Quantcast

Subscribe to:
POZ magazine
Newsletters
Join POZ: Facebook MySpace Twitter Pinterest
Tumblr Google+ Flickr Instagram
POZ Personals
Sign In / Join
Username:
Password:
Welcome, Guest. Please login or register.
December 29, 2014, 01:13:44 AM

Login with username, password and session length


Members
Stats
  • Total Posts: 650642
  • Total Topics: 49677
  • Online Today: 182
  • Online Ever: 585
  • (January 07, 2014, 02:31:47 PM)
Users Online
Users: 5
Guests: 139
Total: 144

Welcome


Welcome to the POZ/AIDSmeds Community Forums, a round-the-clock discussion area for people with HIV/AIDS, their friends/family/caregivers, and others concerned about HIV/AIDS.  Click on the links below to browse our various forums; scroll down for a glance at the most recent posts; or join in the conversation yourself by registering on the left side of this page.

Privacy Warning:  Please realize that these forums are open to all, and are fully searchable via Google and other search engines. If you are HIV positive and disclose this in our forums, then it is almost the same thing as telling the whole world (or at least the World Wide Web). If this concerns you, then do not use a username or avatar that are self-identifying in any way. We do not allow the deletion of anything you post in these forums, so think before you post.

  • The information shared in these forums, by moderators and members, is designed to complement, not replace, the relationship between an individual and his/her own physician.

  • All members of these forums are, by default, not considered to be licensed medical providers. If otherwise, users must clearly define themselves as such.

  • Forums members must behave at all times with respect and honesty. Posting guidelines, including time-out and banning policies, have been established by the moderators of these forums. Click here for “Am I Infected?” posting guidelines. Click here for posting guidelines pertaining to all other POZ/AIDSmeds community forums.

  • We ask all forums members to provide references for health/medical/scientific information they provide, when it is not a personal experience being discussed. Please provide hyperlinks with full URLs or full citations of published works not available via the Internet. Additionally, all forums members must post information which are true and correct to their knowledge.

  • Product advertisement—including links; banners; editorial content; and clinical trial, study or survey participation—is strictly prohibited by forums members unless permission has been secured from POZ.

To change forums navigation language settings, click here (members only), Register now

Para cambiar sus preferencias de los foros en español, haz clic aquí (sólo miembros), Regístrate ahora

Finished Reading This? You can collapse this or any other box on this page by clicking the symbol in each box.

Author Topic: Body image research  (Read 2808 times)

0 Members and 1 Guest are viewing this topic.

Offline jsk3030

  • New Member
  • Posts: 2
Body image research
« on: September 21, 2006, 05:43:58 AM »
Hi
I am a Trainee Clinical Psychologist in London and I am currently designing a study investigating the experiences of gay men on HIV meds. I am particulalry interested in the impact of the meds on appearance and how this affects people. From informal reports it seems that many men's concerns about body changes are often not acknowledged or validated by clinicians. What are significant physical changes in the eye of the sufferer are unnoticeable or 'overlooked' by the medical professional. I am interested in whether this has been the case for many receivers of HAART and how they experience this. In addition, there are many sociocultural pressures on physical attractiveness in gay men, leading to increased vulnerability to body disatisfaction and eating problems. Is this an important issue for gay men and a major consideration when accepting treatment? Has it led to subsequent difficulties, either socially or psychologically?
I am going to carry out a handful of interviews in a clinic in London and would be very grateful if anybody can offer any suggestions for topics to cover or questions to ask. Is body image a major concern of your own and are there particular issues you think it would be interesting for me to explore?
Thank you very much for your time
Jamie

Offline wellington

  • Member
  • Posts: 508
  • Don't sweat the little things.
Re: Body image research
« Reply #1 on: September 21, 2006, 10:47:43 AM »
I'm not the spokesperson for gay men, so I can only offer what it has meant to me.

I've always been of a lean build - thank my dad's side of the family for that gene. I eat what I want, when I want. I don't pay much attention to what other people think of me - it's what I feel about myself that's paramount.

Before beginning HAART, I had dropped almost 25% of my body mass as a result of PCP. After that was cured, I began to put the mass back on because I was just way too thin - comparatively to what I was prior to getting ill. I've put back on all the mass and a little bit more. Now, my focus is on trimming up a little so I can resume the physique I've maintained for about the last 25 years.

So, aside from that brief blip on my appearance radar, I'd say there are no significant lingering affects related to HIV or medication.

Offline ACinKC

  • Member
  • Posts: 2,994
  • Bring it VIRUS! #2 Ranked In-crowd Member!
Re: Body image research
« Reply #2 on: September 21, 2006, 10:58:26 AM »
Question for you Mr. Trainee....

