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CUMPRIMENTO DE MEDIDA DE SEGURANÇA NA PERSPECTIVA DAS INTERFACES ENTRE SAÚDE MENTAL E PODER JUDICIÁRIO 从心理健康与司法接口的角度遵守安全措施
Pub Date : 1900-01-01 DOI: 10.5935/1679-4427.v14n26.0007
M. A. Fonseca, Júlia Cruz Moreno Siqueira
O presente artigo tem como objetivo relatar o cumprimento de medida de segurança nas interfaces entre a saúde mental e o poder judiciário. Como metodologia foi feita uma abordagem qualitativa em pesquisa descritivo-exploratória, usando a estratégia do relato de caso único de um homem admitido no Instituto Raul Soares. Os resultados apresentados foram: relato da internação pelo prazo inicial de um ano e que, após três meses (março a junho de 2019); foi obtida a determinação judicial de reconversão para tratamento ambulatorial; a demora da autorização judicial para a alta repercutiu negativamente no quadro geral; as intervenções se sustentaram na sociabilidade dos indivíduos
本文旨在报告在心理健康和司法部门之间的接口上遵守安全措施的情况。该方法采用描述性探索性研究的定性方法,采用劳尔·苏亚雷斯研究所一名男子的单一病例报告策略。结果显示:最初一年的住院报告,三个月后(2019年3月至6月);获得了转为门诊治疗的司法命令;司法授权延迟出院对总体情况产生了负面影响;这些干预是基于个体的社交能力,以及他们的行为
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引用次数: 0
PERCEPÇÃO DOS USUÁRIOS DE UM CENTRO DE ATENÇÃO PSICOSSOCIAL SOBRE O CUIDADO EM SAÚDE MENTAL 心理社会护理中心使用者对心理健康护理的看法
Pub Date : 1900-01-01 DOI: 10.5935/1679-4427.v13n23.0008
Lêda Antunes Rocha, Tharcísio Barbosa de Souza Prates, Viviane dos Santos Souza, Ricardo Otávio Maia Gusmão
The Brazilian Psychiatric Reform began in the 70s, gained strength from the 1988 constitution, where SUS and its guidelines were created. The reform movement took place in a complex and progressive way, marked by several achievements, mainly with regard to laws and decrees, which not only puts an end to the hospital-centered model, but also inaugurates a new care network. Tak-ing this historical process into account, this study aims to understand the perception of users of a Psychosocial Care Center (CAPS) about mental health care in the city of Montes Claros-MG from the new model of care established by the Psychiatric Reform . This is a qualitative descriptive study, using the semi-structured interview with CAPS II patients from the city of Montes Claros-MG as a research tool, for data analysis using the Content Analysis technique. The results led to three cate-gories: Mental health care under the eyes of users; The clinic in the context of changing the mental health care model; The psychosocial rehabilitation scenario between the lived and the ideal. It was possible to conclude that the patients noticed changes related to a more humanized way of caring.
巴西精神病学改革始于20世纪70年代,并从1988年宪法中获得了力量,SUS及其指导方针就是在1988年宪法中制定的。改革运动以复杂和渐进的方式进行,取得了一些成就,主要是在法律和法令方面,这些成就不仅结束了以医院为中心的模式,而且开创了一个新的护理网络。考虑到这一历史过程,本研究旨在从精神病学改革建立的新护理模式中了解蒙特斯克拉罗斯- mg市社会心理护理中心(CAPS)用户对精神卫生保健的看法。这是一项定性描述性研究,使用来自蒙特斯克罗斯- mg市的CAPS II患者的半结构化访谈作为研究工具,使用内容分析技术进行数据分析。结果可分为三类:使用者眼中的精神卫生保健;诊所背景下心理卫生服务模式的转变现实与理想之间的社会心理康复场景。有可能得出这样的结论:患者注意到了与更人性化的护理方式相关的变化。
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引用次数: 0
CARACTERIZAÇÃO DOS USUÁRIOS ADULTOS DE UM SERVIÇO-ESCOLA DE PSICOLOGIA PARANAENSE parana心理学校服务的成人使用者特征
Pub Date : 1900-01-01 DOI: 10.5935/1679-4427.v14n25.0002
Maíra Bonafé Sei, Felipe Montes Trevisan, Beatriz Skitnevsky, Izabella Tsujiguchi
It is observed that the demand for psychotherapy in Psychology school services is intense, and it is pertinent to characterize the public that requests some type of psychological care. Thus, the objective was to survey the sociodemographic data and complaints of the adult population who underwent a screening interview at the Psychological Clinic of the State University of Londrina, from 2015 to July 2017. This is a descriptive study characterized as a documentary retrospective research. Through this study, it was noticed that the predominant age group corresponds to users between 18 and 27 years old, female and with clinical complaints related to anxiety, depression and family relationships. Such results allow the improvement of psychological care provided, contributing to a psychotherapeutic service closer to the real demands of the population served.
