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1.
Enferm. foco (Brasília) ; 11(1): 99-105, jun. 2020. tab
Article in Portuguese | LILACS (Americas), BDENF | ID: biblio-1102807

ABSTRACT

substâncias psicoativas. Metodologia: Estudo transversal realizado com 497 usuários de substâncias psicoativas de oito municípios da mesorregião noroeste do estado do Ceará. Os dados foram coletados com formulário para perfil sociodemográfico e o Self-Reporting Questionnaire (SRQ-20) e analisados por estatística inferencial, com testes de associação, comparação e correlação. Resultados: 78,1% apresentaram rastreamento positivo para TMC com maior índice para humor ansioso e depressivo e sintomas somáticos. O sexo feminino e ter menor idade constituem fatores de risco, enquanto, ter religião católica ou evangélica, ter ocupação, um companheiro fixo e filhos consistem em fatores protetores para TMC. Conclusão: Esse estudo possibilitou identificar condições associadas ao TMC, os quais facilitam a tomada de decisões na tentativa de priorizar ações para grupos mais vulneráveis a fim de evitar o desenvolvimento de TMC. (AU)


Objective: Ascertaining of common mental disorder presence and its association with factors related to sociodemographic profile of psychoactive substances users. Method: Transversal study carried with 497 psychoactive substances users from eight cities of northwest mesoregion of Ceará state. Data were collected with formulary for sociodemographic profile and the Self-Reporting Questionnaire, they were analyzed by inferential statistic, with association, comparison, and correlation tests. Results: 78.1% presented positive traceability for common mental disorder with greater rate for anxious and depressive humor, and somatic symptoms. Feminine gender and being underaged are risk factors, while having catholic or evangelical religion, having an occupation, having a fix life partner and children are protective factors. Conclusion: This study made possible to identify conditions associated, which facilitates decision making in order to try to prioritize actions for more vulnerable groups, aiming to avoid common mental disrder development. (AU)


Objetivo: Averiguar la presencia de trastorno mental común y su relación con factores asociados al perfil sociodemográfico de usuarios de sustancias psicoactivas. Metodo: Estudio transversal realizado con 497 usuarios de sustancias psicoactivas de ocho municipios de la mesorregión noroeste del estado de Ceará. Los datos fueron recolectados con formulario para perfil sociodemográfico y el Self-Reporting Questionnaire y analizados por estadística inferencial, con test de asociación, comparación y correlación. Resultados: 78,1% presentaron seguimiento positivo para trastorno mental común con mayor índice para humor ansioso y depresivo y síntomas somáticos. El sexo femenino y tener edad menor constituyen factores de Riesco, mientras que, tener religión católica o evangélica, tener ocupación, un compañero fijo e hijos son factores protectores. Conclusión: Este estudio posibilitó identificar condiciones asociadas, que facilitan la toma de decisiones al intentar priorizar acciones para grupos más vulnerables a fin de evitar el desarrollo de trastorno mental común. (AU)


Subject(s)
Substance-Related Disorders , Mental Health , Epidemiology , Mental Disorders
3.
An. Fac. Cienc. Méd. (Asunción) ; 53(1): 93-100, 20200401.
Article in Spanish | LILACS (Americas) | ID: biblio-1095727

ABSTRACT

La evidencia para el diagnóstico y el manejo del trastorno por juego en Internet está creciendo. Factores psicológicos y biológicos están involucrados en su etiopatogenia y estos factores pueden presentar diferentes niveles de contribución al trastorno dependiendo del género del paciente. Teniendo en cuenta que la tasa de individuos masculinos en comparación con la tasa femenina en el trastorno por juego en Internet es de aproximadamente 3:1 y que la mayoría de los estudios disponibles se realizan en poblaciones predominantemente masculinas, se realizó una revisión narrativa, no sistemática, centrada en literatura primaria y seleccionada de una búsqueda en las bases de datos PubMed y SciELO. Los términos clave que se utilizaron fueron los siguientes: "Internet Gaming Disorder" y "Internet Gaming Disorder and Gender". Todos los miembros del equipo de investigación participaron en la revisión de la literatura. Todo lo anterior se realizó a fin de presentar una imagen general sobre las diferencias de género en los juegos en línea, que pueda servir para mejorar los conocimientos de los trabajadores de la salud mental sobre este desafiante grupo de pacientes.


