
CHALLENGES• Vulnerability to HIV
Infection: Challenges– Emotions: Difficulty in
Expressing Feelings• Anger• Domestic Violence• Lack of Intimacy
– Mental Health Disorders: • Depression
– Coping Mechanism:• Withdrawal• Substance Use
STRENGTHS• Gateway to Recovery:
Strengths– Mother’s Resiliency– Generous spirit – Closeness:
• Family Gatherings• Available & Dependable in
Times of Need
– Open Minded: Celebrate diversity
– Father Valued Education
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Impact of Family HistoryUnmet Needs
• Family met survival needs• However, there were family
challenges to meeting– Safety needs– Love and belonging– Esteem needs
• Impact: Although I felt loved and wanted by my mother I also felt a tremendous amount of fear & anxiety as a result of family violence
FAMILY
HISTORY
FAMILY
HISTORY
Why me?Why me?
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Primary Factors Leading to HIV Vulnerability
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TimelineImportance
• A timeline shows events and when they occurred• A timeline allows one to plot events in a graphic way,
to see the possible relationships, to help memory, and to grasp how things my have happened in sequence.
• A timeline, especially going from earliest to latest, can suggest the possibility of cause and effect
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Impact of TraumaTrauma and HIV
• Research findings indicate that sexual abuse before age 1 8 increases a woman’s risk for becoming HIV-positive more than any other factor.
Why me?
TRAUMA
TRAUMA
I am alone.I am alone.
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Timeline Map
• Orange: Violence
• Blue: Sexual
Abuse Episodes
• Green: Substance
Use
• Purple: Positive
Events
• 1 st Red Line – first incidence of sexual molestation
• 2 nd Red Line – diagnosed with HIV
• Green Shading – exposed to substance use
• Light Purple Line – Entered an inpatient recovery program
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My Timeline Diagram
0 2 4 6 8 9 1
0
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4
1
6
1
8
2
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2
2
2
4
2
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exposure chaos recovery
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Response to TraumaSubstance Use and Sex
Age 1 6 • Started going out to clubs
Age 18 • Started binge drinking• Started smoking
marijuana• Promiscuity
Age 1 9 • Partner violence
Why me?
I am alone.SUBSTANCE
USE
SUBSTANCE
USE
I need to escape.I need to escape.
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Trauma History
CHALLENGES• Vulnerability to HIV
Infection: Challenges– Witnessed abuse at an
early age– Sexually molested at
an early age– Experienced intimate
partner violence– Relations with Male
Partners with HIV Vulnerabilities
STRENGTHS• Gateway to Recovery:
Strengths
– Family supportive– Family counseling– Family
acknowledgment of hurts
– Family realizing that HIV is a disease and not who I am
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Primary Factors Leading to HIV Vulnerability
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My Vulnerability to HIV was HighMultifactor Impact
• What I did not realized was that my genetics, race, gender, unmet human needs, family history, and trauma would invariably lead me on a collision course with HIV.
Why me?
I am alone.
I need to escape.
HIV
INFECTION
HIV
INFECTION
My life is over.My life is over.
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Living with the MonsterHIV Related Stigma
• The fear of discrimination, rejection (stigma), and violence keeps people from being tested for HIV, from seeking care and treatment if they are diagnosed HIV-positive, and from disclosing their HIV status to partners
Why me?
I am alone.
I need to escape.
My life is over.
STIGMA
STIGMA
I really am human underneath all this.I really am human underneath all this.
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Recovery
Age 36 • Entered Rehab • Family Counseling Age 37 • VolunteerAge 38 • Passed NY Bar Exam Age 4 2 • CDAACA Age 4 8 • NAPWA
Finding Me Again
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Contact Information
Vanessa Johnson, JD
Executive Vice President
NAPWA
8401 Colesville Road
Suite 505
Silver Spring, MD 20910
240-247-1016 (p)
240-247-0574 (f)