Expanding Treatment, Recovery, and Reentry Services for Female Offenders: Improving Outcomes through Client-Centered Interventions.

This study investigated the impact of a specialized program aimed at improving substance use disorder and trauma treatment, recovery, and reentry services for adult female offenders. Trained recovery coaches delivered pretreatment interventions such as prescreening, motivational interviewing, and support-building to facilitate treatment entry and improve outcomes. Of 113 participants, 40% identified as racial/ethnic minorities, and 72% fell within the 25-45 age range. A notable 44.5% reduction in self-reported psychiatric symptoms was observed, alongside significant improvements in abstinence and trauma symptoms. Recovery capital and psychosocial functioning showed marked improvement including significant changes in employment status and housing stability and a decrease in criminal justice involvement. The results suggest that targeted, client-centered approaches can effectively improve recovery and psychosocial functioning among female offenders while reducing re-incarceration rates. These findings underscore the importance of addressing the unique needs of this population in both pre-and post-release settings to ensure equitable access to reentry services.

Memória, desmentida e traumatismo social sob a ótica da Psicanálise das Configurações Vinculares / Memory, denial and social traumatism from a Psychoanalysis of Binding Configurations perspective / Memoria, desmentida y trauma social desde la perspectiva del Psicoanálisis de las Configuraciones Vinculares / Mémoire, négationnisme et traumatisme social dans la perspective de la Psychanalyse des Configurations de Liaison

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

Experiencia sobre el proceso de salud-enfermedad-atención en pacientes con artritis reumatoidea pertenecientes a la comunidad Wichí de Misión Chaqueña "El Algarrobal", Salta / Experience on the health-disease-care process in patients with rheumatoid arthritis belonging to the Wichí community of Mission Chaqueña "El Algarrobal", Salta

Introducción: se ha reportado que la prevalencia de artritis reumatoidea (AR) en la comunidad Wichí representa la más alta informada por el Grupo Latinoamericano para el Estudio de las Enfermedades Reumáticas en los Pueblos Originarios (GLADERPO). El objetivo de este estudio fue describir la experiencia sobre el proceso de salud-enfermedad-atención de pacientes con AR de la comunidad Wichí de Misión Chaqueña "El Algarrobal", Salta. Materiales y métodos: estudio narrativo. Diseño de corte etnográfico. Se realizaron entrevistas semi-estructuradas y observaciones registradas. Se utilizaron guías de entrevistas y observación. Los aspectos incluidos fueron: concepción del proceso salud-enfermedad, percepción de la AR en la vida diaria, el acceso al sistema de salud, utilización de recursos tradicionales y de medicina tradicional. Resultados: se realizaron 10 entrevistas. Los aspectos más relevantes fueron la concepción del proceso salud-enfermedad asociado al trauma social pasado y al concepto de voluntad Wichí. Se evidenció la combinación de estrategias para mejorar el dolor (biomedicina, medicina tradicional y acompañamiento religioso). Además, se observó una relación unidireccional con el sistema de salud. Conclusiones: la AR es una enfermedad con un impacto negativo en la comunidad Wichí. Se requieren otras actividades, desde otras disciplinas, para mejorar el acceso al sistema de salud y la continuidad de los tratamientos.

Introduction: the prevalence of rheumatoid arthritis (RA) in the Wichí community has already been published, representing the highest reported by the Grupo Latinoamericano para el Estudio de las Enfermedades Reumáticas en los Pueblos Originarios (GLADERPO). The objective was to describe the experience of the health-disease-care process of patients with RA from the Wichí community of Misión Chaqueña "El Algarrobal", Salta. Materials and methods: study with ethnographic design. Semi-structured interviews and recorded observations were conducted. Interview and observation guides were used. The aspects included were: conception of the health-disease process; perception of RA in daily life, access to the health system, use of traditional resources and traditional medicine. Results: ten interviews were conducted. The most relevant aspects were the conception of the health-disease process, associated with past social trauma and the concept of "Wichí good will". The combination of strategies to improve pain (biomedicine, traditional medicine and religious accompaniment) was evidenced. In addition, a unidirectional relationship with the health system was observed. Conclusions: RA is a disease with a negative impact on the Wichí community. Other activities from other disciplines are necessary to improve access to the health system and continuity of treatment.

