HIV stigma represents a major barrier across the continuum of HIV care that is associated with compromised engagement and retention in HIV care along with adherence to antiretroviral treatment. Therefore, stigma reduction efforts are critical to improving HIV health outcomes. However, there is no gold-standard evidence-based psychotherapy intervention for addressing stigma related to HIV or other marginalized identities. This article examines the role of psychotherapy to address the adverse cognitive, emotional, and behavioral effects of HIV stigma among persons with HIV, with the aims of promoting psychological well-being and supporting health behaviors associated with enhanced HIV treatment retention, adherence, and overall health outcomes. A psychotherapy approach informed by intersectionality theory is proposed, according to which multiple categories of identity, social status, privilege, and oppression simultaneously influence psychological life, including the experience of HIV stigma. Intersectionality-informed psychotherapy strategies to address HIV stigma are described and illustrated using a hypothetical clinical case example. Implications of an intersectionality-informed framework for therapist advocacy also are discussed. (PsycINFO Database Record (c) 2019 APA, all rights reserved).

中文翻译：

---

一种以交互性为依据的心理治疗方法，以减少艾滋病毒的污名。

艾滋病毒的污名代表了贯穿整个艾滋病毒治疗的主要障碍，这与参与和保留艾滋病毒以及坚持抗逆转录病毒治疗有关。因此，减少耻辱感的努力对于改善艾滋病毒健康状况至关重要。但是，没有用于解决与艾滋病毒或其他边缘化身份相关的污名的金标准的循证心理治疗干预措施。本文探讨了心理治疗在解决艾滋病毒感染者中艾滋病毒耻辱感的不良认知，情感和行为影响方面的作用，旨在促进心理健康并支持与增强艾滋病毒治疗的保留率，依从性和整体性有关的健康行为健康状况。提出了一种以交叉理论为基础的心理治疗方法，据此，身份，社会地位，特权和压迫的多个类别会同时影响心理生活，包括艾滋病毒的耻辱经历。使用假设的临床案例描述并说明了针对艾滋病毒污名的跨部门知情心理治疗策略。还讨论了交互性信息框架对治疗师倡导的含义。（PsycINFO数据库记录（c）2019 APA，保留所有权利）。还讨论了交互性信息框架对治疗师倡导的含义。（PsycINFO数据库记录（c）2019 APA，保留所有权利）。还讨论了交互性信息框架对治疗师倡导的含义。（PsycINFO数据库记录（c）2019 APA，保留所有权利）。