in (Namir, Wolcott, & Fawzy, 1989). Many report feelings of isolation (Wolcott, Namir, Fawzy, Gottlieb, & Mitsuyasu, 1986). Group therapy, allowing for a broader range of support, may be the optimal vehicle for providing services. Unstructured group sessions, as opposed to structured sessions, have been found to increase anxiety and produce more treatment attrition (Fawzy, Namir, & Wolcott, 1989; Solomon & Temoshok, 1987). Littrell (1994) enumerated a variety of potential foci for structuring group activities. These foci include the following: teaching problem solving coping skills. Fawzy, Fawzy, and Pasnau (1991) offered a specific format incorporating the use of photographs of individuals who are using both poor and good coping skills. These photographs can be used as points of departure for group discussion. teaching relaxation training. Relaxation has been demonstrated to enhance immune system functioning among elderly people (Kiecolt-Glaser et al., 1985). teaching skills for obtaining health care and social security disability entitlement and for exercising one's rights under the Americans with Disabilities Act of 1990 end the Fair Housing Act. developing strategies for informing friends and family about one's health status. developing strategies for decreasing unprotected sex,which, along with infecting others, can increase the risk of secondary infections that can activate the AIDS virus (Esterling et al., 1992). Shernoff's (1990) program for eroticizing protected sex might be successfully incorporated into such strategies. The literature on relapse prevention (Littrell, 1991) might also be of use in decreasing lapses into risky behavior among those who are committed to safe sex. developing strategies for decreasing alcohol consumption. Alcohol use is associated with immune system suppression in PWAs (Goodkin et al., 1992). increasing a sense of control. Perlmuter and Langer (1982) found that enhancing the salience of choices inc...
