Travessia: a clínica de um término anunciado / The crossing: the clinical practice of an announced end / La travesía: reflexiones sobre la clínica de un fin anunciado / Le passage: la clinique d'une fin annoncée

A autora propõe uma reflexão sobre desenvolvimento simbólico e trabalho de luto com foco na angústia de separação na análise de criança pequena. Trata-se de uma situação específica na qual o término da análise foi decidido pelos pais, e a interrupção se deu após seis meses, conforme o acertado entre analista e pais. Esta reflexão baseia-se no trabalho analítico alcançado por meio da busca de sentido dos afetos vivenciados e expressos nos movimentos da transferência e contratransferência em diferentes níveis de simbolização.

The author proposes a reflection on symbolic development and the work of mourning, which was particularly focused on the anguish of separation in the analysis of a young child. It is about a specific situation in which the end of analysis was decided by the parents. The analysis was suspended six months later, as agreed between analyst and parents. This study is based on the psychoanalytic work that resulted from searching for the meaning of affects which were both experienced and expressed in the movements of transference and countertransference at different levels of symbolization.

La autora propone una reflexión sobre el desarrollo simbólico y el trabajo de luto a partir de la angustia de separación en el análisis de niños pequeños. Presenta una situación clínica en la que los padres decidieron terminar el análisis. La interrupción ocurrió seis meses más tarde, como había sido combinado previamente entre la analista y los padres. Esta reflexión se fundamenta en el trabajo analítico logrado a través de la búsqueda del sentido de los afectos vivenciados, expresados en los movimientos de transferencia y contra-transferencia en diferentes niveles de simbolización.

L'auteur propose une réflexion sur le développement symbolique et le travail de deuil ciblée sur l'angoisse de la séparation à la fin de l'analyse d'un jeune enfant. Il s'agit d'une situation spécifique où l'interruption de l'analyse a été demandée par les parents et l'analyste et l'enfant ont travaillé cette séparation pendant six mois, selon ce qui a été accordé. Cette réflexion s'appuie sur le travail d'analyse qui a été accompli au moyen de la recherche du sens des affects vécus et qui se révèlent dans les mouvements de transfert et de contre-transfert en différents niveaux de symbolisation.

Relation between circulating oxidized-LDL and metabolic syndrome in children with obesity: the role of hypertriglyceridemic waist phenotype.

BACKGROUND: The association between oxidative stress (OS) and metabolic syndrome (MetS) has been reported in adults. We analyzed the relation between circulating oxidized low-density lipoproteins (Ox-LDL) and MetS in pediatric ages in order to define whether plasma Ox-LDL levels are correlated to obesity and whether oxidative damage, using serum Ox-LDL levels as a proxy, are associated with MetS. METHODS: We enrolled 178 children (11.8±2.6 years). On the basis of a body mass index (BMI) threshold, the subjects were classified as: normal weight BMI <75th percentile; overweight BMI 75-97th percentile; obese BMI >97th percentile. Patients were classified as having MetS if they met three or more of the following criteria for age and sex: BMI >97th percentile, triglyceride levels >95th percentile, high-density lipoprotein (HDL) cholesterol level <5th percentile, systolic blood pressure (SBP) and/or diastolic blood pressure (DBP) >95th percentile and impaired glucose tolerance. RESULTS: Obese children showed increased MetS prevalence (p=0.001) and higher Ox-LDL levels compared to normal- and overweight subjects (p<0.05), with a limited relation between Ox-LDL and MetS (p=0.06). Waist-to-height ratio (W/HtR) (p=0.02), triglycerides (TG) (p=0.001) and LDL-cholesterol (p<0.001) resulted independent predictors of increased plasma Ox-LDL levels. CONCLUSIONS: Oxidative damage was correlated with a hypertriglyceridemic waist phenotype and can be a precocious marker of MetS and cardiometabolic risk in obese children.

O conceito de responsabilidade social: uma experiência na Sociedade Brasileira de Psicanálise de São Paulo / The concept of social responsibility: reporting a work experience in the Brazilian Society of Psychoanalysis of São Paulo (SBPSP) / El concepto de responsabilidad social: relato de una experiencia de la Sociedad Brasileña de Psicoanálisis de San Pablo (SBPSP) / Le concept de responsabilité sociale: une expérience dans la Société Brésilienne de Psychanalyse de São Paulo (SBPSP)

Nos registros da história da psicanálise a preocupação com o atendimento psicanalítico a camadas mais amplas da sociedade esteve presente desde o pronunciamento de Freud no Quinto Congresso Psicanalítico Internacional de Budapeste, em 1918, quando se oficializa o tema nos espaços internos das instituições psicanalíticas. Ventos promissores trouxeram a notícia até Durval Marcondes, e em poucos anos a SBPSP desenvolvia práticas para a divulgação da nova ciência. Em 2002, a IPA, mobilizada pelas demandas da sociedade contemporânea, estimula a ampliação das atividades psicanalíticas para além do setting tradicional, ocasião em que nasce o movimento da psicanálise "extramuros". Em 2012-2016 a equipe da Diretoria de Atendimento à Comunidade considera que ampliou os projetos de desenvolvimento de práticas de inclusão das instituições psicanalíticas e do pensamento psicanalítico no espaço social, e o conceito de responsabilidade social norteou a implantação dos projetos.

The authors write a retrospective overview of an important aspect of the history of Psychoanalysis, that is, the concern with psychoanalytic assistance to wider levels of society. This concern could be found in Freud's pronouncement at the Fifth International Psychoanalytic Congress, in Budapest, in 1918, in which this theme became official inside the psychoanalytic institutions. Auspicious winds blew and brought this news to Durval Marcondes. In a few years, the SBPSP developed practices to spread the new science. In 2002, the International Psychoanalytic Association, which was mobilized by the demands of contemporary society, stimulated the expansion of psychoanalytic activities beyond the traditional setting. It was at that time the extramural (or "outreach") movement of Psychoanalysis was born. During the 2012-2016 administration of the SBPSP, the Community Service Directory team received a full support in order to expand projects and develop practices for including psychoanalytic activities in the social space. The authors emphasize that the implementation of those projects followed the concept of "social responsibility".

