Pub Date : 2009-01-01DOI: 10.1590/S0101-81082009000100015
A. A. Seixas, André Mota, Monica L. Zilbreman
André Augusto Anderson Seixas1, André Mota2, Monica L. Zilbreman3 1 Pós-graduando, Departamento de Psiquiatria, Faculdade de Medicina, Universidade de São Paulo (USP), São Paulo, SP. 2 Doutor. Professor de Pós-Graduação, Departamento de Medicina Preventiva, Faculdade de Medicina, USP. 3 Doutora. Professora de Pós-Graduação, Departamento de Psiquiatria, Faculdade de Medicina, USP. Os achados preliminares foram apresentados no XIV Congresso Mundial de Psiquiatria, realizado em setembro de 2008, em Praga, República Tcheca.
andre Augusto Anderson Seixas1, andre Mota2, Monica L. Zilbreman3 1研究生，sao保罗大学医学院精神病学学系，sao保罗，SP. 2博士。USP医学院预防医学系研究生教授。三个医生。USP医学院精神病学学系研究生教授。初步调查结果于2008年9月在捷克共和国布拉格举行的第十四届世界精神病学大会上公布。
{"title":"The origin of The Brazilian League of Mental Hygiene and its historical context","authors":"A. A. Seixas, André Mota, Monica L. Zilbreman","doi":"10.1590/S0101-81082009000100015","DOIUrl":"https://doi.org/10.1590/S0101-81082009000100015","url":null,"abstract":"André Augusto Anderson Seixas1, André Mota2, Monica L. Zilbreman3 1 Pós-graduando, Departamento de Psiquiatria, Faculdade de Medicina, Universidade de São Paulo (USP), São Paulo, SP. 2 Doutor. Professor de Pós-Graduação, Departamento de Medicina Preventiva, Faculdade de Medicina, USP. 3 Doutora. Professora de Pós-Graduação, Departamento de Psiquiatria, Faculdade de Medicina, USP. Os achados preliminares foram apresentados no XIV Congresso Mundial de Psiquiatria, realizado em setembro de 2008, em Praga, República Tcheca.","PeriodicalId":31894,"journal":{"name":"Boletim Geografico do Rio Grande do Sul","volume":"85 1","pages":"82-82"},"PeriodicalIF":0.0,"publicationDate":"2009-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78725110","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2009-01-01DOI: 10.1590/S0101-81082009000400008
Luiz Carlos, I. Prado, Aline Grill Gomes, G. B. Frizzo, Cristiane A dos Santos, Daniela Delias, R. S. Lopes, C. Piccinini
Este artigo apresenta uma revisao da literatura a respeito da psicoterapia breve pais-bebe. Inicialmente sao apresentados aspectos historicos, desde o surgimento da psicoterapia breve, passando pelas formulacoes teoricas que enfatizaram a importância das relacoes iniciais pais-bebe ate a constituicao do campo da psicoterapia breve pais-bebe propriamente dita. Constata-se que varias abordagens compoem o panorama atual das psicoterapias pais-bebe, as quais apresentam uma ampla diversidade de referenciais teoricos e tecnicos. Foram tambem revisados, em particular, estudos empiricos sobre a utilizacao dessa abordagem no contexto da depressao materna. Por fim, apresentam-se os procedimentos utilizados pelos autores deste artigo em uma pesquisa em andamento envolvendo o atendimento psicoterapico breve pais-bebe em familias com maes deprimidas. Essa abordagem tem se mostrado efetiva na promocao de um melhor relacionamento mae-pai-bebe na presenca sintomas depressivos da mae.
