As relações de interação e integração entre cérebro, corpo-propriamente-dito e meio-ambiente na constituição da mente consciente

This dissertation will be marked by our proposal to hold a theoretical perspective to the classical mind-body problem, and more precisely for the defense of the idea that consciousness (or conscious mind) emerges from the interaction and integration relationships between body proper, brain and environment. This purpose will lead us to assume an alternative position with respect to the more traditional perspectives to the mind-body problem, ie an alternative perspective not only in relation to the dualistics forms of mind-body, but also in regards to the reductive physicalists, which usually reduces mind to brain. Aiming to support a position that both avoid the idea that mind and body are distinct substances and the theory that the brain explains the consciousness in its totality, we will dedicate an important part of this work to explain how the structure of consciousness depends significantly of the body proper and the bodily information mechanisms as well as the environment and the physiological mechanisms through which we place ourselves in space, in front of us and the other bodies (organic and inorganic). Given that the relationship between brain, body and environment involves different mental levels — from the most primitive and unconscious mental mechanisms until conscious and sophisticated levels — we will proceed to the task of assuming a model to explain in what sense these levels contribute to that our instincts and the most sophisticated dimensions of our mental life are part of the one and the same process, which is why we will structure our argument from the ideia that mind, self, and consciousness are the different hierarchical levels which make up the totality of our psychic life and therefore organic one. Imbued with this conceptual approach, we will advance to the focus of this work, namely the reasons that will lead us to give a prominent role to the body proper and the environment in the constitution of the conscious mind, or even the reasons that will lead us to defend the thesis according to which we are embodied and situated, as well as the reasons that will lead us to reject the theoretical positions that dichotomize man and world. In order to support the thesis that we are embodied and situated, and therefore with the purpose of overcoming the theoretical paradigms that dichotomize consciousness and world, we will turn out to the authors and the perspectives we believe to be more successful in this endeavor, including the phenomenological approaches to bodily self-consciousness, the enactivists perspectives and the researches dedicated to mapping the interaction and integration relationships between brain, body and environment. To achieve our goals, the dissertation will be divided into two chapters: the first chapter will emphasize in what way the structuring of consciousness depends on the body proper and the environment, while in the second chapter we will resort to the phenomenological dimensions of bodily self-consciousness, emphasizing the bodily information channels that provide us the immediate certainty, in a first person perspective, that the self is bodily in a non-metaphorical sense.

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.