我们观察到,心理学校服务对心理治疗的需求是强烈的,这与公众要求某种类型的心理护理的特征是相关的。因此,目的是调查2015年至2017年7月在隆德里纳州立大学心理诊所接受筛查访谈的成年人口的社会人口学数据和投诉。这是一项描述性研究,其特点是文献回顾性研究。通过本研究发现,优势年龄组对应于18 - 27岁的用户,女性,临床主诉与焦虑、抑郁和家庭关系有关。这样的结果可以改善所提供的心理护理,使心理治疗服务更接近所服务人群的实际需求。
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引用次数: 0
RELATO DE EXPERIÊNCIA - CORRA PRO ABRAÇO: SAÚDE MENTAL E REDUÇÃO DE DANOS NAS RUAS DE SALVADOR 经验报告-跑亲拥抱:萨尔瓦多街头的心理健康和减少伤害
Pub Date : 1900-01-01 DOI: 10.5935/1679-4427.v14n25.0003
Clara Magalhães Chamusca, V. Jucá, I. L. Rodrigues
This experience report addresses an internship experience in Psychology in the Corra Pro Abraço (Run to the hug) Program, wich took place between 2017-2018, in Salvador, Bahia. The program is linked to the Justice, Human Rights and Socia Development Secretary, aimed at people in situations of psychosocial vulnerability. The work was aimed at the homeless population and users of psychoactive substances. The article will report the singular and collective care strategies built with this population, mostly black and young aduts, based on the observation of the effects of these interventions of the Program, expanding the subjects life possibilities. It is concluded by the relevance of the program as a space for training and practice in the face of the neoliberal scenario of the war on drugs and of the asylum and prohibitionist logic. ABSTRACT
这份经历报告讲述了2017-2018年在巴伊亚州萨尔瓦多举行的Corra Pro abrao (Run to the hug)项目的心理学实习经历。该方案与司法、人权和社会发展部长联系在一起,旨在帮助处于社会心理脆弱状况的人。这项工作的对象是无家可归者和使用精神活性物质的人。本文将根据对该项目干预效果的观察,报道针对这些人群(主要是黑人和年轻人)建立的单一和集体护理策略,扩大受试者的生活可能性。它的结论是,在面对新自由主义的毒品战争、庇护和禁止主义逻辑的情况下,该计划作为培训和实践空间的相关性。摘要
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引用次数: 0
A IMPLANTAÇÃO DA REDE DE ATENÇÃO PSICOSSOCIAL DO RIO GRANDE DO NORTE:AVANÇOS E DESAFIOS 北大州心理社会护理网络的实施:进展与挑战
Pub Date : 1900-01-01 DOI: 10.5935/1679-4427.v13n23.0007
Laiane Felix Borges, L. V. Oliveira, Maria Jalila Vieira de Figueirêdo Leite, S. Fernandes
It is a documentary research that aimed to identify the advances and challenges to effective Psychosocial Care Network in the State of Rio Grande do Norte. Data collection occurred in the following documents: Regional Action plans of three Health Regions of the State seven regions approved the CIRs in the year 2015, State Health Plan the 2012 qua drennium – 2015 and Annual Management Reports of the 2013 2016 that were ana lyzed the light of descriptive statistics. Identified the reduction of psychiatric beds in the 2nd and 7th health Regions. Regarding the distribution of the devices of the RAPS there is a disproportionality, the 6th and 8th region the amount of devices is low over the other regions. There is a concentration of services in the cities polo, mainly in the 2nd, 4th and 7th regions. And, it was observed that most of the actions proposed in the plans and intentions have not been effective. It is concluded that despite the de-ployment of specialized care devices RAPS, in all Health Regions of the State of Rio Grande do Norte, your implementation falls short of the recommended.
