A compreensão de crianças em situação de acolhimento institucional acerca dos seus direitos

Esta investigación tiene como objetivo investigar cómo niños de cinco años de edad, acogidos en una organización no gubernamental en forma de casa-hogar, en la ciudad de Caicó-RN, entienden sus derechos, teniendo en cuenta sus experiencias y vivencias cotidianas. Fueron realizadas entrevistas semi-estructuradas con el equipo de acogimiento de la institución, con el gestor, y con las cuidadoras residentes responsables de las casas-hogares. Con los niños, fueron utilizados métodos participativos con el fin de potenciar la expresión de los niños, tales como juegos, videos y fotos. Se pudo observar que algunos niños no tienen comprensión de su situación como sujetos de derechos. Sin embargo, apuntan a una serie de derechos específicos como se fueran derechos de los niños, con énfasis en lo derecho a tener una familia y una casa, el juego y la educación. La figura materna aparece como uno de los principales responsables de proteger estos derechos, y la escuela se presenta como un espacio que permite, además de la educación, la convivencia comunitaria, el juego y la alimentación.

Quando a indisciplina escolar é um sintoma? articulações psicanalíticas

From a clinical case reporting a severe “ scholarship indiscipline”, this work questioned how the indiscipline can be a symptom . To answer the question, it was analyzed the symptom concept from the Freudian - lacaneana perspective and theirs connections with “ scholarship indiscipline” subject . The research used a theoretical and clinical method , to show the connection between the case development and the psychoanalytic publications reviewing questions on the subject . It was undertook a historical analysis of the construction of disciplinary mechanism through the works of Foucault (1987, 1996), Deleuze (1988; 1992) and commentators. This historical analysis showed a dated and unnatural character of this discursive production named “ scholarship indiscipline”, revealing the indiscipline complaint comes from a social speech that imposes the idea that learn ing depends on the discipline. However , this idea type has a flaw , because always something escapes disciplining . The social answer to the escape is the complaint of indiscipline, which can be taken as a social symptom . Each child should find an answer to this speech and define the symptomatic character , or not , from itself . It was evaluated the symptom and its consequences in the clinic with the child in the Freud and Lacan teachings . The Freud view showed the symptom is the answer to a psychic work , replacing a repressed representation linked to an unbearable sexual dis satisfaction , providing a solution for the child to deal with castration and with the imposed social restrictions . A review of Freud's work undertaken by Lacan emphasizes the psycholog ical work characteristics undertaken by the speaker with its symptom by the link with the social aspect. To analyze, in each case, the position occupied by the patient of a complaint against the indiscipline can open the way to work with it. If the discipl ine is the answer of the subject towards the Other social, from psychoanalysis it is offering a help that allows reframe this response. Elucidating the symptomatic character, or not, from attitudes considered undisciplined, calls for the analysis of unique ness involved in the response of each child, their subjectivity.

Efeitos de um programa de treino cognitivo e das técnicas de higiene do sono para as funções executivas e para a qualidade de sono em idosos saudáveis

The aging process causes changes in the elderly’s sleep/awake standard impairing their cognitive abilities, particularly executive functioning, which already suffers loss by aging. The literature suggests that executive function and preserved sleep quality are key to maintaining good quality of life and independence of older people, requiring interventions to minimize the impact of losses incurred by the aging process. This study evaluated the effect of a cognitive training program and sleep hygiene techniques for executive functions and sleep quality in healthy older people. The participants were 41 healthy older adults, of both sexes, who were randomly divided into four groups: control group [GC], cognitive training group [GTC], sleep hygiene group [GHS] and training group + hygiene [GTH]. The research was developed in three stages: 1st - initial assessment of cognition and sleep; 2nd - specific intervention to each group; 3rd - post-intervention revaluation. The results showed that GTC had significant improvements in cognitive tasks flexibility, planning, verbal fluency and some aspects of episodic memory, besides gains in sleep quality and decrease on daytime hypersomnolence. The GHS improved sleep quality and daytime sleepiness as well and had significant improvements in insights capacity, planning, attention and in all evaluated aspects of episodic memory. The GTH had significant gains in cognitive flexibility, problem solving, verbal fluency, attention and episodic memory. The CG showed significant worsening in excessive daytime sleepiness in capacity planning. Thus, we conclude that cognitive training interventions and sleep hygiene strategies are useful in improving cognitive performance and quality of healthy elderly sleep.

