The Phubbing Scale (PS-8) in the Portuguese population: psychometric properties

Phubbing is defined as ignoring other individuals by using a mobile phone during a face-to-face conversation. The Phubbing Scale (PS) was developed to assess this practice. In this study, we analyze the psychometric properties of the 8-item version of the PS (PS-8) in the Portuguese population, providing validity evidence based on internal structure and on relationships with other variables, and examining item properties, reliability, and measurement invariance across gender. Participants were 391 Portuguese adults (132 men, 259 women) who completed a battery of questionnaires. Confirmatory factor analysis yielded satisfactory goodness-of-fit indices for the two-factor structure (communication disturbance and phone obsession), which was invariant across gender. Item homogeneity and reliability of factor scores (McDonald's omega) were satisfactory. Validity evidence based on relationships with other variables was provided by positive associations with time spent on the Internet on weekdays and at the weekend, time spent on social networking sites, number of social networks used, Internet addiction, problematic mobile phone use, Facebook intrusion, fear of missing out, and depression. These associations show the addictive component of phubbing and its relationship with mental health. The PS-8 is a short and easy-to-administer scale with adequate psychometric properties for measuring phubbing in the Portuguese population. (AU)

Modelo de autocuidado e imagem corporal em adultos pós cirurgia bariátrica / Self-care model and body image in adults after a bariatric surgery / Modelo de autocuidado e imagen corporal en adultos post-cirugía bariátrica

Resumo Objetivo: testar um modelo de autocuidado explicado pela relação entre autoeficácia, imagem corporal, transtorno obsessivo-compulsivo e depressão em pessoas com cirurgia bariátrica na cidade de Tijuana, no México. Método: estudo transversal correlacional realizado entre agosto e dezembro de 2020. Instrumentos validados foram aplicados a 102 participantes para medir sua capacidade de autocuidado, autoeficácia geral, sintomas psicopatológicos, e percepção e satisfação com a imagem corporal. As variáveis de interesse foram analisadas utilizando estatísticas descritivas e correlações de Pearson e Spearman para finalmente desenvolver um modelo utilizando a análise de caminho (path analysis). Resultados: foi obtido um modelo significativo com bons indicadores de bondade de ajuste (qui-quadrado χ 2 (8)= 11,451, p = 0,177; raiz quadrada da média do erro de aproximação (RMSEA)= 0,000; índice de bondade de ajuste (GFI)= 0,965; índice de ajuste comparativo (CFI)= 0,985; índice de ajuste normalizado parcimonioso (PNFI)= 0,509 e critério de informação de Akaike (AIC)= 37,451). A autoeficácia (Zβ= 0,294) e a insatisfação com a imagem corporal (Zβ= -0,376) demonstraram ter um efeito sobre as capacidades de autocuidado, enquanto os sintomas psicopatológicos influenciam a insatisfação corporal: transtorno obsessivo-compulsivo (Zβ= 0,370) e depressão (Zβ= 0,320). Conclusão: níveis adequados de autoeficácia e satisfação corporal predizem uma alta capacidade de autocuidado.

Abstract Objective: the aim of the present article was to test a self-care model explained by the relationship between self-efficacy, body image, obsessive-compulsive disorder, and depression in people with bariatric surgery in the city of Tijuana, Baja California, Mexico. Method: this was a correlational cross-sectional study carried out between August and December 2020. Validated instruments were administered to 102 participants to measure their self-care capacity, general self-efficacy, psychopathological symptoms, and body image perception and satisfaction. The variables of interest were analyzed using descriptive statistics and the Pearson and Spearman correlation coefficients were used to develop a model using path analysis. Result: a significant model was obtained with adequate goodness-of-fit indicators (chi-square χ2 (8) = 11.451, p = .177; root mean square error of approximation (RMSEA)= 0.000; goodness-of-fit index (GFI)= 0.965; comparative fit index (CFI)= 0.985; parsimonious normed fit index (PNFI)= 0.509, and Akaike information criterion (AIC)= 37.451). Self-efficacy (Zβ=0.294) and body image dissatisfaction (So= -0.376) were shown to influence self-care abilities while psychopathological symptoms influenced body dissatisfaction: obsessive-compulsive disorder (Zβ=0.370) and depression (Zβ=0.320). Conclusion: adequate levels of self-efficacy and body satisfaction predict a high capacity for self-care.

