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Experi?ncias com um grupo de crian?as e m?es em situa??o de viol?ncia intrafamiliar atendidas na brinquedoteca: um estudo psicanal?tico / Experience with a group of children and mothers in an intrafamily violence situation who were attended at toylibrary: a psychoanalytical studyAuko, Ticiane Renata 09 February 2007 (has links)
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Previous issue date: 2007-02-09 / This research had as purpose to show experiences with a group of children and their mothers who live in an intrafamily violence situation and who were attended at the ReCriando Programme s toylibrary, as well as analysing those experiences, searching for: investigating some emotional aspects in the group process; understanding if the group technique was enough to make the members sensitive to emotional contents; and finally, studying the group process. The method chosen was the clinical psychoanalistycal method. Four children, one girl and three boys, between 6 and 9 years old and their respectives mothers participated in this research. The instrument used was the group diagnosis that besides to intend making a psychodiagnosis it had as objective to help the group members developing skills to solve some of trouble and conflict which assail them. There were six meetings, each one lasted three hours, however only three of them were part of this analysis in which the narration of the meeting was thought as an narration of a dream and interpreted in accordance with psychoanalytical and groupanalytical reference. This study made possible the understanding of some of the group phenomenon as the acting out, the transference, the mirror condition and others. It permitted us concluding that the group process was a continuous, in the course of the meetings the group became using psyche organizer more mature and the defense mechanism that were primitive, in general, they were substitued for other less archaics. We verified that the group technique applied at toylibrary provides a rich atmosphere enough to make the members sensitive to their feelings, besides it had help the remeaning of some conflict that could be note by the change in themselves and in the relationship between themselves and the others. / A presente pesquisa teve como finalidade apresentar experi?ncias com um grupo de crian?as e suas m?es que vivem em situa??o de viol?ncia intrafamiliar e s?o atendidas na brinquedoteca do Programa ReCriando, bem como analisar essas experi?ncias buscando: estudar o processo grupal, investigar alguns aspectos emocionais deste processo e, por fim, compreender se a t?cnica de grupo foi suficiente para sensibilizar os participantes para conte?dos emocionais. O m?todo escolhido foi o m?todo cl?nico psicanal?tico. Participaram da pesquisa quatro crian?as com idades de 6-9 anos, sendo uma menina e tr?s meninos e suas respectivas m?es. O instrumento utilizado foi o grupo diagn?stico , que, al?m de pretender construir um psicodiagn?stico, teve como objetivo favorecer aos participantes do grupo condi??es para resolverem alguns dos problemas e conflitos que os acometem. Foram realizados seis encontros, com dura??o de tr?s horas cada, sendo que, desses, apenas tr?s fizeram parte da an?lise, na qual o relato do encontro foi pensado como se fosse o relato de um sonho e interpretado de acordo com o referencial psicanal?tico e grupanal?tico. Esse estudo possibilitou a compreens?o de alguns dos fen?menos grupais, como o acting out, a transfer?ncia, a condi??o de espelhamento e outros. Permitiu concluir que o processo grupal foi um cont?nuo. No decorrer dos encontros, o grupo passou a utilizar organizadores ps?quicos mais amadurecidos e os mecanismos de defesa, que eram geralmente primitivos, foram substitu?dos por outros menos arcaicos. Constatamos, ainda, que a t?cnica grupal, aplicada na brinquedoteca, propiciou um ambiente enriquecedor, suficiente para sensibilizar os participantes para suas emo??es, al?m de ter favorecido a ressignifica??o de alguns conflitos, percebidos em mudan?as no jeito de ser e de se relacionar consigo e com o outro.
