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Unformatted text preview: Marvin 1 of 1 Marvin, a 35-year-old journalist, went to his internist because of fatigue, sore throat, and headaches. These symptoms had developed 3 months earlier, a few weeks after he learned that he was positive for the human immunodeficiency virus (i.e., his blood test indicated the presence of anti- bodies to HIV). He was given a complete physical examination and was told that he was in otherwise good health, except for mild allergies that accounted for his sore throat, and that the results of the routine laboratory examinations of blood and urine were all negative. Nevertheless, he worried that his symptoms of fatigue, sore throat, and headaches might be the prodrome of acquired immunodeficiency syndrome (AIDS). He began to have frequent and intrusive thoughts about dying and had recurrent fantasies of cancerous disfigurement, protracted illness, and complete dependence on others. Having followed the news coverage about AIDS, he understood that a positive test did not indicate that he would necessarily get AIDS, but this did not prevent him from...
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- Spring '09