{"title":"Short-term parent-infant psychotherapy: a review of the literature","authors":"Luiz Carlos, I. Prado, Aline Grill Gomes, G. B. Frizzo, Cristiane A dos Santos, Daniela Delias, R. S. Lopes, C. Piccinini","doi":"10.1590/S0101-81082009000400008","DOIUrl":"https://doi.org/10.1590/S0101-81082009000400008","url":null,"abstract":"Este artigo apresenta uma revisao da literatura a respeito da psicoterapia breve pais-bebe. Inicialmente sao apresentados aspectos historicos, desde o surgimento da psicoterapia breve, passando pelas formulacoes teoricas que enfatizaram a importância das relacoes iniciais pais-bebe ate a constituicao do campo da psicoterapia breve pais-bebe propriamente dita. Constata-se que varias abordagens compoem o panorama atual das psicoterapias pais-bebe, as quais apresentam uma ampla diversidade de referenciais teoricos e tecnicos. Foram tambem revisados, em particular, estudos empiricos sobre a utilizacao dessa abordagem no contexto da depressao materna. Por fim, apresentam-se os procedimentos utilizados pelos autores deste artigo em uma pesquisa em andamento envolvendo o atendimento psicoterapico breve pais-bebe em familias com maes deprimidas. Essa abordagem tem se mostrado efetiva na promocao de um melhor relacionamento mae-pai-bebe na presenca sintomas depressivos da mae.","PeriodicalId":31894,"journal":{"name":"Boletim Geografico do Rio Grande do Sul","volume":"282 1","pages":"1-13"},"PeriodicalIF":0.0,"publicationDate":"2009-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76825279","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2009-01-01DOI: 10.1590/S0101-81082009000200009
Sergio da Silva Saraiva, R. Candiago, V. Gonçalves, P. Abreu
{"title":"Estímulo ao retrocesso","authors":"Sergio da Silva Saraiva, R. Candiago, V. Gonçalves, P. Abreu","doi":"10.1590/S0101-81082009000200009","DOIUrl":"https://doi.org/10.1590/S0101-81082009000200009","url":null,"abstract":"","PeriodicalId":31894,"journal":{"name":"Boletim Geografico do Rio Grande do Sul","volume":"85 1","pages":"132-133"},"PeriodicalIF":0.0,"publicationDate":"2009-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83898231","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2009-01-01DOI: 10.1590/S0101-81082009000200001
F. Kapczinski
Rio Grande do Sul (RPRS) consolidou seu papel como uma referencia importante no cenario cientifi co. O layout foi modernizado, e obteve-se um maior rigor na selecao de artigos. Tambem foi contratado um sistema de submissao eletronica (2006), com alteracao da sistematica de submissao de artigos. Apos a indexacao no SciELO e no PsycINFO, aumentou o compromisso da RPRS com a qualidade. Procurou-se assegurar a periodicidade e a pontualidade, o que, juntamente com a implantacao do sistema de submissao, aumentou de forma signifi cativa o aporte de artigos originais. Adotou-se o sistema de publicacao on-line, sendo mantido o formato impresso somente para os associados da Associacao de Psiquiatria do Rio Grande do Sul (APRS) (2008). Permanecem multiplos desafi os, como a indexacao da RPRS no ISI e na PubMed. A Revista segue sua trajetoria de aprimoramento e sua missao institucional. Acima de tudo, a qualidade conquistada pela Revista benefi cia a comunidade psiquiatrica e se transfere na qualidade do atendimento aos pacientes. A RPRS agradece pela contribuicao dos editores, dos membros do corpo editorial e dos revisores. E, acima de tudo, agradecemos aos autores, que muito contribuiram para a evolucao da Revista nestes anos. Transicao na Revista de Psiquiatria do Rio Grande do Sul
里约热内卢Grande do Sul (RPRS)巩固了其作为科学场景中重要参考的作用，布局现代化，文章选择更加严格。此外，还采用了电子提交系统(2006年)，改变了文章提交系统。在SciELO和PsycINFO索引之后，RPRS对质量的承诺增加了。我们试图确保周期性和准时性，这与提交系统的实施一起，显著增加了原始文章的贡献。采用了在线出版系统，只保留了大南州精神病学协会(APRS)成员的印刷格式(2008)。许多挑战仍然存在，如ISI和PubMed中的RPRS索引。该杂志遵循其改进轨迹和机构使命。最重要的是，该杂志的质量使精神病学社区受益，并转移到患者护理的质量上。RPRS感谢编辑、编委会成员和审稿人的贡献。最重要的是，我们要感谢作者们，他们在这些年中为杂志的发展做出了巨大的贡献。《大南精神病学杂志》上的过渡