这是一项文献研究,旨在确定北里奥格兰德州有效的社会心理护理网络的进展和挑战。数据收集工作在以下文件中进行:2015年批准的国家七个地区的三个卫生区域行动计划、2012年至2015年的国家卫生计划和2013年至2016年的年度管理报告,根据描述性统计对这些文件进行了分析。确定了第二和第七卫生区精神病床位的减少。关于RAPS设备的分布存在不成比例,第6和第8区域的设备数量低于其他区域。服务集中在城市马球,主要是在第二,第四和第七区。而且,据观察,计划和意向中提出的大多数行动都没有效果。结论是,尽管在北里奥格兰德州的所有卫生区域部署了专门护理设备RAPS,但你们的实施情况仍未达到建议的水平。
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引用次数: 0
UM ESTUDO HISTÓRICO/CONCEITUAL SOBRE A CONTRATRANSFERÊNCIA: DE FREUD À SEGUNDA GERAÇÃO DE PSICANALISTAS 反移情的历史/概念研究:从弗洛伊德到第二代精神分析学家
Pub Date : 1900-01-01 DOI: 10.5935/1679-4427.v13n24.0007
Fernanda Laverde Torres, Nadja Nara Barbosa Pinheiro
From a clinical care in which countertransference seemed to demonstrate a contradictory facet, the following question arose: beyond the analyst’s resistance, could we understand it as a clinical instrument? The article makes a historical-conceptual trajectory in order to verify how the traditional authors of psychoanalysis worked with the theme. Initially, the ideas of Freud and some of his contemporaries are presented. It follows that Freud’s work allows a double interpretation: as resistance, countertransference must be mastered as a vehicle of unconscious communication, it must be harnessed. Ferenczi and Stern, their contemporaries, highlighted the existence of these two facets and the possibility of specific clinical management. In a second moment, the article presents the considerations made by the second generation of psychoanalysts. Among these, it can be seen that authors like Reich and Lacan exacerbate the negative character of countertransference, understanding it exclusively as resistance of the analyst. In its turn, authors such as Heimann and Winnicott defend the idea that countertransference may be used as a way to access the unconscious of their patients. The present article suggests that Winnicott is the author who sustains the contradiction present in countertransference in a more intense and original way. It concludes that, given the complexity and importance of the theme, it is necessary to research, in the future, how current authors are thematizing the subject, in terms of proposal of conceptual understanding and alternatives of clinical management. ABSTRACT
从一个反移情似乎表现出矛盾的方面的临床护理中,出现了以下问题:超越分析师的抵抗,我们能把它理解为一种临床工具吗?为了验证精神分析的传统作者是如何处理这一主题的,本文做出了一个历史-概念的轨迹。首先,介绍了弗洛伊德和他同时代的一些人的思想。因此,弗洛伊德的工作允许双重解释:作为抵抗,反移情必须作为无意识交流的工具被掌握,它必须被利用。与他们同时代的Ferenczi和Stern强调了这两个方面的存在以及具体临床管理的可能性。在第二时刻,文章提出了第二代精神分析学家所做的考虑。其中,可以看出,像赖希和拉康这样的作者加剧了反移情的消极特征,将其完全理解为分析师的抵抗。反过来,海曼和温尼科特等作者捍卫了反移情可能被用作接近患者无意识的一种方式。本文认为温尼科特以一种更强烈、更新颖的方式维持了反移情中存在的矛盾。结论是,鉴于这一主题的复杂性和重要性,有必要在未来研究当前作者如何在概念理解和临床管理替代方案方面将这一主题主题化。摘要
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引用次数: 0
A MEDICALIZAÇÃO E A RECENTE FARMACEUTICALIZAÇÃO 医学化和最近的药学化
Pub Date : 1900-01-01 DOI: 10.5935/1679-4427.v15n27.0003
Cláudia Cristina Antonelli, Mário Eduardo Costa Pereira, J. Carvalho
