My Nerves Are Bad: Puerto Rican Women Managing Mental Illness and HIV Risk

Index

209 Index The letter t or f following a page number denotes a table or figure. abandonment, 36, 61, 81 Abe, 1–2 abortion, 96, 98 abuse, child. See child abuse abuse, physical children and, 25, 73–74, 79, 103, 105 corporal punishment and, 105 Latinos and, 75 pregnant women and, 71 See also partner violence; violence abuse, sexual children and, 24, 25, 73–74, 79, 80, 164–65n20 mental illness and, 145 pregnant women and, 71 See also partner violence; rape abuse, substance. See substance use and abuse ACOA (Adult Children of Alcoholics), 170n25 acquired immune deficiency syndrome (AIDS), 3, 4–5, 133–38, 145–46. See also HIV (human immunodeficiency virus); HIV/AIDS risk Adalia, 29, 85, 96–97 addiction, 35, 60 Addiction Severity Index (ASI), 12 adolescents, with mental illness, 144 adoption, 78 Adult Children of Alcoholics (ACOA), 170n25 AFDC (Aid to Families with Dependent Children), 166n33 affective disorders, 23, 143. See also bipolar disorder; depression agoraphobia, 43 Agustin, 34–35 AIDS (acquired immune deficiency syndrome), 3, 4–5, 133–38, 145–46. See also HIV (human immunodeficiency virus); HIV/AIDS risk Aid to Families with Dependent Children (AFDC), 166n33 Al-Anon, 170n25 alcohol and alcoholism, 69, 134, 159, 164n15. See also substance use and abuse Alcoholics Anonymous, 160 alcolado, 27 Alexander, 98 Alfredo, 147–48 Alger, Horatio, Jr., 163n2 Anastasia, 107–8 anchoring strategies, 9 Andres, 27 antidepressants, 129 antipsychotics, 173n30 ASI (Addiction Severity Index), 12 ataque (term), 21 ataques de nervios, 22–23 attention deficits, 143 attitudinal familism, 94, 171n40 atypical antipsychotics, 173n30 Barbara, 79 bipolar disorder, 32, 104, 143 210 “My Nerves Are Bad” birth control, 96, 134, 135. See also condoms blame, 12, 155–56 borderline personality disorder, 27 Bourgois, Philippe, 8 brain, 143, 148, 164n15 Brian, 151 bruja, 29 cancer, 172n13 C.A.R.E. (Comprehensive AIDS Resource Emergency Act), 163–64n27 caregivers, 171n31 case management, 123–24 cash assistance programs, 166n33 Cassandra, 28–29, 76 Catalina, 51–54, 57, 71, 108–9, 129 Catholicism, 38, 75 Celestina, 103–4 Cesara, 54–55, 130 Chenault, L. R., 45 child abuse HIV/AIDS risk and, 141–43 physical abuse, 25, 73–74, 79, 103, 105 sexual abuse, 24, 25, 73–74, 79, 80, 164–65n20 substance use and, 80, 142 child care, 7t, 117t. See also day care child protective services, 105 children mental illness and, 108 parent-child roles, 96–97, 103, 107 physical abuse and, 25, 73–74, 79, 103, 105 sexual abuse and, 24, 25, 73–74, 79, 80, 164–65n20 See also child abuse child welfare institutions, 175n25 classism, 124 clergy, 40 Cleveland, OH child welfare institutions in, 175n25 HIV prevalence in, 5, 145 poverty in, 46 Puerto Rican population, 45 Clinton, Bill, 166n33 cocaine, 164n15 codependency, 88, 170n25 cognitive deficits, 148 cognitive permanence, 78 cognitive urgency, 78 communication, 114–15 Community Advisory Board, 7t, 10t, 11t compadrazco, 171n37 Comprehensive AIDS Resource Emergency Act (C.A.R.E.), 163–64n27 condoms, 66, 135, 137, 150, 152 confidentiality, 164n28 contraception, 96, 134, 135 co-occurring illnesses, 129–31 coping, 38, 41, 142, 150 corporal punishment, 104–5 crime, 158, 159 critical others, 82, 83t, 91, 93–94, 171n31 cultural familiarity, 115, 118, 125 culture-bound syndromes, 23, 164n13 culture shock, 81, 169n12 cutting, 30, 32 Cuyahoga County, OH Hispanic median income in, 46 welfare families in, 176n25 Daniel, 142 Dante, 87 David, 48 Dayanara, 84, 86, 88, 105, 106 day care, 49–50. See also child care death, 5 debe aguantar, 75 Delfina, 58, 71, 97, 145 delusions, 170n17 dependency, 168n22 depression, 75, 80, 86, 111, 118. See also major depression detachment effect, 115 Diagnostic and Statistical Manual, Fourth Edition, Text Revision (DSM­IV­TR), 170n25 disintegration, 169n12 dissociative symptoms, 24 Down These Mean Streets (Thomas), 8 drug use, 4, 69, 143, 174n14. See also substance use and abuse; specific drugs economy of Ohio, 124 of Puerto Rico, 44 ecstasy (X), 165n25 education, 16t, 56, 61, 73, 124 Index 211 elation, 169n12 Elena alcohol use, 36 corporal punishment and, 105 grandchildren and, 99–100 Isa and, 36, 100, 105, 122–23, 152 mental health services and, 122–23 on music, 41 schizophrenia and, 84 sexual orientation, 88–89, 152, 153 emigration, 45 employment mental illness and, 43, 47–48, 159 obtaining, 43–51 Puerto Ricans and, 45, 46 retaining, 51–55 substance use and, 57 See also unemployment English, 114–15, 116–17t Espiritismo, 28–29, 38 espiritista...