Trabalho e seus sentidos: estudo com servidores com deficiências numa IES

The objective of this study was to understand the relationship between people with disabilities and their labor. Senses and meanings related to work were specifically identified; also describing the impediments of concrete activities, as well the strategies developed for overcoming them. This objective is inspired on the social historic cultural theoretical perspective as well as on the activity's theory. The research has been made possible through the interview of 16 workers from a IES, it categorizes as a multi-method sequential and transversal study of qualitative orientation, making use the technics of narrative interviews and photographic creation. The results indicate that work was described as a necessity, a source of pleasure, recognition and socialization; with emphasis on the importance of working in pairs in order to accomplish good quality work. Senses were obtained from each participant, identified by the way that each of them expressed themselves. Impediments were more deeply related to the physical conditions of the work environment than to the person's disabilities. Conclusion points out that the access to work, acts as a social inclusion tool for peoples with disabilities, and showing that, the laws regarding quota reservations fulfill their objective.

Atuação de psicólogos em Centros de Referência de Assistência Social na região amazônica do Marajó

This study investigated the role of psychologists in Social Assistance Reference Centres in the Amazon region of Marajó, considering its specificities: extensive territory, spread population and presence of native communities. Eleven interviews were conducted in 10 out of the total 16 cities. There’s a context of fragile economies and poor housing; incomplete or disarticulated public services; bad working conditions. The activities are ad hoc or asystematic. Promising experiences bet on decentralized and intersectoral services. Experiences from other groups point to the importance of long-term work. We conclude that a powerful way of action is to strengthen the sociability that is characteristic of the native peoples, valuing their knowledge and developing their social protagonism.

Correlação entre imagem corporal e autoestima em pessoas com ostomias intestinais

Ostomized is every individual that, because of a traumatic or clinical condition, it required a surgery resulting in the externalization of a hollow organ through the skin, and such temporary or permanent condition. This study has the general objective to investigate the relationship between body image and self-esteem in these individuals; as well as to verify their levels of satisfaction with their body image regarding the aspect of appearance and to evaluate the degree of self-esteem related to that condition. This is a correlational research, cross-sectional, which was accomplished in an institution in support of these users of Rio Grande do Norte state, with location in Natal. There were used three sampling instruments: a structured general questionnaire covering socio-demographic and clinical data; the Satisfaction Scale with Appearance (SSA) and the Rosenberg Self-Esteem Scale (RSS). The information obtained was analyzed with the aid of an electronic spreadsheet software. The project is according with the resolution 466/12 of the National Health Council, It was approved by the Research Ethics Committee of UFRN, under number CAAE 19159713.5.0000.5537 in August 2013. The sample consisted of 93 participants with an average age of 50.4 years (SD = 15.4). In general they had low satisfaction with their body image (M = 66.9), as regards the appearance, although maintained high levels of self-esteem (M = 34.8). Therefore, It was found a positive correlation, moderate (ρ = 0.426) and statistically significant was found (p <0.001) from the application of the Spearman correlation test. Therefore, dissatisfaction with body image is an important issue to be observed by professionals who attend ostomizeds. however, it seems, other aspects are also influencing the level of self-esteem of these individuals, who were not able to be determined in this study.

