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1.
Psicol. USP ; 342023.
Article in Portuguese | LILACS, INDEXPSI | ID: biblio-1525109

ABSTRACT

O discurso negacionista e a minimização dos efeitos nefastos da ditadura civil-militar por figuras do alto escalão do governo são exemplos emblemáticos da desmentida de histórias de sofrimento social. Este estudo teórico aborda os processos psicológicos de apagamento de memórias sociais traumáticas e seus efeitos na transmissão psíquica, da perspectiva da Psicanálise das Configurações Vinculares, à luz de Puget e Berenstein. Mobilizando os conceitos de memória social, desmentida, trauma e traumatismo social, argumentamos que a denegação de fatos traumáticos gera uma dupla violência: por um lado, produz lacunas na história e um não-trabalho vincular que favorece transmissões psíquicas transgeracionais e, por outro, atenta contra o pertencimento social e a constituição narcísica dos sujeitos. À vista disso, concluímos pela necessidade de criar um dispositivo de escuta dos traumatismos sociais na contramão da desmentida, garantindo o direito assegurado pela Declaração Universal dos Direitos Humanos do acesso do povo à própria história


Denialist discourses and the downplayed harmful effects of the civil-military dictatorship by high-ranking Brazilian government officials are emblematic examples of negationist attitudes towards narratives of social suffering. This theoretical study addresses the psychological processes of erasing traumatic social memories and their effects on psychic transmission based on psychoanalysis of linking configurations according to Puget and Berenstein. By mobilizing the concepts of social memory, denial, trauma and social trauma, we argue that negating traumatic facts generates a double violence: on the one hand, it produces gaps in history and a non-work linking that favors transgenerational psychic transmissions; on the other, it attacks the individuals' social belonging and narcissistic constitution. We thus conclude by pointing out the need to create a listening device for social trauma that opposes denial, ensuring the right guaranteed by the Universal Declaration of Human Rights of people's access to their own history


El discurso negacionista y la minimización de los efectos nocivos de la dictadura civil-militar por parte de altas figuras gubernamentales son ejemplos emblemáticos de la desmentida de las historias de sufrimiento social. Este estudio teórico aborda los procesos psicológicos de borrado de las memorias sociales traumáticas y sus efectos en la transmisión psíquica, desde la perspectiva del Psicoanálisis de las Configuraciones Vinculares, a la luz de Puget y Berenstein. Movilizando los conceptos de memoria social, desmentida, trauma y trauma social, argumentamos que la negación de los hechos traumáticos genera una doble violencia: por un lado, produce vacíos en la historia y un no-trabajo vinculante que favorece las transmisiones psíquicas transgeneracionales y, por otro lado, ataca la pertenencia social y la constitución narcisista de los sujetos. En vista de ello, concluimos con la necesidad de crear un dispositivo de escucha de los traumas sociales en la dirección opuesta a la negación, garantizando el derecho garantizado por la Declaración Universal de los Derechos Humanos del acceso de los pueblos a su propia historia


Le discours négationniste et la minimisation des effets néfastes de la dictature civilo-militaire par des personnalités gouvernementales de haut rang sont des exemples emblématiques du déni des histoires de souffrance sociale. Cette étude théorique s'intéresse aux processus psychologiques d'effacement des souvenirs sociaux traumatisants et leurs effets sur la transmission psychique basée sur la perspective de la psychanalyse des liens proposée par Puget et Berenstein. En mobilisant les concepts de mémoire sociale, négationnisme, traumatisme et traumatisme social, nous soutenons que le déni des faits traumatiques engendre une double violence: d'une part, il produit des lacunes dans l'histoire et un non-travail contraignant qui favorise les transmissions psychiques transgénérationnelles ; d'autre part, il attaque l'appartenance sociale et la constitution narcissique des sujets. Nous concluons sur la nécessité de créer un dispositif d'écoute du traumatisme social opposé au négationnisme, en assurant le droit garanti par la Déclaration Universelle des Droits de l'Homme d'accès des peuples à leur propre histoire


Subject(s)
Politics , Psychoanalysis , Human Rights Abuses , Psychological Distress , Memory , Negativism , Armed Conflicts/history , Culture , Object Attachment
2.
Psicol. ciênc. prof ; 43: e250675, 2023. tab
Article in Portuguese | LILACS, INDEXPSI | ID: biblio-1448938

ABSTRACT

Em março de 2020 a situação causada pela covid-19 foi elevada à categoria de pandemia, impactando de inúmeras formas a vida em sociedade. O objetivo deste estudo foi compreender os impactos da pandemia na atuação e saúde mental do psicólogo hospitalar, profissional que atua nos espaços de saúde e tem experienciado mais de perto o sofrimento dos doentes e dos profissionais de saúde frente à covid-19. Trata-se de um estudo exploratório-descritivo com 131 psicólogos que atuam em hospitais. Os profissionais foram convidados a participar através de redes sociais e redes de contatos das pesquisadoras, utilizando-se a técnica Bola de Neve. Foram utilizados dois questionários, disponibilizados na plataforma Google Forms, um abordando os impactos da pandemia sentidos pelos profissionais e outro referente ao sofrimento psíquico. Os dados foram analisados a partir de estatísticas descritivas e inferenciais. Foram observados impactos na atuação de quase a totalidade dos participantes, constatada a necessidade de preparação dos profissionais para o novo cenário, a percepção de pouco apoio institucional e quase metade da população estudada referiu-se a sintomas de sofrimento psíquico considerável desde o início da pandemia. É fundamental dar atenção a sinais e sintomas de sofrimento psíquico, procurando evitar o adoecimento de uma categoria profissional que se encontra na linha de frente do combate aos danos psicológicos da pandemia e cuja própria saúde mental é pouco abordada na literatura.(AU)


In March 2020, the COVID-19 pandemic breakout hugely impacted life in society. This study analyzes how the pandemic impacted hospital psychologists' mental health and performance, professional who more closely experienced the suffering of patients and health professionals in this period. An exploratory and descriptive study was conducted with 131 hospital psychologists. Professionals were invited to participate through the researchers' social and contact networks using the Snowball technique. Data were collected by two questionnaires available on the Google Forms platform, one addressing the impacts felt by professionals and the other regarding psychic suffering, and analyzed by descriptive and inferential statistics. Results showed that almost all participants had their performance affected by the need to prepare for the new scenario, the perceived little institutional support. Almost half of the study sample reported considerable psychological distress symptoms since the beginning of the pandemic. Paying attention to signs and symptoms of psychic suffering is fundamental to avoid compromising a professional category that is on the front line of combating the psychological damage caused by the pandemic and whose own mental health is little addressed by the literature.(AU)