A designated trauma social worker improves coordination of patient care by coordinating ancillary consults.

Trauma patients face unique challenges that require coordination by social workers knowledgeable in the intricacies of trauma patient psychosocial support which is often achieved by obtaining ancillary consultations. The impact of employing a designated trauma social worker (DTSW) in the utilization of these consults has not been described. A retrospective review was conducted of trauma patients admitted to an academic, urban Level 1 trauma center. The pre-intervention cohort (n = 272) corresponded to patients admitted before the presence of a DTSW (01/2013 to 06/2013), while the post-intervention cohort (n = 282) corresponded to patients admitted afterward (09/2015 to 01/2016). Data collection included demographics, injury profile, and types of interdisciplinary or therapy consultations. Post-intervention patients were found to be older and admitted with more injuries. Supportive care, physical therapy and occupational therapy consultations were more likely to be obtained in the post-intervention cohort. Hospital length of stay remained unchanged. This study suggests that the implementation of a DTSW significantly facilitates the utilization of interdisciplinary consultations. Length of stay remains unchanged, suggesting that a DTSW helps to coordinate care in a timely manner without increasing the hospital stay. DTSW implementation may be considered in trauma centers where one does not currently exist.

Trauma na epidemia brasileira de covid-19: contribuições a partir de Lacan, Ferenczi e Kai Erikson / Trauma in the Brazilian epidemic of covid-19: contributions from Lacan, Ferenczi and Kai Erikson / Trauma en la epidemia brasileña de la covid-19: contribuciones desde Lacan, Ferenczi y Kai Erikson / Le trauma dans l'épidémie brésilienne de covid-19: contributions depuis Lacan, Ferenczi et Kai Erikson

RESUMO A covid-19 foi classificada como uma pandemia pela oms. Até o momento, não há tratamento ou vacina para a doença. Ao mesmo tempo que o Brasil é o país epicentro da doença na América Latina, o presidente da República, Jair Bolsonaro, manifesta-se contrário às medidas de isolamento social, minimizado a importância e a gravidade das consequências da doença no país, além de defender a retomada da economia em detrimento das questões sanitárias. A pandemia pode ser considerada uma situação traumática, que coloca o sujeito em contato com um sentimento de imobilidade e impotência. Busca-se debater a situação da população brasileira diante da covid-19, principalmente a da parcela mais vulnerável, relacionando suas vivências à noção de trauma, a partir dos psicanalistas Sándor Ferenczi e Jacques Lacan e do sociólogo Kai Erikson.

ABSTRACT covid-19 was classified as a pandemic by the who. So far, there is no treatment or vaccine for the disease. At the same time that Brazil is the epicenter of the disease in Latin America, the President of the Republic, Jair Bolsonaro, opposes social isolation measures, minimizing the importance and severity of the consequences of the disease in the country, in addition to defending the importance of the return of the economy at the expense of health issues. The pandemic can be considered a traumatic situation, which puts the subject in contact with a feeling of immobility and helplessness. In this sense, we seek to debate the situation of the Brazilian people in face of covid-19, especially the most vulnerable ones, relating their experiences to the notion of trauma, from the psychoanalysts Sándor Ferenczi and Jacques Lacan, in addition to the sociologist Kai Erikson.

RESUMEN La covid-19 fue clasificada como una pandemia por la oms. Hasta ahora, no hay tratamiento o vacuna para la enfermedad. Al mismo tiempo que Brasil es el epicentro de la enfermedad en América Latina, el presidente de la República, Jair Bolsonaro, se opone a las medidas de aislamiento social, minimizando la importancia y la gravedad de las consecuencias de la enfermedad en el país, además de defender la importancia del retorno de la economía a expensas de los problemas de salud. La pandemia puede considerarse una situación traumática, que pone al sujeto en contacto con un sentimiento de inmovilidad e impotencia. En este sentido, buscamos debatir la situación de la población brasileña frente a la covid-19, especialmente los más vulnerables, relatando sus experiencias en relación al trauma, a partir de los psicoanalistas Sándor Ferenczi y Jacques Lacan, además del sociólogo Kai Erikson.