Why is it just for GAY men?  If my body gets outta whack you can bet the ol wifey aint gonna wanna hang on to the buffalo hump while riding the slick willy pole ride!!!
LIFE is not a race to the grave with the intention of arriving safely
in a pretty and well-preserved body, but, rather to skid in broadside,
thoroughly used up, totally worn out, and loudly proclaiming--WOW! WHAT A
RIDE!!!

Offline wellington

  • Member
  • Posts: 508
  • Don't sweat the little things.
Re: Body image research
« Reply #3 on: September 21, 2006, 11:13:55 AM »
Maybe it's one of "those" clinics ;)

Offline ACinKC

  • Member
  • Posts: 2,994
  • Bring it VIRUS! #2 Ranked In-crowd Member!
Re: Body image research
« Reply #4 on: September 21, 2006, 11:22:30 AM »
You Gay guys are SOOOOO lucky gettin your own clinics and all!  LOL   ;D
LIFE is not a race to the grave with the intention of arriving safely
in a pretty and well-preserved body, but, rather to skid in broadside,
thoroughly used up, totally worn out, and loudly proclaiming--WOW! WHAT A
RIDE!!!

Offline newt

  • Member
  • Posts: 3,887
  • the one and original newt
Re: Body image research
« Reply #5 on: September 21, 2006, 12:27:59 PM »
1. You will please post the full study protocol, including details of local ethics committee approval, community participation in the steering group/study design, supervisor(s), or make this information available via the web or email.

2. Please supply an email address for enquiries.

3. Which London clinic?

4. Why only gay men? You should see what a vanishing bum n thighs does for the self-esteem of an African woman (etc etc, good point ACinKC).

5. Is the subjective perception to be correlated with objective measurement eg DEXA scans etc, and weighted for HAART regime (eg literature shows AZT, d4T more likely to cause fat loss than tenofovir, abacavir) and length of diagnosis plus treatment history.

6. "sufferer" is er, bad word, bad word.

7. Following Weatherburn et al I don't count different groups of gay men/"men who have sex with men" as a homogeneous group with a common conception of self, therefore conclude that your study is based on a category mistake.  There may be a narrow (or even wide) sub-group of gay men that fit into your framework, but selecting carefully for participation in this sub-group may lead to a bias in the design because it excludes gay men who don't give a shit about pecs, Aussie Bum caks etc.

8. I can assure you, not looking like Skeletor crossed with Mr Burns is a serious wish when using combo, it's a real downer, gay or not.  You don;t really need to study that one.

Have I been hard? I am trying to encourage you to think harder, to involve some of the smart community people in the study, to do something useful to HIV-positive people rather than your ClinPsych qualification. And make the study protocol available etc.

Horne & Fisher et al (among others elsewhere) may have answered this already, or provide supporting evidence for the study, in a paper presented at the 7th BHIVA Conference (2001) - "Beliefs about HIV and HAART and the decision to accept or reject HAART", published in HIV Medicine vol2 issue 3:

"RESULTS: Twenty-three (66%) patients accepted HAART and 12 (34%) refused. The decision to accept or decline HAART was in influenced by personal beliefs about HIV and HAART. Declining HAART was associated with doubts about its personal necessity (t = ± 3.12; P < 0.005) and to a range of concerns about potential adverse effects (t = 2.58; P < 0.05). Individuals were significantly more likely to accept HAART if their perceptions of personal necessity outweighed their concerns about adverse effects of HAART (t = ± 4.18; P < 0.001) and if they had experienced more HIV-related symptoms (t = ± 2.10; P < 0.05), especially if these fluctuated over time (t = ±2.55; P < 0.05)."

- matt
« Last Edit: September 21, 2006, 04:44:51 PM by newt »
"The object is to be a well patient, not a good patient"

Offline GSOgymrat

  • Member
  • Posts: 5,054
  • HIV+ since 1993. INTJ
Re: Body image research
« Reply #6 on: September 21, 2006, 12:44:17 PM »
I think the poster is just trying to get an idea for a study and hasn't worked out the details yet.

Offline Markmt

  • Member
  • Posts: 179
Re: Body image research
« Reply #7 on: September 21, 2006, 01:24:56 PM »
Been on meds for two years I am 44 I dont feel I eat too much but I am unhappily overweight :(. I dont know if its the meds, age, slow metabolism or a mixture of all. I think the question would be valid for any gender and sexuality.
"Live to love and love to live."

Leo Buscaglia

Offline Iggy

  • Member
  • Posts: 2,435
Re: Body image research
« Reply #8 on: September 21, 2006, 01:29:31 PM »
.
« Last Edit: January 12, 2007, 09:00:07 PM by Iggy »

Offline ACinKC

  • Member
  • Posts: 2,994
  • Bring it VIRUS! #2 Ranked In-crowd Member!
Re: Body image research
« Reply #9 on: September 21, 2006, 04:41:56 PM »
Uhhhh yeah... what Newt said.
LIFE is not a race to the grave with the intention of arriving safely
in a pretty and well-preserved body, but, rather to skid in broadside,
thoroughly used up, totally worn out, and loudly proclaiming--WOW! WHAT A
RIDE!!!