Resumen Objetivo: probar un modelo de autocuidado explicado por la relación entre autoeficacia, imagen corporal, obsesión-compulsión y depresión en personas con cirugía bariátrica de la ciudad de Tijuana, B.C. Método: estudio transversal correlacional realizado entre agosto y diciembre de 2020. Se aplicaron instrumentos validados a 102 participantes para medir su capacidad de autocuidado, autoeficacia general, síntomas psicopatológicos, percepción y satisfacción de la imagen corporal. Las variables de interés fueron analizadas mediante estadística descriptiva y correlaciones de Pearson y Spearman para finalmente elaborar un modelo mediante análisis de ruta (Path Analysis). Resultados: se obtuvo un modelo significativo con buenos indicadores de bondad de ajuste (chi-cuadrado χ 2 (8)= 11.451, p = .177; error de aproximación raíz-media-cuadrada (RMSEA)= 0.000; índice de bondad de ajuste (GFI)= 0.965; índice de ajuste comparativo (CFI)= 0.985; índice de ajuste normado parsimonioso (PNFI)= 0.509 y criterio de información de Akaike (AIC)= 37.451). Se demostró que la autoeficacia (Zβ= 0.294) y la insatisfacción de la imagen corporal (Zβ= -0.376) tienen un efecto sobre las capacidades de autocuidado mientras que los síntomas psicopatológicos influyen sobre la insatisfacción corporal: obsesión-compulsión (Zβ= 0.370) y depresión (Zβ= 0.320). Conclusión: los niveles adecuados de autoeficacia y satisfacción corporal predicen una alta capacidad de autocuidado.

Freud, a construção da neurose obsessiva nos primeiros escritos e as diferenças em relação ao TOC / Freud, the construction of obsessional neurosis in the first writings and the differences in OCD

A neurose obsessiva é uma das estruturas clínicas evidenciadas por Freud em 1894, nas suas primeiras publicações, cujo foco predominante era a histeria. Com a proposta de rastrear as movimentações da construção do conceito de neurose obsessiva do período pré-psicanalítico até 1900, buscamos levantar as características dessa organização psíquica para diferenciá-la do Transtorno Obsessivo Compulsivo (TOC), que se encontra no Manual Diagnóstico e Estatístico de Transtornos Mentais, 5ª edição (DSM-V). Dessa maneira, nos arriscamos a ampliar e a refletir sobre novas possibilidades de intervenção para além da medicalização.(AU)

Obsessive neurosis is one of the clinical structures evidenced by Freud in 1894, in his first publications, whose predominant focus was hysteria. With the proposal to trace the movements of the construction of the concept of obsessive neurosis of the pre-psychoanalytic period until 1900, we sought to bring up the characteristics of this psychic organization in order to differentiate it from the Obsessive Compulsive Disorder (OCD), which is found in the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-V). In this way, we risk widening and reflecting on new intervention possibilities beyond medicalization.(AU)

La neurosis obsesiva es una de las estructuras clínicas evidenciadas por Freud en 1894, en sus primeras publicaciones, cuyo enfoque predominante era la histeria. Con la propuesta de rastrear los movimientos de la construcción del concepto de neurosis obsesiva del período pre-psicoanalítico hasta 1900, buscamos levantar las características de esa organización psíquica para diferenciarla del Trastorno Obsesivo Compulsivo (TOC), que se encuentra en el Manual Diagnóstico y Estadístico de los Trastornos Mentales, 5ª edición (DSM-V). De esa manera, nos arriesgamos a ampliar y a reflexionar sobre nuevas posibilidades de intervención más allá de la medicalización.(AU)

Estilos educativos parentales y emociones como predictores de respuestas obsesivo-compulsivas en población adolescente / Parental educational styles and emotions as predictors of obsessive-compulsive responses in adolescent population

Resumen Las variables familiares y emocionales están relacionadas con el desarrollo y mantenimiento de distintos trastornos psicopatológicos. El objetivo de este estudio fue analizar la relación entre variables emocionales (regulación de emociones, optimismo y tolerancia a la frustración) y familiares (estilos parentales percibidos) con respuestas obsesivo-compulsivas. En cuanto al método, los participantes fueron 473 adolescentes (249 chicos y 224 chicas) con edades comprendidas entre los 12 y 18 años (M = 14.84, DT = 1.83) que cursaban estudios de Educación Secundaria y Bachillerato. En resultados, la variable optimismo alcanzó el mayor peso explicativo de obsesión-compulsión, seguida de la atención a los síntomas, revelación del padre y tolerancia a la frustración. Las puntuaciones en ansiedad y depresión presentaron un alto porcentaje de varianza explicada. Se concluye que el optimismo, la atención adecuada a los síntomas, la tolerancia a la frustración y las relaciones de confianza entre padres e hijos podrían ser factores protectores en la aparición de pensamientos obsesivo-compulsivos.