En marzo de 2020, la situación provocada por el COVID-19 se caracterizó como pandemia e impactó el mundo de diversas maneras. El objetivo de este estudio fue comprender los impactos de la pandemia en la salud mental y la actuación del psicólogo en los hospitales, uno de los profesionales que trabaja en espacios sanitarios y que ha experimentado más de cerca el sufrimiento de pacientes y profesionales sanitarios frente al COVID-19. Este es un estudio exploratorio descriptivo, realizado con 131 psicólogos que trabajan en hospitales. Los profesionales recibieron la invitación a participar a través de las redes sociales y redes de contactos de las investigadoras, mediante la técnica snowball. Se utilizaron dos cuestionarios disponibles en la plataforma Google Forms: uno sobre los impactos de la pandemia en los profesionales y el otro sobre el sufrimiento psíquico. Los datos se analizaron a partir de estadísticas descriptivas e inferenciales. Se observaron impactos en el trabajo de casi todos los participantes, la necesidad de preparación de los profesionales para este nuevo escenario, la percepción de poco apoyo institucional, y casi la mitad de la población estudiada reportaron sentir síntomas de considerable angustia psicológica desde el inicio de la pandemia. Es esencial prestar atención a los signos y síntomas del sufrimiento psíquico, buscando evitar la enfermedad de una categoría profesional que está a la vanguardia de la lucha contra el daño psicológico de la pandemia y cuya propia salud mental se aborda poco en la literatura.(AU)


Subject(s)
Humans , Female , Adult , Middle Aged , Young Adult , Psychology , Mental Health , Coronavirus Infections , Pandemics , Anxiety , Orientation , Physicians , Protective Clothing , Respiration , Respiratory Tract Infections , Safety , Attention , Set, Psychology , Social Adjustment , Social Isolation , Stress, Physiological , Stress, Psychological , Awareness , Software , Immunoglobulin M , Adaptation, Psychological , Pharmaceutical Preparations , Irritable Mood , Family , Carrier State , Epidemiologic Factors , Public Health Practice , Quarantine , Sanitation , Hygiene , Public Health , Epidemiology , Risk , Disease Outbreaks , Data Collection , Survival Rate , Mortality , Transportation of Patients , Triage , Contact Tracing , Occupational Health , Immunization , Universal Precautions , Infection Control , Immunization Programs , Infectious Disease Transmission, Professional-to-Patient , Infectious Disease Transmission, Patient-to-Professional , Coronavirus , Comprehensive Health Care , Disease Transmission, Infectious , Remote Consultation , Containment of Biohazards , Pulmonary Ventilation , Emergency Plans , Disaster Vulnerability , Declaration of Emergency , Disaster Planning , Death , Trust , Air Pollution , Ethanol , Economics , Emergencies , Emergency Services, Psychiatric , Empathy , Ethics, Professional , Professional Training , Surveillance of the Workers Health , Family Relations , Family Therapy , Resilience, Psychological , Infectious Disease Incubation Period , Fear , Epidemics , Social Networking , Binge Drinking , Epidemiological Monitoring , Personal Protective Equipment , Emotional Adjustment , Emergency Medical Dispatch , Survivorship , Family Separation , Posttraumatic Growth, Psychological , Embarrassment , Sadness , Teleworking , Physical Distancing , COVID-19 Nucleic Acid Testing , SARS-CoV-2 , Sociodemographic Factors , Suicide Prevention , Post-Acute COVID-19 Syndrome , Health Services Research , Immune System , Sleep Initiation and Maintenance Disorders , Anger , Loneliness , Masks , Mass Media , Negativism , Nurses, Male , Nursing Assessment
3.
Psicol. ciênc. prof ; 43: e244243, 2023.
Article in Portuguese | LILACS, INDEXPSI | ID: biblio-1431131

ABSTRACT

A Avaliação Terapêutica (AT) é um processo avaliativo e interventivo proposto para ser semiestruturado e colaborativo com o objetivo de promover mudanças positivas no cliente, que é convidado a ter uma participação ativa durante o processo. Na AT, os resultados dos testes psicológicos padronizados ganham destaque como facilitadores do processo de autoconhecimento do cliente. Desse modo, usualmente, integram-se os achados de testes psicológicos de autorrelato com os métodos projetivos para gerar informações que possam ampliar a visão que o cliente tem de si. Neste artigo, buscou-se compreender o potencial de uso dos testes psicológicos e da relação colaborativa a partir de um caso atendido na perspectiva da AT. A participante, Violeta (nome fictício), foi atendida em 10 sessões com duração entre 60 e 115 minutos. Foram utilizados os testes psicológicos Escala de Bem-Estar Psicológico (Ebep), Escala de Vulnerabilidade e Estresse no Trabalho (Event), Bateria Fatorial de Personalidade (BFP), Método de Rorschach e Inventários de Habilidades Sociais 2 (IHS-2). Observou-se que, durante o processo, Violeta ampliou sua autopercepção, o que possibilitou mudanças no modo de agir em seus relacionamentos amorosos e na reflexão sobre como sua postura era vista por si e por seus colegas de trabalho. Acredita-se que a AT cumpriu com o objetivo de estabelecer uma experiência terapêutica que possibilitasse mudanças positivas para a cliente. Este estudo de caso contribuiu para ampliar a compreensão sobre a importância e o uso dos testes psicológicos neste modelo de avaliação psicológica.(AU)


The Therapeutic Assessment (TA) is an evaluative and interventional process proposed to be semi-structured and collaborative with the objective of promoting positive changes in the client, who is invited to have an active participation during the process. At the TA, the results of standardized psychological tests are highlighted as facilitators of the client's self-knowledge process. In this way, the findings of psychological self-report tests are usually integrated with projective methods to generate information that can broaden the client's view of themselves. In this article, understanding the potential use of psychological tests and of the collaborative relationship from a case treated from the TA perspective was sought. The participant, Violet (fictitious name), was assisted in 10 sessions lasting between 60 and 115 minutes. The psychological tests Psychological Well-Being Scale (EBEP), Vulnerability and Stress at Work Scale (EVENT), Personality Factorial Battery (BFP), Rorschach Method and Social Skills Inventories 2 (IHS-2) were used. It was observed that, during the process, Violet increased her self-perception, which allowed changes in her way of acting in her love life and in her reflection on how her posture was seen by herself and herco-workers. It is believed that TA fulfilled the objective of establishing a therapeutic experience that would enable positive changes for the client. This case study contributed to broaden the understanding about the importance and use of psychological testing in this psychological assessment model.(AU)


