Atenção Psicossocial e Psicologia: um mapeamento da produção científica

By the end of the 1970´s, begins the Psychiatric Reform Movement, whose development was the beginning of the construction of a new model, here termed Psychosocial Attention, to substitute the traditional psychiatric model. As such, aspires to be a process of paradigm shift and, therefore, requires transformations in the fields: theoretical-conceptual, technical-assistance, legal-political e sociocultural. This qualitative study composes a research which sought to ascertain the scientific production on the topic conducted by psychology, from the implementation of the Brazilian National Health System and the creation of new services to mental health care. In this sense, it proposed to investigate how the papers published in journals of psychology found in the database LILACS, since 1990, contribute to the process of building a new model that actually replace the so-called traditional psychiatric model.

O sujeito-comprimido

Is it possible to encapsulate in a pill the benefits of an analytical treatment? Quickly suspending the symptoms? Since the nineteenth century psychiatry has offered to the so called mentally ill "medieval forms" of treatment, as is the case of institutional admissions, the straightjacket, lobotomies, shock treatments, etc. What has changed since the mid-twentieth century advent of chlorpromazine, the first psychoactive drug, and the "psychopharmacological revolution"? Today with the Psychiatric Reform mental institutions admissions are being gradually abandoned, yet we see the rise of psychoactive drugs as protagonists in mental health treatment. This theoretical essay is an extension of a master's thesis in progress on the long-term use of psychotropic drugs. It falls within the field of mental health, specifically in the debate on the medicalization of society in contemporary processes of subjectivation of the psychiatric clinics and the treatment modalities currently offered to individuals in their suffering-existence. Thus, we seek to problematize this degrading psychiatric clinics, which produces what we call the pill-subject.

Fragmentos de experiências no campo da Saúde Mental e Atenção Psicossocial

Neste artigo, reflito sobre a minha experiência como psicóloga e docente-supervisora de estágio do curso de Psicologia de uma Universidade pública. Através de fragmentos de registros mnêmicos das produções registradas em relatórios, comunicações e artigos científicos, dissertação de mestrado, teses de doutorado e de livre docente, entre outros, procurei analisar a efetivação das políticas públicas e os desdobramentos na construção de um novo modelo de saúde mental, denominado de Atenção Psicossocial. Observei que atualmente as Políticas Públicas para Saúde Mental, construídas a partir do Movimento da Reforma Psiquiátrica, vêm propiciando mudanças significativas para o cuidado dos usuários. No entanto, o estado atual da assistência em saúde mental, no país, é marcado por muitos problemas e desafios. Entre eles se destaca a necessidade dos novos serviços oferecerem uma atenção integral ao usuário, norteada na interdisciplinariedade, interprofissionalidade e intersetorialidade.

A psicopatologização da infância no contemporâneo: um estudo sobre a expansão do diagnóstico de transtorno de déficit de atenção e hiperatividade

The expansion of psychiatric labeling does not reach only the adult population, but also the problematic related to childhood have been captured by the speeches and practices of the medical-psychiatric knowledge and turned into psychopathologies which tend to be treated with the main resource made available by psychiatrics in the present times: the psychotropic drugs. This work presents a critical thinking on the expansion of the diagnoses of “attention deficit disorder and hyperactivity” (ADHD) both in children and teenagers and on the conduction of drug therapies. It follows that the processes of childhood psycho-pathologization and the trivializing of psychotropic drug prescription are related to the overvaluation of the biological conception of psychic suffering and to the economic interests of the great pharmaceutical laboratories which by means of several strategies influence the medical practices, factors that lead to exposure of these patients to possible side effects and the risks of stigmatization that must be considered.

O trabalho como dispositivo de atenção em saúde mental: trajetória histórica e reflexões sobre sua atual utilização

The partnership between Mental Health (MH) and work is present throughout the history of psychiatry. Capitalist society has used and uses the fitness or unfitness for work not only as one of the elements to the definition of "normality", but also as a treatment strategy. In this perspective, one can find a position healing and, more recently, a different proposal put forward by the psychiatric reform that considers also make / produce, the construction of meaning in the work as crucial for subjectivity. This sense is present in therapeutic workshops that seek to value the uniqueness, not to override the differences. The objective of this paper is to reflect on the relationship between Attention in SM / Work. Initially presents three theses, from which this relationship is built historically: 1 - Work as a means of avoiding idleness returning productively to society; 2 - Work as a healing practice, from the prescription, and 3 - Work as a strategy for care and social inclusion. Below, we discuss some questions about therapeutic workshops and income generation in the mental health care as a device for attention and social inclusion.

Oficina na atenção psicossocial: experimentações com a palavra

The Word Workshop was created in 2004, as an activity of the training period in Psychosocial Care in the Collective Health, a discipline that is part of the curriculum of the Psychology course offered by the State of São Paulo’s University “Júlio de Mesquita Filho”/UNESP, campus of Assis. Initially, it is possible to affirm that the Word Workshop contributes to stimulate the flow of the words through the discussion of tales, short stories, poetry, jokes and news. The Word Workshop is considered an effort towards the guarantee of a space where the users of the mental health care service can share varied experiences and it is also thought as an attempt that can, potentially, bring up the conditions through which some existential meanings may possibly be forked. Such a space-instrument allows the mental health care users to speak about life and their interests rather than to keep focused in symptoms and complains. These ones, by their turn, are expressed through metaphors, unprecedented speech experiences and new sensitivity regimes. The critical analysis of the singular experience of the Word Workshop, that understands the words as agents of social transformation, was conceived with the support of Enrique Pichon-Rivière’s and Paulo Freire’s theories. From this first theoretical reading, it is possible to make an incursion through the scenery of the Psychosocial Care Workshops, paying special attention to their potential and to the risks related to crystallized practices.