Abstract Family and emotional variables are related to the development and maintenance of different psychopathological disorders. The aim of this study was to analyze differences between emotional variables (emotion regulation, optimism and tolerance to frustration) and family variables (perceived educational styles) with obsessive-compulsive responses. Method: Participants were 473 adolescents (249 boys and 224 girls) aged between 12 and 18 years old (M = 14.84, SD = 1.83) who were studying Secondary Education. Results: The optimism variable reached the highest explanatory weight of obsession-compulsion, followed by attention to symptoms, sharing of feeling with father and tolerance to frustration. The scores in anxiety and depression showed a high percentage of variance explained. Conclusions: Optimism, adequate attention to symptoms, tolerance to frustration and relationships of trust between parents and children could be protective factors of obsessive-compulsive thoughts.

Obsessive Compulsive Symptoms In Patients With Epilepsy

Obsessive Compulsive Symptoms in Patients with Epilepsy. To find out the prevalence of obsessive compulsive symptoms / disorder among patients of epilepsy. Patients with epilepsy diagnosed clinically at psychiatric out patients department were selected for the study. Yale-Brown Obsessive Compulsive Scale was applied to find out the prevalence and nature of obsessive compulsive symptoms. A total of 93 patients were participated and it was found that 20.4 % of epilepsy patients had obsessive compulsive symptoms. The prevalence of obsessive compulsive symptoms among the patients of epilepsy was found to be 20.4%.

Clínica de la neurosis obsesiva. Posición subjetiva y dirección de la cura / Clinic of obsessional neurosis. Position and direction of treatment

El propósito de este artículo es realizar una presentación de la posición subjetiva del neurótico obsesivo, a partir de los desarrollos lacanianos de los seminarios 5, 8 y 10, en términos de la articulación entre amor, deseo y goce. En la segunda parte se plantean elaboraciones en torno a la dirección del tratamiento, en particular sobre la táctica de la interpretación y el manejo de la transferencia, en función de una lectura del historial freudiano de "El hombre de las ratas"

The purpose of this paper is a presentation of the subjective position of the obsessional neurotic on the basis of the developments in Lacan's seminars 5, 8 and 10 in terms of the articulation between love, desire and jouissance. The second part proposes elaborations on the direction of treatment, particularly on the tactics of interpretation and the handling of transference based on a reading of Freud's case study of "The Rat Man".

Estilos de afrontamiento a la "obsesión mental por beber" (craving) en bebedores en proceso de recuperación / Coping styles to "obsession for drinking" (craving) for alcoholics in recovery process

Antecedentes: En el alcoholismo, el tema del craving es un asunto controvertido. Sin embargo, se sabe que, si un alcohólico puede hablar del suceso en sus propios términos, aumenta la probabilidad de lograr un afrontamiento exitoso y evitar una recaída. No obstante, se conoce muy poco acerca de dicho afrontamiento y aún menos cuando se alude a él con términos propios del bebedor.Objetivo: Conocer el afrontamiento de la "obsesión mental por beber", expresión que suelen utilizar los miembros de Alcohólicos Anónimos (AA) para hablar de las reacciones características del craving.Método: La muestra incluyó a 192 individuos que habían participado en AA durante 10 años en promedio (DE=7.5 años). Se aplicó un instrumento empírico para medir el afrontamiento (Kr=.86). Se utilizó un conglomerado de dos fases para establecer perfiles.Resultados: El análisis encontró cinco estilos de afrontamiento: 1. evadir situaciones inductoras al tiempo que se busca una solución (evasivo-activo); 2. evadir retrayéndose (evasivo-pasivo); 3. mostrar sentimientos de enojo y no hacer nada (emocional-pasivo); 4. recordar y comparar la vida pasada como alcohólicos activos (revalorativo) y 5. negar cualquier afrontamiento (negador).Discusión y conclusion: Los datos son preliminares, pero ofrecen la oportunidad de ampliar y especificar la forma en que ciertos alcohólicos de nuestro país solucionan un problema tan complejo como es el craving. El agrupamiento de respuestas supone esfuerzos o estilos de afrontar que pueden resultar o no efectivos para lograr una recuperación -por ejemplo, prevenir las recaídas en las personas que asisten a los grupos de AA-, por lo que plantea una importante perspectiva de investigación.