Crianças e investigação: aspectos teórico-metodológicos e cuidados éticos nas produções dos grupos de pesquisa da UFRN

The concepts of childhood are part of a cultural construction and vary throughout history politically, economically and socially. Nouns such as "childhood" and "child" did not exist as sense of unity in periods prior to modernity, reinforcing their historical character as concepts that have been socially constructed as profess the Historical Social Psychology, theoretical perspective which will support this research. The sociology of childhood distinguishes the terms and changes the approach toward the adult researcher approach with respect to children, aiming to give voice to the child. When it comes to defining the role of children in research, the researcher must take into consideration several relevant criteria such as age, gender, time, listening to the adults close to the children, the level of language and education and which children that will be heard in a group. It is from this discussion, considering the importance of children's participation in the research that are established the purpose of this work, namely, to analyze the theoretical and methodological aspects and ethical guidelines considered in the research process with children, by researchers at the UFRN, presenting as specific objectives: analyze and discuss, from research reports, the adopted ethical procedures and methods used in research with children. Set the goal, it was made a search of the UFRN Research Groups in SIGAA in order to select those which investigate children for participating in our survey. Among the centers of UFRN, we selected the Health Sciences Centre - CCSA, the Humanities Center, Letters and Arts - CCHLA, the Biosciences Center - CB and the Health Sciences Center - CCS, a total of 64 finalized reports to be analyzed. And here it is the observation that the foolish reports were not analyzed for ethical reasons as the guiding of this dissertation is the coordinator of the research group mentioned. In this study, we chose the documentary analysis of the finalized reports from UFRN research projects teachers / researchers as procedure to set up the corpus of the research. Data analysis was performed from the qualitative analysis in the following categories were established: the concept of childhood, concept of child, age of the subjects, the research context, theoretical and methodological care adopted and ethical care. It is hoped that this study will contribute with reflections on the ethical and theoretical and methodological care on research with children. The research showed how some of the results: significant number of reports excluded by repetition, most reports did not bring any closing remarks, no different procedures for children, with rare exceptions, the ethical issue was not mentioned in 50% of reports.

As ações em saúde mental nos Núcleos de Apoio à Saúde da Família - NASF

The National Police for Basic Care (PNAB), regulated by ordinance nº2488 from October 2011, restates the Family Health Strategy (ESF) as a priority to the expansion, consolidation and qualification of basic attention to health matters in Brazil. In order to bring it about, city counsellors along with other federal entities ought to ordinate their work process deepening principals, directions and fundaments of Basic Care (AB). Besides ESF, the new PNAB expatiates on the Family Health Support Centres (NASF), reaffirming their role on broadening the scope of basic care actions and their improvements, ratifying their ability to share knowledge and support Basic Care professionals. All this considered, the purpose of this work is to investigate how NASF is currently structured in João Pessoa and what has been achieved by it on what concerns to mental health. Its main objectives are to analyse the practices of mental health professionals that are part of NASF teams and if they differ from what has been developed by the other members of the teams; to discuss the articulation of NASF in managing mental health measures on what concerns to internal organisatio n and to the city health network; to identify strategies used to organise such measures on mental health in Basic Care. To reach such goals, individual interviews have taken place two city health managers and four of NASF professionals that participated on the Mental Health Office as representatives of their sanitary districts. Also a focal group formed by various supporters of NASF was created, contemplating the diversity of professional categories involved with the teams and sanitary districts. It was possible to identify in NASF, in João Pessoa, an organisation based by the matrix support in which both management and basic care demands reflect a series of actions developed alongside with ESF. Amongst such actions, matrixing, home visits and the Singular Therapeutic Project (PTS) stand out. These activities have been discussed on the focal group and integrate the daily work of all NASF supporters despite their professional categories. NASF presents itself as a powerful strategy to SUS proper qualification and support to strengthen Basic Care and broaden family health teams‟actions.

Produção de sentidos sobre a militância política de mulheres vinculadas ao MST/RN

Studies show that the theme of gender relations within the MST (Rural Landless Workers Movement) has incorporated some feminist guidelines discussions in the set of its speeches and daily practices. Therefore, this study aimed to investigate the production of meanings about the political militancy of women linked to MST in Rio Grande do Norte. The specific objectives sought to identify the continuities and ruptures related to the women's role in the family of the militant women and to investigate the militant’s discursive positioning about their work. The study is configured as a qualitative research, which six women militants linked to the MST at the RN participated. These women occupy the coordination and leadership functions in the movement. We will use a semi-structured interview, initially guided by triggering questions that included, among others, the dimensions: political militancy, family and work as an access tool to the phenomenon. The reports were analyzed from an initial categorization, based on the guiding principles: militancy, family and work, and were based on theoretical perspective of studies about the production of meaning, discursive practices, social psychology and gender studies. The meanings of militancy point to: contribution, hope, recognition, transformation, awareness and fight. The results show that there is always a positivation speech of life, achievements of a formation and about a new place as a woman at stake. These results come justified by the collective investment of struggle, not only for the access to land, but for social rights achievements too. Finally, the MST stands with a discursive agency that contributes to produce in these women not only the way of political participation: but a way to be exercised with collective subjects and their rights.