{"title":"Transition phase at Revista de Psiquiatria do Rio Grande do Sul","authors":"F. Kapczinski","doi":"10.1590/S0101-81082009000200001","DOIUrl":"https://doi.org/10.1590/S0101-81082009000200001","url":null,"abstract":"Rio Grande do Sul (RPRS) consolidou seu papel como uma referencia importante no cenario cientifi co. O layout foi modernizado, e obteve-se um maior rigor na selecao de artigos. Tambem foi contratado um sistema de submissao eletronica (2006), com alteracao da sistematica de submissao de artigos. Apos a indexacao no SciELO e no PsycINFO, aumentou o compromisso da RPRS com a qualidade. Procurou-se assegurar a periodicidade e a pontualidade, o que, juntamente com a implantacao do sistema de submissao, aumentou de forma signifi cativa o aporte de artigos originais. Adotou-se o sistema de publicacao on-line, sendo mantido o formato impresso somente para os associados da Associacao de Psiquiatria do Rio Grande do Sul (APRS) (2008). Permanecem multiplos desafi os, como a indexacao da RPRS no ISI e na PubMed. A Revista segue sua trajetoria de aprimoramento e sua missao institucional. Acima de tudo, a qualidade conquistada pela Revista benefi cia a comunidade psiquiatrica e se transfere na qualidade do atendimento aos pacientes. A RPRS agradece pela contribuicao dos editores, dos membros do corpo editorial e dos revisores. E, acima de tudo, agradecemos aos autores, que muito contribuiram para a evolucao da Revista nestes anos. Transicao na Revista de Psiquiatria do Rio Grande do Sul","PeriodicalId":31894,"journal":{"name":"Boletim Geografico do Rio Grande do Sul","volume":"68 1","pages":"85-85"},"PeriodicalIF":0.0,"publicationDate":"2009-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79727953","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2009-01-01DOI: 10.1590/S0101-81082009000200005
Amilton dos Santos Júnior, L. F. F. Silva, C. E. Banzato, Mário Eduardo Costa Pereira
INTRODUCTION: The objective of the present study was to analyze the qualitative answers of an anonymous standardized survey including qualitative and quantitative questions about the Brazilian psychiatrists' perceptions on their use of the multiaxial diagnostic systems ICD-10 and DSM-IV and about their expectations regarding future revisions of these classifications (ICD-11 and DSM-V). METHODS: The questionnaire, elaborated by Graham Mellsop (New Zealand), was translated into Portuguese and sent through mail to 1,050 psychiatrists affiliated to the Brazilian Psychiatry Association. The quantitative analysis is presented elsewhere. RESULTS: One hundred and sixty questionnaires returned (15.2%). From these, 71.1% of the open questions where answered. The most needed and/or desirable qualities in a psychiatric classification were found to be: simplicity, clarity of criteria, objectivity, comprehensibility, reliability, and ease to use. Axis I of the ICD-10 was reported to be the most used due to its instrumental character in addition to being the official classification also for legal and bureaucratic purposes. The DSM-IV was also used in the everyday practice, mostly for education and research purposes, by psychiatrists with academic affiliations. The less frequent use of the multiaxial systems was explained by the lack of training and familiarity, the overload of information and by the fact they are not mandatory. Based on the respondents' answers, we concluded that some diagnostic categories must be revised, such as: mental retardation, eating disorders, personality disorders, sleeping disorders, child and adolescent disorders, affective, and schizoaffective disorders. CONCLUSION: This material offers a systematic overview of the psychiatrists' opinions and expectations concerning the diagnostic instruments used in their daily practice.
