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BERKLEY TOURS & TRAVEL INC.
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TORONTO
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AND "GETTING MARRIED"
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60
FRIDAY, AUGUST 11, 1989
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1 1h
LUCIE
ARNAZ
AIDS Alters Rabbis'
Premarital Counseling
New York (JTA) — A
Chicago Reform rabbi has
warned his colleagues that
the AIDS epidemic has "fun-
damentally changed the
scope of knowledge" required
of rabbis for basic premarital
counseling.
Rabbi Joseph Edelheit is co-
chairman of the regional task
force on AIDS of the Union of
American Hebrew Congrega-
tions, the umbrella agency for
Reform synagogues, and the
Central Conference of
American Rabbis, the Reform
rabbinical association.
He wrote in the summer
issue of the Journal of Reform
Judaism that his experiehce
confirmed his belief in the
urgent necessity that every
rabbi acquire the basic
knowledge and skills needed
to counsel others in a society
confronting the AIDS
epidemic, especially the im-
plications of the HIV an-
tibodies test for AIDS
infection.
Edelheit said AIDS had
drawn urgent attention to
two fundamental areas: first,
knowledge of the basic facts,
which must become part of
every rabbi's working
knowledge, and second, the
rabbi's understanding of his
or her personal reactions to
AIDS.
In regard to the first area,
he said that "the more in-
depth the rabbi's preparation,
the greater will be the ease
and comfort in dealing with
the questions and concerns"
the couple may bring to him.
Many rabbis, Edelheit said,
"are not comfortable in deal-
ing with sexuality, particular-
ly homosexuality, or in-
travenous drug use, all of
which are means of transmit-
ting the HIV virus," and
which may be "necessary
topics for discussion" with the
prospective bride and groom.
In preparing someone to
take the voluntary antibodies
test, the question of prior
high-risk behavior or ex-
posure is very relevant,
Edelheit said. How the rabbi
asks such questions and his
or her preparation for "any"
answer is very important to
the emotional security of the
couple.
The rabbi must also know
about resources in the com-
munity — information about
counseling centers, support
groups networks and physi-
cians and therapists specializ-
ing in such problems is very
important.
The rabbi must have
names, addresses and
telephone numbers to answer
questions from the couple on
how to check out the credibili-
ty of a laboratory or where to
get follow-up counseling for
seropositivity — the medical
term for the condition in
which a test finds evidence of
antibodies for AIDS but not of
the presence of the disease
itself.
The rabbi as counselor
must also do his best to deal
with two aspects of AIDS
which are particularly horri-
fying. A person can have the
antibodies and show no symp-
toms whatever of the disease
while nevertheless being
capable of transmitting the
virus.
If either the man or the
woman test positively for the
Many rabbis are
not comfortable in
dealing with
sexuality,
particularly
homosexuality.
virus, it becomes the task of
the rabbi to ask whether
either has had any reason to
believe that he or she had any
high risk behavior that could
produce a positive result.
The rabbi must be prepared
"for the completely unex-
pected admission of that 'one'
occasion with a prostitute, a
bisexual encounter, previous
IV drug use or a sexual en-
counter with a partner who
has used IV drugs."
Since the current norm is
that adults are sexually ac-
tive before marriage, "the an-
tibodies test sadly opens up
the risk of embarrassment
and questions of fidelity,
jealousy and even sexual
orientation," Edelheit said.
He also reported that one of
the most painful elements of
antibodies testing is false
positive results. The rabbi
must explain to the couple
the possibility of such a false
finding and the need for what
is called the Western blot test
to determine whether the fin-
ding is false or accurate. This
additional test can produce
additional anxieties because,
in itself, it is not 100 percent
reliable.
There is an equally distur-
bing problem of false negative
results. Edelheit said that a
panel of medical scholars has
concluded that helping a per-
son to understand the an-
tibodies test is clearly the
first objective of premarital
testing.
Another immense problem