Mediação como base de estratégias pedagógicas voltadas a alunos com deficiência mental severa: indicadores para a prática docente

The paper talks about the education of persons with disabilities severe mental retardation based on the idea of Reuven Feuerstein mediation. The collected data were analysed mainly under the focus quantitative, allowing extraction of details of everyday life investigated. Aims to describe and analyze the implementation process their educational, focusing on teaching strategies used by Special Education teachers in the Araraquara’s city. In addition, seeks to address the educational process of a population slightly investigated by uniting two strands of thread in an innovative way: the Theory of Structural Cognitive Modifiability (SCM) and Reuven Feuerstein education of students with severe cognitive impairment. The methodology initiated by the establishment of the teacher’s profile, their mapping and location. Data collection was achieved through three instruments: interviews with teachers, observation protocol and field diary for registration. Our results describe the work of a teacher, showing their practice, and enlist the pedagogical strategies used, mainly those related to the criteria medication. According to the Theory of Structural Cognitive Modifiability (SCM) and the idea of Mediated Learning Experience (MLE), the teacher acts as mediator, interposing themselves between stimuli the environment and the student. The work of the teacher observed indicates that the environment and the student. The work of the teacher observed indicates that she exerts her functions in teaching using pedagogical strategies which are found in her heart, precepts essential to mediation. This shows it is possible to associate the ideas of Feuerstein practices aimed at teaching students with severe mental disabilities.

Programa informativo sobre deficiência mental e inclusão: mudanças nas atitudes socias de crianças sem deficiência

This article presents part of a study that analyzed the concepts, feelings and attitudes of children without disabilities about mental retardation and inclusion and evaluated the effects of an informative program that deals with the issue. The study included forty children from two first grade classrooms in a public school in Marília-SP. One classroom participated as a control group. All children underwent pre and post tests in the form of interviews on the subject and a scale of children's social attitudes towards inclusion was applied. The experimental group participated in the informative program, composed of thirteen weekly meetings, in which the limitations and possibilities of people with mental retardation, specialized care, their schooling and family and social aspects, were discussed, using various educational and recreational strategies. The data collected in the interviews were categorized and content analysis was conducted. With the scale, individual scores were obtained. Statistical calculations were performed to verify the significance of differences between groups. In this paper we discuss the data obtained with the scale which were crossed with interview data. The results of the interviews and the scale indicated several changes in children's attitudes towards inclusion, but relations between many of these data could not be statistically confirmed. These results indicate the importance of expanding the research on the relationship between the phenomena presented.

O surgimento das práticas de assistência à saúde mental da criança inspiradas na psicanálise no início do século XX através da obra de Durval Bellegard Marcondes

Psychoanalysis was introduced in Brazil since 1920 contributing to the appearance of new practices of health care for the child. Therefore, the present article aims to discuss the link between psychoanalysis and practices focused on children's mental health that emerged from the 1930s through the work of Durval Marcondes, a pioneer in the dissemination and use of psychoanalysis in Brazil. A historical research was held from a survey on Durval Marcondes’s work and the team led by him confined in the epigraph theme. It was found from that work that the link between mental hygiene, new school and psychoanalysis developed a pioneering service of care to children with school problems based on the diagnostic evaluation and guidance of parents and teachers. It is concluded that this work introduced the differentiation between children with cognitive and emotional problems and provided the foundations of psychoeducational and psycodiagnostic interventions.

O Mal-estar no Trabalho: a culpa como mal-estar e a culpa do mal-estar

The present work is a reflexive-theoretically research that intends, by the light of Psychoanalytic and Freudo-Marxim theories, to think about the work malaise - effect of a repressive civilization -, and the sublimation possibilities, in the context of the discussions about the conflict individual-civilization. The work favors the essential thing for the human race's representations. Current researches indicate the importance of thinking the work in the process physical and mental health/illness, as well as the subjectivity of the human race in the present time. However, the organizations of work, using reductionist views, with the psychiatric-medical Knowledge/power as accomplice, have a tendency to disregard their responsibilities in the "production" of the illnesses in the workers. Freud, by the neurosis's understanding, showed that in the individual-civilization conflict the first one pays a high price: the constant malaise (the guilt as malaise). While who detains the guilt, in the social sense of the word (the guilt of malaise), is the human culture, intermediated by the organizations, defenders of the minority's interests that hold the manners of production/exploration. According to Freud, the growth of the feeling of guilt is inevitable, considering the necessity of the drives repression to cultural progress through displeasure work. However, Reich and Marcuse theorize an exit for the Freudian pessimism about the conflict between the individual and the civilization. Freud didn't consider properly the nature socio-historical of the Reality Principle, understanding it like universal. Therefore, the level of repression would have a specific socio-economic class: surplus value for a minority and more repression for the great mass. A less repressive Reality Principle might provide a fair progress of the humanity. It's in the list of discussion the possibility of the work in social and psychological conditions that allow the reduction of worker's malaise in the civilization's breast.