{"title":"Avaliação qualitativa sobre o que os psiquiatras brasileiros esperam das classificações diagnósticas","authors":"Amilton dos Santos Júnior, L. F. F. Silva, C. E. Banzato, Mário Eduardo Costa Pereira","doi":"10.1590/S0101-81082009000200005","DOIUrl":"https://doi.org/10.1590/S0101-81082009000200005","url":null,"abstract":"INTRODUCTION: The objective of the present study was to analyze the qualitative answers of an anonymous standardized survey including qualitative and quantitative questions about the Brazilian psychiatrists' perceptions on their use of the multiaxial diagnostic systems ICD-10 and DSM-IV and about their expectations regarding future revisions of these classifications (ICD-11 and DSM-V). METHODS: The questionnaire, elaborated by Graham Mellsop (New Zealand), was translated into Portuguese and sent through mail to 1,050 psychiatrists affiliated to the Brazilian Psychiatry Association. The quantitative analysis is presented elsewhere. RESULTS: One hundred and sixty questionnaires returned (15.2%). From these, 71.1% of the open questions where answered. The most needed and/or desirable qualities in a psychiatric classification were found to be: simplicity, clarity of criteria, objectivity, comprehensibility, reliability, and ease to use. Axis I of the ICD-10 was reported to be the most used due to its instrumental character in addition to being the official classification also for legal and bureaucratic purposes. The DSM-IV was also used in the everyday practice, mostly for education and research purposes, by psychiatrists with academic affiliations. The less frequent use of the multiaxial systems was explained by the lack of training and familiarity, the overload of information and by the fact they are not mandatory. Based on the respondents' answers, we concluded that some diagnostic categories must be revised, such as: mental retardation, eating disorders, personality disorders, sleeping disorders, child and adolescent disorders, affective, and schizoaffective disorders. CONCLUSION: This material offers a systematic overview of the psychiatrists' opinions and expectations concerning the diagnostic instruments used in their daily practice.","PeriodicalId":31894,"journal":{"name":"Boletim Geografico do Rio Grande do Sul","volume":"94 10 1","pages":"112-115"},"PeriodicalIF":0.0,"publicationDate":"2009-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88059115","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2009-01-01DOI: 10.1590/S0101-81082009000200006
Taís Cardoso de Zeni, Renata Brasil Araújo
INTRODUCTION: The objective of this study was to verify the effectiveness of deep breathing in the management of craving and anxiety symptoms in crack-cocaine-dependent patients hospitalized for treatment in a detoxification unit. METHODS: This is a quasi-experimental clinical trial using a quantitative analysis. The convenience sample comprised 32 crack-cocaine-dependent males. These subjects had cocaine as their drug of choice, having used this substance between 2 and 3 weeks prior to the beginning of the treatment, and were able to adequately perform the deep breathing technique. The instruments used were: the Cocaine Craving Questionnaire-Brief (CCQB), the visual analogue scale (VAS), the Beck Anxiety Inventory (BAI), and a form containing sociodemographic information and data related to the pattern of consumption of psychoactive substances (SDF). A group intervention was conducted with the administration of the CCQB, the VAS, and the BAI. After that, images related to the use of crack-cocaine were shown to the subjects and the same instruments were administered again. Next, the participants performed the deep breathing technique for 10 minutes, and the instruments were administered one more time. Finally, an individual interview was done and the SDF was completed. RESULTS: Our findings demonstrated a decrease in the scores on the CCQB, the VAS and the BAI after the deep breathing technique was performed in a sample whose profile represents the general pattern of crack-cocaine users. CONCLUSION: In spite of some methodological limitations, the present study suggests that the deep breathing technique is effective in the management of craving and anxiety symptoms in crack-cocaine-dependent patients.
