Crise, explicações alucinatórias e perspectivas de vivência como doente grave de Covid-19: um relato pessoal / Crisis, hallucinatory explanations and the experiences of a critically ill Covid-19 patient: a personal account / Crisis, explicaciones alucinatorias y perspectivas de vivencia como enfermo grave de Covid-19: un relato personal

O presente trabalho constitui uma narrativa das experiências do autor, médico psiquiatra e pesquisador em Saúde Coletiva, referente ao tempo de sua enfermidade de Covid-19, como expressa na própria memória, por meio de recordação, fluxo de consciência, registro de elementos factuais e reflexão crítica. O tempo na Unidade de Terapia Intensiva (UTI) foi esquecido e passou a ser lembrado segundo a lógica da fabulação, alucinatório-delirante. Os fatos temporais e clínicos são os que constam nos prontuários da UTI, da Enfermaria e da Equipe Domiciliar, de posse do autor. Espera-se oferecer à sociedade uma vivência singular de como a Covid-19 nos obriga a pensar o indivíduo, a coletividade e as políticas de saúde, por ocasião da primeira grande pandemia viral do mundo globalizado, que ainda não chegou ao seu termo. (AU)

This work presents a narrative of the author's experiences as a psychiatrist and public health researcher of his Covid-19 illness, as expressed in memory, through recall, stream of consciousness, recording of factual elements and critical reflection. The time in intensive care was forgotten and came to be remembered according to the logic of hallucinatory-delusional fabulation. The temporal and clinical facts are based on the intensive care unit, ward and homecare team's medical records in the author's possession. The author seeks to offer a singular experience of how Covid-19 makes us think about the individual, the collective and health policy in connection with the first great viral pandemic in the globalized world, which has not yet reached its end. (AU)

Este trabajo constituye una narrativa de las experiencias del autor, médico psiquiatra e investigador de salud colectiva, referente al tiempo de su enfermedad de Covid-19, como expresa en la propia memoria, por medio de recursos, flujo de conciencia, registro de elementos factuales y reflexión crítica. El tiempo en la UCI fue olvidado y pasó a recordarse según la lógica de la fabulación, alucinatoria-delirante. Los hechos temporales y clínicos son los que constan en las fichas de la UCI, de la enfermería y del equipo domiciliario, en poder del autor. Se espera ofrecer a la sociedad una vivencia singular de cómo la Covid-19 nos obliga a pensar el individuo, la colectividad y las políticas de salud, por ocasión de la 1ª gran pandemia viral del mundo globalizado, que todavía no ha llegado a su fin. (AU)

A escuta da escrita da escuta: emoções através do relato clínico / Listening to the writing of the listening: emotions through a clinical case report / La escucha de la escritura de la escucha: emociones a través del relato clínico / L'écoute de l'écriture de l'écoute: les émotions au moyen d'un récit clinique

Utilizando-se de conceitos provenientes da Teoria da Literatura, o autor discute a possibilidade de comunicação escrita do campo emocional em que acontece a experiência analítica. Destaca a recriação de afetos parecidos com os da sessão, através de uma nova experiência emocional feita pelo leitor. Procura-se identificar a materialidade da psicanálise como ciência ímpar, não a igualando a Literatura ou experiência mística. Discutem-se os conceitos de verdade histórica e o de verdade analítica.

The author discusses, by using concepts from the Theory of Literature, the possibility of the written communication of the emotional field in which the analytic experience takes place. Affections that are similar to the ones in the session, the author emphasizes, may be recreated through the reader's (new) emotional experience. The purpose of this paper is to identify the materiality of Psychoanalysis as a unique science. The author does not equate Psychoanalysis with either Literature or mystical experience. The author also examines the concepts of both historical truth and analytic truth.

Usando los conceptos de la Teoría de la Literatura, el autor discute la posibilidad de la comunicación escrita del campo emocional en el que ocurre la experiencia analítica. Destaca la recreación de afectos parecidos a los de la sesión analítica, a través de una nueva experiencia emocional vivida por el lector. Intenta identificar la importancia del psicoanálisis como una ciencia única, que no puede ser equiparada con la literatura ni con la experiencia mística. Discute los conceptos de verdad histórica y verdad analítica.

En s'appuyant sur des concepts de la théorie de la littérature, l'auteur discute la possibilité de la communication écrite du champ émotionnel où a lieu l'expérience analytique. Il souligne la recréation des sentiments semblables à la séance, par une nouvelle expérience émotionnelle faite par le lecteur. On cherche à identifier la matérialité de la psychanalyse en tant qu'une science unique, non équivalente à la littérature ou à l'expérience mystique. On discute les concepts de vérité historique et de de vérité analytique.

Los informes de caso clínico: Una primera puerta hacia la clínica y la investigación / Clinical case reports: The first door to the clinical and research

El reporte de caso clínico es una de las estrategias de comunicación científica más utilizadas; de hecho, a julio 23 de 2010, en PubMed hay más de un millón cuatrocientos mil artículos clasificados como "case report". Green y Johnson presentan una lista de 19 razones por las cuales autores y editores informan y publican casos clínicos; en últimas, se reconoce que proceder así abre el camino hacia una mejora de la práctica clínica.

The clinical case report is one of the scientific communication strategies used, in fact, July 23, 2010, in PubMed more than one million four hundred thousand items classified as "case report". Green and Johnson presented a list of 19 reasons why authors and publishers and publish clinical cases reported, in the end, it is recognized that doing so opens the way to improved clinical practice.

Effects of Traditional Acupuncture Therapy on Patients with Hypertension / 全日本鍼灸学会雑誌

[Objective and Design] We have encountered various patients with hypertension who showed a tendency of declining blood pressure after the start of acupuncture therapy based on the traditional theory. This report presents one typical case of hypertension for which there are data on daily measurements of blood pressure for four years and data on lower stable blood pressure for more than one year since the beginning of traditional acupuncture.<BR>[Methods] Acupuncture therapy based on the traditional theory consists of selecting two groups of acupuncture points : one group for general effects contains four points in the extremities according to the pulse examination of the classic “Nan Jing”, and Ren 12 (Zhongwan) and Ren 6 (Qihai) in the abdomen, the other group for symptoms contains eight back Shu points. For acupuncture therapy, silver needles of diameter 180 p m were inserted as far as the muscles.<BR>[Result] It was clearly observed that hypertensive blood pressure of this case was decreased to lower stable levels by traditional acupuncture therapy within three or four weeks after the start of the therapy.<BR>[Conclusion] Especially in the typical case above, as we could not find any factors influencing the change of his hypertensive state such as changes of administered drugs, climate or social environment, it was conceivable that this decrease of blood pressure was caused by the acupuncture.