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História de vida e prognóstico / Life story and prognosisVieira, Gilberto Ribeiro 16 March 2017 (has links)
Esta tese examina o possível vínculo entre história de vida e doença, com a sua respectiva evolução, admitindo que o percurso existencial guarda conexão com o desfecho do quadro e oferece indicadores para o estabelecimento do prognóstico, vendo o ser humano como unidade mente-corpo. Apresta-se para o tema incursionando na relação entre a prognose e a medicina contemporânea; dialogando com Foucault acerca da influência da anatomia patológica no reducionismo da clínica médica; ensaiando em torno da analogia entre os métodos científicos e a sexualidade a partir dos mitos Adão e Eva. O estudo baseia-se na premissa de que o prognóstico pode ser estratificado em cinco tipos: Complicado ou muito desfavorável, Progressivoou moderadamente desfavorável, Estagnado ou incerto, Residual ou moderadamente favorável e Resolvido ou muito favorável, dependendo especialmente de como o indivíduo aproveitou a principal oportunidade e a maneira que lidou com a maior dificuldade de sua vida, além de situações marcantes de sua experiência psicoafetiva ou realização pessoal. Recorre-se em paralelo à abordagem holística prevalente na homeopatia, clareando, porém, alguns pontos obscuros ao identificar que o seu modelo para efetuar o prognóstico limita-se à reação do paciente ao medicamento homeopático ou à gravidade da doença, ignorando a sua trajetória de vida. A pesquisa selecionou quinze de quarenta pacientes em tratamento atual ou pregresso, com qualquer modalidade de câncer, no Hospital do Câncer de Rio Branco e na Associação Amigos do Peito (Abrigo), de ambos os sexos, todos com idade entre 20 e 70 anos. Utilizou-se roteiro semiestruturado de 9 questões, sendo 3 sobre a doença e 6 a respeito de sentimentos ou fatos pretéritos relevantes. As informações permitiram verificar tanto as interseções no agrupamento dos três pacientes de cada tipo prognóstico, quanto as nítidas diferenças dos quinze entre si. A história de vida dos pacientes considerados Complicadoevidencia revolta e/ou inconformação súbita; no Progressivo, conflitos que se acentuam lenta e continuamente; no Estagnado, dificuldades, carências e antagonismos prolongados, mas conservando-se nomesmo patamar; no Residual, morosidade na solução das pendências, seguida por resiliência exitosa; no Resolvido, prontidão para sanar os desafios, com solidariedade e altruísmo. Maior gravidade da doença, óbitos e metástases em relação aos demais tipos predominam no Complicado e Progressivo; o quadro tende a recidiva ou sequela no Estagnado, à remissão no Residual, e casos curados há diversos anos no Resolvido. Concluiu-se que, embora o prognóstico fundamentado na história de vida careça de mais pesquisas, fornece já elementos para corroborar a atividade clínica em diversos campos profissionais, e também pode subsidiar ações voltadas para a saúde pública, em especial no campo preventivo. / This thesis examines the possible link between life history and disease with its respective evolution, admitting that the existential course keeps connection with the outcome and provides indicators for the establishment of the prognosis, seeing the mind-body as unity. The author insoles the theme exploring the relationship between the prognosis and the contemporary medicine;dialoguing with Foucault about the influence of the histopathology in the reductionism of the medical clinic;essaying around the analogy between scientific methods and sexuality from the myths, Adam and Eve.The study is based on the premise that the prognosis can be stratified into five types: Complicatedor very unfavorable, moderately or Progressive, Stagnantor uncertain, Residualor moderately favorable or very favorable or Resolved, depending on how the particular individual took the main chance and the way it dealt with the greatest difficulty of his life besides remarkable situations of his psychoaffective experience. It appeals in parallel to the holistic approach, prevalent in homeopathy, clearing, however, some shady spots in its vision of the mind-body unity, which makes the prognosis inside the limits of the patient\'s reaction to the homeopathic medicine or to the severity of the disease, ignoring the trajectory of his life.The research has selected fifteen between 40 interviewed patients, in current or former treatment of cancer in the Hospital do Câncer de Rio Brancoand the Associação dos Amigos do Peito (Abrigo), of both sexes, all of them aged between 20 and 70 years. The life story of patients considered Complicated evidence sudden revolt and/or non conformity;in the Progressive, conflicts that rises slowly and continuously;in the Stagnant, prolonged difficulties, inadequacies and antagonisms that remains in the same level;in the Residual, delay in solution of disputes, followed by successful resilience;in the Resolved, readiness to settle the challenges, with solidarity and altruism.Greater severity of illness, deaths and metastasis in relation to other types prevail in the Complicated and Progressive;the clinic picture tends torecurrence or sequelin theStagnant;to the remission in the Residual, and to have being cured several years before,in the Resolved.It was concluded that, although the prognosis based on life story requires more research, it already provides elements to support the clinical activity in various professional fields, and can also support actions directed to public health, particularly in the preventive field.