{"title":"O relaxamento respiratório no manejo do craving e dos sintomas de ansiedade em dependentes de crack","authors":"Taís Cardoso de Zeni, Renata Brasil Araújo","doi":"10.1590/S0101-81082009000200006","DOIUrl":"https://doi.org/10.1590/S0101-81082009000200006","url":null,"abstract":"INTRODUCTION: The objective of this study was to verify the effectiveness of deep breathing in the management of craving and anxiety symptoms in crack-cocaine-dependent patients hospitalized for treatment in a detoxification unit. METHODS: This is a quasi-experimental clinical trial using a quantitative analysis. The convenience sample comprised 32 crack-cocaine-dependent males. These subjects had cocaine as their drug of choice, having used this substance between 2 and 3 weeks prior to the beginning of the treatment, and were able to adequately perform the deep breathing technique. The instruments used were: the Cocaine Craving Questionnaire-Brief (CCQB), the visual analogue scale (VAS), the Beck Anxiety Inventory (BAI), and a form containing sociodemographic information and data related to the pattern of consumption of psychoactive substances (SDF). A group intervention was conducted with the administration of the CCQB, the VAS, and the BAI. After that, images related to the use of crack-cocaine were shown to the subjects and the same instruments were administered again. Next, the participants performed the deep breathing technique for 10 minutes, and the instruments were administered one more time. Finally, an individual interview was done and the SDF was completed. RESULTS: Our findings demonstrated a decrease in the scores on the CCQB, the VAS and the BAI after the deep breathing technique was performed in a sample whose profile represents the general pattern of crack-cocaine users. CONCLUSION: In spite of some methodological limitations, the present study suggests that the deep breathing technique is effective in the management of craving and anxiety symptoms in crack-cocaine-dependent patients.","PeriodicalId":31894,"journal":{"name":"Boletim Geografico do Rio Grande do Sul","volume":"48 1","pages":"116-119"},"PeriodicalIF":0.0,"publicationDate":"2009-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73562658","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2009-01-01DOI: 10.1590/S0101-81082009000200007
Regina Lopes Schimitt, M. Hidalgo
OBJECTIVES: To translate the Social Rhythm Metric-17 (SRM-17), a scale that assesses social rhythm, into Portuguese and to validate the content of the Portuguese version. METHODS: An adaptation of the method for validation of instruments was used and it included the following stages: preparation, translation, reconciliation, back translation, revision of back translation, comprehension assessment, review of the results of comprehension assessment and completion, proofreading, and final report. RESULTS: The final Brazilian version has the same number of items as the first English version of the original instrument, and included some enhancements. The adaptation of the alternative instrument developed by the Human Chronobiology Group of Hospital de Clinicas de Porto Alegre, Porto Alegre, Brazil, to the SRM-17 did not show any significant discrepancies and revealed that, in spite of being a generic instrument, it is sensitive to the individual differences regarding the assessment of social rhythm. The Portuguese version showed a satisfactory level of understanding and semantic equivalence. CONCLUSION: A version of an instrument to assess social rhythm adapted to the Brazilian reality is presented in this study. The cross-cultural adaptation process must be completed by validation studies of the final instrument in a larger population sample, which will also be able to evaluate the equivalences related to operation, measures, and functionality.
{"title":"Tradução para o português e validação de conteúdo da Social Rhythm Metric-17 (SRM-17)","authors":"Regina Lopes Schimitt, M. Hidalgo","doi":"10.1590/S0101-81082009000200007","DOIUrl":"https://doi.org/10.1590/S0101-81082009000200007","url":null,"abstract":"OBJECTIVES: To translate the Social Rhythm Metric-17 (SRM-17), a scale that assesses social rhythm, into Portuguese and to validate the content of the Portuguese version. METHODS: An adaptation of the method for validation of instruments was used and it included the following stages: preparation, translation, reconciliation, back translation, revision of back translation, comprehension assessment, review of the results of comprehension assessment and completion, proofreading, and final report. RESULTS: The final Brazilian version has the same number of items as the first English version of the original instrument, and included some enhancements. The adaptation of the alternative instrument developed by the Human Chronobiology Group of Hospital de Clinicas de Porto Alegre, Porto Alegre, Brazil, to the SRM-17 did not show any significant discrepancies and revealed that, in spite of being a generic instrument, it is sensitive to the individual differences regarding the assessment of social rhythm. The Portuguese version showed a satisfactory level of understanding and semantic equivalence. CONCLUSION: A version of an instrument to assess social rhythm adapted to the Brazilian reality is presented in this study. The cross-cultural adaptation process must be completed by validation studies of the final instrument in a larger population sample, which will also be able to evaluate the equivalences related to operation, measures, and functionality.","PeriodicalId":31894,"journal":{"name":"Boletim Geografico do Rio Grande do Sul","volume":"28 1","pages":"120-127"},"PeriodicalIF":0.0,"publicationDate":"2009-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73204098","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2009-01-01DOI: 10.1590/S0101-81082009000100013
R. Magdaleno, Elinton Adami Chaim, Egberto Ribeiro Turato
INTRODUCTION: The great number of patients submitted bariatric surgery who have psychological and psychiatric complications during the postoperative period require a thorough preoperative investigation and a categorization with the purpose of predicting possible complications and personalizing psychological care that might favor patient compliance. Psychodynamic assessment may provide data for such categorization and, thus, suggest effective pre- and postoperative approach strategies. Therefore, the objective of this study was to identify personality structures that may be useful in the postoperative follow-up, as well as additional inclusion and exclusion criteria for the surgical procedure. METHOD: Report of empirical survey conducted during psychotherapy sessions with an open group of patients who underwent bariatric surgery. DISCUSSION: After surgery, patients may experience phases of emotional restructuring, such as an initial phase of feeling triumphant, followed by a phase when there is risk of melancholic behavior and new addictions. We identified three categories of psychological structures: melancholic structure (patients seem to be more likely to develop other postoperative addictive behaviors, mainly eating disorders, since they cannot tolerate the frustration of the loss); dementalized structure (due to the lack of elaborative capacity, patients are unable to reorganize themselves in face of the challenge of keeping their weight under control); and perverse structure (patients comply with the scheduled weight loss; however, their behavior makes the health team experience uncomfortable situations). Establishing psychological categories may be crucial in order to suggest postoperative management strategies, including referral to a psychotherapist with the purpose of providing personalized care, thus increasing specific therapeutic success.
