Quem Pode Falar no Divã? Raça e Psicanálise Situada / Who can Speak on the Couch? Race and Situated Psychoanalysis / ¿Quién Puede Hablar en el Diván? Raza y Psicoanálisis Situado

Quem pode falar no divã? Como a inscrição do sujeito e do sujeito do inconsciente em relações sociais de poder de classe, gênero, sexualidade, raça, idade, validade, limita o acesso a uma elaboração analítica? O reconhecimento da colonialidade, como efeito de dominação e lugar de enunciação que persiste além da colonização, tornou possível a emergência de novas formas subjetivas, culturais e epistêmicas, incentivando a psicanálise a escutar de outra forma. Este artigo propõe se debruçar sobre a incidência da raça e da branquitude na psicanálise a partir das epistemologias do posicionamento e da epistemologia da ignorância. No contexto social francês, enquanto uma parte crescente da população francesa experimenta diariamente a discriminação racial, essa é veementemente negada por uma maioria de político·as e pesquisadore·as, que recusam até o uso da palavra "raça". A partir dessa negação oficial do racismo sistémico pelo poder político e por uma maioria de estudos acadêmicos, o artigo tenta analisar a epistemologia da ignorância que prevalece na postura clínica e teórica de uma psicanálise maioritária. Trata-se de estudar a forma como uma ignorância branca provoca uma desescuta das questões de raça no divã, produz efeitos transferenciais de silenciamento, e nega vivências particulares em nome do universalismo.

Who can speak on the couch? How does the inscription of the subject and the subject of the unconscious in class, gender, sexuality, race, age and validity social power relations limit access to a psychoanalytical elaboration? The recognition of coloniality as an effect of domination and a locus of enunciation that persists beyond colonisation has made it possible for new subjective, cultural and epistemic forms to emerge, encouraging psychoanalysis to listen differently. This article looks at the impact of race and whiteness on psychoanalysis through the perspective of the Standpoint Epistemologies and the Epistemology of Ignorance. In the French social context, while a growing part of the French population experiences racial discrimination on a daily basis, it is vehemently denied by a majority of politicians and researchers, who refuse to even use the word "race". Starting from this official denial of systemic racism by the political establishment and a majority of academic studies, the article seeks to analyse the epistemology of ignorance that prevails in the clinical and theoretical stance of a majoritian psychoanalysis. The aim is to study the way in which white ignorance causes race issues to be non-listened to on the couch produces silencing transferential effects, and denies particular experiences in the name of universalism.

¿Quién puede hablar en el diván? ¿Cómo la inscripción del sujeto y del sujeto del inconsciente en las relaciones sociales de poder de clase, género, sexualidad, raza, edad, validez, limitan el acceso a una elaboración analítica? El reconocimiento de la colonialidad como un efecto de dominación y un lugar de enunciación que persiste más allá de la colonización ha posibilitado la emergencia de nuevas formas subjetivas, culturales y epistémicas, impulsionando al psicoanálisis a escuchar de otra manera. Este artículo examina el impacto de la raza y la blanquitud en el psicoanálisis desde la perspectiva de las epistemologías del posicionamiento y la epistemología de la ignorancia. En el contexto social francés, mientras que una parte creciente de la población francesa experimenta a diario la discriminación racial, ésta es negada con vehemencia por una mayoría de políticos/as e investigadores/as, que se niegan incluso a utilizar la palabra "raza". Partiendo de esta negación oficial del racismo sistémico por parte del poder político y de una mayoría de estudios académicos, el artículo intenta analizar la epistemología de la ignorancia que prevalece en la postura clínica y teórica de un psicoanálisis mayoritario. El objetivo es estudiar el modo en que la ignorancia blanca hace que las cuestiones raciales sean des-escuchadas en el diván, produce efectos transferenciales de silenciamiento y niega las experiencias particulares en nombre del universalismo.