The body of evidence for Internet Gaming Disorder is growing. Both psychological and biological factors are involved in its etiopathogenesis and these factors may present different levels of contribution to the disorder depending on the gender of the patient. Taking into account that the rate of male individuals compared with the female rate in the Internet Gaming Disorder is about 3:1 and that most of the available studies are done in predominantly male populations, a non-systematic narrative review was done, focused on primary literature and selected from a search in PubMed and SciELO databases. The key terms used were: "Internet gaming disorder" and "Internet gaming disorder and gender". All members of the research team participated in the review of the literature. All the above was done in order to present a general picture about gender differences in online games, which can be used to improve the knowledge of mental health workers about this challenging group of patients.


Subject(s)
Video Games/adverse effects , Mental Disorders , Women , Men
6.
Rev. salud pública Parag ; 10(1): [P66-P73], mar. 2020.
Article in Spanish | LILACS (Americas), BDNPAR | ID: biblio-1087933

ABSTRACT

Introducción: Los pacientes con trastornos mentales están sometidos a un mayor número de factores de riesgo de enfermedades bucodentales y temporomandibulares. Ello debido a los efectos secundarios de las medicaciones que consumen, la falta de autocuidado, la dificultad para acceder a atención, la actitud hacia los profesionales sanitarios y también la falta de cooperación en los tratamientos dentales. Objetivo: Determinar la frecuencia de los trastornos temporomandibulares (TTM) y el índice de dientes cariados, perdidos y obturados (CPO-D) en pacientes con discapacidad psicosocial crónica internados en el Hospital Psiquiátrico de la ciudad de Asunción, Paraguay. Material y Métodos: El estudio tuvo un diseño observacional descriptivo de corte transversal y fue aprobado por el comité de ética institucional. Participaron 139 personas con discapacidad psicosocial crónica de ambos sexos, mayores de 18 años, en el mes de mayo, 2018. Como instrumentos de medición se utilizaron: un cuestionario de 3 preguntas, el examen clínico con 5 indicadores para la variable presencia de TTM, el odontograma para el índice CPO-D y los expedientes clínicos. Resultados: Se encontró una población en su mayoría masculina, con un rango de edad entre 40-50 años, y un alto porcentaje de fumadores activos. Se observó que el 83,5 % de los examinados presentaba TTM. El índice CPO-D fue 22,8. Entre los signos de TTM, el ruido articular fue el más común. Conclusión: Se observó una elevada frecuencia de TTM en las personas con discapacidad psicosocial y un elevado índice CPO-D. Palabras Claves: Salud bucal, trastornos ATM, índice CPO, salud mental, psiquiatría, trastorno psicosocial.


Introduction: Patients with mental disorders are subject to a greater number of risk factors for oral and temporomandibular diseases. This is due to the side effects of the medication they consume, the lack of self-care, the difficulty in accessing medical help, the attitude of the patients towards health professionals and also the lack of cooperation in their dental treatments. Objective: To determined the frequency of temporomandibular disorders (TMD) and the decayed, missing and filled teeth index (DMFT) in people with chronic psychosocial disability admitted to the Psychiatric Hospital of the city of Asunción. Material and Methods: This descriptive, observational and cross-sectional study was approved by the local ethics committee. One hundred and thirty-nine people with chronic psychosocial disabilities, of both sexes, over 18 years of age participated during May, 2018. The instruments used were a 3-item questionnaire, clinical examination with 5 indicators for presence of TMD, the odontogram for the DMFT index and the clinical charts. Results:A predominantly male population, with an age range between 40-50 years, and a high percentage of active smokers was found. TMD was found in 83.5% and the DMFT index was 22.8. Among the signs of TMD, joint noise was the most common. Conclusion:A high frequency of TMD was observed in people with psychosocial disabilities and a high CPO-D index. Key words: Oral health TMJ , disorder, DMF index, mental health, psychiatry


Subject(s)
Humans , Male , Female , Adult , Middle Aged , Temporomandibular Joint Disorders/therapy , Dental Care for Disabled , Mental Health Services , Paraguay , Oral Health , Dental Care , Psychosocial Impact , Mental Disorders , Mouth Diseases/drug therapy , Mouth Diseases/therapy
7.
Dement. neuropsychol ; 14(1): 80-82, Jan.-Mar. 2020. graf
Article in English | LILACS (Americas) | ID: biblio-1089813

ABSTRACT

ABSTRACT Hermann Rorschach was a Swiss psychiatrist and psychoanalyst, best known for developing a projective test known as the Rorschach inkblot test, a test designed to reflect unconscious parts of the personality that project into the visual stimuli generated by the inkblots, allowing a psychodiagnosis to be established. The technique he developed has been applied since 1921 in a number of countries. Although it has long remained controversial and divided opinions, this did not prevent it from overcoming the barriers of science to have a major influence on pop culture, resulting in an undeniable legacy for the development of Psychiatry in the nineteenth century.