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Gravidez de fetos malformados: um estudo psicol?gico com casais / Gestation of malformed fetuses: a psychological study on couplesGasparini, Eliane Verginia Rovigatti 26 February 1999 (has links)
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Previous issue date: 1999-02-26 / Pontif?cia Universidade Cat?lica de Campinas / The present study reports the emotional experiences of 4 couples after being informed of severe anomalies impairing their unborn fetuses. This study aimed at: 1) investigating the emotional reactions, that is, fantasies, anguishes, and defenses triggered in these couples after the disclosure of the unfavorable diagnosis; 2) analyze the bonds established with the fetuses, medical team and psychologist, as well as the bonds between both partners of each couple; 3) understand the parents desires related to the future and development of their pregnancies, and also describe the psychologist s perceptions of the analyzed cases. The analysis was accomplished through the clinical method, by using a technique of free, non-directive interviews. The Theory of Objective Relationships developed by Melanie Klein was adopted to interpret the contents, which was complemented with information provided by other psychological studies on gestations of malformed fetuses. The framework was adjusted to the institutional conditions where prenatal diagnosis was performed. Results reveal how difficult it is for couples to understand the medical information provided to them at the time when diagnosis is concluded. In this moment, anguish and blame were typical of the schyzo-paranoid position. The parents and especially the women s narcissism was deeply affected. Denial, projection, and splitting were common defenses. Characteristic experiences of the depressive position signalized for a greater integration of the ego and for a decrease in defensive mechanisms. Emotional reactions, expectations, and feelings presented by the husbands were different than those presented by the wives. The bonds established with the fetuses were suddenly broken and strong, ambivalent feeling were found. The couples adopted a dependency-oriented position in relation to all professionals in the team. An attitude of respect to the couple s feelings and values favored them in the process of consideration and expression of feelings. Their decisions regarding abortion triggered a moral dilemma that was respected by the medical team. Beliefs and values of each couple, as well as their own personal evaluation of the malformation s severety were more determinant for the decision on the gestational future than gestational ages and bonds established with the fetuses. Suggestions were made to professionals enrolled in the assistance of Fetal Medicine. / Este estudo relata a viv?ncia emocional de quatro casais ap?s a descoberta de anomalias severas no feto em gesta??o. Objetivou-se: investigar as rea??es emocionais, ou seja, fantasias, ang?stias e defesas neles desencadeadas ap?s receberem o diagn?stico pr?-natal desfavor?vel; analisar os v?nculos estabelecidos com o feto, a equipe m?dica, a psic?loga e o c?njuge; compreender os desejos dos pais com rela??o ao futuro e ? evolu??o da gravidez, bem como descrever as viv?ncias da psic?loga com rela??o aos casos pesquisados. A an?lise foi realizada atrav?s do m?todo cl?nico, utilizando a t?cnica da entrevista livre, n?o-diretiva. Para interpretar os conte?dos analisados adotou-se a teoria das rela??es objetais desenvolvida por Melanie Klein, complementada por subs?dios de outros estudos psicol?gicos sobre gravidez de fetos malformados. O enquadre foi adaptado ?s condi??es da institui??o onde os casais realizaram o estudo pr?-natal. Os resultados revelaram o qu?o dif?cil ? a compreens?o das informa??es m?dicas transmitidas por ocasi?o do diagn?stico. Nesse momento, a ang?stia e a culpa foram t?picas da posi??o esquizo-paran?ide. O narcisismo parental, especialmente o da mulher, foi fortemente abalado. A nega??o, a proje??o e a cis?o foram as defesas mais utilizadas. As viv?ncias depressivas, marcantes na posi??o depressiva, sinalizaram uma maior integra??o eg?ica e uma diminui??o dos mecanismos defensivos. Os maridos apresentaram rea??es emocionais, expectativas e sentimentos diferentes das viv?ncias femininas. O v?nculo estabelecido com o feto foi bruscamente interrompido e fortes sentimentos de ambival?ncia foram encontrados. Os casais assumiram uma posi??o de depend?ncia em rela??o a todos os profissionais da equipe. Uma atitude de respeito ?s cren?as e aos valores dos pacientes favoreceu-os no processo reflexivo e na express?o dos sentimentos. A decis?o dos casais em rela??o ? interrup??o da gravidez desencadeou um conflito moral respeitado pela equipe. As cren?as e os valores de cada casal, bem como a avalia??o pessoal da gravidade do problema foram mais determinantes para a decis?o acerca do futuro da gravidez do que o tempo gestacional e o v?nculo at? ent?o estabelecido com o feto. Sugest?es foram oferecidas aos profissionais envolvidos no atendimento em Medicina fetal.