Professional indemnity/medical malpractice insurance—Awareness among medical students and consultants of India: An online survey study

Introduction: Professional indemnity (PI) or medical malpractice insurance (MMI) has been a hot topic considering the increasing number of medical negligence cases rising worldwide. However, there is a palpable difference in understanding and usage of this tool in developed countries and regions such as India. Aim: This study aimed to analyze the general understanding of resident doctors and consultants about MMI and knowledge about its technical jargon. Materials and Methods: We distributed short Google Form questionnaires about various aspects of MMI. We recorded the data from 141 resident doctors and 42 consultants in the Navi Mumbai area of India. As it was a survey, we required no ethical review. Results: As consultants’ experience grew, so did their understanding of medical indemnity. Approximately 90%, 64%, and 22% of consultants with 10 years, 5–10 years, and 5 years of experience had acquired PI. The AOY:AOT (any one year:anyone time) ratio was known to just 35% of these specialists. About half of the resident doctors were aware of PI and the effects of medical specialization on PI. Around a fifth of the individuals had only acquired the PI. Conclusion: There needs to be more clarity between the need and knowledge of MMI in India. This needs to be addressed by teaching medical postgraduates about it during training. “There should be special emphasis on medical indemnity in terms of its need, clauses, and cost during postgraduate medical training.”

Gestionar la ignorancia para gestionar el conocimiento: una necesidad organizacional / Managing ignorance for managing knowledge: an organizational need

Desde la década de 1990 (siglo XX), la literatura refleja la preocupación mostrada por diversas instituciones en relación con la necesidad de convertir el conocimiento individual en conocimiento social y, por tanto, crear ─a nivel de las instituciones─ un conocimiento organizacional a partir de la presencia de conocimientos y experiencias. El conocimiento organizacional tiene otra cara, relativa a lo desconocido, lo que significa ignorancia organizacional. En este trabajo se pretende profundizar en el alcance de la gestión de la ignorancia, como un reto imperativo para una adecuada gestión del conocimiento, principalmente en lo relativo al contexto organizacional. Se aborda el surgimiento del concepto ignorancia y su papel en las organizaciones. Se intenta mostrar la evolución de este concepto y de la necesidad de su gestión. Se presentan un conjunto de enfoques sobre el tema, tomados de la literatura especializada, y se esboza el papel de la información y del desarrollo de las competencias informacionales en la gestión de la ignorancia. Se mencionan algunas experiencias relativas a las auditorías del conocimiento, donde se ha hecho evidente la presencia de la ignorancia sin que se haya profundizado en estas manifestaciones. Se hace énfasis en la necesidad de manejar más información como parte de las rutinas organizacionales, a fin de identificar y solucionar vacíos de conocimiento e ir enfrentando paulatinamente la ignorancia organizacional(AU)

Since the 90's, the literature presents different institutional concerns about the conversion of individual knowledge into social knowledge and in this context use knowledge and experience to create an organizational knowledge. Organizational knowledge has another face, linked to the unknown, which is organizational ignorance. In this paper the appearance of the concept of ignorance and its role in organizations is presented. The evolution of this concept is analyzed and the need of its management is discussed. Different approaches obtained from the international literature are presented highlighting the role of information and of informational competences in ignorance management. Some experiences related to knowledge audits are mentioned, where the presence of ignorance has become evident without deepening these manifestations. Emphasis is placed on the need to handle more information as part of organizational routines, in order to identify and solve knowledge gaps and gradually face organizational ignorance(AU)

Knowledge, Attitude and Perception of Onchocerciasis and Ivermectin Treatment in Idogun Community, Ondo State, Nigeria.

Introduction: Onchocerciasis is a communicable parasitic disease caused by a nematode; Onchocerca volvulus and vectored by female Simulium blackfly. The disease is common among poor rural dwellers where it causes various degrees of skin and eye infections. Objectives: To evaluate the knowledge, attitude and perception of onchocerciasis and its treatment with ivermectin Methods: The study was undertaken in Idogun, an endemic community in Ose local government area, Ondo State. Structured questionnaire was administered to 384 respondents during personal interview and focus group discussion to obtain useful epidemiological information, while skin snip test was employed to determine the prevalence of the disease among the 384 respondents not below 10 years of age that were randomly selected for the study. Chi-square at 5% significance level was used to establish the significance of various parameters tested in the study. Results: The results revealed that 235 (61.2%) were ignorant of the disease while 149 (38.8%) respondents had adequate knowledge of the cause and mode of transmission of the disease. Meanwhile, skin snip test showed that the disease occurred more among the ignorant (22.9%) than the knowledgeable (5.2%). Ignorance of disease was further reflected in the response of the respondents to the cause and mode of infection. Most ignorant individuals in the community believed the disease can be contracted through sexual intercourse (4.6%), stepping on charms (3.9%), inherited from infected parents (6.3%), ageing (13.3%), lack of personal hygiene (7%) and too much farming (40.4%). Whereas, 15.6% of the study population had no idea of the cause and mode of the disease. The study further revealed that 24.7% of the respondents showed various side effects to the drug such as itching, rashes swelling wrinkles, dizziness and weakness. The side effects of the drug were observed to be more among the infected individuals (20.8%) than the uninfected individuals (3.9%). Conclusion: The study suggests that there is need for intensive public enlightment in the community to properly educate the community about the cause and mode of the disease.

