The experiences of transgender individuals have been reflected in the stigma-sickness slope in which early stigma leads to marginalization and discrimination, placing an individual at risk for poverty and engagement in higher risk behaviors, eventually leading to sickness, such as HIV infection. For instance, the prevalence of HIV infection among transwomen is 49 times greater than among the general population. Traditional models of care provision for transgender individuals with HIV do not consider the burdens of multiple comorbidities and fear of discrimination impacting access and engagement in HIV medical care and psychotherapy. The present case study will describe how evidence- and strengths-based treatments can be flexibly integrated to promote sustained engagement in psychotherapy and improve patient outcomes. Our patient, a Latina transwoman, presented to psychotherapy at the time of her HIV diagnosis with mental and physical health concerns representative of marginalized populations. Nearly 3 years of treatment with 2 therapists in a medical setting are detailed, illustrating the realistic delivery of evidence-based care to promote minority resilience and disrupt the stigma-sickness slope. Through this case study, we present recommendations to address barriers to care. (PsycINFO Database Record (c) 2019 APA, all rights reserved).

中文翻译：

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“被诊断出感染了艾滋病是我一生的锦上添花”：一项案例研究，通过在耻辱-疾病斜率上采取灵活的干预措施来增强适应力。

跨性别者的经历已反映在耻辱-病态斜率上，早期的耻辱感导致边缘化和歧视，使个人面临贫困风险和参与较高风险的行为，最终导致疾病，例如艾滋病毒感染。例如，跨性别人群的艾滋病毒感染率是普通人群的49倍。为跨性别感染艾滋病毒的人提供医疗服务的传统模式没有考虑多重合并症的负担，也没有担心歧视会影响艾滋病毒医疗和心理治疗的获得和参与。本案例研究将描述如何灵活地整合基于证据和优势的治疗方法，以促进持续参与心理治疗并改善患者预后。我们的病人 一位拉丁裔跨性别女性，在诊断出HIV时接受了心理治疗，其心理和身体健康受到关注，代表着边缘化人群。详细介绍了在医疗机构中由2位治疗师进行的近3年的治疗，这说明了现实中提供循证护理的事实，以提高少数群体的适应能力并破坏耻辱感。通过本案例研究，我们提出了解决护理障碍的建议。（PsycINFO数据库记录（c）2019 APA，保留所有权利）。说明了现实可行的循证护理服务，可以提高少数群体的适应能力并破坏耻辱感。通过本案例研究，我们提出了解决护理障碍的建议。（PsycINFO数据库记录（c）2019 APA，保留所有权利）。说明了现实可行的循证护理服务，可以提高少数群体的适应能力并破坏耻辱感。通过本案例研究，我们提出了解决护理障碍的建议。（PsycINFO数据库记录（c）2019 APA，保留所有权利）。