Aspectos cognitivos do transtorno obsessivo-compulsivo

This paper describes the most important cognitive models for obsessive-compulsive disorder, i. e., the inference processes (thoughts and believes) underlying the patients'feelings and behaviors. The major models formulated in this area emphasize the following aspects: exacerbated perception of danger (risk evaluation), overimportance of intrusive thoughts, excessive sense of personal responsibility (blame for harm self and others), perfectionism, psychological fusion of thought and action, and illogical inference processes involving confusion between imagination and reality. The knowledge of cognitive aspects brings new perspectives for the psychological treatment of this disorder.

Um transtorno delirante somático atípico

This paper describes the case of a 38 year-old single man with a previous history of social phobia and alcoholism, who presented an unusual pathological belief during the last 9 years. He believe that the muscles of his arms were loose, separated from the bones, and that a green fluid flowed from his shoulders, running under the skin towards his fingers, and returning to the shoulders. He also reported pain, weakness and sensations of loose and fluffy muscles, besides having visual and kinesthetic hallucinations and judgement impairment. No other psychopathological manifestations were observed. There was a worsening of the complaints and depressive symptoms with the use of pimozide and no improvement with fluoxetine, venlafaxine or risperidone. He is presently taking sulpiride. Psychopathological issues and difficulties in diagnosis and treatment are discussed.

Psicoterapia grupal no transtorno obsessivo-compulsivo

There are few published papers about group psychotherapy for patients with obsessive-compulsive disorder (OCD), and usually restricted psychoeducational, support or cognitive-behavioral approaches. This article describes the experience of group psychotherapy for OCD patients started in 1996 in Botucatu Medical School - Unesp, São Paulo, Brazil. The two-hour sessions occur once a month, with 6 to 10 female patients, and are based on psychodramatic techniques. Psychotropic prescriptions are given after the sessions. In the beginning, aggressive obsessions were more prominent and were reported with much anguish and shame. Gradually, the themes changed from OCD specific issues (symptoms, pharmacological treatment, outcome, need of exposure and response prevention) to deeper and more personal psychodynamic aspects. The psychodramatic approach (techniques of double, mirror, role inversion, search for prymary scenes) has mostly shown: difficulty in accepting their own human mistakes or negative emotions due to excessive personal demands. This seems to generate guilt, low self-esteem, idealization of others, difficulty in enjoying pleasant situations, fear of taking responsibilities and of losing control (madness/aggressiveness). The group has been considered very important by the patients, since sharing experiences helps to diminish feelings of isolation, shame and guilt, stimulates the exposure to feared situations and enhances self-esteem. The fact that all participants have the same disorder favors group cohesion and provides relief, as they see in the others some of their afflictions and are able to share similar feelings and experiences. Many times the burden of the symptoms are dealt with humor. The confidence in such therapeutic setting is helping the identification and resolution of personal conflicts and contributing to the adherence to pharmacological treatment. The group also provides valuable training experiences for resident physicians in psychiatry.

Enfermeiros e a família do portador de transtorno mental.

This qualitative study aimed at investigating how mental health nurses acquired knowledge about the theme family during their academic training, how they see families in their daily practice, and how should professional training be considering the presence of the family in the care setting. Data were collected using semistructured questionnaires. Six nurses were interviewed. Data analysis allowed the establishment of three theme categories: Academic and professional training absence of the family theme; the nurses' perception of the family with a mentally ill member; and a new vision of the family the role of teaching. During undergraduate education, nurses acquired little knowledge about the theme family; in the institutional routine, they praise the family as a participant of care; and indicate that the need for knowledge about families is based on the interdisciplinary character of education.

Perfusão cerebral e análise individual automatizada utilizando SPECT em uma população com transtorno obsessivo-compulsivo

Objective: To make individual assessments using automated quantification methodology in order to screen for perfusion abnormalities in cerebral SPECT examinations among a sample of subjects with OCD. Methods: Statistical parametric mapping (SPM) was used to compare 26 brain SPECT images from patients with OCD individually with an image bank of 32 normal subjects, using the statistical threshold of p < 0.05 (corrected for multiple comparisons at the level of individual voxels or clusters). The maps were analyzed, and regions presenting voxels that remained above this threshold were sought. results: Six patients from a sample of 26 OCD images showed abnormalities at cluster or voxel level, considering the criteria described above, which represented 23.07%. However, seven images from the normal group of 32 were also indicated as cases of perfusional abnormality, representing 21.8% of the sample. Conclusion: The automated quantification method was not considered to be a useful tool for clinical practice, for analyses complementary to visual inspection.

Efeito da prática no controle de torque isométrico em crianças com transtorno de desenvolvimento de coordenação

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

Avaliação e comparação da dor e da resposta inflamatória pós-cirúrgica em cadelas submetidas à ovário-histerectomia laparoscópica com único portal; realizada com pinça bipolar com corte e coagulação simultâneos ou por miniceliotomia com ganho de Snook

Pós-graduação em Cirurgia Veterinária - FCAV

Processamento auditivo comportamental e eletrofisiológico em crianças com Transtorno de Déficit de Atenção com Hiperatividade (TDAH)

Pós-graduação em Fonoaudiologia - FFC

A avaliação do pensamento lógico em pacientes com TDAH - Transtorno de Déficit de Atenção com ou sem hiperatividade

Pós-graduação em Pediatria - FMB

Relações familiares e habilidades sociais de irmãos de indivíduos com transtorno do espectro autístico: estudo comparativo

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Prevalência e fatores de risco para transtorno mental comum na população urbana da região metropolitana de Sâo Paulo

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Comorbidade em fobia social no transtorno obsessivo-compulsivo: prevalência e fatores associados

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

A realidade virtual na intervenção motora em crianças com transtorno do desenvolvimento da coordenação

Pós-graduação em Desenvolvimento Humano e Tecnologias - IBRC

Instrumento de avaliação metafonológica para caracterização de escolares com dislexia, transtorno e dificuldades de aprendizagem

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)