Orientador: Carmen Maria Bueno Neme / Banca: Heron Fernando de S. Gonzaga / Banca: Sandra Leal Calais / Resumo: A escoriação psicogênica tem sido abordada em estudos médicos que a associam a diversos transtornos ou doenças ou que buscam identificar a eficácia de diferentes tipos de tratamentos e medicamentos, além de outras questões afeitas à área. Embora a literatura a relacione a fatores afetivo-emocionais, há escassez de pesquisas no campo da psicologia sobre esta psicodermatose. A Escoriação Psicogênica é mais comumente encontrada em mulheres que, ao agredirem a própria pele, causam uma perceptível desifiguração provocada pelas lesões. A literatura, sistematicamente revisada neste trabalho, aponta fatores desencadeantes como a dificuldade em lidar com os próprios impulsos e a compulsão, pois o paciente admite ser o causador das lesões, porém, de maneira involuntária. A pele, o maior órgão do corpo humano, tem a mesma origem embrionária que o sistema nervoso e é frequentemente associada a processos psicológicos. Quando lesionada, leva a sofrimento emocional e a afastamento afetivo e social. o presente estudo abordou os aspectos psicológicos e fatores de personalidade associados à escoriação psicogênica a partir de relatos de pacientes em processo de diagnóstico e/ou tratamento dermatológico do Instituto Lauro Souza Lima - Bauru e de resultados do IFP - Inventário Fatorial de Personalidade, aplicado em dois grupos de mulheres: 20 com e 20 sem escoriação psicogênica, sendo este útlimo, composto por trabalhadoras da prefeitura municipal da cidade do interior paulista. Este estudo investigou a história de vida, os aspectos psicológicos e os fatores de personalidade possivelmente relacionados à escoriação psicogênica em vinte mulheres com esse diagnóstico, comparando-se os resultados obtidos no IFP com os de mulheres sem a psicodermatose. Foi realizada entrevista de anamnese com as mulheres com escoriação psicogênica... (Resumo completo, clicar acesso eletrônico abaixo) / Abstract: Psychogenic excoriation has been approached on medical studies, which both associate it to several disorders or diseases or try to identify the efficacy of distintic treatment methods, besides other themes on such area. Even though the specific literature includes it on affetive-emotional reasons, there is a lack of researchers on Psychology field on this psychodermatosis. Psychogenic excoriation is a disorder mos commonly found on women who picks - scratches - their own skin, causing them a noticeable disfiguration due to the wounds. Literature on the subject has been systematically referred to in order to produce this paper. It points out reasons such as difficulty to deal with one's own impulses and compulsion, since the patient admits being the one who causes the wounds in an involuntary manner, though. The skin, largest organ of the human body, has the same Embryo origin of the nervous system and is frequently associated to psychological processes. The wounded skin causes suffering and affective / social seclusion. In this study, the psychological aspects and the personality treat associated to psychogenic excoriation have been studied. The data has been collected from reports of patients during dermatological diagnosis or treatment on 'Instituto Lauro Souza Lima, in Bauru, and from results of a test called IFP (Inventário Fatorial de Personalidade or Personality Factorial Inventory), applied on two groups of women: the first one having twenty women suffering from psychogenic excoriation and the second one having healthy women (groups A and B). The latter has been composed from civil servers in a small town. In order to prepare this study, the psychological aspects and the personality treat possibly related to psychogenic excoriation in twenty women having such diagnosis, comparing them with the results of the Personality Factorial Inventory of the healthy... (Complete abstract click electronic access below) / Mestre

Psychogenic nonepileptic seizures (PNES) are abrupt paroxysmal changes in behaviour, sensation, or experience that mimic epilepsy, but that are not accompanied by the electrophysiological changes typical for epilepsy. Their cause is psychological. An examination of neuropsychological correlates of PNES is therefore crucial for understanding, effective diagnosis and treatment of this disorder. The aim of our study is to explore a specific neuropsychological profile of patients with PNES, particularly cognitive impairment, early parental bonding and occurrence of selected life events during childhood and before the onset of PNES. We examined 38 patients with PNES and 38 healthy controls matched for age and sex using neuropsychological battery RBANS, PBI questionnaire and a checklist of life events. The results showed that overall cognitive performance of patients with PNES was significantly worse in comparison with healthy controls. However, there was no significant difference between the two groups in immediate memory and language domains. Furthermore, patients with PNES recollected significantly more paternal control in childhood, more stressful situations, more opportunities for social learning of the sick role, more health problems in childhood and also significantly more troubles preceding the...

