The toxic combination of social, psychological, environmental, cultural, and physiological trauma Mayas living in Southeast Florida face daily places them at higher risk for mental and physical disorders (Marmot & Wilkinson, 2006; WHO, 2010, September). The burden of disease is not limited to mental disorder comorbidities; psychological stress can also induce or exacerbate chronic medical diseases such as obesity, diabetes, and hypertension (Brunner & Marmot, 2006; Sridhar, 2007). ... The continuation of this disregard will add to the health disparity of this nation by delaying assessment, treatment, and development of interventions. The purpose of this study was to explore cumulative trauma as it related to social determinants of health and pathophysiological, psychological, and health behaviors of 102 adult Mayas living in Southeast Florida. The trauma profile for the Mayan population sample obtained through this study reflected high exposure to different types of trauma; collective identity trauma was most frequently reported, followed by survival trauma, achievement trauma, secondary trauma, and personal identity trauma, with high rates of repetition of the same traumas ... Key words: Maya; alcohol; ASSIST; cumulative trauma; Beck Depression Inventory-II; genocide; Guatemala; Hispanic; social determinants of health. / by Eugenia I. Millender. / Thesis (Ph.D.)--Florida Atlantic University, 2013. / Includes bibliography. / Mode of access: World Wide Web. / System requirements: Adobe Reader.

Made available in DSpace on 2016-07-27T14:20:44Z (GMT). No. of bitstreams: 1 MARCIA DE OLIVEIRA PRATA.pdf: 589299 bytes, checksum: 5bc236c47088f4e73d6f795ff5465c84 (MD5) Previous issue date: 2015-02-23 / This study was based on my experience as a psychologist in the Orthopedic and Traumatology Ward at the Clinics Hospital of the Uberlândia Federal University of (HCUUFU). This dissertation sought to answer the question "What are the implications of physical trauma on the psyche of the subject?" An investigation was carried out using the psychoanalytic literature of Sigmund Freud on psychic trauma, repetition, helplessness and the death instinct. Also, it aimed to study trauma in the medical field, as well as its relevance to contemporary psychoanalytic clinic. In terms of elaborations, the issue of pain and the body for the mexican painter Frida Kahlo and the narratives of three client sessions whose bodies bore physical and psychological trauma in clinical fragments of stories by Amanda, Mary and John were presented. The objectives of this investigation were: define the term trauma in the Freudian psychoanalytic field; differentiate the psychoanalytic concept of trauma with the medical concept of trauma; establish the relationship between trauma, repetition, drive, helplessness and psychological distress; analyze clinical fragments from life stories of three patients; discuss Psychoanalytic Listening as a possible therapeutic approach in the hospital ward of multiple trauma. In general, the following was concluded: physical trauma and its relation to psychic trauma is sustained in the unconscious logic, servicing the death instinct which enforces the initial helplessness reissue; narcissistic physical trauma scars the psyches, opening a slit which can be the advent of desire and therefore making it possible for the subject to direct his-her life beyond the traumatic episode; and finally, the necessity to discuss the place of the analyst in a hospital, who, when, proposes a singular listening of the subject of the unconscious, establishes tension between medical and psychoanalytic discourses. / O presente estudo partiu de minha experiência como psicóloga na enfermaria de ortopedia e traumatologia do Hospital de Clínicas da Universidade Federal de Uberlândia (HCUUFU). Nesta dissertação, busca-se responder à questão Quais as implicações do trauma físico sobre o psiquismo do sujeito? Foi realizada uma investigação na literatura psicanalítica de Sigmund Freud sobre trauma psíquico, repetição, desamparo e pulsão de morte. Também, tratou-se do trauma na especificidade do campo médico, assim como sua pertinência na clínica contemporânea psicanalítica. Em termos de elaborações, foi apresentada a questão da dor e do corpo para a pintora mexicana Frida Kahlo e a narrativa de três encontros com três personagens cujo corpo foi palco para o trauma físico e o trauma psíquico em fragmentos clínicos recortados da história de Amanda, Maria e João. Os objetivos desta pesquisa são: delimitar o conceito de trauma no campo psicanalítico freudiano; diferenciar o conceito psicanalítico de trauma com o conceito médico de trauma; estabelecer a relação entre trauma, repetição, pulsão, desamparo e sofrimento psíquico; analisar fragmentos clínicos como recortes das narrativas de vida de três pacientes; discutir acerca da escuta psicanalítica como um possível recurso terapêutico na enfermaria hospitalar de politraumatismos. De modo geral, chegou-se às seguintes considerações finais: o trauma físico e sua relação com trauma psíquico se sustenta na lógica inconsciente à serviço pulsão de morte que impõe a reedição do desamparo inicial; o trauma físico inscreve cicatrizes narcísicas no psiquismos, abrindo uma fenda onde é possível o advento do desejo e, por conseguinte, a possibilidade de que o sujeito direcione sua vida para além do episódio traumático; e, finalizando, é preciso que se coloque em discussão o lugar do psicanalista em uma instituição hospitalar que, ao se propor à escuta do singular de um sujeito do inconsciente, instaura uma tensão entre o discurso médico e o discurso psicanalítico.

