Indícios de subjetividade na fala de uma criança psicótica: um olhar para as hesitações

This study, performed under a linguistic-discoursive prism, aimed to: (1) describe the moments in which occurred hesitations in the utterances of a psychotic child diagnosed with Language Disorder; and (2) determine the extent to which these moments (also) can indicate aspects of a subjectivity trying to emerge in this child. Data were extracted from a speech therapy session with a ten year old female child. Concerning the fi rst goal, from a total of 362 utterances produced by the child, only 74 (20%) had hesitation traces, while 288 (80%) did not. Concerning the second goal, the utterances with hesitation traces occurred in situations of: topic development, especially in the form of complementarity; introduction of new topic; return to the previous topic; refuses to the topic; enunciative incompleteness. The high percentage of utterances without hesitation traces (80%) is explained because they are highly predictable from the context, mostly in situations of ritualized adjacent pairs, oftentimes in situations of immediate specularity. The reduced percentage of utterances with hesitation traces are explained precisely by the fact that, unlike those without traces, in these ones, signs of a subjectivity that tries to emerge and show itself in the discourse production are detected. With the development of this study, we tried to emphasize the view at the hesitations as marks of subjectivity – in other words, evidences of confl icting relationships between the subject and the others that constitute the utter. The concern was also about bringing to the fi eld of Speech Pathology discoursive linguistic refl ections based on data extracted from symptomatic contexts of language.

Escola em tempo de inclusão: ensino comum, educação especial e ação do fonoaudiólogo

This article refl ects about the action of the school speech therapist presented in a panel discussion proposed by the Public Health Department entitled: “School time of inclusion: common teaching, special education and speech therapist’s action” during the 19th SBFa’s Congress at the WTC Sheraton in São Paulo. The refl ections triggered aimed to provide elements for the systematization of actions from different sectors guided by ethical principles, theory and practice that enable collaborative relationships between educators and speech therapists. The text mantained the order of presentations that have focused on: 1) the challenges of speech-language intervention in the processes of inclusion and exclusion of the school: from the promotion of oral and written language, to the approaches of the so-called language disorders; 2) the interface between Speech Therapy and Education; 3) the role of the speech therapist in the context of Inclusive and Special Education. The authors support the position that the work done at the interface Speech Therapy and Education has the potential to contribute to school’s inclusion processes that will be capable to subvert the discriminatory logic that imposes in daily school the binomium inclusion / exclusion. The theoretical and methodological approaches presented by the authors are supported in a humane and civic vision care, training and social participation.

A percepção da doença de Alzheimer pelos estudantes da F.F.C. Júlio de Mesquita Filho da UNESP, Marília

Alzheimer’s disease (AD) accounts for approximately 56% of all cases of dementia. The present study aimed to report the perception of AD by students of Physiotherapy, Speech Therapy and Occupational Therapy from Faculty of Philosophy and Science “Julio de Mesquita Filho” – UNESP – Marília, with regard to the symptoms, diagnosis and treatment, between 2011 and 2012. The questionnaire with open and closed questions was administered to 101 students, using as a criterion for exclusion those who refused to answer the survey and / or not signed the informed consent form. After the questionnaire application, the answers have undergone quantitative analysis, checking which information and concepts about Alzheimer’s disease these students acquired during the undergraduate years. The data shows that although students have knowledge about the signs and symptoms of the disease, few mention the importance of family, the caregiver and the relationship of the disease with dependence that commonly reaches this population.

Projeto Memória e Envelhecimento: capacitando profissionais e aprimorando aspectos cognitivos em idosos institucionalizados

The increase in elderly population is a worldwide phenomenon and has different consequences not only in terms of health, but also in economic terms. One of those consequences is the institutionalization. The project, running in two elderly care institutions (hereafter IRLPi) located in Marília – SP aims to: a) Train multidisciplinary team to work in IRLPi’s; b) Develop and promote activities that improve life quality focusing on the preservation of mental health; c) study general and mental health conditions of patients under elderly care institution programs. The project was implemented in three phases: a) data collection and elaboration of plan of activities; b) Application of activities; and c) assessment/ analysis of results. Regarding Phase 1, data were collected from 3 forms, through which it was possible to verify: Institutional Data; Social Data and General Health. The data related to health were collected from the medication of continuous use. All data were launched into the database (Access) and subjected to the descriptive statistical analysis. Data related to mental health were confirmed from the application of clinical trials (Geriatric Depression Scale - EGD, and MMSE-T).

