‘What’s so special about HIV and AIDS?5: Stresses and strains for clients and counsellors

The issues of supervision relating to counselling people who have been diagnosed as having HIV and AIDS are discussed. Against the background of the stigmatisation of this group of clients by society, the impact of these issues upon the client and the counsellor is addressed. Using a case-history as illustration, the conflicts and losses arising at different stages are explored. These have important implications for the need for supervision to facilitate the changes necessary in coping with clients' and counsellors' feelings regarding a terminal illness, death and dying, and the containment of anxiety. The process within supervision of enabling the counsellor to deal with their countertrans-ference, hopelessness and sense of loss is examined. Through this, the counsellor is enabled to allow a balanced view to be reached within the therapeutic relationship.