Sentence:  Whether an individual in HIV-related psychotherapy manifests a <WSD>hyperexpansive</WSD> or hyperconstricted existential position vis-à-vis death anxiety, the therapeutic goal is to bring about movement to a more centered position in which the individual is able to accept the seriousness of the illness while also continuing to go about living as fully as possible within the constraints of the disease. 
Meaning of the word marked with <WSD> tags:  Overly expansive and outgoing, tending toward chaos and confusion.