Background: Although craving is a controversial concept in alcoholism research, it is known that if an alcoholic can talk about the event using his own words, the probability of successful coping and prevention of relapse is bigger. However, little is known about such coping, and even less when it is articulated from the drinker's perspective.Objective: To identify the coping mechanism to this event that causes physical and emotional responses similar to those of craving, identified with the own language of Alcoholics Anonymous (AA).Method: The sample consisted of 192 individuals who participated in AA meetings for an average of ten years (SD=7.5). An empirical instrument was developed to measure coping (Kr=.86) and a two-phase conglomerate analysis was used to create categories to develop profiles.Results: The analysis showed five coping profiles suggesting that AA members cope with the event as follow: 1. evading but looking for a direct solution (elusive-active conglomerate), 2. evading but retracting (elusive-liabilities conglomerate), 3. getting upset and doing nothing (emotional-passive conglomerate), 4. remembering and comparing their past life (revalorative conglomerate), and 5. denying (denier conglomerate).Discussion and conclusion: Although the data are preliminary, they offer the opportunity to expand and specify how certain alcoholics solve a complex problem, such as craving. The information concurs with literature in the sense that this grouping of responses assumed those efforts that may be effective or not for the recovery process, for example, to prevent relapses in alcoholics who attend AA groups, so it raises an important research perspective.

Construção e validação da Escala de Obsessões e Compulsões para adolescentes / Development and validation of the Scale of Obsessions and Compulsions for adolescents / Construcción y validación de la Escala de Obsesiones y Compulsiones para adolescentes

Há uma escassez de instrumentos próprios para avaliação do Transtorno Obsessivo Compulsivo na adolescência. O objetivo deste artigo é apresentar a construção e evidências de validade de estrutura interna da Escala para Avaliação de Obsessões e Compulsões para adolescentes de 11 a 17 anos de idade. A escala foi respondida por 1022 alunos de escolas públicas e particulares com idade média de 14,2, sendo 54% do sexo feminino. Análises fatoriais indicaram que a escala é composta por dois fatores. O Fator 1 concentra sentenças que representam fenômenos cognitivos e sensações relacionados à obsessão/compulsão. Já o Fator 2 refere-se a ações que podem ser indicadoras de compulsão. A escala apresenta bons indicadores de precisão. Uma das limitações é o fato de os dados serem exclusivos da população gaúcha. Novos estudos são recomendados para verificar a validade clínica da escala e a possibilidade de ampliar as evidências de validade para outras populações...

There is a shortage of instruments for assessment of Obsessive-Compulsive Disorder in adolescence. The aim of this paper is to present the construction and evidence of validity of the internal structure of the Scale for the Assessment of Obsessions and Compulsions of Teens from 11 to 17 years old. The scale was answered by 1022 students from public and private schools, with an average age of 14.2, 54% female. Factor analysis indicated that the scale consists of two factors. Factor 1 focuses sentences that represent cognitive phenomena and sensations related to the obsession / compulsion. Already Factor 2 refers to actions that may be indicators of compulsion. The scale has good accuracy indicators. One limitation is that the data is exclusive of the state's population. Further studies are recommended to investigate the clinical validity of the scale and the possibility of expanding the evidence of validity for other populations...

Hay una escasez de instrumentos para la evaluación de los Trastorno Obsesivo Compulsivo en la adolescencia. El objetivo de este trabajo es presentar la construcción y evidencia de la validez de la estructura interna de la Escala para la Evaluación de Obsesiones y compulsiones de los adolescentes de 11 a 17 años de edad. La escala fue respondida por 1.022 estudiantes de escuelas públicas y privadas, con una edad media de 14,2, 54% mujeres. El análisis factorial indicó que la escala se compone de dos factores. Factor 1 se centra frases que representan fenómenos cognitivos y sensaciones relacionadas con la obsesión / compulsión. Ya Factor 2 se refiere a las acciones que pueden ser indicadores de la compulsión. La escala tiene buenos indicadores de precisión. Una limitación es que los datos son exclusivos de la población del estado. Se recomiendan más estudios para investigar la validez clínica de la escala y la posibilidad de ampliar la evidencia de validez para otras poblaciones...