Produção de sentidos sobre a militância política de mulheres vinculadas ao MST/RN

Studies show that the theme of gender relations within the MST (Rural Landless Workers Movement) has incorporated some feminist guidelines discussions in the set of its speeches and daily practices. Therefore, this study aimed to investigate the production of meanings about the political militancy of women linked to MST in Rio Grande do Norte. The specific objectives sought to identify the continuities and ruptures related to the women's role in the family of the militant women and to investigate the militant’s discursive positioning about their work. The study is configured as a qualitative research, which six women militants linked to the MST at the RN participated. These women occupy the coordination and leadership functions in the movement. We will use a semi-structured interview, initially guided by triggering questions that included, among others, the dimensions: political militancy, family and work as an access tool to the phenomenon. The reports were analyzed from an initial categorization, based on the guiding principles: militancy, family and work, and were based on theoretical perspective of studies about the production of meaning, discursive practices, social psychology and gender studies. The meanings of militancy point to: contribution, hope, recognition, transformation, awareness and fight. The results show that there is always a positivation speech of life, achievements of a formation and about a new place as a woman at stake. These results come justified by the collective investment of struggle, not only for the access to land, but for social rights achievements too. Finally, the MST stands with a discursive agency that contributes to produce in these women not only the way of political participation: but a way to be exercised with collective subjects and their rights.

Mulheres com lúpus eritematoso sistêmico: sintomas depressivos e apoio social percebido

Systemic Lupus Erythematosus (SLE) is a chronic autoimmune disease, rare, multisystem, with a very heterogeneous clinical and serological manifestations standard. The patient, in addition to suffering injuries on his physical and physiological functioning, may also face a number of psychosocial problems. Research indicates that SLE can cause significant damage to the psychological realm, especially with the presence of anxiety and depression. In 1999, the American College of Rheumatology (ACR), proposed the establishment of 19 neuropsychiatric clinical syndromes attributed to SLE. Depression lies between mood disorders and is one of the most common psychiatric manifestations in this group, being found more frequently in these patients than in the general population. Studies also suggest that social support plays an important role in the development of coping strategies, in SLE management and depression. This study has as main objective verify the association between depressive symptoms and perceived social support in patients with SLE. The specific objectives turned to: investigte the prevalence of depressive symptoms; investigate the perceived social support and verify if there is an association between depression, social support and sociodemographic variables. We used a sociodemographic questionnaire, the Beck Depression Scale, and the Perceived Social Support Scale. The analysis was performed through descriptive and inferential statistics. The final sample could count with 79 SLE women, with an average age of 35.7 years. 44 (55.7%) of the participants were married. Only 6 (7.59%) had completed higher education and 32 (40.51%) have not finished high school. Seventy-one (89.87%) had an income below three minimum salaries and 71 (89.87) practiced a religion, and the Catholic (67.71%) was the most mentioned by them. Of the total sample, 37 (46.74%) had been diagnosed SLE more than 7 years before, and 25 (31.65%) had the disease for more than 10 years. Only 19 (24.05%) had some work activity. Forty-two of them (53.17%) had depressive symptoms levels from mild to severe, and 51 (64.46%) reported pain levels of 5, or above. The study found a significant association between depressive symptoms and pain (p = 0.013) and depressive symptoms and work activity (p = 0.02). When we examined the perception of social support, the results showed high levels among participants. Using the Spearman correlation test we found a strong correlation between depressive symptoms and social support (p= 0,000037). It means that the higher the frequency of support, the lower the score of depression. These findings are relevant because depressive symptoms in patients with SLE have a multicausal and multifactorial character and may remain unnoticed, since many of them are confused with the manifestations of the disease. This fact requires a careful assessment from professionals, not only in the clinical setting, but also considering other psychosocial reasons, that may be influencing the emergence or worsening of symptoms. These results also corroborate other studies, which not only confirm the predictive role of social support in the physical wellbeing, but also in the psychological.