This article seeks to discuss, through a narrative review of its central descriptive-terms, the scope of the already well researched medicalisation, and briefly contrast it with that of pharmaceuticalization, a more recent concept with which it has some juxtaposition, although not absolute. Pharmaceuticalization is defined as the choice of a pharmacological treatment instead of other non-pharmacological ones, what affects the number of pharmacological and psychopharmacological prescriptions and sales in the field of mental health, on which we will focus. Psychopharmacological sales in this sector have been expressing an exponential increase, according to research. Pharmaceuticalization has been studied mainly by western researchers (mostly at the United States and Europe), but with little publication in Latin America and Brazil. ABSTRACT
本文试图通过对其中心描述术语的叙述性回顾,讨论已经得到充分研究的医学化的范围,并简要地将其与药学的范围进行对比,药学是一个较新的概念,虽然不是绝对的,但它有一些并列。药物化被定义为选择一种药物治疗而不是其他非药物治疗,这影响了心理健康领域的药理学和精神药理学处方的数量和销售,我们将重点讨论这一点。研究表明,这一领域的精神药物销售呈指数级增长。药物化研究主要由西方研究者(主要在美国和欧洲)进行,但在拉丁美洲和巴西很少发表。摘要
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引用次数: 0
O IMPACTO DA PANDEMIA DE COVID-19 NA SAÚDE MENTAL DE PROFISSIONAIS DE SAÚDE EM ALTAMIRA – PA COVID-19大流行对阿尔塔米拉卫生专业人员心理健康的影响
Pub Date : 1900-01-01 DOI: 10.5935/1679-4427.v15n27.0009
Nathan Henrick Sirqueira Kretli, Ramon Veloso Sousa Sobral, R. Silveira, Ozélia Sousa Santos
This studye valua ted how the COVID-19 pandemic and o ther related factors psychologically impacted health professional sandallied Workers whoworked in the Health Network of Altamira - PA, during the peaksof the disease. For the collection of information, a questionnaire wasapplied between June/2020 and January/2021. The questionnaire includes scales that measure symptoms of depression (PHQ-9), anxiety (GAD-7), insomnia (ISI) and Burnout Syndrome (OLBI). 295 responses were obtained. There was a relation ship between increased workload, in addition to lack of psychological counseling and symptoms of depression, anxiety andinsomnia. It is concluded that thestudied population is vulnerable to mental health problems, especially in a pandemic period. Finally, theim portance of offering a network of mental health caredirectly to these professional sis reaffirmed. ABSTRACT
本研究评估了COVID-19大流行和其他相关因素如何在疾病高峰期对在阿尔塔米拉- PA卫生网络工作的卫生专业人员和相关工作人员产生心理影响。为了收集信息,在2020年6月至2021年1月期间使用了一份问卷。问卷包括测量抑郁(PHQ-9)、焦虑(GAD-7)、失眠(ISI)和倦怠综合征(OLBI)症状的量表。共获得295份回复。除了缺乏心理咨询外,工作量增加与抑郁、焦虑和失眠的症状也有关系。结论是,研究人群容易出现心理健康问题,特别是在大流行时期。最后,直接为这些专业人士提供心理健康护理网络的重要性得到了重申。摘要
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引用次数: 0
RELATO DE EXPERIÊNCIA - CONEXÕES COM A FAMÍLIA NO TRABALHO NA SAÚDE MENTAL INFANTOJUVENIL: ENTRE UM IDEAL E O COTIDIANO 经验报告——儿童和青少年心理健康工作中的家庭联系:理想与日常生活之间的联系
Pub Date : 1900-01-01 DOI: 10.5935/1679-4427.v13n24.0002
R. Romagnoli, Tulíola Almeida de Souza Lima
This paper discusses some relationships experienced by technicians of public policies that serve children and youth and their families from a research-intervention on intersectoriality. Initially, historical elements are presented about the composition of the network of mental health care in the city of Belo Horizonte and the service flows in this network for this audience. Then, considerations are made about the families assisted and the challenges in the relationships with the