La Evaluación Terapéutica (ET) es un proceso de evaluación e intervención que se propone ser semiestructurado y colaborativo, con el objetivo de lograr cambios positivos en el cliente, quien es invitado a tener participación activa durante el proceso. En la ET se destacan los resultados de las pruebas psicológicas estandarizadas como facilitadoras del proceso de autoconocimiento del cliente. Los hallazgos de las pruebas psicológicas de autoinforme suelen integrarse con métodos proyectivos para generar información que pueda ampliar la visión que el cliente tiene de sí mismo. En este artículo se buscó comprender el uso potencial de las pruebas psicológicas y de la relación colaborativa a partir de un estudio de caso tratado desde la perspectiva de la ET. Atendieron a la participante Violeta (nombre ficticio), en 10 sesiones que duraron entre 60 y 115 minutos. Se utilizaron las pruebas psicológicas Escala de Bienestar Psicológico (EBEP), Escala de Vulnerabilidad y Estrés en el Trabajo (EVENT), Batería de Factorial de la Personalidad (BFP), Método de Rorschach e Inventario de Habilidades Sociales 2 (IHS-dos). Se observó que, durante el proceso, Violeta amplió su autopercepción, lo que permitió cambios en la forma de actuar en sus relaciones amorosas y en el reflejo de como ella y sus compañeros de trabajo veían su postura. Así, se cree que ET ha cumplido el objetivo de establecer una experiencia terapéutica que permitió cambios positivos a la cliente. Este estudio contribuyó a ampliar la comprensión sobre la importancia y el uso de las pruebas psicológicas en este modelo de evaluación psicológica.(AU)


Subject(s)
Humans , Female , Adult , Therapeutics , Psychological Techniques , Psychological Distress , Anxiety Disorders , Projection , Psychoanalysis , Psychological Tests , Psychology , Psychotherapy , Rabies , Rorschach Test , Shame , Social Adjustment , Social Behavior , Social Environment , Social Identification , Social Isolation , Social Support , Socialization , Avoidance Learning , Sublimation, Psychological , Temperance , Thinking , Unconscious, Psychology , Behavior and Behavior Mechanisms , Behaviorism , Shyness , Adaptation, Psychological , Attitude , Mental Health , Efficacy , Outcome Assessment, Health Care , Negotiating , Mental Competency , Codependency, Psychological , Communication , Neurobehavioral Manifestations , Counseling , Affect , Disaster Vulnerability , Personal Autonomy , Defense Mechanisms , Behavior Control , Harm Reduction , Researcher-Subject Relations , Trust , Stress Disorders, Traumatic , Aggression , Dependency, Psychological , Depression , Diagnosis , Emotions , Escape Reaction , Exercise Therapy , Extraversion, Psychological , Fantasy , Resilience, Psychological , Fear , Video-Audio Media , Self-Control , Psychological Trauma , Psychosocial Support Systems , Occupational Stress , Neuroticism , Free Association , Frustration , Sadness , Respect , Leadership and Governance Capacity , Betrayal , Patient Care , Psychosocial Functioning , Psychosocial Intervention , Social Interaction , Information Avoidance , Listening Effort , Gestalt Therapy , Psychological Well-Being , Helping Behavior , Human Development , Identification, Psychological , Identity Crisis , Individuation , Interpersonal Relations , Interview, Psychological , Introversion, Psychological , Leadership , Loneliness , Mental Disorders , Mental Processes , Motivation , Negativism , Neurotic Disorders
4.
Psicol. ciênc. prof ; 43: e249440, 2023. tab, graf
Article in Portuguese | LILACS, INDEXPSI | ID: biblio-1431134

ABSTRACT

Este estudo tem como objetivo analisar traços da mentalidade potencialmente autoritária a partir do discurso de usuários do Facebook vinculados a páginas de cunho político autodeclarado de direita e de esquerda no Brasil. A Netnografia é utilizada como aporte metodológico para imersão on-line nas páginas "Eu era Direita e não sabia" e "Jovens de Esquerda", selecionadas por meio do Facebook Audience Insights, ferramenta disponibilizada pelo Facebook. Delas, foram extraídas oito postagens com maior engajamento (número de comentários, curtidas e compartilhamentos), identificadas pelo Netvizz. Foram coletados 3.489 comentários, os quais foram organizados em um corpus textual submetido ao software IRAMUTEQ e analisados sob a perspectiva da análise crítica imanente da teoria crítica. Como resultado, apresenta-se a forma como o pensamento autoritário se manifesta na racionalização da sociedade contemporânea e nas práticas discursivas em redes sociais on-line, enraizada no âmbito sociopolítico brasileiro, ameaçando o processo democrático e a construção de uma sociedade plural e liberta.(AU)


This study aims to analyze traits of the potentially authoritarian mentality from the speech of Facebook users linked to political pages self-declared as rightist and leftist in Brazil. Netnography is used as a methodological contribution for online immersion in the pages "Eu era Direita e não sabia" and "Jovens de Esquerda" selected via Facebook Audience Insights, a tool provided by Facebook. From these, eight posts with greater engagement (number of comments, likes and shares), identified by Netvizz, were extracted. We collected 3,489 comments, which were organized in a textual corpus submitted to IRAMUTEQ software and analyzed from the perspective of immanent critical analysis of Critical Theory. As a result, we present the way in which authoritarian thinking manifests itself in the rationalization of contemporary society and in discursive practices in online social networks, rooted in the Brazilian socio-political sphere, threatening the democratic process and the construction of a plural and free society.(AU)


Este estudio tiene como objetivo analizar las huellas de la mentalidad potencialmente autoritaria a partir de los discursos de usuarios en Facebook vinculados a páginas políticas autodeclaradas de derecha y de izquierda en Brasil. La netnografía se utiliza como marco metodológico para la inmersión en línea en las páginas "Eu era Direita e não sabia" y "Jovens de Esquerda", seleccionadas por Facebook Audience Insights, herramienta proporcionada por Facebook. Se extrajeron las ocho publicaciones con mayor compromiso (número de comentarios, gustos y compartidas), identificadas por Netvizz. Se recogieron 3.489 comentarios, los cuales fueron organizados en un corpus textual sometido al software IRAMUTEQ y analizado bajo la perspectiva del análisis crítico inmanente de la teoría crítica. Los resultados presentan la forma en que el pensamiento autoritario se manifiesta en la racionalización de la sociedad contemporánea y en prácticas discursivas en redes sociales en línea, arraigada en el ámbito sociopolítico brasileño, que amenazan el proceso democrático y la construcción de una sociedad plural y liberada.(AU)