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.

Bebês com sequência de Pierre Robin: saúde mental materna e interação mãe-bebê

The aim of this study was to evaluate maternal stress and anxiety and the quality of interaction of 10 mothers and their 0-3-month-old babies with Pierre Robin Sequence hospitalized in a university hospital. We used the Inventory of Stress Symptoms for Adults to evaluate stress and the State-Trait Anxiety Inventory to assess anxiety of the mothers, and a protocol to assess the recording of the mother-infant interaction. The results showed high levels of maternal stress and anxiety. A statistically significant inverse relationship was found: the higher the maternal anxiety and stress, the lower was the mother-infant interaction. The results indicate that work needs to be done to minimize the anxiety and stress of mothers with inpatient babies in order to encourage interaction.

Estratégia saúde da família e adolescência: as necessidades de cuidados e recursos utilizados em saúde mental

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Users' psychological characterization of the Birigui Mental Health Clinic

To improve mental health services, the World Health Organization proposes an “epidemiological approach” based on the constant screening of existing research, and aimed at continuous improvement of psychological treatment rather than strict application of prescribed techniques. This study provides an epidemiological survey conducted at the psychology ward of the municipal Ambulatório de Saúde Mental in Birigui, São Paulo, Brazil. Data from 180 patients in psychotherapeutic care were collected, and subsequent descriptive analysis showed that the population consisted predominantly of adults (82.8% of total) and females (81.0%). Depressive disorder was the most common symptom (61.1%), and the majority of the participants (72.2%) received psychological treatment for the first time. The data presented in this paper can assist mental health professionals in selecting appropriate treatment by creating a profile of patients.

Prótese parcial removível obturadora: uma reabilitação oral que devolve o bem estar físico e mental

Maxillofacial deformities may cause awkward and embarrassing bearer. These patients present serious psychological, family and social issues becoming traumatized and complexed. These deformities can have congenital origin, malformations and developmental disorders, or can be caused by pathological mutilation such as necrotizing diseases and surgical oncology, or traumas such as traffic and work accidents.

Sofrimento psíquico e trabalho intelectual

This study aims to understand if intellectual work provides conditions for the emergence of psychic suffering inuniversity teachers in a public institution of higher education. Use is made of the philosophical assumptions ofhistorical materialism, work as a category of nuclear analysis of human phenomena, and also the categories ofalienated labor and intellectual work. It also refers to mental illnesses as a social production. The research subjectswere teachers with contracts of employment in exclusive dedication (RDIDP). It is used as an instrument for datacollection, a questionnaire with closed and opened questions of opinative character. Responses were categorized andanalyzed qualitatively and had not intention of giving statistical data. However, in order to better display, the samepercentage of the sample are presented, among which one third (29.6%) have some health problem after enteringuniversity. Of those, 15,5% are related to the organization of work, 5,6% to the working conditions, 2,8%concomitantly to the conditions and the organization of work. The results indicate that the organization of work in apublic university has shown itself as a space of psychic suffering, but also of alienation.

Relação entre transtorno do ciclo vigília-sono e trabalho noturno: desafios à segurança e saúde do trabalhador

The work and work organization influence the evolution of the health-disorder process by establishing a causal link with the work and the disorder. The present study aimed to verify the presence of the disorder of the sleepwake cycle triggered by non-organic factors, by identifying the possible effects on physical health, mental health and the social and family relations ten watchmen of a public institution of higher education. It was found that 80% of respondents had one or more of the symptoms that meet the criteria for the diagnosis of this non-organic disorder of sleep-wake cycle. We emphasize the need for specialized diagnostic, medical, psychological and social support for this population

Condições de trabalho e transtornos mentais comuns em professores do ensino fundamental de Avaré – SP

Pós-graduação em Saúde Coletiva - FMB

Direito à desconexão do trabalho como instrumento de proteção à saúde do trabalhador

Pós-graduação em Direito - FCHS