RESUMO
This preliminary study aims at inquiring the patients' perceptions about their own illness process. Therefore, 19 clinical inpatients from the Hospital de Clínicas de Porto Alegre interviewed. After a qualitative data analysis, it was observed that in a medical consultation there are, at least, two perspectives concerning the illness process. First, the physician's perspective, taking into account systems and organs structural and/or functional abnormalities (disease), and second, the patient's perspective, based on her or his perception of events that occur when getting sick (illness). In addition, the patient's perspective generally presents a preoccupation with the etiology of the disease. Keeping in mind these different viewpoints, it is crucial to establish the medical-patient dialog, aiming at reaching a better relationship between the patient and her/his physician.
Assuntos
Atitude Frente a Saúde , Doença/psicologia , Relações Médico-Paciente , Adulto , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Projetos Piloto , Inquéritos e QuestionáriosRESUMO
Six cases treated with Brief Dynamic Psychotherapy were studied. Initial countertransferential reactions were identified, and expectations were determined concerning the evolution of the patient-therapist relationship. The existence of a basic pattern of emotional response to the patient in the therapist throughout the treatment was observed, and the authors propose to denominate it countertransferential focus. Three clinical vignettes are reported.
Assuntos
Contratransferência , Terapia Psicanalítica/métodos , Psicoterapia Breve/métodos , Adulto , Feminino , Humanos , Desenvolvimento da Personalidade , Relações Médico-Paciente , Estudos RetrospectivosRESUMO
Foram entrevistados, durante um período de duas semanas, 24 estudantes de medicina que trabalhavam como internos-bolsistas nas salas de atendimento externo do Hospital de Pronto Socorro de Porto Alegre (HPS), tendo como objetivo examinar de que forma prestavam atendimento aos pacientes que haviam tentado suicídio. Tratou-se de obter as impressöes destes 24 internos a respeito da avaliaçäo dos casos, manejo das situaçöes de emergência e encaminhamentos realizados. Discute-se, igualmente, o quanto estes internos se sentem preparados para lidar com tais casos e quais as reaçöes emocionais mais freqüentes neles despertadas
