Sexualidade e saúde mental: construindo sentidos entre pessoas usuárias de um CAPS

When expressed by mental health services users, sexuality is typically denied by professionals, viewed as another symptom or as if these people are not capable of practicing it. Once Brazilian health professionals haven’t shown lots of investment in this theme, and few are the studies in this field, it is necessary the attention to be focused on researches involving this public. Therefore, the main goal of this study was understand the meanings of sexuality of the mental health services users, which were negotiated in sexuality workshops. The secondary goals were: a) understand the meanings of themes about sexuality brought by users through their experiences of everyday life; b) to evaluate the facilitating experience of the workshops on sexuality at CAPS. Thus, 10 workshops on sexuality were held, with an average of an hour and twenty minutes each, distributed from December 2014 and April 2015. There were 43 participants, 29 women and 14 men. The meetings had the following central themes: sexuality; sexuality and mental health; myths, beliefs and sexual taboos; gender identity; sexual orientation; sexual and reproductive rights; safe sex; and STD/AIDS. The data collection was through audio-recording of these meetings. Later, was made the transcript of the workshops, a careful reading of these transcripts and then its analysis. It was identified categories to analyze the interfaces that permeate the focus of the study. Initially, the categories relating to mental health and sexuality: meanings about sexuality; gender issues; gender and religion; sexual rights, STD/AIDS prevention and attention or denial of sexuality at CAPS. Later, those relating to the workshops facilitating process: challenges in facilitating the workshops; and the perception of the participants. A variety of meanings about sexuality could be noticed in the users’ statements, relating it more with affection and respect than with intercourse. The gender issues that emerged during the workshops were related to marital relationship, sexism, domestic violence, psychological violence and male and female roles in society. Moreover, were also revealed some situations that associated gender differences with religious issues, such as the submission of women and homosexuality. It was also noticed some experiences of the participants involving worrying situations of family violence, suicidal ideation and chemical castration, were often mismanaged or ignored by the service professionals. With regard to the facilitation of the workshops, it was possible to legitimize it as places where users were able to talk openly about the suggested themes and highlight its importance to the study site. Besides, it’s possible to list a few challenges of its facilitation in a mental health service, which was in general positively evaluated by the participants. Thus, the research highlights the need for sexuality theme discussion in mental health services, in order to understand, discuss and inform the users. Also, it’s important to problematize the stigma created in the theme relation with the users, the professionals and the society, working its specificities and avoiding a pathological bias.

O processo de subjetivação profissional durante os estágios supervisionados em psicologia

Internship is legally understood in Brazil as an overseen educational activity to be developed in a work setting aiming to prepare students to make productive work. According to the federal law number 11.788/08, its main aim is to provide students with competences directly related to the professional activity in a curricular context and to make students develop themselves to live as citizens and to work professionally. With a focus on the professionalizing internship, this research aimed at understanding the professional subjectiveness process of Psychology undergraduates at a public university in the state Minas Gerais during their internship and according to a critic perspective in schooling psychology. The importance of studying psychologist academic training above all the relationship between theory and practice is on the fact that the internship is his/her initial contact with the professional experience itself after four years of theoretical studies. Understood as a way of appropriating and internalizing theoretical and practical dimensions related to the psychologist profession and constructed by the individual, the concept of professional subjectiveness is viewed in the light of the cultural-historical theory, that is, as a result of the human being social constitution. Three Psychology s intern students and their respective overseers were interviewed during their internship period to talk about the process of professional constitution at this phase of the academic training. To do so, oral history proved to be an important methodological support, for it offers a means of giving voice to common people and letting them signify their multi-circumstantial experiences. Results reiterate the presence of subjectivity in the dynamics of an undergraduate training, but they showed that it is permeated by social relations established in his/her personal life story and professional trajectory, stemming from the professional choice, the relationship between intern and overseer, the professional activity properly considered, the psychotherapy, the rules, and from the institutionalization of knowledge, among others aspects that guide the professional subjectiveness during the internship. We verified that the training of a Psychology undergraduate includes multiple determinations that exceed the academic setting because it points out the breaking down of the professional dimensions and personal one dichotomy.

Impacto do trabalho noturno na qualidade de vida do profissional de enfermagem do gênero masculino

The nursing staff is now the largest contingent of professionals in healthcare environments, with more than 1.8 million professionals, and of these 15% are men, showing a masculinization of the historical profession and culturally conceived and carried out by women (COFEN / FIOCRUZ, 2013). This dissertation discusses the profession forward to some issues related to gender, quality of life and night work. Objective: To analyze the impact that shift work has the professional quality of life male, through a specific instrument to identify the main problems and joint damage to that front group to his professional activity. Methods: descriptivo, Cross-sectional study with a quantitative approach, performed with 72 professional male nursing staff, 41 (56.9%) nursing technicians, 18 (25%) of nursing assistants and 13 (18.1%) of nurses, in January 2015 in a university hospital in the city of Uberlândia (Minas Gerais). For this, we used the WHOQOL-BREF questionnaire. Quantitative variables were described as mean, standard deviation, maximum and minimum, in addition to the Shapiro-Wilk test and Kruskal-Wallis used in the data analysis, with a confidence level of 5% (p <0.05). Results: the profile of respondents, most are married 42 (58.3%) under the employment contract via Single Legal Regime 50 (69.4%) with mean age of 40 and having 16 years of service; and within a range of 0 to 100, the areas with better evaluation were the Social Relations (70.1) and psychological (67.5); already the worst were the Environment (57.4) and Physical (65.4). In the overall assessment, the average was 63.3 and staying below the national average (65-70). Thus, the professionals who were married obtained better scores, regardless of the category which is in the nursing team. Conclusions: The group is average, taking into account the standard deviation, but we can say that working conditions affect their profession, and these results allow the detection of the difficulties experienced by men of the nursing team, and can cooperate with the design strategies that benefit or minimize the search for conflicts that affect the health of these workers and their quality of life.