ABSTRACT
O objetivo desta pesquisa foi discutir a relação entre o fenômeno do desemprego e o sofrimento psíquico na atualidade. A pesquisa teve caráter qualitativo e se baseou na análise de entrevistas semidirigidas. Foram entrevistados clientes do Serviço de Aconselhamento Psicológico (SAP) do Instituto de Psicologia da USP. A quantidade de pessoas interessadas em falar sobre a questão e a diversidade de suas origens sociais surpreenderam os pesquisadores. No processo de análise das entrevistas, observamos uma recorrente queixa de impossibilidade de se falar sobre a experiência pessoal do desemprego. Sobre essas queixas, analisamos dois aspectos em tensão: a heterogeneidade das significações da experiência do desemprego e a ideologia homogeneizante sobre a expressão do emprego/desemprego. Construímos três hipóteses para problematizar esses aspectos e para ampliar as possibilidades de exercício de uma psicologia que compreenda a singularidade da experiência psicossocial no âmbito da clínica e da psicologia social do trabalho.
The aim of this research was to discuss the relation between unemployment and psychic suffering nowadays. This research has qualitative approach and was based on semi-directive interviews. The interviewed people were clients from a Counseling Service (Psychology Institute, USP). The number of interested people to talk about unemployment and their several social backgrounds were both outstanding surprises. In the analyze process of interview, different expressed claims about of the social impossibility to talk about personal experience of unemployment were dethetabled. From these expressions, two aspects in tension were analyzed: the different meanings of unemployment experience, and the effects of a homogeneous ideology over the employment questions. This research shows three hypotheses to problematizing these aspects and to broadening the exercise of a psychology that leads to understand the specific psychosocial experience at fields of the clinic and of the social sychology of work.
Subject(s)
Psychology, Clinical , Psychology, Social , Stress, Psychological , UnemploymentABSTRACT
PURPOSE--To evaluate the acute hemodynamic effects of ibopamine (IBO), captopril (CAP) and placebo (PLA) in patients with severe congestive heart failure at rest. METHODS--Twelve male patients in sinus rhythm with dilated cardiomyopathy and NYHA class IV were studied with Swan-Ganz hemodynamics. Drugs were given in a blinded fashion. Rest, 30 min and every hour for 5 h measurements were made after oral ingestion of 100 mg IBO, 25 mg CAP or PLA. Prior to the study, patients were on diuretics as the only medication for at least 48 h. Comparisons were made with analysis of variance of repeated measurements and Duncan's multiple comparisons procedure. RESULTS--Significant increase in cardiac index and stroke volume index and reduction in systemic vascular resistance were observed with IBO and CAP for 2 h after ingestion. IBO however increased right and left filling pressures in the first hour after its administration. Ventricular tachycardia occurred in 2 patients 1 h after IBO administration. CONCLUSION--Both IBO and CAP improved hemodynamic parameters in the first two hours after oral ingestion in patients with dilated cardiomyopathy in class IV.
Subject(s)
Humans , Male , Adolescent , Adult , Middle Aged , Angiotensin-Converting Enzyme Inhibitors , Captopril , Deoxyepinephrine , Diuretics/therapeutic use , Hemodynamics/drug effects , Heart Failure/drug therapy , Rest , Captopril , Deoxyepinephrine , Cardiomyopathies , Analysis of Variance , Severity of Illness Index , Double-Blind MethodABSTRACT
PURPOSE--Comparative and prospective evaluation of three methods (transthoracic echo-Doppler (TTE), computerized tomography (CT) and aortography (AORT) utilized for aortic dissection diagnosis. METHODS--The 39 patients with confirmed aortic dissection (surgery or autopsy) underwent, within a few hours of each other, all three methods scrutinized. There were 19 cases of type A and 20 of type B dissection. RESULTS--In type A dissection the methods were equivalent (TTE = 73.7//, CT = 84.2//, AORT = 73.7//p = NS) but for type B, TTE was significantly inferior to the other two methods (TTE = 60//, TC 90//, AORT = 80//, p < 0.05 for TTE, for TC and AORT p = NS). In three occasions, even though all three methods were performed, the diagnosis was not obtained. CONCLUSION--The methods which were evaluated make the diagnosis in the majority of cases. In type A all methods are similar, however, in type B, TC and AORT are superior to TTE. Even performing all three methods in each patient, in three instances the diagnosis was not made