Algunas consideraciones sobre el Superyó en la melancolía / Considerations on Melancholy and Superego

El presente trabajo se propone explorar las diferencias entre la melancolía como estructura clínica y los rasgos melancólicos que se presentan en la histeria y la obsesión. El Superyó tendrá un lugar central en esta distinción; la voz que lo constituye y su vinculación con los objetos pulsionales serán también considerados. Las voces insultantes de la melancolía serán comparadas con las de la paranoia y con las que son proferidas por /"el hombre de las ratas/". La consideración del Superyó será desarrollada de acuerdo con las lecturas freudianas y lacaniana. La distinción Ideal del yo – Superyó contribuirá al esclarecimiento del tema. Por último, la melancolía como abolición del deseo será opuesta a la exaltación maníaca.

This paper intends to explore the differences between melancholy as a psychic structure and melancholic characteristics that present themselves in hysteria and obsession. The superego plays a central role in this distinction; the voice that constitute it and its relationship with pulsional objects will also be considered. The insulting voices of melancholy will be compared to those of paranoia and those uttered “the Rat Man”. The consideration of the superego will be developed according to Freudian and Lacanian thought. The distinction between Ideal and Superego will contribute to the understanding of the subject. Finally, melancholy as abolition of desire will be opposed to manic exaltation.

Inventário de Obsessão-Compulsão:Análise da validade de um instrumento reduzido de prevalência temática dos sintomas do TOC / Obsessive-Compulsive Inventory: Analysis of the validity of an instrument reduced prevalence Themes of Ocd Symptoms / Inventario de Obsesión-Compulsión: Análisis de validez de un instrumento breve para el tema recurrente de los sintomas del TOC

O transtorno obsessivo-compulsivo é um tipo de desordem de ansiedade caracterizado pela ruminação de pensamentos incontroláveis denominados obsessões e por ritos comportamentais repetitivos chamados compulsões. O presente estudo teve como objetivo a adaptação do Obsessive-Compulsive Inventory de Foa et al. para a língua portuguesa no contexto brasileiro. Foi utilizada uma amostra de 216 estudantes universitários voluntários (M = 27,16 anos e DP = 2,18) da cidade de João Pessoa-PB. A partir da realização de uma análise fatorial exploratória observou-se a adequação dos valores obtidos para um conjunto de medidas multifatorial. A análise realizada sugeriu ainda índices de precisão e consistência interna consideráveis...

Obsessive-compulsive disorder is a type of anxiety disorder characterized by uncontrollable rumination of thoughts called obsessions and repetitive behavioral rituals called compulsions. This study aimed to adapt the Obsessive-Compulsive Inventory of Foa et al. for Portuguese Brazilian context. A sample of 216 volunteer college students (M = 27.16 years, SD = 2.18) from João Pessoa-PB. After performing an exploratory factor analysis showed the adequacy of the values obtained for a set of measures multifactorial. The analysis also suggested rates of reliability and internal consistency considerable...

Trastorno obsesivo-compulsivo es un tipo de trastorno de ansiedad caracterizado por pensamientos incontrolables de la rumia llamados obsesiones y por los rituales repetitivos de comportamiento llamados compulsiones. Este estudio tuvo como objetivo adaptar el Obsessive-Compulsive Inventory de Foa et al. para el contexto portugués de Brasil. Se utilizó una muestra de 216 estudiantes voluntarios universitarios (M = 27,16 años, SD = 2.18) de João Pessoa-PB. Después de realizar un análisis factorial exploratorio mostró la adecuación de los valores obtenidos para un conjunto de medidas multifactorial. El análisis también sugirió que los índices de fiabilidad y consistencia interna fueron considerable...

A clínica psicanalítica atual: obsessão, compulsão, fobia e pânico / La clínica sicanalítica actual: obsesión, compulsión, fobía y pánico / The current psychoanalytic clinic: obsession, compulsion, phobia and panic

O trabalho apresenta o conceito de compulsão e busca abordar as manifestações de obsessão, compulsão, fobia e pânico enquanto categorias diagnósticas. Aponta que a psicanálise e a psicoterapia psicanalítica são abordagens terapêuticas eficazes nessas categorias diagnósticas.