Mulheres com lúpus eritematoso sistêmico: sintomas depressivos e apoio social percebido

Systemic Lupus Erythematosus (SLE) is a chronic autoimmune disease, rare, multisystem, with a very heterogeneous clinical and serological manifestations standard. The patient, in addition to suffering injuries on his physical and physiological functioning, may also face a number of psychosocial problems. Research indicates that SLE can cause significant damage to the psychological realm, especially with the presence of anxiety and depression. In 1999, the American College of Rheumatology (ACR), proposed the establishment of 19 neuropsychiatric clinical syndromes attributed to SLE. Depression lies between mood disorders and is one of the most common psychiatric manifestations in this group, being found more frequently in these patients than in the general population. Studies also suggest that social support plays an important role in the development of coping strategies, in SLE management and depression. This study has as main objective verify the association between depressive symptoms and perceived social support in patients with SLE. The specific objectives turned to: investigte the prevalence of depressive symptoms; investigate the perceived social support and verify if there is an association between depression, social support and sociodemographic variables. We used a sociodemographic questionnaire, the Beck Depression Scale, and the Perceived Social Support Scale. The analysis was performed through descriptive and inferential statistics. The final sample could count with 79 SLE women, with an average age of 35.7 years. 44 (55.7%) of the participants were married. Only 6 (7.59%) had completed higher education and 32 (40.51%) have not finished high school. Seventy-one (89.87%) had an income below three minimum salaries and 71 (89.87) practiced a religion, and the Catholic (67.71%) was the most mentioned by them. Of the total sample, 37 (46.74%) had been diagnosed SLE more than 7 years before, and 25 (31.65%) had the disease for more than 10 years. Only 19 (24.05%) had some work activity. Forty-two of them (53.17%) had depressive symptoms levels from mild to severe, and 51 (64.46%) reported pain levels of 5, or above. The study found a significant association between depressive symptoms and pain (p = 0.013) and depressive symptoms and work activity (p = 0.02). When we examined the perception of social support, the results showed high levels among participants. Using the Spearman correlation test we found a strong correlation between depressive symptoms and social support (p= 0,000037). It means that the higher the frequency of support, the lower the score of depression. These findings are relevant because depressive symptoms in patients with SLE have a multicausal and multifactorial character and may remain unnoticed, since many of them are confused with the manifestations of the disease. This fact requires a careful assessment from professionals, not only in the clinical setting, but also considering other psychosocial reasons, that may be influencing the emergence or worsening of symptoms. These results also corroborate other studies, which not only confirm the predictive role of social support in the physical wellbeing, but also in the psychological.

Cuidado psicossocial em saúde mental: estudo em assentamentos rurais do Rio Grande do Norte

Dwellers of agrarian reform settlements have a life conditioned by poor living and work conditions, difficulties accessing health programs, social assistance and other public policies and by this exacerbating their psychosocial and environmental vulnerability, which has an impact on their mental health. This research investigates the availability of support by the health and social assistance staff, regarding the demands of common mental disorders and alcohol abuse of dwellers of nine settlements in Rio Grande do Norte. Fifty three experts from different professional categories were interviewed individually or in groups. The results indicate that the workers suffer from poor working conditions, attributes of patrimonial heritage and welfare, which still survives in Brazilian social policies and particularly at local administrations of the countryside. The staffs have little knowledge of the local conditions and of the mental health needs, which has a negative impact on the reception and offered care. The implemented health care still corresponds to the biomedical logic, characterized by ethnocentrism, technicality, biology, cure, individualism and specialization, with little participation of the dwellers and disregarding the traditional knowledge and practices of local health care and by this not achieving the expected results. The psychosocial attendance is not well coordinated, presenting problems with the follow-up and continuity of care. The psychosocial mental health care in rural context has to face the challenge of the reorganization of the health care networks, the establishment of primary health care close to the people’s everyday life, building intersectional practices considering a health multidetermination and health education connected to these specific contexts. Due to the lack of knowledge of the specifics of the life conditions of the dwellers and the fragmentation of the psychosocial health care network, these staffs do not abide and are not ready to face the mental health needs in order to interfere with these health iniquities.