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História de vida e prognóstico / Life story and prognosisGilberto Ribeiro Vieira 16 March 2017 (has links)
Esta tese examina o possível vínculo entre história de vida e doença, com a sua respectiva evolução, admitindo que o percurso existencial guarda conexão com o desfecho do quadro e oferece indicadores para o estabelecimento do prognóstico, vendo o ser humano como unidade mente-corpo. Apresta-se para o tema incursionando na relação entre a prognose e a medicina contemporânea; dialogando com Foucault acerca da influência da anatomia patológica no reducionismo da clínica médica; ensaiando em torno da analogia entre os métodos científicos e a sexualidade a partir dos mitos Adão e Eva. O estudo baseia-se na premissa de que o prognóstico pode ser estratificado em cinco tipos: Complicado ou muito desfavorável, Progressivoou moderadamente desfavorável, Estagnado ou incerto, Residual ou moderadamente favorável e Resolvido ou muito favorável, dependendo especialmente de como o indivíduo aproveitou a principal oportunidade e a maneira que lidou com a maior dificuldade de sua vida, além de situações marcantes de sua experiência psicoafetiva ou realização pessoal. Recorre-se em paralelo à abordagem holística prevalente na homeopatia, clareando, porém, alguns pontos obscuros ao identificar que o seu modelo para efetuar o prognóstico limita-se à reação do paciente ao medicamento homeopático ou à gravidade da doença, ignorando a sua trajetória de vida. A pesquisa selecionou quinze de quarenta pacientes em tratamento atual ou pregresso, com qualquer modalidade de câncer, no Hospital do Câncer de Rio Branco e na Associação Amigos do Peito (Abrigo), de ambos os sexos, todos com idade entre 20 e 70 anos. Utilizou-se roteiro semiestruturado de 9 questões, sendo 3 sobre a doença e 6 a respeito de sentimentos ou fatos pretéritos relevantes. As informações permitiram verificar tanto as interseções no agrupamento dos três pacientes de cada tipo prognóstico, quanto as nítidas diferenças dos quinze entre si. A história de vida dos pacientes considerados Complicadoevidencia revolta e/ou inconformação súbita; no Progressivo, conflitos que se acentuam lenta e continuamente; no Estagnado, dificuldades, carências e antagonismos prolongados, mas conservando-se nomesmo patamar; no Residual, morosidade na solução das pendências, seguida por resiliência exitosa; no Resolvido, prontidão para sanar os desafios, com solidariedade e altruísmo. Maior gravidade da doença, óbitos e metástases em relação aos demais tipos predominam no Complicado e Progressivo; o quadro tende a recidiva ou sequela no Estagnado, à remissão no Residual, e casos curados há diversos anos no Resolvido. Concluiu-se que, embora o prognóstico fundamentado na história de vida careça de mais pesquisas, fornece já elementos para corroborar a atividade clínica em diversos campos profissionais, e também pode subsidiar ações voltadas para a saúde pública, em especial no campo preventivo. / This thesis examines the possible link between life history and disease with its respective evolution, admitting that the existential course keeps connection with the outcome and provides indicators for the establishment of the prognosis, seeing the mind-body as unity. The author insoles the theme exploring the relationship between the prognosis and the contemporary medicine;dialoguing with Foucault about the influence of the histopathology in the reductionism of the medical clinic;essaying around the analogy between scientific methods and sexuality from the myths, Adam and Eve.The study is based on the premise that the prognosis can be stratified into five types: Complicatedor very unfavorable, moderately or Progressive, Stagnantor uncertain, Residualor moderately favorable or very favorable or Resolved, depending on how the particular individual took the main chance and the way it dealt with the greatest difficulty of his life besides remarkable situations of his psychoaffective experience. It appeals in parallel to the holistic approach, prevalent in homeopathy, clearing, however, some shady spots in its vision of the mind-body unity, which makes the prognosis inside the limits of the patient\'s reaction to the homeopathic medicine or to the severity of the disease, ignoring the trajectory of his life.The research has selected fifteen between 40 interviewed patients, in current or former treatment of cancer in the Hospital do Câncer de Rio Brancoand the Associação dos Amigos do Peito (Abrigo), of both sexes, all of them aged between 20 and 70 years. The life story of patients considered Complicated evidence sudden revolt and/or non conformity;in the Progressive, conflicts that rises slowly and continuously;in the Stagnant, prolonged difficulties, inadequacies and antagonisms that remains in the same level;in the Residual, delay in solution of disputes, followed by successful resilience;in the Resolved, readiness to settle the challenges, with solidarity and altruism.Greater severity of illness, deaths and metastasis in relation to other types prevail in the Complicated and Progressive;the clinic picture tends torecurrence or sequelin theStagnant;to the remission in the Residual, and to have being cured several years before,in the Resolved.It was concluded that, although the prognosis based on life story requires more research, it already provides elements to support the clinical activity in various professional fields, and can also support actions directed to public health, particularly in the preventive field.