El trabajo presenta el concepto de compulsión y busca las manifestaciones de obsesión, compulsión, fobía y pánico en cuanto categorías diagnósticas. Apunta que la sicanálisis y la sicoterapia sicanalítica son abordajes terapéuticas eficaces en esas categorías diagnósticas.

The paper presents the conception of compulsion and tries to approach the manifestation of obsession, compulsion, phobia and panic as diagnostic category. It indicates that psychoanalysis and psychoanalytic psychotherapy are effective therapeutic approaches in these diagnostic categories.

Trastorno de personalidad por dependencia, con rasgos obsesivos: estudio de caso / Personality disorder by dependence, with obsessive traits: case study

En el caso que se va a mostrar, el paciente accede inicialmente a la consulta por un trastorno clasificable en el eje I (de acuerdo con la propuesta multiaxial del DSM IV-TR, 2000); sin embargo, será precisamente el proceso detallado de la evaluación la que permita encontrar una serie de características más complejas, que evidencian la presencia de un trastorno en el eje II (Trastornos de la Personalidad).

In the case to be shown, the patient initially accesses the consultation for a disorder classifiable on axis I (in accordance with the multiaxial proposal of the DSM IV-TR, 2000); nevertheless, it will be precisely the detailed process of the evaluation that allows to find a series of more complex characteristics, which show the presence of a disorder in axis II (Personality Disorders).

Compulsão alimentar antes e após a cirurgia bariátrica / Binge eating before and after bariatric surgery

RACIONAL: A obesidade é distúrbio de origem multifatorial complexa que congrega aspectos de ordem psicológica, social, biológica e requer abordagem multidisciplinar. É considerada fator de risco para a compulsão alimentar, de modo que a dinâmica emocional do obeso contribuiria para desencadear o ato compulsivo. OBJETIVO: Analisar os indícios de compulsão alimentar em pacientes submetidos à cirurgia bariátrica, antes e dois anos após a operação. MÉTODOS: Foi realizado estudo prospectivo em 50 pacientes submetidos à cirurgia bariátrica pela técnica de Fobi-Capella. Os instrumentos de avaliação psicológica, aplicados antes e após dois anos, foram o teste das Pirâmides Coloridas de Max Pfister e entrevista clínica semi-estruturada. O teste foi aplicado antes e após a operação para identificar indícios de compulsão. A entrevista somente no pós-operatório. RESULTADOS: Citando somente os dados principais, os dados mostraram estabilidade e capacidade para lidar com conflitos em 16 por cento dos pacientes antes da operação e em 10 por cento após. Para a capacidade de controle e adaptação, 36 por cento dos pacientes apresentavam fortes indícios de atitude de controle e rigidez antes da operação e 32 por cento após. Quanto aos indicadores de impulsividade, agressividade e irritabilidade, houve fortes indícios de atitudes agressivas e impulsivas em 28 por cento antes da operação e em 36 por cento após. Quanto ao comportamento beliscador, eram presentes em 94 por cento dos pacientes no pré-operatório e em 60 por cento no pós. Quanto à preferência alimentar, foi a por alimentos calóricos sem menção à bebidas alcoólicas no pré-operatório, e no pós-operatório por alimentos de fácil ingestão. Quanto ao motivo atribuído aos episódios compulsivos, antes da operação 4 por cento dos pacientes relataram estado de nervosismo, 24 por cento afirmaram distúrbios de humor e 52 por cento identificaram sentimentos de impotência ou submissão. No pós, foram 10 por cento, 28 por cento e 38 por cento. Quanto às respostas compensatórias, eram elas ingestão de doces em 12 por cento; ingestão de petiscos em 2 por cento e comer indiscriminadamente tudo que estivesse ao alcance em 64 por cento dos pacientes. Após, 18 por cento, 10 por cento e 22 por cento. CONCLUSÃO: Os pacientes apresentam indícios de compulsão alimentar antes e após a operação. Ela está relacionada a aspectos psicológicos. Os hábitos e preferências alimentares modificam-se após a operação, de modo que os pacientes passam a consumir alimentos de fácil ingestão frente a situações que os faziam comer compulsivamente, não sendo observado trocas de compulsão. O comportamento alimentar inadequado persiste ou é agravado após a operação.