Offline Matty the Damned

  • Member
  • Posts: 12,244
  • Ninja Please
Re: Body image research
« Reply #10 on: September 21, 2006, 05:25:21 PM »
Why do apprentice pyschologists always take such a ham-fisted approach to these things? I guess it's due to the fact that psychology isn't a real science anyway.

MtD
(Who is a snooty sociologist)

Offline jsk3030

  • New Member
  • Posts: 2
Re: Body image research
« Reply #11 on: September 22, 2006, 10:27:20 AM »
I am very sorry if Iíve insulted anybody. Rereading my initial posting I realise it does appear clumsy and thoughtless. Thanks for your points, Newt. I am still at a very early stage in designing this study and it is clear that there are a lot of things for me to consider.
I agree that physical changes caused by HIV meds affect everyone regardless of sexuality, sex etc. I think that my reasoning for focusing on gay men is that studies suggest that they have increased vulnerability to body dissatisfaction and related problems. There seem to be greater, or different, pressures on physical appearance than on heterosexual men and this may affect their experiences with HAART. But I agree that appearance is important to everyone, regardless of who they sleep with. Although gay men are by no means a homogenous group, and that itís such a blunt label to use, I thought that it would be helpful to focus on that specific population.
I am still very new to the area of HIV research and intervention and I am still learning. I hope to get community group involvement in the study if it goes ahead. And as for psychologists tending to be aloof and hamfisted, yep, Iíd be the first to agree! I think itís slowly changing though. I hopeÖ
jamie

Offline RobT

  • Member
  • Posts: 319
Re: Body image research
« Reply #12 on: September 23, 2006, 01:48:17 AM »
I have always had a bad image problem. I do not think that being on meds factored into it that much. I know that it was a factor, but my image problem has always been there.
I feel sick if I do not go to the gym. I usually spend an hr plus per day, but my work and school schedule does not give me that opportunity. I now go when I can. I need to get an exercise ball and workout @ home, when I cannot make it to the gym. I usually workout my legs, chest/abs, and upper body @ the gym; which I can do @ home.
I limit what I can eat, cuz I feel sick if I over eat. I know that if I do those 2 things, then I will get fat. 2 me, there is nothing worse than being both HIV and fat.

RobT


Current meds: Atripla
VL: undetectable
CD4: 630

Offline bear60

  • Member
  • Posts: 4,105
Re: Body image research
« Reply #13 on: September 23, 2006, 12:48:47 PM »
What Newt said.!!!
Poz Bear Type in Philadelphia

Offline Eldon

  • Member
  • Posts: 2,664
Re: Body image research
« Reply #14 on: September 23, 2006, 06:16:30 PM »
Hello Jsk3030, it is Eldon.


Newt does have a valid point when you read over his post.


Have the BEST Day!

Offline BillyPsych

  • Member
  • Posts: 10
Re: Body image research
« Reply #15 on: September 24, 2006, 12:36:58 AM »
Jamie:  There have been quiet a few replys to your initial question.  And "yes" there have been numerous other clinical studies looking at body dysmorphia and HAART.  But to answer just your question about whether or not clinicians consider these changes when suggesting HAART, it has been my experience (and only mine, so I can't speak for other people) that those possible body changes FAR outweigh the benefits and from a biological view they do have a valid argument.  From a psychological standpoint the view is somewhat different and medical clinicians typically primarily only look at the biology whereas the patient takes BOTH into consideration.

So for me:  YES, I would have to think harder about taking a medication that may give me a big ole hump.  Let's face it, I'm a little vain.

Billy

If my comment offended anyone I certainly did not mean for that happen.

Offline alive2

  • Member
  • Posts: 78
  • i guess im having a good day
Re: Body image research
« Reply #16 on: September 25, 2006, 01:21:41 PM »
Question for you Mr. Trainee....

Why is it just for GAY men?  If my body gets outta whack you can bet the ol wifey aint gonna wanna hang on to the buffalo hump while riding the slick willy pole ride!!!
yes sir i do agree with this statement.im not gay but why is it just a gay study?is this your premise as to your sexual orientation?because it isnt to well received by myself being left out because i mongea on carpet.i have no problems at all with people who have a different lifestyle at all,its part of life to have diversity and to the research should reflect the same.also i would like to add the newt has said many very smart things in responce to the original post.i hope noones toes feel like im stepping on them,im running over them to get a word in thats all.take care

 


Terms of Membership for these forums
 

© 2014 Smart + Strong. All Rights Reserved.   terms of use and your privacy
Smart + Strong® is a registered trademark of CDM Publishing, LLC.