RESUMO Hermann Rorschach foi um psiquiatra e psicanalista suíço, mais conhecido por desenvolver um teste projetivo conhecido como o teste da mancha de tinta de Rorschach, um teste desenhado para refletir partes inconscientes da personalidade que se projetam nos estímulos visuais gerado pelas manchas de tinta, o que possibilitaria estabelecer um psicodiagnóstico. A técnica que ele desenvolveu tem sido aplicada desde 1921 em vários países, e embora por muito tenha permanecido polêmica e dividido opiniões, isso não a impediu de ultrapassar as barreiras da ciência para alcançando massivamente a cultura pop, resultando em um legado inegável para o desenvolvimento da Psiquiatria no século XIX.


Subject(s)
Humans , Rorschach Test , Mental Disorders/diagnosis
10.
REME rev. min. enferm ; 24: e-1284, fev.2020.
Article in Portuguese | LILACS (Americas), BDENF | ID: biblio-1053174

ABSTRACT

Objetivo: identificar os fatores associados à tentativa de suicídio por pessoas com transtorno mental. Método: estudo observacional e transversal realizado com 300 pessoas com transtorno mental em tratamento em dois Centros de Atenção Psicossocial II de Curitiba-PR no período de abril a junho de 2014. Foram realizadas análises descritivas, univariadas e multivariadas, empregando a regressão logística. Resultados: a prevalência de histórico de tentativa de suicídio foi de 67,7%, com associação significante na análise multivariada, entre as pessoas do "sexo feminino" (p=0,004), com "escolaridade entre zero e oito anos" (p=0,016), com "escolaridade entre nove e 12 anos" (p=0,013), com "percepção da saúde como ruim e regular" (p=<0,001) e "não adesão à terapêutica medicamentosa" (p=0,037). Conclusão: ser do sexo feminino, com baixo nível de escolaridade, perceber a saúde como ruim e regular e não aderir à terapêutica medicamentosa foram os proeminentes fatores associados ao histórico de tentativa de suicídio.(AU)


Objective: to identify the factors associated with a suicide attempt by people with mental disorders. Method: observational and cross-sectional study carried out with 300 people with mental disorders undergoing treatment in two Psychosocial Care Centers II in Curitiba-PR from April to June 2014. Descriptive, univariate and multivariate analyses were performed, using logistic regression. Results: the prevalence of a history of suicide attempt was 67.7%, with a significant association in the multivariate analysis, in people of the " female gender" (p = 0.004), with "education level between zero and eight years" (p = 0.016), with "education level between nine and 12 years" (p = 0.013), with "perception of health as bad and regular" (p = <0.001) and "non-adherence to drug therapy" (p = 0.037). Conclusion: female, with a low level of education, perceiving health as bad and regular and not adhering to drug therapy were the prominent factors associated with the history of attempted suicide.(AU)


Objetivo: identificar los factores asociados al intento suicida en personas con trastornos mentales. Método: estudio observacional y transversal realizado con 300 personas con trastornos mentales en tratamiento en dos Centros de Atención Psicosocial II en Curitiba-PR de abril a junio de 2014. Se realizaron análisis descriptivos, univariados y multivariados mediante regresión logística. Resultados: la prevalencia de antecedentes de intentos suicidias fue del 67,7%, con asociación significativa en el análisis multivariado entre personas de "género femenino" (p = 0,004), con "escolaridad entre cero y ocho años" (p = 0.016), con "escolaridad entre nueve y 12 años"...(AU)


Subject(s)
Humans , Suicide, Attempted , Mental Health , Mental Disorders , Socioeconomic Factors , Risk Factors
11.
J. Health Biol. Sci. (Online) ; 8(1): 1-9, 01/01/2020.
Article in Portuguese | LILACS (Americas) | ID: biblio-1102826

