For people with HIV/AIDS (PWHA), partner loss has unique factors that complicate the grieving process and can lead to prolonged bereavement. Empirical evidence has demonstrated the benefits of emotional disclosure through therapeutic writing on physical symptoms, immune responses, and psychological distress. Therapeutic writing is based on the assumption that writing about one's deepest thoughts and feelings allows cognitive, behavioral, and kinesthetic processing of stressful life events and/or traumas. The present case study explores the benefits and challenges of using expressive writing, in addition to cognitive-behavioral therapy, to address partner loss and disenfranchised grief in the context of living with HIV. This article (a) reviews the literature on coping with loss and factors that can make PWHA more vulnerable to disenfranchised grief; (b) describes a former patient whose partner loss was complicated by lack of closure around the termination of his 6-year-long relationship, the death of that partner without the family informing him, and his anger surrounding his partner infecting him with HIV; and (c) discusses how the therapist created a comprehensive treatment plan using therapeutic writing to improve emotional processing. Results suggest that therapeutic writing assisted with symptom alleviation, improvement in psychological well-being, and increased overall quality of life. Although the loss of a partner is a common human experience, therapists need to be aware that PWHA may have additional or different care needs that can put them at risk of heightened or prolonged bereavement. Recommendations for using therapeutic writing are included. (PsycINFO Database Record (c) 2019 APA, all rights reserved).

中文翻译：

---

治疗性写作作为在HIV感染者中促进治疗过程的工具：一项研究伴侣丧失的案例研究。

对于艾滋病毒/艾滋病患者（PWHA），失去伴侣有独特的因素，使悲伤过程复杂化，并可能导致长期的丧亲。经验证据已证明，通过就身体症状，免疫反应和心理困扰撰写治疗文章，可以揭示情绪披露的好处。治疗性写作是基于这样的假设，即关于一个人最深层的思想和感情的写作允许对压力性生活事件和/或创伤进行认知，行为和动觉处理。本案例研究探讨了除了认知行为疗法之外，使用表达性写作来解决伴侣丧失和被感染艾滋病毒的痛苦中的好处和挑战。本文（a）回顾了有关应对损失的文献以及可能使PWHA更加容易遭受被剥夺权利的悲伤的因素；（b）描述了一名前患者，其伴侣的丧失因以下原因而终止：在长达6年的恋爱关系终止后缺乏封闭感，伴侣在没有家人通知的情况下死亡，以及他对伴侣的愤怒使他感染了艾滋病毒；（c）讨论治疗师如何通过治疗性写作来改善情绪处理的方式制定综合治疗计划。结果表明，治疗性写作有助于缓解症状，改善心理健康并提高整体生活质量。虽然失去伴侣是人类的普遍经历，治疗师需要意识到，PWHA可能还有其他或不同的护理需求，可能会使他们面临丧亲或丧亲的风险更高。包括使用治疗性写作的建议。（PsycINFO数据库记录（c）2019 APA，保留所有权利）。