Subject(s)
Humans , Male , Female , Politics , Authoritarianism , Social Networking , Permissiveness , Persuasive Communication , Policy Making , Prejudice , Psychology , Scapegoating , Social Behavior , Social Change , Social Conformity , Social Desirability , Psychological Distance , Social Dominance , Social Identification , Social Isolation , Social Justice , Social Problems , Social Support , Social Welfare , Socioeconomic Factors , Sociology , Stereotyping , Unemployment , Social Control Policies , Attitude , Character , Conflict of Interest , Congress , Civil Rights , Civilization , Computer Security , Competitive Behavior , Community Participation , Cultural Diversity , Feminism , Internet , Journalism , Modernization of the Public Sector , Crime , Cybernetics , Legislative , Democracy , Whistleblowing , Dehumanization , Dissent and Disputes , Aggression , Racial Groups , Economics , Research Policy Evaluation , Information Society Indicators , Ethics , Altruism , Social Media , Sexism , Social Discrimination , External Debt , Social Skills , Self-Control , Diplomacy , Defamation , Censorship, Research , Health Governance , Harassment, Non-Sexual , Incivility , Political Activism , Cultural Rights , Freedom , Sustainable Development , Cyberbullying , Egocentrism , Corruption , Civil Society , Empowerment , Social Evolution , Social Defeat , Social Representation , Disinformation , Intersectional Framework , Social Cohesion , Citizenship , Psychological Well-Being , Government , Hate , Human Rights , Interpersonal Relations , Lobbying , Deception , Mass Behavior , Mass Media , Anonyms and Pseudonyms , Negativism
5.
Psicol. ciênc. prof ; 43: e248738, 2023. tab, graf
Article in Portuguese | LILACS, INDEXPSI | ID: biblio-1431135

ABSTRACT

A recuperação de vítimas de queimaduras é longa e dolorosa e afeta diversas esferas da vida do paciente. A resiliência, que se refere à capacidade humana de enfrentar e se adaptar a eventos adversos, exerce grande importância no processo de recuperação da queimadura. Logo, este trabalho objetiva avaliar a capacidade de resiliência de pacientes queimados, no momento da admissão e da alta hospitalar, em um hospital de emergência e urgência de Goiânia. Trata-se de um estudo descritivo, quantitativo e transversal que utiliza a Escala de Resiliência de Connor-Davidson (CD-RISC) como instrumento de mensuração. Na admissão hospitalar, a média da resiliência foi de 71,35, tendo sido observada uma relação significativa entre o fator Amparo da escala CD-RISC e a presença do(a) companheiro(a). O escore de resiliência encontrado nesta pesquisa é consistente com outros achados da literatura científica internacional e nacional referente à expressão da resiliência em vítimas de queimaduras e outros adoecimentos. A relação entre o fator Amparo e a presença de um(a) companheiro(a) enfatiza a importância da rede de apoio familiar na reabilitação do paciente queimado.(AU)


The recovery of burned patients is long and painful and impacts on different areas of people's lives. Resilience, which refers to the human capacity to face and adapt to adverse events, plays a major role in the process of recovery from burns. Therefore, the present study aims to assess the resilience of burned patients, on admission and hospital discharge, in an emergency and urgency hospital in Goiânia. This is a descriptive, quantitative and cross-sectional study that uses the Connor-Davidson Resilience Scale (CD RISC) as a measuring instrument. At hospital admission, the mean resilience was 71.35, with a significant association between the Support factor on the CD RISC scale and the presence of a partner. The resilience score found in the present study is consistent with other findings in the international and national scientific literature regarding the expression of resilience in victims of burns and other illnesses. The relationship between the Support factor and the presence of a partner emphasizes the importance of the family support network in the rehabilitation of the burned patient.(AU)


La recuperación de los pacientes quemados es larga y dolorosa e impacta en diferentes esferas de la vida de las personas. La resiliencia, que se refiere a la capacidad humana para enfrentar y adaptarse a eventos adversos, juega un papel importante en el proceso de recuperación de las quemaduras. Por tanto, el presente estudio tiene como objetivo evaluar la resiliencia de los pacientes quemados, en el momento del ingreso y el alta, en un hospital de emergencia y urgencia en Goiânia. Se trata de un estudio descriptivo, cuantitativo y transversal que utiliza la Escala de Resiliencia Connor-Davidson (CD RISC) como instrumento de medida. Al ingreso hospitalario, la resiliencia media fue de 71,35, con associación significativa entre el factor Amparo de la escala CD RISC y la presencia de pareja. El puntaje de resiliencia encontrado en el presente estudio es consistente con otros hallazgos en la literatura científica nacional e internacional sobre la expresión de resiliencia en víctimas de quemaduras y otras enfermedades. La relación entre el factor Amparo y la presencia de pareja enfatiza la importancia de la red de apoyo familiar en la rehabilitación del paciente quemado.(AU)


Subject(s)
Humans , Female , Adolescent , Adult , Young Adult , Social Support , Burns , Resilience, Psychological , Anxiety Disorders , Pain , Preceptorship , Prejudice , Psychological Phenomena , Psychology , Recovery Room , Rehabilitation Centers , Safety , Self Concept , Skin , Social Perception , Stress Disorders, Post-Traumatic , Suicide , General Surgery , Surgery, Plastic , Tissues , Baths , Wounds and Injuries , Behavior , Behavior and Behavior Mechanisms , Technical Cooperation , Unified Health System , Body Image , Traumatology , Burn Units , Burns, Chemical , Burns, Electric , Accidents, Home , Accidents, Occupational , Accidents, Traffic , Explosive Wastes , Inflammable Wastes , Mental Health , Morbidity , Cicatrix , Nursing , Panic Disorder , Employment, Supported , Statistics, Nonparametric , Human Body , Intuition , Wit and Humor , Hydrogels , Counseling , Critical Care , Disaster Vulnerability , Personal Autonomy , Death , Stress Disorders, Traumatic, Acute , Depression , Discrimination, Psychological , Education , Empathy , Humanization of Assistance , User Embracement , Ethics , Breakthrough Pain , Activation, Metabolic , Physical Appearance, Body , Trauma and Stressor Related Disorders , Psychological Trauma , Accidental Injuries , Psychological Distress , Social Comparison , Functional Status , Self-Compassion , Accident Prevention , Health Services Accessibility , Helping Behavior , Homicide , Amputation, Traumatic , Hospitalization , Individuality , Intensive Care Units , Interpersonal Relations , Life Change Events , Mental Disorders , Negativism , Nursing Assistants , Nursing Care
6.
Psicol. ciênc. prof ; 43: e255629, 2023. tab
Article in Portuguese | LILACS, INDEXPSI | ID: biblio-1529219