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Uma experi?ncia com grupo de pais de adolescentes uma institui??o escolar / An experiment with group of adolescent s parents in a schoolMiranda, Angela Martines 27 February 1998 (has links)
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Previous issue date: 1998-02-27 / This work is about an experiment made with a group of parents of adolescents at private school. Its aim was not only to open some room for reflection from parents who had trouble relating with their children, but also to adjust and fit them into this opening in order to search for betterment in the parent-child relationship based on both the sharing of experiences and a critical reflection. This experiment was carried out with eight people - seven mothers and one father. The group technique applied in this case was of the Reflection Groups and the approach used to develop the groups was psychodynamics. The work had to be adapted to the conditions of the institution where it was held. The results have proved that the parents - as part of the group - were able to recognize some of the elements that make the parent-child relationship so difficult nowadays; they were incited to think over and search for the proper solutions for their conflicts. This task propitiated a clanship, thus creating an atmosphere of solidarity and continence so that the parents could reveal themselves. The sharing of experiences, the living process of the group, and the learning process itself have showed that this intervention model is, beyond any doubt, an appropriate source for unveiling emotional states and possible changes. / O presente trabalho relata a experi?ncia de um grupo de pais de adolescentes pertencentes a uma escola particular. Teve por objetivos a abertura de um espa?o de reflex?o aos pais de alunos com queixa de dificuldades no relacionamento com os filhos, bem como a pertin?ncia e adequa??o deste tipo de trabalho como instrumento de busca na melhoria nas rela??es pais e filhos a partir da troca de experi?ncias e reflex?o cr?tica. Este estudo abordou um grupo de oito pessoas, sete m?es e um pai. A t?cnica grupal utilizada foi a dos Grupos de Reflex?o e a abordagem para o desenvolvimento dos grupos foi a psicodin?mica. O enquadre foi adaptado as condi??es da institui??o onde o grupo foi realizado. Os resultados obtidos revelaram que, dentro do espa?o grupal, os pais foram capazes de reconhecer elementos causais das dificuldades atuais na rela??o com os filhos. Eles foram motivados a fazer uso do pensamento e busca de solu??es para seus conflitos. A tarefa proposta propiciou coes?o grupal, criando uma atmosfera de solidariedade e contin?ncia para que os pais pudessem se expor. As trocas de experi?ncias, o processo vivencial no grupo e as aprendizagens que ocorreram mostraram que este modelo de interven??o se constitui num recurso adequado para revelar estados emocionais e possibilidade de mudan?as.
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Falando da crian?a e de sua vida: compreendendo a vis?o de pais / Talking about the child and his life: understanding parent s point of viewMarques, Carolina de Arag?o Escher 29 April 2004 (has links)
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Previous issue date: 2004-04-29 / This work aimed at understanding what parents or those in position of responsibility for children have pointed out about the development of their children and their life histories, by means of the data-based interview records of the project From Risk to Protection: a preventive intervention in the community , related to the setting up of a basis for the development of preventive intervention in communities of risk. The open question on an instrument known as PACED (Parent s Appraisal of Child Early Development) was analyzed and, during 2000 and 2003, it was applied to 271 parents of one to 12 year-old children - and/or to those who are responsible for them. On this reported question, some free comments on that instrument, on some of the child s not-mentioned aspects or on any other matter thought as necessary could be brought up. As to quality, the obtained data were analyzed in categories according to their content and meaning. The results showed that, in most of the reports, the interviewees gave a predominantly negative picture of their children. Generally speaking, they made it quite clear the impoverishment of the