technicians, going through the prerogatives of monitoring based on the psychiatric reform and territorial services. A case with a mental health demand is then analyzed, through lines that indicate possibilities of links and articulations of the actors involved and that go through the multiple vulnerabilities common to many young people and their families, including drug problems, ideals of family functioning and composition of the subjects assisted, relationships with the Guardianship Council, possibilities of intersectoral work and other conditions for mental health care. We conclude that, despite the challenges of working with this public, an analysis of the composition of the forces that act in the different meetings is essential for the construction of a powerful and resolutive practice that contributes to the autonomy of the families of children and adolescents assisted by public policies. ABSTRACT
本文从交叉性的研究干预角度探讨了为儿童和青少年及其家庭服务的公共政策技术人员所经历的一些关系。首先,介绍了贝洛奥里藏特市精神卫生保健网络的组成以及该网络中为受众提供的服务流程的历史因素。然后,考虑到援助的家庭和与技术人员关系中的挑战,通过基于精神病学改革和领土服务的监督特权。然后,对有心理健康需求的案件进行分析,通过指出所涉行为者之间的联系和表达的可能性,并通过许多年轻人及其家庭共同的多重脆弱性,包括毒品问题、家庭功能的理想和受援助对象的组成、与监护委员会的关系、部门间工作的可能性以及心理保健的其他条件。我们的结论是,尽管与公众合作面临挑战,但对在不同会议中行动的力量组成的分析对于构建一种强有力和果断的做法至关重要,这种做法有助于在公共政策的协助下促进儿童和青少年家庭的自治。摘要
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引用次数: 0
O CORPO ADOLESCENTE E SUAS SINGULARES VIAS DO DIZER 青少年的身体和他们独特的表达方式
Pub Date : 1900-01-01 DOI: 10.5935/1679-4427.v15n27.0007
Yara Amorim Viana de Castro, Anamaria Silva Neves, J. Paravidini
This article intends to discuss the specificities of adolescence, especially the issues that touch the body as a way of expression. The psychoanalytic clinic with adolescents has pointed out the contemporary forms of suffering and subjectivation, with the body becoming a crucial condition for the expression of the current malaise. In the face of the Other of adolescence, which is shown to be insufficient, unlike the Other that the child had as consistent, the teenager is faced with the Real. From this encounter, the teenager is faced with feelings of anguish and the nameless, making the condition of existence fragile. Linked to the physiological changes resulting from puberty, causing a pulsional excess that invades and takes them out of their speech, the adolescent finds in the body a favorable and unique field of inscription. This body of helplessness starts to be used as a means of expression and possible translation in the composition of the social bond. The psychoanalytic clinic, in view of the above, thinks about spaces for this body, with a view to saying that it is possible in the discursive construction. ABSTRACT
本文旨在探讨青少年的特殊性,特别是触摸身体作为一种表达方式的问题。针对青少年的精神分析诊所指出了痛苦和主体化的当代形式,身体成为表达当前不适的关键条件。面对青少年的他者,这被证明是不够的,不像儿童一贯的他者,青少年面对的是真实。从这次遭遇中,少年面临着痛苦和无名的感觉,使生存的条件变得脆弱。由于青春期引起的生理变化,导致脉搏过度侵入并使他们脱离语言,青少年在身体中发现了一个有利而独特的铭文领域。这种无助的身体开始被用作一种表达手段,并可能在社会关系的构成中被翻译。精神分析诊所,鉴于上述,考虑这个身体的空间,以说它在话语结构中是可能的。摘要
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引用次数: 0
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Revista Mental
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