ABSTRACT

Sobreviventes ao suicídio são pessoas que têm suas vidas profundamente afetadas e apresentam sofrimento psicológico, físico ou social após serem expostas a esse fato. O objetivo deste estudo foi analisar a experiência de sobreviventes ao suicídio de jovens, a partir do luto. Participaram sete sobreviventes entre familiares, amigos e parceiros amorosos de jovens que cometeram suicídio. A análise de conteúdo de entrevistas narrativas apontou que os participantes utilizam explicações racionalizadas ou dissociadas, criando uma distância entre o evento e eles mesmos. Como formas de lidar com o sofrimento podem buscar o isolamento, apoio entre amigos, prática religiosa e/ou a dedicação ao trabalho. Reafirma-se a dimensão do luto diante dessa experiência, além da importância da prevenção ao suicídio e da posvenção aos sobreviventes.(AU)


Suicide survivors are people who have their lives deeply affected; they experience psychological, physical, and social suffering following the occurrence. The aim of this study is to analyze the experience of survivors of youth suicide attempts, based on grief. Seven survivors participated among family, friends, and romantic partners of young people who committed suicide. The content analysis of narrative interviews showed that the participants use rationalized or dissociated explanations, creating a distance between the event and themselves. As ways to deal with suffering, they seek isolation, support among friends, religious practice, and/or dedication to work. The dimension of grief in the face of this experience is reaffirmed, as well as the importance of suicide prevention and postvention for survivors.(AU)


Este artículo tiene como objetivo presentar la construcción metodológica desarrollada en una investigación de maestría, en la que sostenemos la escritura de escenas como método de investigación de la escucha clínica. Las escenas del trabajo en cuestión se recogieron a lo largo del tiempo desde la experiencia en un proyecto de extensión universitario de atención a la niñez y adolescencia en situación de vulnerabilidad social aplicado en una comunidad periférica. En este texto, presentamos los interrogantes que se elaboraron en torno a la elección por el trabajo con escenas y compartimos el rescate histórico de las mismas como un método de escribir la clínica y la reanudación del análisis a partir de la tradición psicoanalítica. Amparadas en el psicoanálisis y en lecturas y contribuciones del filósofo francés Jacques Derrida, nos basaremos en la noción de que la escena se constituye como un lugar de producción, engendrando la configuración particular de elementos significantes en los procesos de subjetivación y de construcción social. La escena no es aquí una representación de lo que pasa en la clínica, sino un modo de producir escucha y sus procesos de investigación.(AU)


Subject(s)
Humans , Male , Female , Adolescent , Adult , Middle Aged , Young Adult , Suicide , Bereavement , Adolescent , Survivors , Anxiety , Personal Satisfaction , Professional-Family Relations , Professional-Patient Relations , Psychology , Psychology, Social , Psychotropic Drugs , Religion , Self Care , Self Concept , Self Mutilation , Social Isolation , Social Support , Societies , Stress, Psychological , Suicide, Attempted , Therapeutics , Violence , Women , Behavior and Behavior Mechanisms , Humans , Child , Mental Health , Child Health , Self-Injurious Behavior , Intergenerational Relations , Suicide, Assisted , Crime Victims , Adolescent Health , Death , Trust , Qualitative Research , Vulnerable Populations , Aggression , Depression , Developing Countries , Empathy , User Embracement , Family Conflict , Family Relations , Mental Fatigue , Wandering Behavior , Bullying , Suicidal Ideation , Apathy , Forgiveness , Hope , Protective Factors , Help-Seeking Behavior , Psychological Trauma , Physical Abuse , Burnout, Psychological , Frustration , Emotional Regulation , Social Integration , Suicide, Completed , Internet Addiction Disorder , Emotional Abuse , Social Interaction , Family Support , Psychological Well-Being , Suicide Prevention , Guilt , Health Promotion , Interpersonal Relations , Life Cycle Stages , Loneliness , Antidepressive Agents , Negativism , Antisocial Personality Disorder
7.
Demetra (Rio J.) ; 16(1): 51740, 2021. tab
Article in English, Portuguese | LILACS | ID: biblio-1417764

ABSTRACT

Introdução: A autopercepção da saúde analisa as condições de saúde considerando aspectos biológicos, psicológicos e sociais, sendo um instrumento norteador das necessidades em saúde de uma população. Objetivo: Este artigo avaliou a autopercepção da saúde e seus fatores associados em usuários frequentadores de grupos de emagrecimento da atenção básica à saúde do município de Vitória de Santo Antão-PE. Métodos: Foi realizado um estudo transversal analítico com 24 usuários. A autopercepção da saúde foi analisada através da pergunta "Como você considera o seu estado de saúde?", sendo as respostas agrupadas em positiva e negativa e associadas com as condições demográficas e socioeconômicas, de saúde e estilo de vida, perfil alimentar e estado nutricional. Resultados: A prevalência da autopercepção negativa foi de 83,3%, sendo associada a uma maior ingestão diária de medicamentos (p=0,017) e o não seguimento aos Dez Passos Para Uma Alimentação Saudável (p=0,010). Conclusão: A elevada prevalência da autopercepção negativa da saúde indica a necessidade de maior entendimento sobre como os fatores associados ao processo saúde-doença influenciam a forma como o sujeito percebe sua própria saúde, de modo a promover intervenções específicas e efetivas em saúde nessa população.


Introduction: Self-perceived health analyzes health conditions considering biological, psychological and social aspects, and constitutes an instrument to guide the health needs of a population. Objective: This article evaluated the self-perception of health and its associated factors in users of weight loss groups in primary healthcare in the city of Vitória de Santo Antão-PE, Brazil. Methods: A cross-sectional analytical study was conducted with 24 users. Self-perceived health was analyzed through the question "How do you consider your health status?", with positive and negative responses being grouped and associated with demographic and socioeconomic conditions, health and lifestyle, diet profile and nutritional status. Results: The prevalence of negative self-perceived health was 83.3%, being associated with a higher daily intake of medication (p = 0.017) and failure to follow the Ten Steps to Healthy Eating (p = 0.010). Conclusion: The high prevalence of negative self-perceived health indicates a need for greater understanding of how the factors associated with the health-disease process influence the way a subject perceives their own health in order to promote specific and effective health interventions in this population.