affective values in the interaction between parents and children, as well as the strong presence of violence in the interpersonal relationships. However, both the organizations, that make the informal net of social and affective support, and the school have realized and recognized the great importance of valuation and protection when looking at those families point of view. From these results, the present research can assist in programming the future interventions of psychology work in communities with the same characteristics, by contributing to support a follow up and whole development, as well as an alternative that can be and make the difference throughout a child s lifetime. / Este trabalho visou compreender o que pais ou respons?veis apontaram sobre o desenvolvimento de seus filhos e sobre suas hist?rias de vida, por meio das entrevistas registradas no banco de dados do projeto 'Do Risco ? Prote??o: uma interven??o preventiva na comunidade', referente ? constru??o de uma base para o desenvolvimento de interven??es preventivas em comunidades de risco. Foi analisada a quest?o aberta de um instrumento denominado PACED (Parent's Appraisal of Child Early Development), aplicado, entre os anos de 2000 a 2003, em 271 pais - e/ou respons?veis - de crian?as de 0 a 12 anos. Nesta referida quest?o havia a possibilidade dos pais comentarem, livremente, sobre o instrumento, sobre algum aspecto da crian?a n?o mencionado na entrevista realizada ou ainda sobre outros assuntos considerados necess?rios. As informa??es obtidas foram analisadas qualitativamente, em categorias segundo seu conte?do e significado. Os resultados apontaram que, na maioria dos relatos dos entrevistados, houve uma vis?o predominantemente negativa sobre o desenvolvimento de seus filhos. De um modo geral, ficou evidente o empobrecimento do valor afetivo nas intera??es entre pais e filhos e a presen?a marcante da viol?ncia nas rela??es interpessoais. No entanto, tanto as figuras que comp?em as redes informais de apoio social e afetivo, quanto a escola, assumiram uma importante dimens?o valorativa e de prote??o na vis?o destas fam?lias. A partir destes resultados, a presente pesquisa pode subsidiar a programa??o de interven??es futuras do trabalho da Psicologia junto a comunidades com as mesmas caracter?sticas, servindo como um apoio para um acompanhamento e desenvolvimento integral, assim como uma alternativa que pode ser e fazer a diferen?a na trajet?ria de vida de uma crian?a.
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Alexitimia e sintomas psicopatol?gicos em pacientes com insufici?ncia renal cr?nica / Alexithymia and psychopathological symptoms in patients suffering from chronic renal failurePregnolatto, Ana Paula Ferrari 11 February 2005 (has links)
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Previous issue date: 2005-02-11 / The chronic renal failure is a disease that evolves slowly, gradually and irreversibly causing physical and emotional damage. Studies on the emotional aspects of patients undergoing hemodialysis procedures emphasize that they are a special group among chronic disease patients, because the procedure itself and the individual s dependence on the equipment involved assume great importance on the individual s life. These stressful aspects can, therefore, cause special effects on the emotions and behavior of these patients, overloading the depressive symptoms caused by uremia itself. Among the pathologies and conditions related to emotions, alexithymia stands out. The term been applied to an individual s difficulty to express emotions and affection. Alexithymia and its psychopathological symptoms are considered to have influence on diagnosis, prognosis, and the way a patient can cope with the different forms of treating renal failure. That being so, the evaluation and identification of these aspects can provide a better understanding of them in order to identify and offer to these patients more adequate psychological treatment and a program of prevention and mental health involving patients and the health team. For this study the sample include 48 patients who have been receiving hemodialysis at the hospital of the University School of Medicine in the state of S?o Paulo, Brazil. The sample was stratified according to the type of renal disease presented. The tools used were Identification Form, The Toronto Alexithyimia Scale (TAS) and the Symptoms Evaluation Scale (EAS-40). The sample was distributed like the following: men (60,4%); age between 40 and 59 years of age (58,3%); basic education (50%); retired or on sick leave (47,9%). High blood pressure (41,6%); diabetes mellitus (31,3%); chronic glomerule nephritis (27,1%). Regarding alexithymia 52% of the patients presented scores equal or superior to 74, and 4,2% presented scores equal or inferior to 62. 