Human Rights: Illusion or Reality; Theological (Shiite) Perspective.

ABSTRACT: The discussion is based around these issues, history of Human Rights, timeline for Human Rights history, question asked in this regard and enemy and friend of „human rights‟. Describing the problems and its resolve from logical reasoning perspective; intellectual argumentation based on logical reason of, what is universal human right, democracy and illegal wars in the world by super powers as example America? Attempt to describe the inner construction of a human being-perfection-. Introduction to the concept of infallibility in different parts in the article, purify yourself and being purified. What is it, is it possible for a creation named human to be not fallible, is the idea or practicing it impossible or there is a great sphere of being able to practicing it and reaching the status if one finds guidance for the right way with peace and human rights prevailed in the world. Majority of the thought in the text, based on hadith-tradition- from the Prophet of Islam Peace upon Him and His family Ahl al-Bait Peace upon Them.

Human Rights: Illusion or Reality; Theological (Shiite) Perspective.

Abstract: The discussion is based around these issues, history of Human Rights, timeline for Human Rights history, question asked in this regard and enemy and friend of ‘human rights’. Describing the problems and its resolve from logical reasoning perspective; intellectual argumentation based on logical reason of, what is universal human right, democracy and illegal wars in the world by super powers as example America? Attempt to describe the inner construction of a human being-perfection-. Introduction to the concept of infallibility in different parts in the article, purify yourself and being purified. What is it, is it possible for a creation named human to be not fallible, is the idea or practicing it impossible or there is a great sphere of being able to practicing it and reaching the status if one finds guidance for the right way with peace and human rights prevailed in the world. Majority of the thought in the text, based on hadith-tradition- from the Prophet of Islam Peace upon Him and His family Ahl al-Bait Peace upon Them.

Delay in first psychiatric consultation and its reasons

Background:The proportion of the patients attending the psychiatric consultation, once the disorder is recognized islimited. Lack of adequate knowledge regarding mental illnesses and help seeking attitude from other methodslike faith healers, priests are the common reasons for delay in psychiatric consultation. This delay has areasonable effect on the prognosis of the illness.Aim:To study the delay and reasons for the delay in first psychiatric consultation, and their relation to socio-demographic variables.Methods:A semi structured interview containing socio demographic variables and the reasons for delay is used toassess the patients attending psychiatric outpatient department of Mamata General Hospital. The diagnosiswas made according to ICD-10 diagnostic criteria.Results:Out of 100 patients assessed in the study, the most common reasons for delay in psychiatric consultation wereignorance about the illness, belief in magical and religious methods. Stigma towards psychiatric illnesses,financial problems, caregivers' education also influence the delay duration.Conclusion:This study emphasizes the need for awareness in the population regarding psychiatric disorders for a betteroutcome of the illness.

Una conjetura metodológica acerca de la comprensión y la ejecución para un plan de Salud Pública / A methodologic conjecture about the understanding and the execution for a public health plan

Se plantea aquí una posición en la cual la Salud Pública es tomada como objeto de estudio, se recorre el problema natural de la gnoseología, cómo sufre con la ponderación de la corrupción como un elemento deletéreo, necesita de un marco jurídico efectivo que la sostenga, y tenga un objetivo inmerso en la teoría de Rawls y comprendido por el niño de 0 a 5 años con su madre.

Its considers here a position in which, the Public Health, as study object, crosses the natual problem of the gnoseology, it suffers with the ponderation of the corruption like a harmful element, it needs an effective legal frame that maintains it, as well as an objective immersed in Rawls’ theory, and understood by any child of 0 to 5 years with his mother.

O CAPSi Dom Adriano Hipólito: uma instituição atravessada pela psicanálise? / CAPSI Dom Adriano Hipólito: an institution crossed by psychoanalisis?