RÉSUMÉ Le covid-19 a été classé comme pandémie par l'oms. Jusqu'à présent, il n'y a pas de traitement ni de vaccin contre la maladie. Alors que le Brésil est l'épicentre de la maladie en Amérique latine, le président de la République, Jair Bolsonaro, se manifeste contraire aux mesures d'isolement social, minimisant l'importance et la gravité des conséquences de la maladie dans le pays. En plus, il défende l'importance du retour de l'économie au détriment des problèmes sanitaires. La pandémie peut être considérée comme une situation traumatique, qui met le sujet en contact avec un sentiment d'immobilité et d'impuissance. En ce sens, nous cherchons à débattre la situation de la population brésilienne face au covid-19, en particulier du groupe le plus vulnérable, en associant leurs expériences à la notion de trauma présenté par les psychanalystes Sándor Ferenczi et Jacques Lacan, ainsi que par le sociologue Kai Erikson.

Comentario al caso Ana / Commentary of the case Ana

El material clínico presentado permite vislumbrar el derrotero posible en el Yo adolescente y su posibilidad de resistir la sobreidentificación que la amenaza ante la imposibilidad materna de metabolizar lo traumático de su propia vida. Por otra parte, el sufrimiento familiar está profundamente enraizado en lo traumático de la historia social argentina.

The presented clinical material allows to glimpse the possible course in adolescent I and its capacity to resist the overidentification that threatens it before the maternal impossibility to metabolize the traumatic of its own life. On the other hand, family suffering is deeply rooted in the traumatic nature of Argentine social history.

Le matériel clinique présenté laisse entrevoir l'évolution possible de l'adolescente et sa capacité à résister à la suridentification qui la menace avant l'impossibilité maternelle de métaboliser le traumatisme de sa propre vie. Par ailleurs, la souffrance familiale est profondément enracinée dans la nature traumatique de l'histoire sociale argentine.

Trauma social em idade avançada / Social trauma during old age

O paradoxo vivido na contemporaneidade permite simultaneamente o convívio entre diferentes gerações, e a potenciação de processos de estigmatização promotores de discriminação. As circunstâncias de violência e exclusão de grande subtileza, a que as pessoas de idade avançada são expostas, têm impactos físicos e psicológicos no seu bem-estar e na sua longevidade. A intensidade da desumanidade neste grupo etário manifesta-se de forma estrutural pela desigualdade social, pela naturalização da pobreza, originando discriminação, de forma interpessoal pela alteração das interações, nas relações sociais quotidianas de forma institucional, na aplicação e ou omissão das políticas sociais. A consignação das pessoas de idade avançada a uma perda significativa de estatuto social e familiar é potenciadora de traumas psicológicos de cariz moral e afetivo, com proporções muito profundas nas vidas deste grupo etário. Ao longo deste artigo serão evidenciadas e discutidas as questões potenciadoras do trauma social nas pessoas de idade avançada, relacionando-as com os processos de economia de mercado provocada pela globalização, que alteraram o modo como estes sujeitos são incluídos e/ou excluídos da sociedade de produção.

Living with different generations of people and the capacity of stigma processes which promote discrimination form a paradox. Violence and subtle exclusion meted to elderly people have physical and psychological impacts on their welfare and their old age. The dehumanization intensity experienced by people within this age bracket is structurally manifested by social inequality, the naturalization of poverty leading towards discrimination, the changing of interactions within daily social relationships, in the application or omission of social policies. The drifting of elderly people towards significant losses of social and family status establishes psychological traumas of a moral and affective nature, with great depth in the lives of these people. The debate evidences and discusses the potential issues of the social trauma in the elderly and relates them to market economy processes caused by globalization that changed the way these people are included and/or excluded within productive society.