A 32-year-old African-American client is diagnosed with HIV. She is at her 6-month appointment following diagnosis and treatment
The client states that she has not revealed her diagnosis to her boyfriend because she is afraid that he will leave. She expresses feelings of anger because she must put her feelings and illness aside or be abandoned. The client's behaviors reflect:
A) Denial of her disease process
B) Noncompliance with her drug regimen
C) Inability to advocate for herself
D) Fear of financial insolvency
Ans: C
Feedback:
The concept of "silencing the self" has been used to explain how gender roles negatively influence self-advocacy behaviors in women. Women tend to silence their voice in relationships to maintain connections with others, even if that means they will subsequently suffer physically, psychologically, or socially. According to Jack (1991), women are reinforced culturally to (1) care for others' needs before their own, (2) abide by designated societal rules of behavior, (3) refrain from directly expressing their feelings and needs, and (4) outwardly maintain compliance, while feeling hostility inwardly, because of their silencing behaviors. Silencing the self is relevant to the proposed study because it is a concept that is identified and understood in the context of relationships with others, that is, a relational concept. There is no evidence that Carlene is denying her disease process, not complying with her drug regimen, or is fearful of financial insolvency.
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