Submitted by Filipe dos Santos (fsantos@pucsp.br) on 2018-08-22T12:16:38Z No. of bitstreams: 1 Jane Glaiby Silva Bastos.pdf: 3228583 bytes, checksum: 648bba4a0551791ab692c30e358772a2 (MD5) / Made available in DSpace on 2018-08-22T12:16:38Z (GMT). No. of bitstreams: 1 Jane Glaiby Silva Bastos.pdf: 3228583 bytes, checksum: 648bba4a0551791ab692c30e358772a2 (MD5) Previous issue date: 2018-05-18 / This research approaches the specificity for the attention to subjects in situations of violence linking the fields of violence, human rights, psychoanalysis and aesthetics, in which the axial theory is psychoanalysis. It is based on the hypothesis that violence has its own aesthetics and can provoke different reactions in the professionals who deal with these subjects according to the subjectivity of each of such professionals. The objective is to identify sensory, perceptive, affective and imaginary elements that can stand out in the intersubjective relationship between subject in extreme situation of violence and the professional who is assisting. The study was carried out from clinical cases of subjects that, entangled in multiple violence, were received and attended in different institutional contexts, together with semi-structured interviews granted by sixteen professionals from four referral services of care for subjects in situations of violence in two Brazilian states, Pará and São Paulo. It asserts that violence comprises aesthetic elements related to the categories of ugliness, the disturbing strange or the uncanny, horror, terror, grotesque and sublime as well as the most common reactions of professionals facing these elements / Esta pesquisa aborda a especificidade do trabalho de atenção a sujeitos em situação de violência a partir da articulação entre os campos da violência, direitos humanos, da psicanálise e da estética, cujo eixo teórico é o da psicanálise. Parte da hipótese de que o traumático tem uma estética própria que pode provocar diferentes reações nos profissionais que se ocupam dos sujeitos em situação de violência conforme a subjetividade de cada profissional. O objetivo é identificar elementos sensoriais, perceptivos, afetivos e imagéticos que podem reverberar na relação intersubjetiva entre sujeito em situação extrema e o profissional. O estudo foi realizado a partir de casos clínicos de sujeitos que, enredados em múltiplas violências, foram acolhidos e atendidos em diferentes contextos institucionais; juntamente com entrevistas semiestruturadas concedidas por dezesseis profissionais de quatro serviços de referência de atendimento a sujeitos em situação de violência em dois estados brasileiros, Pará e São Paulo. Assevera que o traumático abrange elementos estéticos relacionados às categorias da feiura, do estranho inquietante, do horror, do terror, do grotesco e do sublime, como indicam as reações mais comuns dos profissionais diante de tais elementos

This project was funded by the Department for Families and Communities A collaboration between Ibrahim Sefer, newly arrived boys and girls aged between 4 and 14 years from Culturally and Linguistically Diverse Backgrounds and the Migrant Health Service (Adelaide Central Community Health Service).