ABSTRACT

Objetivo: analisar os impactos das condicionantes sociais preexistentes no Brasil sobre a saúde mental em condições de restrição de contato interpessoal pela pandemia de COVID-19. Método: pesquisa exploratória por meio de documentação indireta de fontes secundárias e primárias. Resultados: a pandemia de COVID-19 demandou medidas de restrição de contato social, gerando dilemas éticos, legais e econômicos. Essas restrições, contrariamente, podem atuar negativamente sobre a saúde individual, em especial a mental. Assumindo que a saúde não se restringe a parâmetros biomédicos, os condicionantes sociais assumem importante papel. Esses parâmetros ficam evidentes em países como o Brasil, em que a estrutura social é perversa e a desigualdade flagrante. Essa estrutura dificulta a adequação às normas preventivas da COVID-19 e atua sinergicamente às condicionantes sociais pré-pandêmicas interferindo decisivamente, na saúde mental. Considerações finais: é esperado que as mudanças repentinas e compulsórias, bem como as incertezas com o futuro acarretem sofrimento mental, devendo-se atentar para possíveis adoecimentos. Já se verifica agravamento de alguns estados psicopatológicos e aumento no consumo de álcool e drogas. Por fim, ficou evidente que a pandemia não só afastou pessoas, mas potencializou a distância preexistente para aqueles mais vulneráveis, agravando as condicionantes sociais de saúde.


Objective: to analyze the impacts of pre-existing social conditions in Brazil on mental health in conditions of restricted interpersonal contact due to the pandemic of COVID-19. Method: exploratory research based on indirect documentation from secondary and primary sources. Results: the COVID-19 pandemic demanded measures of restriction on the social contact, in addition to generating ethical, legal, and economic dilemmas. These restrictions, on the contrary, can negatively affect individual health, especially mental health. Assuming that health is not restricted to biomedical parameters, social conditions play an important role. These parameters are evident in countries like Brazil, where the social structure is perverse andinequality is striking. This structure makes it difficult to adapt to the preventive norms of COVID-19 and acts synergistically onpre-pandemic social conditions, interfering decisively in mental health. Final considerations: It is expected that the sudden and compulsory changes, as well as the uncertainties regarding the future, will cause mental suffering, paying regardingpossible illnesses. There are already indicators that point to the worsening of some psychopathological states and an increase in the consumption of alcohol and drugs. Finally, it was evident that the pandemic not only alienated people but increased the pre-existing distance for the most vulnerable, aggravating social health conditions.


Subject(s)
Coronavirus Infections , Social Isolation , Stress, Psychological , Mental Disorders
13.
Article in Korean | WPRIM (Western Pacific) | ID: wprim-811248

ABSTRACT

The diagnostic concepts of insomnia are controversial. New diagnostic criteria of insomnia disorder have been published in the International Classification of Sleep Disorders (ICSD-3) and the Diagnostic and Statistical Manual of Mental Disorder (DSM-5). Both the ICSD-3 and DSM-5 did not accept the concept of secondary and primary insomnia. According to the ICSD-3 and DSM-5, insomnia disorder can be diagnosed, even with a comorbid mental or sleep disorder. The medical, psychiatric, and sleep history are essential for the diagnosis of insomnia disorder. Polysomnography can be helpful for differential diagnoses or the clinical subtyping of insomnia disorder. Recently, the European and American Sleep Society published clinical guidelines for the treatment of insomnia. Both guidelines strongly recommended non-pharmacological treatment (e.g., cognitive behavioral disorder for insomnia) as a treatment of choice for insomnia. Pharmacological treatments for insomnia are weakly recommended only for a short time. New non-pharmacological and pharmacological treatments for insomnia disorder are being developed and studied.


Subject(s)
Classification , Diagnosis , Diagnosis, Differential , Mental Disorders , Polysomnography , Sleep Initiation and Maintenance Disorders , Sleep Wake Disorders
14.
Article in Korean | WPRIM (Western Pacific) | ID: wprim-811246

ABSTRACT

This paper reviews the updated findings, including the current clinical guidelines and recent research trends, on the pathophysiology, diagnosis, and treatment of obstructive sleep apnea (OSA), a common sleep disorder associated with medical and mental disorders. The pathophysiology of OSA is believed to be related not only to the anatomical causes of the upper airway but also to the comparative anatomical mechanisms, such as the upper airway muscle function, arousal threshold, and loop gain. When OSA is suspected of being a clinical symptom or sign, a sleep study should be used for a diagnosis of OSA. Traditionally, continuous positive airway pressure has been the most effective first-line treatment for OSA. On the other hand, there could be a limitation of long-term compliance and new therapies that are suitable for the diverse mechanisms of OSA have been proposed or studied. In the future, the treatment of enhancing the effect through a more individualized consideration should be applied for OSA.