Subject(s)
Humans , Male , Female , Primary Health Care , Self Concept , Body Image , Weight Loss , Health-Disease Process , Health Status , Brazil , Cross-Sectional Studies , Body Dissatisfaction , Negativism
8.
Asian Oncology Nursing ; : 158-167, 2016.
Article in Korean | WPRIM | ID: wpr-201367

ABSTRACT

PURPOSE: The purpose of this study was to understand the meditation experiences of breast cancer survivors. METHODS: The participants were 20 breast cancer survivors who participated in 8 weeks of mind subtraction meditation at a tertiary hospital in Korea 2013. The data was collected by in-depth individual interviews, personal logs about the meditation experiences, and field diaries. Data were analyzed using Giorgi's phenomenological analysis. RESULTS: A total of 13 subthemes and 4 themes were derived from the analysis. Participants began to meditate with some doubts initially but were soon comfortable as they became familiar with the meditation method. As they discarded their negativity, they experienced positive changes in their mindset. The experiences of discarded negativity were summarized as "discarding the hate, resentment, and obsession," "discarding the depression, anxiety, and stress," and "discarding the false me." The change after meditation was named "from restraint to freedom," "from negativism to positivism," "from closed doors to the wide open world." and "looking forward to the true happiness." CONCLUSION: Breast cancer survivors reflected on their lives and experienced positive changes as they discarded their negativity through meditation. It is recommended to perform the nursing interventions utilizing the meditation and conduct further studies to examine its beneficial effects.


Subject(s)
Humans , Anxiety , Breast Neoplasms , Breast , Depression , Hate , Korea , Meditation , Methods , Negativism , Nursing , Qualitative Research , Survivors , Tertiary Care Centers
9.
Tempo psicanál ; 47(2): 29-44, dez. 2015.
Article in Portuguese | LILACS, INDEXPSI | ID: lil-792006

ABSTRACT

Este trabalho se propõe pensar a função do objeto primordial na constituição psíquica a partir da obra de André Green. Distanciando-se do modelo pós-freudiano anglo-saxão, que dá às relações de objeto e à díade mãe-bebê um lugar primordial na fundação do aparelho psíquico, Green aposta na potência da criação de um novo modelo teórico-clínico contemporâneo que empreenda uma costura fecunda entre a perspectiva relacional e a pulsionalidade, partindo da noção de terceiridade como matriz fundadora do psiquismo. O pai se inscreve, desde sempre, na relação mãe-bebê, como figura de ausência, ao ocupar um lugar na mente e no desejo da mãe, configurando uma triangulação primordial. A função materna, assim, ao comportar em si a marca do pai enquanto processualidade, atua não só no registro da presença, mas também como negatividade estruturante, imprescindível para que a mãe se torne um objeto que se deixa apagar


This paper proposes to think the function of the primary object in the psychic constitution, from the work of André Green. Distancing himself from the post-Freudian Anglo-Saxon model, which gives the object relations and the mother-infant dyad a prime place in the foundation of the psychic apparatus, Green invests in the power of creating a new contemporary theoretical and clinical model to undertake an fruitful seam between the relational perspective and the pulsionality, starting from the notion of thirdness as the founding mother of the psyche. The father falls, always been, the mother-child relationship, as a figure of absence, to occupy a place in mind and desire of the mother, setting up a primary triangulation. The maternal role, thus to behave itself the mark of the father as processuality, operates not only in the record of presence, but also as a structuring negativity, essential for the mother to become an object that lets herself get erased


Subject(s)
Humans , Personality Development , Psychoanalysis , Mother-Child Relations , Negativism
10.
Braz. J. Psychiatry (São Paulo, 1999, Impr.) ; 37(1): 55-62, Jan-Mar/2015. tab, graf
Article in English | LILACS | ID: lil-741939

ABSTRACT

Objective: War veterans are at high risk of developing posttraumatic stress disorder (PTSD), and the development of brief self-report instruments that enable screening for PTSD in this population is crucial. The PTSD Checklist-Military Version (PCL-M) is widely used for this purpose. This study sought to explore the diagnostic utility of the Portuguese version of the PCL-M. Methods: The participants were 86 Portuguese Colonial War veterans (42 with a PTSD diagnosis and 44 without PTSD). Participants completed a self-report instrument designed to collect sociodemographic data, the PCL-M, and the Clinician-Administered PTSD Scale (CAPS). Results: The area under the receiver operator characteristic (ROC) curve showed excellent discriminant ability between subjects with and without PTSD (AUC = 0.94). To achieve a positive PTSD diagnosis, an optimal cutoff point of 49 for the PCL-M total score and cutoff points for each of its 17 items are recommended. Conclusions: This work is a relevant contribution for research and clinical practice in the vast population of Portuguese Colonial War veterans. Use of the PCL-M as a screening tool for PTSD symptoms will allow easier, resource-aware targeting of subjects with a potential PTSD diagnosis, adding to the improvement of public health in Portugal. .


Subject(s)
Adult , Female , Humans , Male , Middle Aged , Young Adult , Autonomic Nervous System/physiopathology , Blood Pressure/physiology , Cardiovascular Diseases/psychology , Heart Rate/physiology , Negativism , Stress, Psychological/complications , Baroreflex/physiology , Blood Pressure Determination , Cardiovascular Diseases/etiology , Cardiovascular Diseases/physiopathology , Cross-Sectional Studies , Diagnostic Techniques, Cardiovascular , Electrocardiography/methods , Personality , Psychometrics , Reference Values , Speech
12.
Article in Spanish | LILACS | ID: lil-534085

ABSTRACT

En el marco del Proyecto UBACyT 2004-2007 P069, desarrollado en el Programa de Psicología Clínica para Adolescentes, Sede Regional Sur, UBA, se planteó la necesidad de investigar de qué manera o cómo el cambio terapéutico ocurre, lo que significa profundizar en el difícil problema de medir procesos terapéuticos, no sólo en los sujetos sino también en la interacción de los sujetos en grupos y el grupo como un todo. En este trabajo se presenta la adaptación de uno de los instrumentos utilizados para medir el proceso terapéutico en el dispositivo Grupo de Terapia Focalizada- GTF: el Modelo de Ciclos Terapéuticos- TCM de Mergenthaler. El TCM permite analizar el proceso psicoterapéutico e identificar los “momentos claves” en el marco de una sesión y del tratamiento en esta adaptación al castellano para ser aplicado a una población de alto riesgo psicosocial, compuesta por adolescentes tempranos violentos con diagnóstico de Trastorno Negativista Desafiante y Trastorno Disocial, se reevaluaron alrededor de 4.500 nuevas palabras. Se distinguieron tres subgrupos de palabras que presentaron dificultades en la categorización: de uso regional, de jerga adolescente y de jerga transgresora con ciertos rasgos delincuenciales. Se presentan ejemplos de las mismas en el contexto de las sesiones del GTF.