Diploma thesis "Effect of cognitive task in postural sway of patiens with phobic postural vertigo" in its theoretical part discusses physiology of balance system, its disorders and summarizes knowledge of phobic postural vertigo. In experimental section we analyzed postural stability of 5 patients with phobic postural vertigo, 5 patients with structural lesion of vestibular system and 5 healthy subjects with posturography during normal stence and while performing cognitive tasks - "Contact test", Verbal Fluency task and modified Stroop test. The goal of this study was to find out whether postural stability of subjects differs while performing cognitive tasks in comparison with normal stance. Powered by TCPDF (www.tcpdf.org)

Inledning: Funktionella anfall, anfall som inte är epilepsi utan tros ha en psykologisk orsak, kan mötas av oförståelse också inom sjukvården. För att förstå detta tillstånd behöver man en processinriktad biopsykosocial sjukdomsmodell där patientens egen sjukdomsförståelse är en viktig del. Frågeställningar: Hur upplever patienter med funktionella anfall sin sjukdom?Hur förstår patienter med funktionella anfall sin sjukdom? Metod: Fem fenomenologiska halvstrukturerade intervjuer har genomförts och med hjälp av tematisk analys kondenserats till fyra teman. Resultat: De fyra temana är upplevelsen av anfallen, egen förståelse av anfallen, konsekvenser av anfallen och vad hjälper mot anfallen. Stora skillnader framkommer i intervjupersonernas upplevelse och förståelse av sina anfall. Anfallen upplevs som en känsla av förändrad kontakt eller ingen kontakt mellan kropp och hjärna och de beskrivs både begränsa och berika livet. Sjukdomsförståelsen uttrycks i fysiologiska termer, i mer vaga psykologiska termer eller att det inte går att förstå. Det framkommer tveksamhet till om psykologisk behandling hjälper. Diskussion: Det diskuteras att de funktionella anfallen faktiskt går att förstå, ibland medvetet och ibland omedvetet som en försvarsmekanism enligt psykodynamisk modell. Korttids psykodynamisk terapi såsom ISTDP kan därför vara ett behandlingsalternativ när psykoedukation och KBT inte har varit tillräckligt. / Introduction: Functional seizures, seizures that are believed to have a psychological cause, may face misunderstanding also in health care. To understand this condition, one needs a process-oriented biopsychosocial model in which the patient's own experience of illness is an important part. Questions: How do patients with functional seizures experience their illness?How do patients with functional seizures understand their illness? Method: Five phenomenological semi-structured interviews have been conducted and condensed into four themes using thematic analysis. Results: The four themes are experience of the seizures, understanding of the seizures, consequences of the seizures and what helps against the seizures. Large differences emerge in the interviewees' experience and understanding of their seizures. The seizures are experienced as a feeling of altered contact or no contact between body and brain and they are described to both limit and enrich life. Understanding of illness is expressed in physiological terms, in more vague psychological terms or cannot be understood. There is some doubt as to whether psychological treatment will help. Discussion: It is discussed that the functional seizures can actually be understood, sometimes consciously and sometimes unconsciously as a defense mechanism according to the psychodynamic model. Therefore, short-term psychodynamic therapy such as ISTDP may be a treatment alternative when psychoeducation and CBT have not been sufficient.

Title: Assessment of the attachment style as a part of the differential diagnosis of psychogenic non-epileptic seizures (PNES) Author: Bc. et Bc. Jana Heidingerová Thesis supervisor: doc. PhDr. Lenka Krámská, Ph.D. Pages: 101 Number of sources: 93 The thesis deals with the topic of psychogenic non-epileptic seizures (PNES) and their differential diagnosis in the context of attachment and its measuring. Based on theoretical knowledge, the relation between attachment disorders and the diagnosis of PNES was assumed. This connection was examined by comparing the results of three groups of respondents with different diagnoses (PNES, PNES and epilepsy, epilepsy) and a control group. The theoretical part deals with the problematics of attachment, PNES and epilepsy. The empirical part examines differences between groups of respondents, correlations of the variables with socio-demographic factors and correlations between results of each used method. Three questionnaires, PBI, ECR and ECR-RS were used for the research. The data were collected in the Epilepsy Centre at the Na Homolce Hospital. The research sample consisted of a total of 84 respondents. The results were statistically significant for numerous hypotheses. Research suggest that there are correlations of some subscales with socio-demographic...