Subject(s)
Arousal , Compliance , Continuous Positive Airway Pressure , Diagnosis , Hand , Mental Disorders , Respiration , Sleep Apnea, Obstructive , Sleep Wake Disorders
15.
Article in English | WPRIM (Western Pacific) | ID: wprim-782275

ABSTRACT

BACKGROUND: Firefighters are exposed to many dangerous working conditions. Many studies have identified the risk of disease for firefighters, but only a few studies have addressed the medical expenses of firefighters, which represents a concrete scale of disease. Our purpose in this study was to determine the medical expenditures of firefighters to assess the overall scale of disease in Korea. We focused on cancer, mental disorders, cardio-cerebrovascular disease, and musculoskeletal disease, the prevalence of which was expected to be high in firefighters.METHODS: This study utilized National Health Insurance Service data. We targeted firefighters, police officers, and government officials. We classified disease based on the 10th revision of the International Statistical Classification of Diseases and Related Health Problems codes. We compared prevalence by the age-standardized prevalence rate, considering standard distribution of the population. Medical expenditure of disease was defined as outpatient fees, hospitalization fees, and drug costs. Total medical expenditures were calculated by the sum of those 3 categories.RESULTS: The age-standardized prevalence of cancer, mental disorders, and cardiovascular disease in firefighters was slightly higher than or similar to that of government officials and police officers (no significant difference). However, medical expenditures for stomach cancer, mental disorders, and most cardio-cerebrovascular diseases were higher in firefighters than in others. In particular, firefighters spent 12 times more money for ischemic heart disease than did government officials. Of musculoskeletal diseases, lumbar disc disorder had the highest expenditures among firefighters.CONCLUSIONS: The age-standardized prevalence of most of diseases of firefighters was not as high as in the other groups, but the medical expenses of firefighters were much higher than those of government officials and police officers.


Subject(s)
Cardiovascular Diseases , Drug Costs , Fees and Charges , Firefighters , Health Expenditures , Hospitalization , Humans , International Classification of Diseases , Korea , Mental Disorders , Musculoskeletal Diseases , Myocardial Ischemia , National Health Programs , Occupational Groups , Outpatients , Police , Prevalence , Stomach Neoplasms
16.
Yonsei Medical Journal ; : 103-109, 2020.
Article in English | WPRIM (Western Pacific) | ID: wprim-782116

ABSTRACT

Firefighters have a high risk of developing cardiovascular and mental disorders due to their physical and chemical environments. However, in Korea, few studies have been conducted on environmental risk of firefighters. The Firefighter Research on the Enhancement of Safety and Health (FRESH) study aimed to discover the risk factors for cardiovascular disease and mental disorders among firefighters. Former and current firefighters were recruited from three university hospitals. A total of 1022 participants completed baseline health examinations from 2016 to 2017. All participants were scheduled for follow-ups every 2 years. Baseline health survey, laboratory testing of blood and urine samples, blood heavy metal concentration, urine polycyclic aromatic hydrocarbons (PAHs) metabolites, stress-related hormone test, natural killer cell activity, as well as physical and mental health examinations that focused on cardiovascular and mental disorders, were conducted. In addition, 3 Tesla (3T) brain magnetic resonance imaging (MRI) and neuropsychological tests were also performed to investigate structural and functional changes in the brains of 352 firefighters aged >40 years or new hires with less than 1 year of service.


Subject(s)
Brain , Cardiovascular Diseases , Cohort Studies , Firefighters , Follow-Up Studies , Health Surveys , Hospitals, University , Humans , Killer Cells, Natural , Korea , Magnetic Resonance Imaging , Mental Disorders , Mental Health , Neuropsychological Tests , Polycyclic Aromatic Hydrocarbons , Prospective Studies , Republic of Korea , Risk Factors
18.
Rev. polis psique ; 10(2): 9-32, 2020.
Article in Portuguese | LILACS (Americas), INDEXPSI | ID: biblio-1103127