{"title":"Características psicológicas de pacientes submetidos a cirurgia bariátrica","authors":"R. Magdaleno, Elinton Adami Chaim, Egberto Ribeiro Turato","doi":"10.1590/S0101-81082009000100013","DOIUrl":"https://doi.org/10.1590/S0101-81082009000100013","url":null,"abstract":"INTRODUCTION: The great number of patients submitted bariatric surgery who have psychological and psychiatric complications during the postoperative period require a thorough preoperative investigation and a categorization with the purpose of predicting possible complications and personalizing psychological care that might favor patient compliance. Psychodynamic assessment may provide data for such categorization and, thus, suggest effective pre- and postoperative approach strategies. Therefore, the objective of this study was to identify personality structures that may be useful in the postoperative follow-up, as well as additional inclusion and exclusion criteria for the surgical procedure. METHOD: Report of empirical survey conducted during psychotherapy sessions with an open group of patients who underwent bariatric surgery. DISCUSSION: After surgery, patients may experience phases of emotional restructuring, such as an initial phase of feeling triumphant, followed by a phase when there is risk of melancholic behavior and new addictions. We identified three categories of psychological structures: melancholic structure (patients seem to be more likely to develop other postoperative addictive behaviors, mainly eating disorders, since they cannot tolerate the frustration of the loss); dementalized structure (due to the lack of elaborative capacity, patients are unable to reorganize themselves in face of the challenge of keeping their weight under control); and perverse structure (patients comply with the scheduled weight loss; however, their behavior makes the health team experience uncomfortable situations). Establishing psychological categories may be crucial in order to suggest postoperative management strategies, including referral to a psychotherapist with the purpose of providing personalized care, thus increasing specific therapeutic success.","PeriodicalId":31894,"journal":{"name":"Boletim Geografico do Rio Grande do Sul","volume":"7 1","pages":"73-78"},"PeriodicalIF":0.0,"publicationDate":"2009-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73128105","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2009-01-01DOI: 10.1590/S0101-81082009000200003
Aline Grill Gomes, C. Piccinini, Luiz Carlos Delorme Prado
INTRODUCTION: Maternal representations of the infant can be quite distorted when the infant has a malformation. Within this context, there is a need of psychological interventions aimed at helping parents to adapt their psychic representations with the purpose of avoiding projections and conflicts in order to promote the infant's physical and psychic development. In this sense, the present study investigated the impact of a short-term mother-infant psychotherapy on the maternal representations of the infant's development when the infant had a cardiac malformation. METHODS: The short psychotherapy process (24 sessions) of a mother-infant pair is reported. The authors describe how the issue of life and growth changes throughout treatment. RESULTS: The results evidenced several changes in the maternal representations of the infant, as well as the mother's attitude regarding the search of information on malformation and child care. CONCLUSION: The results emphasize the benefit of short mother-infant psychotherapy for the context of infant's malformation, mainly for the maternal representations of the infant's development.
