There is an urgent need for collaborative efforts between nations and disciplines, as not only the spread of AIDS is at stake, but also the longevity and quality of life of those afflicted.
In conclusion, this study highlights the need to make comparative investigations of how people respond to having AIDS and ARC in various cities, nations, and cultures. A better understanding of these different responses could lead to more effective and compassionate medical and mental health interventions that are appropriate for the values, proclivities, and perspectives of the populations targeted for care.
Special thanks are extended to Marcelle Kardush, Ph.D., whose support and guidance were deeply appreciated in reviewing an earlier version of this study submitted by the first author as a Master's thesis to San Francisco State University. Thesis advisors Virginia Saunders, Ph.D., and Sheila Zipf, Ph.D., also contributed helpful editorial suggestions. We would like to express our gratitude to the individual members of the Biopsychosicial AIDS Project and participants in Dr. Temoshok's Clinical Health Psychology seminar (both at UCSF), who were extremely helpful in providing comments and insights throughout the development of this study.
Funding for the London portion of the study was provided through the University Research Expeditions Program, Berkeley. The San Francisco component was supported by National Institute of Mental Health Grant #MH 39344 ( Lydia Temoshok, Ph.D., Principal Investigator). Dr. Zich's involvement in this research was supported by National Research Service Award #1F 32 MH09046 and by Clinical Investigator Award #1 K08 MH00608, both from the National Institute of Mental Health.
We are indebted to Anthony Pinching, M.D., and John Green, Ph.D., at St. Mary's Hospital in London, who generously agreed to allow us to interview persons with AIDS there and helped with logistical arrangements. We also thank Dr. Jackie Parkins and Dr. Jonathon Weber for referring their patients to the study. At St. Stephen's Hospital, Charles Farthing, M.D., and John Shine were extremely helpful in allowing us to interview patients and arranging interviews. David Miller, now Principal Psychologist at James Pringle House, Middlesex Hospital, provided invaluable information and insights about psychological aspects of AIDS in London.
We wish to acknowledge, in particular, the participants in the 1985 UREP Program in London who conducted the London interviews along with Drs. Temoshok and Zich: Cisca Arndt, B.A., Julia Gregg, R.N., Carl Hopkins, Ph.D., Joy Key, R.N., Steve Marson, M.S.W., June Mathwich, L.P.N., Mary Merwin, Ph.D., Karla Necessary, M.A., and Marilyn Nichols, R.N. In San Francisco, the interviews were conducted by Jeffrey M. Moulton, Ph.D.,