ABSTRACT

O artigo aborda duas questões centrais no desenvolvimento contemporâneo da pesquisa em Saúde Mental: a inclusão dos saberes comunitários, ou da experiência, e a participação direta das pessoas na construção dos conhecimentos. Para isso, analisa a experiência de participação cidadã no projeto que traduziu e adaptou um instrumento que prevê um lugar central aos usuários na tomada de decisões do tratamento farmacológico em psiquiatria, o guia GAM (Gestão Autônoma da Medicação). Mais especificamente, procura-se compreender se a metodologia participativa permite transformar as relações de saber-poder e quais são suas implicações. Nossa conclusão é que, através de uma metodologia científica que inclui e valoriza os sujeitos em suas diferenças, a participação pôde tensionar posições hierárquicas pré-estabelecidas, favorecendo um contexto em que os cidadãos, mais empoderados e autônomos, ampliam a capacidade de atuação nas práticas da rede de pesquisa, contribuindo para a desconstrução de condições sócio-históricas de exclusão.


The article addresses two central issues in the contemporary development of Mental Health research: the inclusion of community knowledge, or experiential knowledge, and the active participation of people in the construction of knowledge. To this end, it analyzes the experience of citizen participation in the project that translated and adapted an instrument that places the individual at the center of the decision making of pharmacological treatment in psychiatry, the GAM (Gaining Autonomy & Medication Management) guide. More specifically, it seeks to understand whether the participatory methodology allows to transform the relations of knowledge-power and what are its implications. Our conclusion is that, through a scientific methodology that includes and values individuals in their differences, participation could change pre-established hierarchical structure, facilitating a context in which the citizens, more empowered and autonomous, have increased their capacity to influence the research practices, contributing to the deconstruction of the socio-historical structure and their situation of exclusion.


El artículo aborda dos cuestiones centrales en el desarrollo contemporáneo de la investigación en salud mental: la inclusión de los saberes comunitarios o de la experiencia, y la participación directa de las personas en la construcción del conocimiento cientifico. Para ello analiza la experiencia de participación ciudadana en el proyecto que tradujo y adaptó un instrumento que prevé un lugar central de los usuarios en la toma de decisiones del tratamiento farmacológico en psiquiatría, o guía GAM (Gestión Autónoma de la Medicación). Mas concretamente trata de comprender si una metodología participativa permite transformar las relaciones entre el saber y el poder y cuáles son sus implicaciones. Nuestra conclusión es que, mediante una metodología científica que incluye y pone en valor a los sujetos y a sus diferencias, la participación puede poner en cuestión posiciones jerárquicas preestablecidas, favoreciendo un contexto en el que los ciudadanos, más empoderados y autónomos, amplían la capacidad de actuación en las practicas de la red de investigación, contribuyendo a la deconstrucción de las condiciones sociohistóricas de la exclusión.


Subject(s)
Humans , Patient Participation , Research , Mental Health , Personal Autonomy , Mental Disorders/drug therapy , Translating , Brazil , Guidelines as Topic
19.
Rev. polis psique ; 10(2): 33-52, 2020.
Article in Portuguese | LILACS (Americas), INDEXPSI | ID: biblio-1103128

ABSTRACT

Este artigo decorre de uma pesquisa de doutorado que investigou a noção de experiência nos artigos sobre a Gestão Autônoma da Medicação no Brasil publicados entre 2011 e 2018. Nele, aborda-se um dos aspectos evidenciados pela pesquisa: a discussão da noção de experiência a partir da perspectiva decolonial, na companhia de autores como Achille Mbembe, Gayatri Spivak e Conceição Evaristo, com o objetivo de aproximar tal discussão das particularidades que dizem respeito à população brasileira quanto ao tema das subalternidades e das relações raciais. Os resultados apontam para a invisibilidade e o silenciamento a respeito de tais questões na produção referente à estratégia GAM durante o período mencionado. Ao mesmo tempo, são localizadas passagens onde os usuários fazem resistência e apresentam saídas para enfrentar a opressão. Assim, reconhece-se na GAM um potencial antirracista que pode vir a se fortalecer.


This article stems from a doctoral research that investigated the notion of experience in the articles on Autonomous Medication Management in Brazil published between 2011 and 2018. In it, one of the aspects highlighted by the research is discussed: the discussion of the notion of experience from the decolonial perspective, in the company of authors such as Achille Mbembe, Gayatri Spivak and Conceição Evaristo, with the aim of bringing this discussion closer to the particularities that concern the Brazilian population on the subject of subalternities and race relations. The results point to invisibility and silencing about such issues in the GAM strategy during the period mentioned. At the same time, passages are located where users resist and present exits to face oppression. Thus, we recognize in GAM an anti-racist potential that can be strengthened.