BACKGROUND: Obesity is a complex, multifactorial disorder which comprises psychological, social and biological aspects and requires a multidisciplinary approach. It is considered to be a risk factor for binge eating disorder, in that the emotional dynamic of the obese individual would contribute to trigger the compulsive act. AIM: To analyze the signs of binge eating in patients who underwent bariatric surgery, before and two years after the surgery. METHODS: A prospective study was conducted with 50 patients submitted to bariatric surgery by the Fobi-Capella technique. The instruments for psychological evaluation, applied before the surgery and two years after, were Max Pfister's Color Pyramid Test and a semi-structured clinical interview. The test was given before and after the surgery to identify evidence of compulsive behavior. The interview was conducted in the postoperative only. RESULTS: The data showed stability and ability to cope with conflicts in 16 percent of the patients before and in 10 percent after the surgery. In terms of control and adaptation, 36 percent of the patients exhibited strong evidence of an attitude of control and rigidity before the surgery, and 32 percent postoperatively. Regarding the indicators of impulsivity, agressiveness and irritability, there were strong signs of aggressive and impulsive attitudes in 28 percent of the patients before the surgery and in 36 percent after. Grazing behavior was present in 94 percent of the patients preoperatively and in 60 percent postoperatively. Food preference was for high-calorie foods with no mention of alcoholic beverages in preoperative patients, and postoperatively, for foods which were easy to consume. Regarding the reason for the compulsive episodes, before the surgery, 4 percent of the patients reported uneasiness, 24 percent expressed mood disturbances and 52 percent identified feelings of impotence or submission. Postoperatively, the percentages were 10 percent, 28 percent and 38 percent, respectively. As for compensatory responses, they consisted of the ingestion of sweet foods in 12 percent, snack foods in 2 percent and indiscriminate eating in 64 percent of the patients. After the surgery, the percentages were18 percent, 10 percent and 22 percent. CONCLUSION: The patients exhibit signs of binge eating before and after the surgery. Such compulsion is related to psychological aspects. Eating habits and food preferences change after the surgery, as patients begin to eat foods which are easier to consume when facing situations that would make them eat compulsively; no addiction transfer was observed. The inadequate eating behavior persists or is aggravated after the surgery.

Euclides da Cunha e a psicopatologia: um indício para abdução / Euclides da Cunha y la psicopatología: un indicio para abducción / Euclides da Cunha et la psychopathologie: un indice d'abduction / Euclides da Cunha and psychopathology: indications of abductive reasoning

Este ensaio é um exercício de metodologia indiciária (Carlos Ginzburg), no qual a abdução tem papel relevante. O foco é Euclides da Cunha, um dos mais famosos intelectuais brasileiros, autor de Os sertões, 1902. No campo da psicopatologia fundamental, destaca-se a obsessão de Euclides pela autonomia individual e uma certa dificuldade para mapear seus desejos.

Este trabajo es un ejercicio de metodología indiciaria (Carlos Ginzburg) en el cual la abducción tiene un papel relevante. El foco es Euclides da Cunha, uno de los más prestigiados intelectuales brasileños, autor de Os sertões, 1902. En el campo de la psicopatología fundamental, se destaca la obsesión de Euclides por la autonomía individual y una cierta dificultad para mapear sus deseos.

Ce travail est un exercice de méthode indiciaire (Carlos Ginzburg), dans lequel l'abduction joue un rôle central. Il porte sur Euclides da Cunha, important intellectuel brésilien, qui a écrit Os sertões, en 1902. Dans le champ de la psychopathologie fondamental, la discussion porte sur l'obsession d'Euclides pour l'autonomie individuelle et sur une certaine difficulté de cartographier ses désirs.

This essay is an exercise on the methodology of the indiciary paradigm (Carlos Ginzburg), where evidence and abductive reasoning are essential. The main subject of discussion is Euclides da Cunha, one of Brazil's most famous intellectuals and author of Rebellion in the Backlands (1902). In the field of fundamental psychopathology, the specifc theme here is Da Cunha's obsession with individual autonomy and a certain difficulty in mapping his own desires.