Pausas na interpretação teatral: delimitação de constituintes prosódicos

We intend to observe the function of a linguistic resource – the pause – in theatrical interpretation. Connected to the field of speech therapy, we search for theoretical support in the Linguistics field, mainly in prosodic phonology – specifically, we highlight intonational phrase and phonological utterance, prosodic constituents –, proposing a dialogue between these fields, regarding the work with actors. In speech therapy literature, the work with actors focuses, centrally, in organic issues involved in the vocal process, such as “misuse” or “voice abuse”. To a smaller extent, we find, in this literature, researches that emphasize issues regarding interpretation and expressive resources, besides a few emphasizing the importance of linguistic resources in interpretation. Differently, in linguistics literature, the pause is approached, to a larger extent, from the phonetic perspective, related to several language levels. In this research, we analyzed audio recordings of four actors from a same theatrical group, acting the theatrical text Brutas flores, focused on these aims: (1) detect the place where pauses happen in the interpretation of a single text by four actors; (2) survey physical characteristics of length of these pauses; (3) check to what extent the length of a pause is related to the place where it happens, regarding the prosodic limits of intonational phrases (I) and phonological utterance (U). We could observe that, although the interpretation is characterized by the subjectivity of the actor, the interpretation is constructed based in the possibilities offered by the prosodic organization of the text itself, being more or less flexible.We were also able to confirm, by considering the length of VVs units containing pauses, the prosodic hierarchy proposed by Nespor & Vogel, once the length of these units in U's limits was significantly higher than the length in I's limits. Thus, our results reinforce the premise that a linguistic structure overlaps the subjectivity of the actor, i. e., the premise that the strength of linguistic structure organization acts on the possible individual operation/style.

Ações intersetoriais de prevenção de acidentes na educação infantil: opiniões do professor e conhecimentos dos alunos

Introduction: public health politics and education privilege school for disease prevention and healthpromotion activities. Objective: this paper describes inter-sector action for childhood accidentsprevention, teachers’ assessments and the knowledge of the students involved. Methods: it wasdone in a kindergarten City School in São Paulo interior. Thirty students from the Pre school secondyear, in the 5-6 age range and the teacher through a signed Consensus Term. The actions wereperformed in the classroom. Questionnaires were used with the teacher and school books with thechildren, formulated by speech and language pathology interns, who lead the actions in school.Results: the results showed an improvement in knowledge about children accident risks and formsof prevention by children and teacher. Conclusions: the educational activity was positively evaluatedfor both participant segments, being suggestive for other classes and/or schools, with health andeducation professionals’ partnership.

Idosos institucionalizados e depressão: atividades expressivas e seu potencial terapêutico

The influence of emotional condition on quality of life during the aging process is a theme that stands out in the context of research, since the psychosocial skills of the elderly are vulnerable to changes in structure, function body and the environment. Given this, aim of this study was to evaluate the effects of a programming expressive activities in controlling depressive symptoms manifested by institutionalized elderly. Participants were 7 people in a geriatric institution with symptoms suggestive of depression and it was used to evaluate the GSD-15, which was applied at the beginning and end of treatment planning. The intervention was applied for four months, making up two weekly sessions of 75 minutes. Of the total of 5 seniors with probability of depression in the pretest, 3 reached the normal range for depression at post-test, recommending the continuation of the study to a larger sample and greater consistency of results about the effects of activities expressive about depressive symptoms manifested by older people.

Indicadores de depressão e de declínio cognitivo em idosos institucionalizados: um estudo de caso

This case study objectified investigating the symptomatology prevalence for depression (DP) and cognitive decline (CD) on institutionalized elderly’s; verifying the existence of correlations between DP and CD with age, gender and scholarity; and analyzing the possible correlations between symptomatology for DP and CD. For the realization of this research were selected, in two Elderly’s Long-Permanence Institutions (ELPIs), 24 subjects, which were classified according to gender, scholarity and age group. To verify the occurrence of CD, the Mini Mental State Examination (MMSE) was applied and, for the incidence of DP, the Geriatric Depression Scale (GDS) was applied. The data were tabulated and descriptively analyzed. For the study of the relations between quantitative variables, the Pearson correlation test was utilized and also the Spearmann test when necessary; for the comparison between two independent groups, the Student's t-test was utilized; for the verification of the association between gender, scholarity, DP and CD indicatives, the Pearson's X2 test and, due to theoretical restriction, the Fisher's exact test were utilized. The level of 5% probability was adopted for the rejection of nullity's hypothesis on all the tests. The research demonstrated that 50% of the research' subjects presented DP indicatives and 54.2% presented CD indicatives. Associations between: gender and DP (p = 0.414), gender and CD (p = 0.219), scholarity and CD (p = 0.527) were not observed. Positive regular correlation was verified between age and DP (r = 0.557; p = 0.005) and negative regular correlation was verified between DP and CD (r = -0.406; p = 0.049). The data suggest that DP might be a reaction to CD perceived by the subject. However, the hypothesis that indicates DP as a risk factor for CD and DM cannot be overruled, which suggests the importance of monitoring and treating depressive episodes on elderly populations.

