Vertex (Buenos Aires, Argentina)最新文献

Includes appreciations of the work: Shock treatments, psychosurgery and other somatic treatments in psychiatry, by Lothar Kalinowsky and Paul Hoch, Editorial Cientifica Médica, Barcelona, ​​1953.

Introduction: Test anxiety is a multidimensional construct, defined as a set of phenomenological, physiological and behavioralresponses associated with cognitive processes linked to excessive concern about possible negative consequences in an evaluative situation. In university students, it presents occurrence rates between 10 % and 40 %. Therefore, the main objective of the present study is to evaluate the usefulness of a group and online workshop for managing this problem based on the Unified Protocol.

Methods: A total of 31 Argentinian students aged 18 to 35 years (M=25; SD=5.24) participated in the study, from which 93.5 % were women. They were evaluated with pre, post and follow-up measures in symptomatology associated with test anxiety (GTAI-AR), emotional regulation strategies (ERQ) and mindfulness (MAAS). The Wilcoxon test corroborated intragroup differences, and Hedge's g was calculated to measure effect size (ES).

Results: Regarding the primary variable, the differences were significant with moderate & large ES, which were maintained between the three measures applied. Respecting the secondary variables, in the pre-post measures, only cognitive reappraisal reflected significant ES (small).; in the post-follow-up, expressive suppression was the onlydimension that showed meaningful ES (moderate), and in the pre-follow-up, it was found that only mindfulness showed considerable ES (small).

Discussion: The results are consistent with the Unified Protocol framework and current research on its application.

Conclusions: These results are expected to be helpful for the design of similar interventions. Although the results were encouraging, more rigorous research is needed to study their efficacy.

Starting from an apocryphal quote by Sigmund Freud about work and mental health, we carry out a historical investigation that leads from the creation of the first convents in the 4th century AD, to the works of the German psychiatrist Hubertus Tellenbach. Curiously, following this common thread, we find the notion of form-of-life that the Italian philosopher Giorgio Agamben exploits in his work on monasticism, and above all, and in an unexpected way, the central work of the German sociologist Max Weber The Protestant ethic and the spirit of capitalism that brings together religion and economic success at a high subjective cost. Focused in this way, they raise a figure of great frequency in the most contemporary clinic: the melancholic type of Tellenbach as one of the faces of the spirit of our time.

Reseña de la obra completa de Enrique Pichon-Rivière. Del psicoanálisis a la psicología social, 1967-1977. Establecimiento, Introducción y Notas: Fernando Fabris, con la colaboración de Joaquín Pichon-Rivière. Paidós, 2023.

Schizophrenia is a chronic and severe pathology that is characterized by the presence of delusions, hallucinations, negative symptoms, disorganization of thought and behavior. Although its prevalence in children under 13 years of age is very low, it increases substantially during the adolescence. When it develops before 18 years of age, it is called early-onset schizophrenia and represents 12-33 % of all individuals with this disorder. Drugs such as haloperidol, risperidone, paliperidone, aripiprazole, olanzapine, quetiapine, brexpiprazole, and lurasidone are Food and Drug Administration approved for the treatment of schizophrenia in adolescents. However, except for haloperidol, all pharmacological indications for this disorder in children under 13 years are off label. Although this practice it is not forbidden carries an additional risk. In the following article we will review the evidence of antipsychotics used for the treatment of schizophrenia in the pediatric population with the aim of synthesizing information with clinical applicability.

Introducción: Materiales y métodos: Resultados:

Introduction: This research stems from certain obstacles in the implementation of the National Mental Health Law, especially at the primary care level and regarding emergency management, with or without certain and imminent risk. The scarcity of mental health intervention protocols and the perception that they could limit the clinical understandingof each critical situation are challenges identified in practice. However, protocols can be valuable organizational tools in complex circumstances. The literature emphasizes the need to accompany their implementation with training to prevent exclusively bureaucratic and dehumanized approaches.

Materials and methods: The purpose of this work was to address this gap, by developing an emergency mental health action protocol and training for first-level healthcare personnel in a territory of the metropolitan area of Buenos Aires. The research aimed to evaluate its effectiveness. Qualitative and quantitative methods were used to characterize interventions before the protocol's implementation, comparing them with those after training and protocol application.

Results: It was found that this device facilitated more appropriate responses in critical contexts and improved knowledge about resolution strategies that can be implemented within the framework of the National Mental Health Law. Additionally, it strengthened protective factors for the mental health of healthcare workers, such as the possibility to access to a strategy that aids in task organization, and teamwork.

Introduction: The purpose of this research is to investigate the possible relationship between homelessness and mentalpathology in a population of women housed in a Social Inclusion Center of the Autonomous City of Buenos Aires, Argentina. There could be a clinical bias that characterizes homelessness as a consequence of a mental illness.

Methods: A group of women between 18 and 65 years of age, socially assisted in the Social Inclusion Center for women alone or with minor children “Azucena Villaflor” of the City of Buenos Aires, who in turn consult or have consulted in the past about their mental health before or after being homeless. An observational, descriptive and cross-sectional quantitative study was carried out, collecting primary data through semi-structured interviews, complementing the research with a qualitative approach using the narrative method through in-depth interviews.

Conclusion: There is no unicausal relationship between having a mental illness and being homeless. The job search, a form of re-entry into the productive system, is extremely difficult, due to the market itself, not due to the psychological state of the users. However, the fruitless search generates situations of frustration that, given the context of vulnerability in which they find themselves, can lead to mental health consultations.