Subject(s)
Humans , Adolescent , Psychotherapeutic Processes , Psychotherapy, Group , Adolescent , Negativism
13.
Psicol. clín ; 19(2): 167-180, dez. 2007.
Article in Portuguese | LILACS | ID: lil-473948

ABSTRACT

Pretende-se trabalhar a noção de falta em Jacques Lacan a partir do texto A negativa de Freud. Para tanto, propõe-se o conceito de simbólico como desejo do Outro. Em seguida, será desenvolvido o conceito de pecado como sinônimo do desejo do Outro. Pretende-se sugerir o simbólico como uma instância que sustenta a marca deixada pelo pecado. As conseqüências da noção de pecado fazem eco à ressurreição de Cristo. Essa marca traz o sujeito suposto saber - Deus-Pai - como camuflador do horror suscitado pelo pecado.


This work will show the conception of fault from the Freudian text The Negation. Later, it will place the symbolic as the Other's desire. After that the conception of sin will be introduced as a synonym for the fault. The symbolic will be the device which supports the sin. Finally, it will point out the lacanian conception of subject as a way to disguise the sin.


Subject(s)
Humans , Negativism , Religion , Pleasure-Pain Principle , Research Subjects
14.
Rev. colomb. psiquiatr ; 34(2): 251-266, jun. 2005. tab, graf
Article in Spanish | LILACS | ID: lil-411317

ABSTRACT

La catatonía es un síndrome neuropsiquiátrico caracterizado por anormalidades motoras, que se presentan en asociación con alteraciones en la conciencia, el afecto y el pensamiento. Inicialmente, Kahlbaum describió el síndrome, en 1868, cuando observó pacientes que padecían una condición de ®profunda melancolía¼. En 1893, Kraepelin limita la catatonía a un subtipo de demencia precoz, pero posteriormente fue redefinida por Bleuler, en 1906, como esquizofrenia de tipo catatónico. Desde entonces, se ha hecho cada vez más evidente su relación con patologías etiológicas, fuera de los límites de la esquizofrenia y los trastornos del afecto, lo que ha llevado a ampliar su categoría en la clasificación de los trastornos mentales (DSM-IV), para incluir estas otras patologías asociadas. Este artículo pretende revisar los conceptos actuales sobre el síndrome, a partir de datos históricos, definición, causas etiológicas, neurofisiopatología, criterios diagnósticos y tratamiento...


Subject(s)
Humans , Affect , Catatonia , Classification , Diagnosis , Mutism , Negativism , Psychomotor Disorders , Schizophrenia, Catatonic
15.
Ter. psicol ; 22(2): 103-109, nov. 2004. tab
Article in Spanish | LILACS | ID: lil-439401

ABSTRACT

Se exploraron variables psicológicas comúnmente asociadas a la hipertensión arterial esencial (defensividad, ansiedad y cólera). Se trabajó con una muestra de 52 sujetos hipertensos esenciales y una muestra control de 155 sujetos voluntarios. Todos los individuos eran de un nivel socioeconómico medio. Se administraron tres cuestionarios de manera individual: Inventario de Expresión de Cólera Rasgo-Estado (Spielberger,1988); Inventario de Ansiedad Rasgo-Estado (Spielberger,1983); Escala de Deseabilidad Social (Marlowe-Crowne,1960). Los individuos hipertensos no presentaron diferencias significativas en relación en cada una de las variables estudiadas. Con respecto a la variable defensividad, los resultados no son coincidentes con lo encontrado por varios investigadores. En relación con las dos variables restantes, lo resultados coinciden con lo encontrado por Wall-Manning, Knight, Spears, Paulin, (1986); Sparrow, Garvey, Rosner, Thomas, (1982). Los individuos hipertensos con valores altos en defensividad (N=33) presentaron una correlación negativa con las variables ansiedad-rasgo y expresión de la cólera.


Subject(s)
Humans , Male , Adult , Female , Middle Aged , Emotions , Hypertension/psychology , Social Status , Anxiety , Surveys and Questionnaires , Cross-Sectional Studies , Case-Control Studies , Anger , Negativism
16.
Journal of Korean Academy of Nursing ; : 1499-1508, 2004.
Article in English | WPRIM | ID: wpr-51519

ABSTRACT

PURPOSE: The primary purpose of this study was to reexamine underlying dimensions of attitudes toward the elderly held by undergraduate nursing students. A secondary purpose was to investigate characteristics of nursing students associated with attitudes toward elders. METHODS: A survey was performed using self-report questionnaire completed by nursing students from a total of 10 nursing schools or departments each selected randomly from one province of Korea. Students' responses (N=366) were analyzed using factor analysis, correlation coefficients, t-test, and ANOVA. RESULTS: Three attitudinal dimensions explaining 35.29% of the variance were extracted: vitality, generosity and flexibility. From a neutral point of 4.0 in the range of 1 to 7, only generosity (4.47) was evaluated positively, whereas vitality (3.31) and flexibility (2.91) were evaluated negatively. The mean scores of the vitality and generosity dimensions were significantly different by students' level of communication with the elderly, experience living with the elderly, and interest in elders or in issues related to elders. Interest in elders/elder issues was the only characteristic affecting significant mean score difference in flexibility. CONCLUSION: Educational process should increase students' exposure to healthy elderly to modify negative attitudes toward the elderly among nursing students.


Subject(s)
Adolescent , Adult , Aged , Female , Humans , Male , Analysis of Variance , Attitude of Health Personnel , Communication , Cross-Sectional Studies , Education, Nursing, Baccalaureate/standards , Factor Analysis, Statistical , Geriatric Nursing/education , Health Knowledge, Attitudes, Practice , Korea , Negativism , Nursing Education Research , Nursing Methodology Research , Prejudice , Surveys and Questionnaires , Residence Characteristics/statistics & numerical data , Stereotyping , Students, Nursing/psychology
17.
Rev. bras. psicanál ; 38(2): 285-307, 2004. ilus
Article in Portuguese | LILACS | ID: lil-397160

ABSTRACT

A autora se propõe a pensar os fenômenos vividos numa relação analítica em um caso de anorexia. Parte da percepção de que a analisanda não expressava desejos, fato que trazia reflexos no trabalho da dupla. A vida da relação e até a vida da própria analisanda, passaram a ser desejo da analista e dos pais, enquanto ela, de forma aparentemente passiva, controlava e agredia o setting, da mesma forma que se agredia, ao impor-se o sintoma que a trouxe. Atuava na relação o seu conflito. A dificuldade em deixar progredir e em desejar indicava o medo de ser separada e sozinha diante do novo e do desconhecido. A saída da infância e a entrada na pré-adolescência requerem uma estrutura mental possível para suportar o contato com a pressão interna das pulsões e a pressão externa das dificuldades para as quais é requerida.


