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Helping HIV-positive persons to negotiate the disclosure process to partners, family members, and friends.

For people who have been diagnosed with a chronic illness, one inevitable issue to be addressed is whether and how to share this information with others. For persons who are HIV positive, disclosure presents an especially arduous task. The purpose of this article is to offer a strategy to assist marriage and family therapists in facilitating client disclosure of an HIV-positive status to partners, family members, and friends. In addition, suggestions for setting the stage for disclosure to occur and recommendations for client follow-up are proposed.

Adaptation, Psychological↗

The negotiation of stationary and moving obstructions during walking: anticipatory locomotor adaptations and preservation of personal space.

This article introduces a novel, ecological, obstructed walking paradigm. Gait adaptations to circumvent obstacles undergoing uncertain displacements, and the effect of revealing the obstacle's action beforehand, were investigated in young adults. The personal space (PS) maintained during walking was quantified for the first time under different environmental factors including auditory distractions. Obstacle movement and its uncertainty resulted in gait adjustments aimed at gaining time to assess the situation. Early gait adaptations and constant clearances around the obstacle suggest that anticipation and preplanning are involved in such navigational tasks. Participants systematically maintained an elliptical PS during circumvention, but they adjusted its size according to different environmental factors. There was a relationship between the size of PS and level of attention, which suggests that the regulation of PS is used to control locomotion. This novel paradigm has important implications for the assessment and training of locomotor ability within real world environments.

Adaptation, Physiological↗