ABSTRACT
Este relato de pesquisa busca estabelecer algumas relações entre somatizações e história familiar. Propõe investigar a somatização, analisando acontecimentos significativos na família. Utilizou-se a investigação qualitativa, realizando entrevistas semidirigidas com dez famílias. Recorreu-se à análise de conteúdo de relatos que estariam subjetivamente associados ao contexto de algumas doenças. Verificou-se que a doença compreende uma das expressões da violência familiar. A repetição de comportamentos conflituosos e violentos entre gerações e a instabilidade afetiva demonstram o cotidiano destas famílias e provocam um desgaste afetivo. As somatizações surgem como representação da invasão do outro, da dificuldade de expressão de sentimentos e do desconhecimento das demandas afetivas. Este estudo pretende contribuir para ações mais efetivas do psicólogo na prevenção primária à saúde da família.
This research report aims to present some of the relations between somatizations and family history. It proposes to investigate somatization by analyzing significant events in the family. Semi-structured interviews with ten families were conducted in the context of a qualitative investigation approach. Content analysis was realized of the reports that were subjectively associated to the context of a number of diseases. It was observed that the disease encompasses one of the expressions of family violence. The repetition of conflicting and violent behaviors between generations, and the affective instability, demonstrate the daily routine of these families, and they provoke affective wear. The somatizations arise as a representation of the invasion of another person´s life, as the difficulty of expressing feelings, and as the unawareness of affective demands. The present study intends to contribute to more effective actions coming from the psychologist in the primary prevention of family health.
ABSTRACT
The experience of a UK General Practice in implementing quality ideas within the context of a UK Government contract to bring in Quality Targets is described. Simple ideas based on a theoretical background from industrial methods are used to make changes in a typical UK general practice. Measurements based on a range of easily available data, from the practice computer system, enables one to see a benefit to patient care and in particular the management of chronic disease. The stress of dealing with potential mistakes in current British healthcare environment is addressed as is the conflicting culture of Targets applied by Government to the Quality culture. The virtue of a Team approach to change is emphasised as is the principle of “blame reduction” so as to allow the Team to flourish. The author has been impressed with the benefits to both the community and the practice staff of applying basic simple quality tools in general practice.