43,8% of the subjects are on the range between 63 and 73 points. The average score of the sample was 74 and DP 7,52. The results show that patients undergoing hemodialysis present high scores on TAS, regardless of sex, level of education, marital status, occupation, age or diagnosis, and the differences between these variables were not significant. Concerning the psychopathological symptoms, the average score was 0,63 and DP 0,37 , and there were no significant differences between the social and demographic variables. Regarding the association between alexithymia and psychopathological symptoms the results show significant relation between the total scores of TAS and EAS-40; and also between the total score of TAS and Factors 1, 2 and 3 of EAS-40, which fulfill the theoretical expectations. Although further research is needs to identify how these aspects believe in other groups, our finding confirm that alexithymia is related to psychopathological symptoms. / A insufici?ncia renal cr?nica (IRC) ? a uma doen?a de instala??o lenta, gradativa e irrevers?vel das fun??es renais, levando o indiv?duo a ter altera??es f?sicas e emocionais. Estudos sobre os aspectos emocionais de pacientes em hemodi?lise enfatizam que estes comp?em um grupo especial entre os portadores de doen?a cr?nica, pois o tratamento, e a depend?ncia dos equipamentos utilizados assume grande import?ncia na vida da pessoa. Assim, estes aspectos podem acentuar caracter?sticas especiais na sua afetividade e no seu comportamento, salientando que a pr?pria uremia pode produzir sintomas depressivos. Dentre as altera??es e patologias relacionadas ?s emo??es destaca-se a alexitimia, que designa a dificuldade de expressar afetos ou emo??es. Considera-se que a alexitimia e os sintomas psicopatol?gicos podem influenciar no diagn?stico, no progn?stico e na forma de rea??o do sujeito ? modalidade de tratar a insufici?ncia renal. Desta maneira a avalia??o e identifica??o destes aspectos possibilitam uma melhor compreens?o destes visando um tratamento psicol?gico mais adequado a esta popula??o e um trabalho de preven??o e promo??o da sa?de mental com estes pacientes e tamb?m com a equipe. Para este estudo a amostra ? composta de 48 pacientes em hemodi?lise de um hospital escola no interior de S?o Paulo. Esta foi estratificada em fun??o da doen?a renal apresentada. Os materiais utilizados foram ficha de Identifica??o, a Escala de Alexitimia de Toronto (TAS) e a Escala de Avalia??o de Sintomas (EAS-40). Amostra ficou distribu?da com um predom?nio de: pacientes do sexo masculino (60,4%), casados (50%), na faixa et?ria entre 40 e 59 anos de idade (58,3%), com ensino b?sico (50%), aposentados ou afastados do trabalho (47,9%). Quanto ao diagn?stico, 41,6% t?m hipertens?o arterial sang??nea, 31,3% diabetes mellitus e 27,1%, glomerunefrite cr?nica. Quanto ? alexitimia, observou-se que 52% dos participantes apresentaram pontua??o igual ou maior que 74 e que 4,2% obtiveram escore igual ou inferior a 62. E, 43,8% dos sujeitos encontram-se na faixa de 63 a 73 pontos. J? a m?dia geral da amostra foi 74 e DP 7,52. Verificou-se que pacientes submetidos a hemodi?lise apresentam altos escores na TAS, independentemente do sexo, n?vel de escolaridade, estado civil, atividade profissional, idade e hip?tese diagn?stica e que n?o houve diferen?as significantes entre estas vari?veis.Em rela??o aos sintomas psicopatol?gicos a pontua??o m?dia foi de 0,63 e DP 0,37 e tamb?m n?o houve diferen?as significantes nas categorias segundo as vari?veis s?cio-demogr?ficas. Em rela??o ? associa??o entre alexitimia e sintomas psicopatol?gicos averiguou-se correla??o significantes entre os escores totais da TAS e EAS_40 e entre o escore total da TAS e os fatores 1, 2 e 3 da EAS-40, que correspondem a expectativa te?rica. Logo, os resultados deste trabalho confirmam que para esta popula??o a alexitimia se associa com os sintomas psicopatol?gico e a necessidade de futuras pesquisas para conhecermos como estes aspectos se comportam em outras popula??es.