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Creating awareness of contact-making styles through movement within a gestalt contextPotgieter, Colleen Angela 11 1900 (has links)
Movement intervention in a Gestalt therapeutic setting using structured activities and free improvisation is a successful method in creating awareness of contact-making styles for late adolescents. An overview of the existing literature regarding the theoretical aspects of the interrelatedness of movement therapy, awareness, contact-making styles and the use of movement as a therapeutic intervention within a Gestalt context was presented. This included a description of the meta-theoretical assumptions that underpinned the research. A case-study consisting of eight late-adolescent females using the exploratory and descriptive nature within the qualitative research model was applied. All participants reported growth and awareness within themselves. The researcher concludes that movement intervention within a Gestalt therapeutic context can support an approach that adapts itself to the developmental phase of the individual and is a creative way of maintaining interest and focus. / Social Work / M. Diac. (Play Therapy)
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Creating awareness of contact-making styles through movement within a gestalt contextPotgieter, Colleen Angela 11 1900 (has links)
Movement intervention in a Gestalt therapeutic setting using structured activities and free improvisation is a successful method in creating awareness of contact-making styles for late adolescents. An overview of the existing literature regarding the theoretical aspects of the interrelatedness of movement therapy, awareness, contact-making styles and the use of movement as a therapeutic intervention within a Gestalt context was presented. This included a description of the meta-theoretical assumptions that underpinned the research. A case-study consisting of eight late-adolescent females using the exploratory and descriptive nature within the qualitative research model was applied. All participants reported growth and awareness within themselves. The researcher concludes that movement intervention within a Gestalt therapeutic context can support an approach that adapts itself to the developmental phase of the individual and is a creative way of maintaining interest and focus. / Social Work / M. Diac. (Play Therapy)
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Movement in gestalt therapeutic intervention for adolescents with disruptive behavioural tendenciesHorn, Annamarie 30 November 2004 (has links)
Movement in Gestalt therapeutic intervention, using structured activities and free improvisations, is a successful alternative to punishing adolescents with disruptive behavioural tendencies in the classroom. An overview of the existing literature regarding the therapeutic value of movement in Gestalt therapeutic intervention for adolescents with disruptive behavioural tendencies is firstly presented. Various techniques supporting the adolescent in his quest to achieve equilibrium, ultimately improving his relationships with others and his environment, are described. A case study, involving eight adolescents with disruptive behavioural tendencies in group therapy follows, which indicates that movement in Gestalt therapy is an alternative to punishment. In the light hereof it is suggested that movement in Gestalt therapy could be implemented successfully in the formal school environment. This form of intervention can contribute to the adolescent's growth, his ability to communicate and his relationships with self, others and the environment, culminating in improved behavioural tendencies. / Social Work / M. Diac. (Play Therapy)
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Movement in gestalt therapeutic intervention for adolescents with disruptive behavioural tendenciesHorn, Annamarie 30 November 2004 (has links)
Movement in Gestalt therapeutic intervention, using structured activities and free improvisations, is a successful alternative to punishing adolescents with disruptive behavioural tendencies in the classroom. An overview of the existing literature regarding the therapeutic value of movement in Gestalt therapeutic intervention for adolescents with disruptive behavioural tendencies is firstly presented. Various techniques supporting the adolescent in his quest to achieve equilibrium, ultimately improving his relationships with others and his environment, are described. A case study, involving eight adolescents with disruptive behavioural tendencies in group therapy follows, which indicates that movement in Gestalt therapy is an alternative to punishment. In the light hereof it is suggested that movement in Gestalt therapy could be implemented successfully in the formal school environment. This form of intervention can contribute to the adolescent's growth, his ability to communicate and his relationships with self, others and the environment, culminating in improved behavioural tendencies. / Social Work / M. Diac. (Play Therapy)
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