Sur les registres de l'histoire de la Psychanalyse, on retrouve le souci d'amener la clinique psychanalytique aux plus larges couches de la société depuis les propos de Freud au Cinquième Congrès Psychanalytique International de Budapest, en 1918, lorsque l'on officialise le sujet dans les espaces internes des institutions psychanalytiques. Des vents prometteurs ont amené la nouvelle à Durval Marcondes et en quelques années la SBPSP a développé des pratiques pour répandre la nouvelle science. En 2002, l'ipa mobilisée par les demandes de la société contemporaine stimule l'avancement des activités psychanalytiques audelà du setting traditionnel, lors de la naissance du mouvement de la Psychanalyse "hors-murs". En 2012-2016 l'équipe de la Direction d'accueil à la communauté croit avoir élargi les projets de développement de pratiques d'inclusion des institutions psychanalytiques et de la pensée psychanalytique dans l'espace social et le concept de responsabilité sociale a guidé l'implantation des projets.

Las autoras realizan una retrospectiva de un aspecto de la historia del Psicoanálisis: la preocupación con la atención psicoanalítica de camadas más amplias de la sociedad. Este hecho se hizo presente en la ponencia de Freud en el Quinto Congreso Psicoanalítico Internacional, en Budapest, en 1918, cuando se oficializó el tema en los espacios internos de las instituciones psicoanalíticas. Vientos prometedores llevaron la noticia hasta Durval Marcondes y en pocos años la SBPSP desarrollaba prácticas para divulgar la nueva ciencia. En 2002, la IPA, movilizada por las demandas de la sociedad contemporánea, estimuló la ampliación de las actividades psicoanalíticas para ir más allá del setting tradicional y así nació el movimiento Psicoanálisis "extramuros". En la gestión de 2012-2016 la Presidencia de la SBPSP apoyó al equipo de la Dirección de Atención a la Comunidad para ampliar proyectos de prácticas de inclusión de actividades psicoanalíticas en el espacio social. El concepto de Responsabilidad Social guió la implantación de estos proyectos.

O conceito de responsabilidade social: uma experiência na Sociedade Brasileira de Psicanálise de São Paulo / The concept of social responsibility: reporting a work experience in the Brazilian Society of Psychoanalysis of São Paulo (SBPSP) / El concepto de responsabilidad social: relato de una experiencia de la Sociedad Brasileña de Psicoanálisis de San Pablo (SBPSP) / Le concept de responsabilité sociale: une expérience dans la Société Brésilienne de Psychanalyse de São Paulo (SBPSP)

Nos registros da história da psicanálise a preocupação com o atendimento psicanalítico a camadas mais amplas da sociedade esteve presente desde o pronunciamento de Freud no Quinto Congresso Psicanalítico Internacional de Budapeste, em 1918, quando se oficializa o tema nos espaços internos das instituições psicanalíticas. Ventos promissores trouxeram a notícia até Durval Marcondes, e em poucos anos a SBPSP desenvolvia práticas para a divulgação da nova ciência. Em 2002, a IPA, mobilizada pelas demandas da sociedade contemporânea, estimula a ampliação das atividades psicanalíticas para além do setting tradicional, ocasião em que nasce o movimento da psicanálise "extramuros". Em 2012-2016 a equipe da Diretoria de Atendimento à Comunidade considera que ampliou os projetos de desenvolvimento de práticas de inclusão das instituições psicanalíticas e do pensamento psicanalítico no espaço social, e o conceito de responsabilidade social norteou a implantação dos projetos.

The authors write a retrospective overview of an important aspect of the history of Psychoanalysis, that is, the concern with psychoanalytic assistance to wider levels of society. This concern could be found in Freud's pronouncement at the Fifth International Psychoanalytic Congress, in Budapest, in 1918, in which this theme became official inside the psychoanalytic institutions. Auspicious winds blew and brought this news to Durval Marcondes. In a few years, the SBPSP developed practices to spread the new science. In 2002, the International Psychoanalytic Association, which was mobilized by the demands of contemporary society, stimulated the expansion of psychoanalytic activities beyond the traditional setting. It was at that time the extramural (or "outreach") movement of Psychoanalysis was born. During the 2012-2016 administration of the SBPSP, the Community Service Directory team received a full support in order to expand projects and develop practices for including psychoanalytic activities in the social space. The authors emphasize that the implementation of those projects followed the concept of "social responsibility".

Sur les registres de l'histoire de la Psychanalyse, on retrouve le souci d'amener la clinique psychanalytique aux plus larges couches de la société depuis les propos de Freud au Cinquième Congrès Psychanalytique International de Budapest, en 1918, lorsque l'on officialise le sujet dans les espaces internes des institutions psychanalytiques. Des vents prometteurs ont amené la nouvelle à Durval Marcondes et en quelques années la SBPSP a développé des pratiques pour répandre la nouvelle science. En 2002, l'ipa mobilisée par les demandes de la société contemporaine stimule l'avancement des activités psychanalytiques audelà du setting traditionnel, lors de la naissance du mouvement de la Psychanalyse "hors-murs". En 2012-2016 l'équipe de la Direction d'accueil à la communauté croit avoir élargi les projets de développement de pratiques d'inclusion des institutions psychanalytiques et de la pensée psychanalytique dans l'espace social et le concept de responsabilité sociale a guidé l'implantation des projets.