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Descobrindo o brincar de crian?as excepcionais: um enfoque psicanal?tico / Discovering the excepcional children playing: a psychoanalytical point of viewGalhardi, Shirley Rosana Ribeiro de Barros 09 February 2001 (has links)
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Previous issue date: 2001-02-09 / This research searches, from a psychoanalytical point of view, what happens with children in moments of free playing that occur in a class for stimulation in a special education school, composed of six students, from two to five years old. These moments are observed for five months, twice a week for 40 minutes. The teacher and the researcher observe and participate when asked to.They also talk about this activity once a month, outside the classroom. Five of the observed meetings, are recorded, and then, analysed from a qualitative form, according to: the issued subjects, the movements of the group, the teacher s and the researcher s attitudes and feelings. It shows that the excepcional children s playing, from a rudimentary form, is similar to that that is considered estrutural to the emotional development of normal children. It also indicates the evolution of the children while playing together and dealing with the situation showing an incipient symbolization. It points out the teacher s and researcher s evolution to contain theirs and the children s anxiety while understanding and translating their requests. It concludes that this children s playing shows their active emotional world that to be searched, understood and worked. It also concludes that the observation of this activity enables to know and to follow the emotional development of excepcional children. Another conclusion is that the work of observation and talking to the teacher propose a psychoanalytical intervention in the special education that emphasizes the feelings on the relations teacher-students and teacher-psychologist. / Este estudo busca compreender, do ponto de vista psicanal?tico, o que acontece com crian?as nos momentos de brincadeira livre de uma classe de estimula??o de uma escola especial, composta por seis alunos, com idade de dois a cinco anos. Estes momentos s?o observados durante cinco meses, duas vezes por semana, por 40 minutos. A professora e a pesquisadora observam, participam quando solicitadas e conversam sobre a atividade a cada 30 dias, fora da sala de aula. Cinco dos encontros observados, s?o registrados e, posteriormente, analisados de forma qualitativa, segundo: os temas emergentes, os movimentos do grupo, as atitudes e sentimentos da professora e da pesquisadora. Mostra que as crian?as excepcionais, de forma rudimentar, constr?em brincadeiras semelhantes ?quelas consideradas estruturantes para o desenvolvimento emocional de crian?as normais. Aponta uma evolu??o das crian?as quando brincam juntas e lidam com situa??es que aparecem, mostrando uma simboliza??o incipiente. Mostra uma evolu??o da professora e pesquisadora, no sentido de conten??o da pr?pria ansiedade e da das crian?as, na medida em que compreendem e "traduzem" os seus pedidos. Conclui: que o brincar destas crian?as revela um mundo emocional ativo a ser explorado, compreendido e trabalhado; que a observa??o desta atividade possibilita conhecer e acompanhar o desenvolvimento emocional de crian?as excepcionais; e que, tanto a observa??o quanto as conversas com a professora configuram-se uma interven??o da psican?lise na educa??o especial que privilegia a abordagem dos sentimentos que permeiam as rela??es professor - alunos e professor - psic?logo.
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A religiosidade vivenciada na recupera??o de dependentes qu?micosLuz, M?rcia Maria Carvalho 28 November 2007 (has links)
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Previous issue date: 2007-11-28 / This research is a qualitative study that has for objective to understand and to describe, from personal depositions, the religious faith lived deeply in the recovery of young in treatment of the chemical dependence. 4 interviews were made, those were written in form of 4 narratives and analyzed according to fenomenological method. The results allow to conclude that the religious faith lived deeply in the recovery of chemical dependents was important when it provided hope and force, so that the participants of this study searched its autonomy. The religious faith made possible, in 3 interviews, a direction for the life, a new form to see itself and the world. / Trata-se de um estudo qualitativo que teve por objetivo descrever e compreender, a partir de depoimentos pessoais, a religiosidade vivenciada no contexto da recupera??o de jovens em tratamento da depend?ncia qu?mica. Foram feitas 4 entrevistas, estas posteriormente foram escritas em forma de 4 narrativas e analisadas segundo o m?todo fenomenol?gico. Os resultados encontrados permitem concluir que a f? religiosa vivenciada na recupera??o de dependentes qu?micos foi importante na medida em que proporcionou esperan?a e ?nimo para que os participantes deste estudo buscassem sua autonomia perante a drogadic??o, sendo que em 3 entrevistas, a religiosidade possibilitou um sentido para a vida, uma nova forma de ver a si mesmo e o mundo.