O presente artigo visa a indagar até que ponto um Centro de Atenção Psicossocial _CAPS_ pode funcionar como uma instituição atravessada pela psicanálise. Depois de um breve histórico sobre a origem dos CAPS e sua relação com a reforma psiquiátrica brasileira, as autoras descrevem o funcionamento do CAPSi Dom Adriano Hipólito e o atendimento de um adolescente encaminhado por um hospital municipal. Em seguida, abordam o conceito de “desejo do analista”, sua diferença em relação ao Wunsh freudiano e ao puro desejo de morte de Antígona e suas características de desejo advertido, impuro, vazio de objetos e produtor de diferença entre o significante e o significado. Por fim, mencionam a importância da “douta ignorância” para a prática analítica e retornam à relação entre a psicanálise e a atenção psicossocial, para sustentar que o discurso do analista não é necessariamente antinômico à ideologia dos CAPS.

This article aims to inquire up to which point a CAPS (Psychosocial Attention Center) may operate as an institution crossed by psychoanalysis. After a brief historical on the origins of the "CAPS" and its relation with the Brazilian psychiatric reform, the authors describe the operation of the CAPSi Dom Adriano Hipólito as well as the treatment of a teenager forwarded by a municipal hospital. In the sequence, they approach the concept of "analyst's wish", the differences between it, the freudian Wunsch and the pure death wish in Antigone, including its characteristics of adverted, impure, empty of objects wish, producer of difference between the significant and the significance. Finally, the authors mention the importance of the "learned ignorance" for the analytical practice and they return to the relationship between psychoanalysis and psychosocial attention to argue that the analyst's discourse is not necessarily antinomian to the ideology of the CAPS.

Biting of anthropophilic Culicoides fulvithorax (Diptera: Ceratopogonidae), a vector of Mansonella perstans in Nigeria

Anthropophilic Culicoides were investigated in a rural community endemic for Mansonella perstans in Ijebu North area of western Nigeria between December 2003 and October 2004. Three hundred and fifty-nine adults of Culicoides fulvithorax collected by human bait in the morning were dissected for Mansonella perstans larvae, and 1.95% of infection rate was found. Seasonal abundance of C. fulvithorax was investigated by monthly biting rates, and showed that higher prevalence was observed in rainy season, with peak in September. Culicoides prevalence was positively correlated with rainfall and relative humidity, but not temperature. Human perceptions on the behavior of these biting midges were determined by interviewing 854 self-selected villagers, of which 86.5% of the interviewees confessed having experienced Culicoides bites. Between 76.5 and 99.1% of the various age groups complained body reactions to Culicoides bites. Itching was the most frequent body reaction. No interviewees associated Culicoides with transmission of any parasitic infections. The results showed need to adequately control Culicoides in the community.

La pasión de la ignorancia y la pasión del placer en el psicoanálisis / The passion of ignorance and the passion of pleasure in psychoanalysis

La historia del hombre es la historia de sus pasiones. El amor, la mentira y el odio son elementos constituyentes de las formas de relación del ser humano. Es el deseo y la forma particular de desear lo que hace que el sujeto establezca vínculo con la realidad. En términos psicoanalíticos es la pulsión investida en la pasión lo que sujeta al sujeto al mundo o en términos filosóficos el alma está hecha de pasiones y estas llevan al hombre a debatirse entre el placer y la pena.

The history of man is the history of his passions. Love, lies and hate are constituent elements of the relationship forms of the human being. It is the desire and the particular way of wishing that makes the subject establish a link with reality. In psychoanalytic terms it is the drive invested in passion that subjects the subject to the world or in philosophical terms the soul is made of passions and these lead man to debate between pleasure and grief.

Study on the New Healthcare Reform in China from Rawl's Veil of Ignorance / 中国医学伦理学

Returning to its commonweal feature and enhancing impartiality are the focal purposes of Chinese new healthcare reform in the near future.Rawl's theory of justice could explain the past difficulties and indicate the intending complications in the forthcoming innovation.We can see the selfishness of human nature from Rawl's Veil of Ignorance.People's greed will bring about such deadweight to national finance that the goal of the reform has to be inclined to efficiency,which forms again a seasonal movement.

An Analysis of the Forming Process of Medical Ethics among Medical Students / 中国医学伦理学

The formation of medical ethics among medical students is an individual process of recognizing,selecting,and modifying medical ethics,a process from ignorance,to consciousness,and finally to responsible self-consciousness for the main body of medical ethics,a process to manifest individual liberty of medical ethics,independence of medical ethics,and pursue the progress of medical ethics,and also a process to combine recognition and practical behaviors,and realize the mutual transformation of internal and external medical ethics.