This research explores the relationship between social, cultural and politico-historical factors and the interpretation of events as causing disruption and significant distress in the lives of rural Zulu-speakers in KwaZulu Natal. Focus groups, each comprising a different category of first-language Zulu speakers were conducted, namely a youth group, a women's group, a group of traditional and faith healers and a group of community health workers, The groups were conducted in Zulu, recorded and then transcribed and translated into English. The translated transcripts were then analysed for common themes. It was found that explanatory systems of illnesses, based on the African worldview produce a tendency to cluster events into 'paths ofdistress' that are endowed with traumatic meaning. These paths are initiated by events that are significant in terms of people's history and culture. They are an attempt to describe how the connection and relationship between events, which are to a large extent outside ofone's control, contribute to aconcept of 'trauma' or'suffering' that implies disruption and distress on an ongoing and wider scale than is captured in the Western concept of PTSD. Aprofound sense offailure and a breakdown of community relationships and processes are some ofthe effects of such paths. / Thesis (M.A.)-University of Natal, Durban, 2003.

This research uses the interpretive framework of the Psychological Grotesque to address a protagonist's response when she is unable to integrate the experience of interpersonal trauma into her psyche. The framework reveals a survival mechanism, identity incorporation, with roots in the transgressive and evolutionary nature of the grotesque as discussed in the work of Mikhail Bakhtin, Mary Douglas and Leonard Cassuto. The psychological grotesque is explicated using Stvgo by Laura Hendrie, The Life Before Her Eyes, by Laura Kasischke, and Linden Hills by Gloria Naylor.The psychological grotesque reveals how the protagonist within each of these novels, when positioned within a specific matrix of contributing factors engages in flawed survival strategies to reconcile psychic fragmentation. Drawing on theories of trauma from the work of Bessel Van Der Kolk, Dori Laub, Sigmund Freud, Mardi Horowitz, Ronnie Janoff-Bulman, Laurie Vickroy, Cathy Caruth, Peter Woods and Tim Middleton, the definition of the matrix includes: interpersonal trauma, prior history of emotional problems, no social support network, and self-perceived complicity in the violence. Where these criteria are present, the protagonist is incapable of achieving the repair of her damaged psyche in order to reintegrate into society and relief from the pain of trauma. In an effort to repair her brokeness through the incorporation of parts of the identity of others, the protagonist creates a grotesque mental hybrid living in fractured time. The protagonist experiences destabilization of time due to incorporating the temporal perspective of the other identities. A flawed survival strategy, identity incorporation leads to further psychic fragmentation.The psychological grotesque takes up the challenge of communicating the effects of trauma and addresses the lack of a literary interpretive mechanism for trauma literature in which a critical component of the narrative is the story of female victims of interpersonal violence. This framework confronts the fact that representations of women and trauma are problematic due to how trauma resists linguistic representation and because women have historically been denied a voice in the canon. Therefore, by drawing on elements of the grotesque, specifically hybridity and transgression, this interpretive framework recuperates the experiences of traumatized protagonists. / Department of English

Thesis (Ph. D.)--St. Mary's University, San Antonio, Texas, 2007. / "October 2007." Includes bibliographical references (leaves 74-85) and appendices.

Thesis (Ph. D.)--University of Texas at Austin, 2007. / Vita. Includes bibliographical references.

Thesis (M.A.)--Lancaster Bible College, 2007. / Abstract. Includes bibliographical references (leaves 53-54).

Thesis (Ph.D.)--York University, 2005. Graduate Programme in Women's Studies. / Typescript. Includes bibliographical references (leaves 192-201). Also available on the Internet. MODE OF ACCESS via web browser by entering the following URL: http://wwwlib.umi.com/cr/yorku/fullcit?pNR11579