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Ades?o ao Tratamento: an?lise de conting?ncias de indiv?duos portadores de diabetes mellitus tipo 2 / Treatment enrollment: contingency analyses of type 2 diabetes mellitus patientsCoelho, Camila Ribeiro 13 February 2008 (has links)
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Previous issue date: 2008-02-13 / Pontif?cia Universidade Cat?lica de Campinas / Diabetes Mellitus is a chronic disease, characterized by a complex treatment. The present study was aimed at analyzing the contingencies to which type 2 diabetic patients would be submitted to concerning disease-related treatment conditions. Participants were 8 chronically ill adults under follow-up treatment at a health center in the city of Campinas Sao Paulo. A semi-structured interview questionnaire, and both the identification and the clinic evaluation forms were used for evaluation. Participants were divided into 2 groups by the test results of glicosilated hemoglobin (criterion that determines diabetes control): Group A (control) and Group B (non control). The results showed that Group A presented high compliance regarding instruction following on glucemia measurement, increased self control behaviors and positive reinforcement contingencies, compared to group B. Regarding insulin administration Group A presented greater discrimination of private events than group B. As to diet control there was a prevalence of self-ruled behaviors and self-controlled behaviors by Group A compared to Group B. On physical activity practice Group A demonstrated discrimination of private events and positive reinforcement. These results may be beneficial in directing future intervention programs that focus on promoting treatment enrollment behaviors. / O diabetes mellitus ? uma doen?a cr?nica, caracterizada por um tratamento complexo. O presente estudo teve como objetivo analisar as conting?ncias a que portadores de diabetes tipo 2 estariam submetidos frente as condi??es impostas pelo tratamento da doen?a. Participaram da pesquisa 8 adultos com o diagn?stico da doen?a e que realizavam acompanhamento m?dico em um centro de sa?de da cidade de Campinas. Para a avalia??o foi utilizada ficha de identifica??o, ficha de avalia??o cl?nica e o roteiro de entrevista semi-estruturada. A partir do resultado do exame de hemoglobina glicada (crit?rio que determina o controle do diabetes), os participantes foram divididos em 2 grupos: Grupo A (com controle) e o Grupo B (sem controle). Os resultados obtidos, com rela??o ? mensura??o da glicemia, mostraram que houve um melhor seguimento das orienta??es passadas pela equipe, comportamentos de autocontrole e conting?ncias de refor?amento positivo, do Grupo A em rela??o ao Grupo B. Na administra??o da insulina, o Grupo A apresentou uma melhor discrimina??o de eventos privados do que o Grupo B. No controle da dieta houve a preval?ncia de comportamentos governados por regras e de comportamentos autocontrolados no Grupo A do que no B. A pr?tica de exerc?cio f?sico revelou a presen?a de refor?o positivo e discrimina??o de eventos privados no Grupo A. Os resultados apresentados podem favorecer o direcionamento de poss?veis programas de interven??o que tenham como foco a promo??o de comportamentos de ades?o ao tratamento.
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Stress e qualidade de vida em grupos de idosos: an?lise e compara??o / Stress and quality of life in groups of aged: analysis and comparisonAlves, Vivian Cristina Pacola 15 February 2008 (has links)
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Previous issue date: 2008-02-15 / Pontif?cia Universidade Cat?lica de Campinas / The present study had for objective to compare the presence of stress, level of quality of life and presence of stressors in three different groups of aging subjects: a group that were taking courses at an University Special Program for the Aged; a group that lived in a home for the aged and another group that lived at home and engaged in Catholic religious activities on a regular basis. Sixty people (30 men and 30 women) participated in the study, ranging form 60 to 81 years of age. Results showed that 55% of the sample did not present signs of emotional stress, 33,5% were in the resistance stage of stress and 55% of the people who lived in the home for the aged had significant more stress symptoms while 60% of the University attendants and 70% of the religious activity group did not have such symptoms. A low level of quality of life was found in all three groups, especially in the health area. Social and affective areas were the ones most preserved in quality. Worrying about depending upon others, routine activities, such as going to the bank, supermarket, and to perceive physical losses, such as vision, audition and others were mentioned as the greatest sources of stress in the three groups. Results indicate the importance of special stress management programs for the age group, especially those who live in homes for the aged. / Este estudo teve por objetivo comparar a incid?ncia de stress, n?vel da qualidade de vida e fontes de stress entre tr?s grupos diversificados de idosos (participantes da Universidade da Terceira Idade, residentes de asilo e idosos que participam ativamente de um grupo religioso cat?lico). A amostra foi composta por 60 pessoas, sendo 30 homens e 30 mulheres, na faixa et?ria entre 64 e 81 anos de idade. Os resultados demonstraram que, 55% dos participantes n?o apresentavam sintomas significativos de stress, 33,5% se encontraram na fase de resist?ncia, sendo que os idosos que residiam no asilo eram os mais prejudicados, apresentando 55% de stress, enquanto 60% dos idosos estudantes da UNATI, n?o apresentaram sintomas significativos de stress e 75% dos idosos participantes de atividades religiosas n?o apresentaram sintomas significativos de stress. Um baixo n?vel de qualidade de vida foi constatado nos tr?s grupos, principalmente no que diz respeito ? sa?de. Sociabilidade e afetividade mostraram-se as ?reas mais preservadas, ressaltando que todos os participantes que responderam ao quadrante profissional apresentaram ?ndice de fracasso. Preocupa??es quanto a depender de outras pessoas, desempenharem atividades de rotina como ir a bancos, supermercados e feiras e notar em si perdas f?sicas como de audi??o, vis?o e outros foram apontados como as fontes de estressoras mais importantes nos tr?s grupos. Os resultados da pesquisa sugerem a import?ncia de se implementar programas de controle do stress para idosos, principalmente para os que residem em asilos.