Entre o cárcere e a liberdade: apostas na produção cotidiana de modos diferentes de cuidar

This paper presents some reflections about the challenge of the Psychiatric Reform (RP) and the National Policy of Humanization (NHP) to change modes of production and health care. Starting at observations about the current scenario , marked by a conservative tendency, the author seeks to explain the care that has freedom as a principle and ethical requirement and that compulsory admissions represents a worrying setback in the public mental health policy. At the end the author points out that both policies (PNH and Mental Health) are bets which are produced in nooks and crevices of the conservative model, which represents an immense challenge.

Apoiador matricial: uma possibilidade de promover a interdisciplinaridade entre profissionais da saúde

This study aims to reflect the organization of the mental health services in primary care from a new organizational arrangement to health work, defined as Matrix Support (Campos, 1999), which aims to build technical and educational support in the relationship between health professionals from mental health professionals in the Family Health Strategy. The methodology used in the Matrix Support the “Wheel” method, which is mediated by a supporter who, through questions and reflections, points out possibilities for case discussions, promotes links between the health teams, discusses the concept of link between professionals and users, strengthens the co-responsability for the actions of health and tries to break the logic related with the services organized by referrals. So the wheels when they occur in health services enables the interdisciplinary, and through it, it is expected to talk about the complexity of the phenomena that surround each subject, so that they overcome the dichotomy between individual and collective, social and biological revealing new values to be incorporated into health practices. In front of this analysis that is theoric and conceptual, allied with the experience from a nursisn area professional that worked in this work method, can be concluded that this experience related here, eas strategic for the health care actions for strengthen based on the Unique Health system and Psych Rebuild principles.

A banalização da prescrição de psicofármacos em um ambulatório de saúde mental

The development of modern psychiatric medications coupled with the wide range currently gained by preventive emphasis in mental health changed the practices of psychiatry, which is no longer focused on treating insanity but is also dedicated to treat any psychiatric suffering through the prescription of psychopharmacos. This study discusses the current process in which medication has been generalized, and presents the results of an exploratory study aimed to examine the patients' medical files, the trajectory of users since they enter the service to the prescription of psychiatric medication in the scope of a Mental Health Outpatient Clinic, in a town in the west of the São Paulo state, Brazil. Results revealed that most (65%) users already arrive at the service with previous prescription of psychiatric medications, and nearly all (99%) of them receive prescriptions of psychiatric medication once forwarded to psychiatric consultations.

Ação do desregulador endócrino bisfenol A e da dieta hiperlipídica sobre os lobos prostáticos do gerbilo

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Expressão diferencial de mRNA em células de cultivo infectadas ple herpesvírus bovino 5

Pós-graduação em Medicina Veterinária - FMVZ

Identificação de Plasmodium spp. em primatas neotropicais e em anofelinos em municípios da região de São Luís, estado do Maranhão, Brasil

Pós-graduação em Medicina Veterinária - FCAV

Meaning of aromatherapy massage in mental health

Objective: To understand the meaning of the aromatherapy massage intervention in mental health for the patient during psychiatric hospitalization.Methods: A qualitative study including 22 participants with a diagnosis of personality disorder hospitalized in a psychiatric unit of a general hospital. We used semi-structured interviews with a guiding question for participants, for whom the aromatherapy massage intervention was performed. The content of the interviews was assessed according to content analysis.Results: Among the study subjects, there was a predominance of females and the majority presented a diagnosis of Emotionally Unstable Personality Disorder. Two categories that emerged were identified from qualitative data: "Identifying the benefits of aromatherapy" and "Enabling self-knowledge."Conclusion: The meaning of the aromatherapy massage intervention was represented by improvements in nursing care and treatment during psychiatric hospitalization, while assisting in the reduction of anxiety symptoms and coping with mental illness.

Genetic heterogeneity of Escherichia coli isolated from pasteurized milk in State of Paraná, Brazil

Food contamination caused by enteric pathogens is a major cause of diarrheal disease worldwide, resulting in high morbidity and mortality and significant economic losses. Bacteria are important agents of foodborne diseases, particularly diarrheagenic Escherichia coli. The present study assessed the genetic diversity and antimicrobial resistance of E. coli isolates from pasteurized milk processed in 21 dairies in northwestern State of Parana, Brazil. The 95 E. coli isolates were subjected to antimicrobial susceptibility testing according to the recommendations of the Clinical and Laboratory Standards Institute and assessed genotypically by Enterobacterial Repetitive Intergenic Consensus-Polymerase Chain Reaction (ERIC-PCR). The highest rate of resistance was observed for cephalothin (55.78%). ERIC-PCR revealed high genetic diversity, clustering the 95 bacterial isolates into 90 different genotypic patterns. These results showed a heterogeneous population of E. coli in milk samples produced in the northwestern region of Parana and the need for good manufacturing practices throughout the processing of pasteurized milk to reduce the risk of foodborne illnesses.

Pré-eclâmpsia e risco de alterações no ultrassom de crânio de recém-nascidos prematuros

Pós-graduação em Ginecologia, Obstetrícia e Mastologia - FMB