Subject(s)
Humans , Adolescent , Adolescent , Anorexia Nervosa , Modalities, Alimentary , Mutism , Negativism , Psychoanalysis , Psychology, Adolescent
18.
Noise Health ; 2003 Jan-Mar; 5(18): 57-9
Article in English | IMSEAR | ID: sea-122070

ABSTRACT

The term "noise sensitivity" is frequently used in many areas of noise research. However, it can be used to describe several different effects and it can be measured in different ways. In noise surveys, noise sensitivity refers to the fact that individuals differ in the annoyance produced by different sources of noise. Noise sensitivity can be viewed as an independent variable, which may be directly related to outcomes such as health status, or it can be conceptualized as a factor that modifies or mediates the effects of noise exposure on the outcome measure. Noise sensitivity is highly correlated with the general trait negative affectivity, a measure of the extent to which individuals perceive or report negative features of their environment or self. Indeed, few studies have demonstrated effects of noise sensitivity that are independent of negative affectivity. This implies that it is most appropriate to examine general indicators of reported sensitivity rather than a noise-specific measure. Noise sensitivity can also be considered in terms of physiological reactivity to noise sources. Such effects are often only weakly associated with self-reports of noise sensitivity. Habituation to noise is also an important topic to consider and again this appears to be largely independent of self-reported noise sensitivity. Overall, it would appear that it is important to distinguish between subjective reports of noise sensitivity and objective indicators. Different factors will modify these two aspects of noise sensitivity and this implies that different strategies are needed to influence them. Such effects must be taken into consideration when one considers whether control should be targeted at the community in general, or whether it should also cover the most sensitive individuals.


Subject(s)
Auditory Threshold , Habituation, Psychophysiologic , Health Status , Humans , Needs Assessment , Negativism , Noise/adverse effects , Personality , Psychoacoustics , Research
19.
EMHJ-Eastern Mediterranean Health Journal. 2003; 9 (4): 718-731
in English | IMEMR | ID: emr-158209

ABSTRACT

A cross-sectional study was made of 500 patients and 500 health care workers randomly selected from 250 primary health care centers throughout Iraq to evaluate knowledge, attitudes and practices towards tuberculosis [TB]. Using structured questionnaire interviews, the study showed 64.4% of patients had good knowledge, while 54.8% had negative attitudes and practices towards TB. The 2 most important sources of patient information about TB were physicians and television. Of health care workers, 95.5% had good knowledge about TB and this was significantly associated with age and job duration. By contrast, health care workers' practice was poor: only 38.2% handled suspected TB cases correctly. The national TB programme in Iraq has had a good impact on knowledge of TB patients and health care workers


Subject(s)
Adult , Female , Humans , Male , Attitude to Health , Educational Measurement , Health Knowledge, Attitudes, Practice , Health Personnel/psychology , Mass Media , Negativism , Occupations/statistics & numerical data , Patient Education as Topic/methods , Primary Health Care , Surveys and Questionnaires , Residence Characteristics , Rural Health , Socioeconomic Factors , Tuberculosis/psychology , Urban Health
20.
Journal of Korean Neuropsychiatric Association ; : 520-527, 2003.
Article in Korean | WPRIM | ID: wpr-75372

ABSTRACT

OBJECTIVES: This study was to analyze the results of judgement on continuing hospitalization by the Mental Health Judgement Boards and to explore the present status of judging system for continuing hospitalization. METHODS: Analyzing summary and request sheets for continuing hospitalization on August 2001, we compared the number of requests for continuing hospitalization and the dissent rate at each Mental Health Judgement Board. The selationship between dissent rate and clinical characteristics such as diagnoses, caregivers, medical care systems, institute, and the clinical state was also explored. RESULTS: The summary sheets on the judgement for continuing hospitalization from 14 Mental Health Judgement Boards were collected. Total number of the requests for continuing hospitalization was 4,853 and the nationwide dissent rate was 4.2% with broad range of 0 to 32% in each Mental Health Judgement Board. The request sheets from 10 Mental Health Judgement Boards were 3,014. The proportion of schizophrenic patients was 73.0%, followed by 9.1% for alcoholics, 4.1% for mentally retarded patients, 3.8% for dementic patients, and 10.5% for others. The different of the dissent rates of schizophrenia (2.9%) and other non-schizophrenia (4.8%)was statistically signiticant (chi2=6.797, p=0.009). The dissent rates of family members (4.0%) and majors (1.6%) were statistically different (chi2=10.294, p=.001). The dissent rates of mental hospitals (3.8%) and mental health welfare facilities (2.1%) were statistically different (chi2=5.483, p=.019). The dissent rates of medicaid (3.5%) and insured (1.7%) was statistically different (chi2=4.622, p=.032). The dissent rates by the severity of clinical status were statistically different in all six categories: the risk for self-injury or injuring others (chi2=66.507, p=.000), the disability of daily self-care (chi2=136.033, p=.000), odd, eccentric, or regressed behavior (chi2=96.558, p=.000), unreal or illogical thought pattern (chi2=122.988, p=.000), negativism (chi2=62.715, p=.000), and memory, orientation or judgement problems (chi2=38.387, p=.000). CONCLUSION: The nember of requests for continuing hospitalization and the dissent rates showed wide variations among Mental Health Judgement Boards. Also, the dissent rates of the Boards were significantly different according to diagnoses, caregivers, medical care systems, institute, and the clinical status of patients. This result suggests that the standardization of the guideline on the judgement for continuing hospitalization and the practical plans for protecting human rights of patients require thorough preparation.


Subject(s)
Humans , Alcoholics , Caregivers , Diagnosis , Dissent and Disputes , Hospitalization , Hospitals, Psychiatric , Human Rights , Medicaid , Memory , Mental Health , Persons with Mental Disabilities , Negativism , Schizophrenia , Self Care
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