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Experi?ncias com um grupo de crian?as atrav?s da m?sica: um estudo psicanal?tico / Experiences with a group of children through music: a psychoanalytic studyCarvalho, Jo?o Paulo Evangelista 13 February 2008 (has links)
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Previous issue date: 2008-02-13 / Understanding the operation of a group of children through the application of the group psychodiagnosis technique (Ka?s & Anzieu, 1989), where we raised the possibility to use the music as a facilitator of emotional expressions. A mixed, homogenous and closed group of ten children ages ranging from ten to eleven years, with the same complaint, was gathered and selected according to heir interest in participating in the research and as a result of the semi-directed interview technique of Bleger (1993). They regularly attend the Recrian?a, project of the Instituto Esperan?a in Valinhos-SP which hosts them after their regular school period and aims at developing a preventive work through informal education. Twelve sixty-minute sessions, three times a week, for a month were held. In those sessions, percussive musical instruments were used as a means to encourage them to accomplish the proposed musical task, a recording equipment being used to assist in the transcription of the meetings. The analysis of the content was based on the Mathieu technique (1967) as used in qualitative research - which goes beyond the mere description of the contents with the application of inferences that allow a more detailed interpretation, and which was conducted by two psychoanalysis-group expert psychologists. We conclude that music was a facilitator of the group psychodiagnosis technique in that the children could express and be self conscious about their feelings, develop a sense of belonging, be able to work on their inhibitions, increase their ability to socialize , strength their ego, which enabled to conduct their psychodiagnosis. / Compreens?o do funcionamento de um grupo de crian?as, atrav?s da aplica??o da t?cnica grupo de psicodiagn?stico (Ka?s & Anzieu, 1989), onde levantamos a hip?tese do uso da m?sica como facilitadora das express?es emocionais. Foi formado um grupo de dez crian?as, com idades entre dez e onze anos, misto, homog?neo e fechado, com a mesma queixa, selecionados conforme seu interesse na participa??o e a partir da t?cnica de entrevista semidirigida de Bleger (1993). S?o freq?entadores do projeto Recrian?a, do Instituto Esperan?a em Valinhos-SP, que os acolhe no per?odo oposto ao escolar, desenvolvendo um trabalho preventivo atrav?s da educa??o informal. Foram realizadas doze sess?es de sessenta minutos, tr?s vezes por semana durante um m?s, onde foram utilizados instrumentos musicais percussivos como incentivo ? realiza??o da tarefa musical e um gravador de som para auxiliar nas transcri??es dos encontros. A an?lise do conte?do se deu atrav?s da t?cnica de Mathieu (1967) utilizada em pesquisas de cunho qualitativo, que ultrapassa a simples descri??o dos conte?dos com a aplica??o de infer?ncias que possibilitam uma interpreta??o aprofundada, a qual foi realizada por dois psic?logos com conhecimento de psican?lise de grupo. Conclu?mos que a m?sica foi facilitadora da t?cnica de grupo psicodiagn?stico fazendo com que as crian?as expressassem seus sentimentos e se conscientizassem deles, que atingissem o sentimento de pertin?ncia grupal, que elaborassem suas inibi??es, que ampliassem sua capacidade de sociabilidade, que fortificassem seu ego, sendo poss?vel realizar seu psicodiagn?stico.
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