Cuidado psicossocial em saúde mental: estudo em assentamentos rurais do Rio Grande do Norte

Dwellers of agrarian reform settlements have a life conditioned by poor living and work conditions, difficulties accessing health programs, social assistance and other public policies and by this exacerbating their psychosocial and environmental vulnerability, which has an impact on their mental health. This research investigates the availability of support by the health and social assistance staff, regarding the demands of common mental disorders and alcohol abuse of dwellers of nine settlements in Rio Grande do Norte. Fifty three experts from different professional categories were interviewed individually or in groups. The results indicate that the workers suffer from poor working conditions, attributes of patrimonial heritage and welfare, which still survives in Brazilian social policies and particularly at local administrations of the countryside. The staffs have little knowledge of the local conditions and of the mental health needs, which has a negative impact on the reception and offered care. The implemented health care still corresponds to the biomedical logic, characterized by ethnocentrism, technicality, biology, cure, individualism and specialization, with little participation of the dwellers and disregarding the traditional knowledge and practices of local health care and by this not achieving the expected results. The psychosocial attendance is not well coordinated, presenting problems with the follow-up and continuity of care. The psychosocial mental health care in rural context has to face the challenge of the reorganization of the health care networks, the establishment of primary health care close to the people’s everyday life, building intersectional practices considering a health multidetermination and health education connected to these specific contexts. Due to the lack of knowledge of the specifics of the life conditions of the dwellers and the fragmentation of the psychosocial health care network, these staffs do not abide and are not ready to face the mental health needs in order to interfere with these health iniquities.

O papel do ambiente residencial na qualidade de vida de idosos: um estudo exploratório em Cabedelo, Paraíba

Currently, the growing aging population challenges the society and public health policies, for increased longevity need to be associated with quality of life. Adequate physical and social environment are key factors for the welfare of the elderly, particularly the housing environment - this thesis understood as the home (dwelling unit) and its surroundings (close proximity). In addition, Brazilian legislation in this sector indicates the importance of the elderly remain at home and in the family. In addition, Brazilian legislation in this sector indicates the importance of the elderly remain at home and in the family. Based on this framework mortar, the thesis was starting questions: How do you live the elderly population aged 80 and over which is served by the Health Family Strategy of the Unified Health System? That social and environmental conditions of the place of residence act more directly on their quality of life? How do these people get housing conditions experienced? The research aimed to investigate how the residential environment (social and physical) influence everyday activities and quality of life of the elderly. Exploratory qualitative study highlighting the home visits, developed based on multimethod strategy. The empirical study was conducted in the city of Cabedelo-PB, Nov/2013 to Feb/2014. Participants were 36 elderly people (31 women and 5 men) aged between 80 and 99 years, little education, who live 39 years in the area (average). In the research first stage were applied questionnaires for socio-demographics and livability of the residence and the surroundings. In the second stage we used semi-structured interview and a tour accompanied in the neighborhood (with those who have accepted to do so). Throughout work it was kept a diary by the researcher and held naturalistic observations of the behavior of the elderly. Quantitative data were described using descriptive statistics, and information from the interviews were analyzed through the Collective Subject Discourse technique. Among the key ideas that emerged from them are: the representation of home, neighborhood support and related issues dyad independence / autonomy. The study showed that the elderly develop strong attachment to the place where he lives, the importance of it for your health and the desire to stay there. Thus, despite experiencing many barriers (more physical than the social), at the place where they live, they say they are satisfied, even when unfavorable conditions are evident. Concluding that as the houses are environmentally more docile, simple changes ensure autonomy, independence and mobility for the elderly. In turn, the barriers of the urban environment show it more difficult to deal with, making this space inhospitable to most survey participants, a condition that hinders your physical activities and social participation, and negatively influence their quality of life.