{"title":"Psicoterapia pais-bebê no contexto de malformação do bebê: repercussões no olhar da mãe acerca do desenvolvimento do bebê","authors":"Aline Grill Gomes, C. Piccinini, Luiz Carlos Delorme Prado","doi":"10.1590/S0101-81082009000200003","DOIUrl":"https://doi.org/10.1590/S0101-81082009000200003","url":null,"abstract":"INTRODUCTION: Maternal representations of the infant can be quite distorted when the infant has a malformation. Within this context, there is a need of psychological interventions aimed at helping parents to adapt their psychic representations with the purpose of avoiding projections and conflicts in order to promote the infant's physical and psychic development. In this sense, the present study investigated the impact of a short-term mother-infant psychotherapy on the maternal representations of the infant's development when the infant had a cardiac malformation. METHODS: The short psychotherapy process (24 sessions) of a mother-infant pair is reported. The authors describe how the issue of life and growth changes throughout treatment. RESULTS: The results evidenced several changes in the maternal representations of the infant, as well as the mother's attitude regarding the search of information on malformation and child care. CONCLUSION: The results emphasize the benefit of short mother-infant psychotherapy for the context of infant's malformation, mainly for the maternal representations of the infant's development.","PeriodicalId":31894,"journal":{"name":"Boletim Geografico do Rio Grande do Sul","volume":"38 1","pages":"95-104"},"PeriodicalIF":0.0,"publicationDate":"2009-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74422087","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2009-01-01DOI: 10.1590/S0101-81082009000100010
A. Serafini, D. Bandeira
OBJECTIVES: To investigate the effect of the variables network of relationships, neuroticism, and coping strategies on life satisfaction of HIV positive youths, and to present a descriptive profile of the sample for the studied variables. METHODS: Forty-five HIV positive youths from three health care centers located in the metropolitan area of Porto Alegre, whose mean age was 18.7 years (standard deviation = 2.7), participated in this study. The following assessment instruments were used: a sociodemographic questionnaire, the Multidimensional Life Satisfaction Scale for Adolescents, the Network of Relationships Inventory, the Coping Strategies Inventory and the Neuroticism Factorial Scale. Data obtained with these instruments were analyzed using multivariate analysis of variance and covariance and linear multiple regression. RESULTS: Young HIV carriers present high life satisfaction, although there is a decrease in satisfaction with friendships. As far as coping strategies are concerned, the means between coping strategies were similar. High levels of neuroticism were evidenced in the sample, especially in terms of depression, which was the best predictor of global life satisfaction for the sample. CONCLUSIONS: We were able to identify the main difficulties of this group of HIV carriers, and, based on these findings, it will be possible to develop effective intervention programs.
{"title":"Jovens vivendo com HIV/AIDS : a influência da rede de relações, do coping e do neuroticismo sobre a satisfação de vida","authors":"A. Serafini, D. Bandeira","doi":"10.1590/S0101-81082009000100010","DOIUrl":"https://doi.org/10.1590/S0101-81082009000100010","url":null,"abstract":"OBJECTIVES: To investigate the effect of the variables network of relationships, neuroticism, and coping strategies on life satisfaction of HIV positive youths, and to present a descriptive profile of the sample for the studied variables. METHODS: Forty-five HIV positive youths from three health care centers located in the metropolitan area of Porto Alegre, whose mean age was 18.7 years (standard deviation = 2.7), participated in this study. The following assessment instruments were used: a sociodemographic questionnaire, the Multidimensional Life Satisfaction Scale for Adolescents, the Network of Relationships Inventory, the Coping Strategies Inventory and the Neuroticism Factorial Scale. Data obtained with these instruments were analyzed using multivariate analysis of variance and covariance and linear multiple regression. RESULTS: Young HIV carriers present high life satisfaction, although there is a decrease in satisfaction with friendships. As far as coping strategies are concerned, the means between coping strategies were similar. High levels of neuroticism were evidenced in the sample, especially in terms of depression, which was the best predictor of global life satisfaction for the sample. CONCLUSIONS: We were able to identify the main difficulties of this group of HIV carriers, and, based on these findings, it will be possible to develop effective intervention programs.","PeriodicalId":31894,"journal":{"name":"Boletim Geografico do Rio Grande do Sul","volume":"97 1","pages":"51-59"},"PeriodicalIF":0.0,"publicationDate":"2009-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80238280","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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