Classificação do grau de comprometimento motor e do índice de massa corpórea em crianças com paralisia cerebral

Children with cerebral palsy due to movement and posture disorders might have an injured nutritional state. This study's objective was to classify the body mass index of children with cerebral palsy and verify its relation with the injury level of gross motor function. Twenty children, male and female sex, with cerebral palsy with ages between 2 and 14 years participated in the study. They were chosen from a rehabilitation center with physiotherapy, occupational and speech therapy accompaniment. Children were classified according to the gross motor function classification scale. The anthropometric measures of each child weight, heel-knee length, estimated stature and body mass index were gauged. The body mass index was classified according to the Center for Disease Control and Prevention's body mass index percentile calculator for children and teenagers. The obtained data didn't show any relation between the gross motor function and body mass index. The reduced number of participants and the fact of all children be accompanied in dysphagia clinics and, when necessary, nutrition clinics, might have influenced these results.

Estudo epidemiológico do perfil do idoso institucionalizado do interior paulista

The increase in the elderly population is a worldwide phenomenon and has different consequences not only in terms of health, but also in terms of economy. One of those consequences is the institutionalization. The understanding of this process, as well as of the reality of the institutionalized elderly is essential to develop policies of care. Goals: a) present the epidemiological profile of institutionalized elderly who live in institutions in the countryside of São PauloState and describe the development of an extension project implemented in two elderly-care institutions (IRLPI’s). Methods and procedures: data were collected in three forms, from which it was possible to verify: a) institutional data; b) social data and c) data about general and mental health. The data related to health were collected from the medication of continuous use. All data were launched into the database (Access) and subjected to the descriptive statistical analysis. Data related to mental health were confirmed from the application of clinical trials (Geriatric Depression Scale – GDS and Mini Mental State Examination: MMSE).

Assessoria Fonoaudiológica na Educação Infantil

This study aims at indicating possibilities for speech therapists at schools of Primary Education. The project was developed in three centers of Primary Education in Irati, Paraná. It took into consideration 114 students and 30 teachers. Teachers filled in questionnaires and attended conferences. Regarding to the children, it was constructed a profile and activities related to phonological subjects. The extension project represented an important role for development of academic skills and competence of the school community.

A linguagem escrita na perspectiva de educadores: subsídios para propostas de assessoria fonoaudiológica escolar

PURPOSE: to describe a proposal that may contribute to the development of actions promoting health to back Speech therapists performance in school, based on educators' investigation on conceptions about the written language development process. METHOD: descriptive study performed through application of questionnaires in nineteen elementary school teachers in three public schools in a city in the State of Parana. The questionnaires contained questions on the development of written language, factors that favor and/or hinder this process. Data analysis was carried out through transcription of discursive replies and quantification of multiple-choice answers. From the content submitted in the replies, it was possible to create subject areas to be discussed. RESULTS: seven reports (35%) showing that the development process of written language starts at school were recorded; contact with writing was quoted twelve times (30%) as support for the development of written language; individual aspects were reported sixteen times (38%) as causes for learning difficulties; and there were twelve reports (39%) on forwarding to other professionals as a solution for such difficulties. CONCLUSION: educators have lack of fundamental knowledge for their educational practice regarding the literacy process, although most have training being consistent with what is advocated by LDB. It is not possible to generalize this conclusion, due to the small sized study sample.

Eletroestimulação neuromuscular na reabilitação da disfagia orofaríngea

The rehabilitation of oropharyngeal dysphagia has a new therapeutic tool, the neuromuscular electrical stimulation (NMES), and the most renowned researchers have been studying the applicability and the results of this approach. The aim of this study was to present a literature review regarding the applicability of NMES in the rehabilitation of oropharyngeal dysphagia. An extensive literature review was carried out, considering the last two decades of research in the area. The review showed that there is still no consensus on the use of NMES in the rehabilitation of dysphagia. It was found that most studies described the use of NMES in isolation, did not describe the techniques associated with speech-language therapy associated to electrotherapy, and used heterogeneous samples that clustered mechanical and neurogenic oropharyngeal dysphagia. Only recently specific programs have been designed and tested in more homogeneous populations.

Auditory perceptual performance of children in the identification of contrasts between stressed vowels

Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)