Este artículo se deriva de una investigación doctoral sobre la noción de experiencia en los artículos de la Gestión Autónoma de la Medicación en Brasil publicados entre 2011 y 2018. En él, se discute uno de los aspectos destacados por la investigación: la discusión de la noción de experiencia desde la perspectiva descolonial, en compañía de autores como Achille Mbembe, Gayatri Spivak y Conceição Evaristo con el objetivo de acercar esta discusión a las particularidades que preocupan a la población brasileña en materia de subalternidades y relaciones raciales. Los resultados apuntan a la invisibilidad y al silencio sobre tales problemas en la estrategia GAM durante el período mencionado. Al mismo tiempo, los pasajes se ubican donde los usuarios resisten y presentan salidas para enfrentar la opresión. Por lo tanto, reconocemos en la GAM potencial antirracista que se puede fortalecer.


Subject(s)
Patient Participation , Race Relations , Mental Health , Brazil , Canada , Cross-Cultural Comparison , Mental Disorders/drug therapy
20.
Rev. polis psique ; 10(2): 53-75, 2020. ilus
Article in Portuguese | LILACS (Americas), INDEXPSI | ID: biblio-1103200

ABSTRACT

Este estudo parte da adoção do Guia GAM-BR como ferramenta da política de saúde mental no Rio Grande do Sul. Objetivando avaliar repercussões de sua implementação no estado, desenvolveu-se pesquisa avaliativa com trabalhadores, usuários, gestores e familiares envolvidos com a estratégia GAM em serviços de três regiões do RS. Realizaram-se rodas de conversas cuja transcrição foi transformada em narrativas submetidas à discussão com todos segmentos. Neste artigo, destacam-se dois dos oito eixos temáticos que orientaram a análise do conjunto das narrativas: função estratégica da GAM entre a tutela e o cuidado; estratégias e metodologias para produção de grupalidade. Nota-se, em grupos GAM, coexistirem exercícios de autonomia e tutela, ao mesmo tempo que se produzem espaços de fala, trocas entre participantes e interlocução com profissionais. O manejo cogestivo dos grupos sinaliza estratégias e metodologias para produção de grupalidade, incidindo na participação ativa e crítica dos usuários.


This study starts with the introduction of the GAM-BR Guide as a tool for mental health policy in Rio Grande do Sul. In order to evaluate the repercussions of its implementation, an evaluation study was conducted with workers, users, managers and family members involved with the GAM strategy in services in three regions of Rio Grande do Sul. Conversation rounds were held and its transcription was transformed into narratives submitted for discussion with all segments. In this article, two of the eight thematic axes that guided the analysis of the set of narratives are pointed out: GAM's strategic function between guardianship and care and strategies and methodologies for groupality production. In GAM groups, exercises of autonomy and tutelage coexist, and it produces speaking spaces, exchanges between participants and dialogues with professionals. The cogestive management of groups indicates strategies and methodologies for groupality production, which results in the active and critical participation of users.


Este estudio empieza por la adopción de la Guía GAM-BR como herramienta en la política de salud mental en Rio Grande do Sul. Para evaluar las repercusiones de su aplicación en el estado, se llevó a cabo un estudio de evaluación con trabajadores, usuarios, gestores y familiares involucrados con la estrategia GAM en los servicios de tres regiones de Rio Grande do Sul. Fueran organizadas ruedas de conversación cuya transcripción se transformó en narrativas presentadas para discusión con todos los segmentos. En este artículo se destacaron dos de los ocho ejes temáticos que guiaron el análisis del conjunto de narrativas: la función estratégica de la GAM entre la tutela y el cuidado y estrategias y metodologías para producción grupal. En los grupos GAM coexisten ejercicios de autonomía y tutela, a la vez que se producen espacios de diálogo, intercambios entre los participantes y diálogo con los profesionales. La conducción cogestiva de los grupos señala estrategias y metodologías para la producción de grupalidad, resultando en la participación activa y crítica de los usuarios.


Subject(s)
Humans , Patient Participation , Mental Health/standards , Personal Autonomy , Group Processes , Mental Disorders/drug therapy , Brazil , Public Health Policy
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