The study of childhood trauma experience and family environment with obsession / 中华行为医学与脑科学杂志

Objective This study aimed to explore the relationship between the traumatic experience in childhood and onset of obsession in adulthood,and the character of family environment of obsession patients.Methods Using Y-BOCS and CAT and FES-CV to evaluate 41 cases with OCD and 36 normal subjects respectively.Baaed on these scales,an edited interview schema for a semi-structured interview was choosed with both groups for 50 minutes respectively.Results ①Tbe whole score and scores of two subscales on punishment,negative-environment in CAT were all obviously higher in patients with obsession [(50.16± 21.03),(12.03±4.24),(19.77±9.74),for punishment:P<0.05,for others:P<0.01],and there were a significant difference in the two groups[(35.35±14.78),(9.92±2.51),(12.54±8.14)].The negative environment was chosen in regress equation,and could explain 14.67% of outcome of obsession. ②The scores of 4 ubacaies like cohesion,expressiveness,intellectual-cultural orientation,active-recreational orientation [(5.13±2.28),(4.10±2.12),(2.71±1.87),(2.52±2.34)] ,were all obviously lower than the normal control in FES-CV.While the subscore of conflict (5.03±2.21) was higher than the normal control(3.50±2.40),and all these differences were significant.When two factors of active-recreational orientation and cohesion in FES-CV were put into regression equation( R2 =0.2078 ,R2 =0.2784),they contribute 27.84% and the disease,and the active-recreational orientation factor can explain 20.78%.③The result of interview found significant difference between obsession groupand control group in parental personality,own personality,childhood experience,and family environment.Condusion The traumatic experience in childhood and unhealthy family environment do have association with onset and development of obsession,also they have a close relationship with the development of personality after adulthood.

Effect of Double Treatment Based On Differentiation Of Syndromes on obsession with obsessive thoughts but without compulsive behavior in open wards / 中国康复理论与实践

@#ObjectiveTo study the significance of Double Therapy Treatment Based On Differentiation Of Syndromes on obsession with obsessive thoughts but without compulsive behavior and its suitability in open wards.Methods47 cases were divided into experimental group(24 cases) and control group(23 cases) randomly in open wards. Experimental group was treated by Double Therapy Treatment Based on Differentiation of Syndromes while control group by Cognitive Therapy combined with Chlorimpramine and Fluoxetine etc. The period of treatment was 5 months, in which positive therapy cost 2 months and free therapy cost next 3 months. Y-BOCS was used to value the effect.ResultsThe recovery rate in experimental group was much higher than that of the control group 2 months (χ2=12.44,P<0.01) and 5 months (χ2=18.00,P<0.01)later. There was significant difference in Y-BOCS score between these two groups 2 months (t=7.140,P<0.001) and 5 months (t=8.191,P<0.001)later.ConclusionDouble Therapy Treatment Based On Differention Of Syndromes shows a satisfied curative effect and prognosis on obsession with obsessive thoughts but without compulsive behavior and should be advocated.

Dissolution and enchantment on Erwin Straus' phenomenology of obsession

The author presents Erwin Straus’ psychopathology of phoby and obsession (with reference to his texts On Obsession, Phenomenology of Hallucinations, and Vom Sinn der Sinne), bringing to light the implications concerning the role of language and gesture in the consistution (and the crisis) of the experiences of subjectivity and objectivity.

O autor apresenta “Psicopatologia da fobia e da obsessão,” de Erwin Straus (com referência a seus textos On Obsession [Sobre a Obsessão], Phenomenology of Hallucinations [A Fenomenologia das Alucinações], e Von Sinn der Sinne). As implicações sobre o papel da linguagem e do gesto na constituição (e na crise) das experiências da subjetividade e da objetividade são abordados.

El autor presenta la psicopatología de la fobia y la obsesión de Erwin Straus (con referencia a su texto On Obsession, Phenomenology of Hallucinations, and Vom Sinn der Sinne) trayendo a luz las implicaciones concernientes al rol del lenguaje y los gestos en la constitución (y las crisis) de las experiencias de subjetividad y objetividad.

L’auteur présente la psychopathologie de la phobie et de l’obsession de Erwin Strauss (avec des références à ses textes On Obsession, Phenomenology of Hallucinations, et Vom Sinn der Sinne), mettant en lumière les implications relatives au rôle du langage et de la gestuelle dans la constitution (et la crise) de l’expérience de la subjectivité et de l’objectivité.