This dissertation focuses on available means of the assessment of cognitive functions in neurological patients in the Czech environment. The main goal was to verify the psychometric qualities and usability of the Czech version of the Neuropsychological Assessment Battery (NAB). NAB is a test battery that assesses attention, language, memory, and spatial and executive functions. The theoretical part of the dissertation introduces the basic cognitive functions and diagnostic tools for their assessment; the next chapter focuses on NAB and especially its psychometric characteristics. Third chapter describes specific diseases (epilepsy and psychogenic seizures), their manifestations and impact on cognition. Empirical part included participation in the adaptation of NAB to the Czech language. During the research, a group of healthy volunteers (n = 116) and patients from the Epilepsy Monitoring Unit (n = 60) were tested by the NAB Screening Module. To verify the convergent validity of NAB-SM we administered Repeatable Battery for the Assessment of Neuropsychological Status (including an Effort Index) to a part of the sample. Based on the results, we can conclude that NAB-SM appears to be a suitable method for the assessment of cognitive functions in patients with psychogenic non-epileptic seizures. The...

A qualitative, descriptive, explorative, and contextual research design was selected for this study. The purpose was to explore the phenomenon of mass hysteria among the Basotho in Lesotho and to develop guidelines which may facilitate early intervention and better management and control of mass hysteria outbreaks. The study area covered four of the ten districts in Lesotho. Four high schools where recent outbreaks of mass hysteria have been reported were included in the study. Semi-structured individual interviews and focus group interviews were conducted to collect the data. Purposive sampling was used to select young women in high schools who experienced mass hysteria; teachers who were present during mass hysteria episodes; a parent; and traditional healers and religious leaders who were involved in treating the affected.Thirteen individual interviews were held respectively with one victim of mass hysteria from a rural area, four school principals,a parent,five traditional healers, a priest and apastor. Three focus group interviews were conducted with thirty affected young women from three different high schools and two focus group interviews were held with twenty teachers from two different high schools.The data were transcribed verbatim and content analysis was done using open and axial coding. Four themes emerged from the findings, namely: manifestations of mass hysteria among the Basotho; interventions used by the Basotho to alleviate mass hysteria; Basotho’s views about the phenomenon of mass hysteria; and effects of mass hysteria onthe Basotho. The findings show that young women in Lesotho experience both physical and psychological symptoms during mass hysteria episodes and that it has a contagious effect. The interventions used by the Basotho to alleviate mass hysteria include traditional healing, herbal remedies, exorcism and prayer.The Basotho have different views about mass hysteria attributing it to either supernatural forces or natural illness. Episodes of mass hysteria have a negative impact on the victims,their families, and those who witnessed the episodes, causing confusion, fear and anxiety. Guidelines were compiled to assist teachersand health workers to improve the management and control of mass hysteria episodes in Lesotho. / Health Studies / D. Litt. et Phil. (Health Studies)

The title: Suitability of integration of individuals with pervasive developmental disorder The aim: The aim of this thesis is to establish whether it is suitable to integrate individuals with pervasive developmental disorder into a mainstream setting Methods: To elicit the suitability of a possible inclusion of 20 children (boys and girls aged 7 to 15) with pervasive developmental disorder (PDD), two sets of questions and a free interview were used. The sets of questions focused on problematic areas specific to individuals with pervasive developmental disorder, such as difficulties in communication, social interaction and imagination. A free interview supplemented the set of questions aimed at educators. Results: The results of the research showed that our sample group of children with PDD would not be suitable for integration with regard to problems with communication, social interaction and imagination. The inclusion is impossible in cases of 30% of individuals, who suffer from selective mutism. These children do not communicate nor co-operate with their educators during the lessons. However, 70% of individuals with PDD could be possibly integrated. Nevertheless, these pupils do not keep up with their non-disabled peers as for the speech content. Regarding to social interaction, the results are...

INTRODUÇÃO: As disfunções sexuais (DS) são um grupo heterogêneo de transtornos que têm em comum um prejuízo clinicamente significativo na capacidade do indivíduo responder sexualmente ou experimentar o prazer sexual, causando sofrimento psíquico. Porque há crescente evidência de que as DS são bastante frequentes e que estão relacionadas a cognições disfuncionais acerca da sexualidade (pensamentos e crenças sexuais), torna-se essencial a identificação destas cognições, a fim de contribuir com o tratamento de indivíduos que têm dificuldades sexuais. OBJETIVO: Desenvolver versões com evidências de validade e confiabilidade dos instrumentos: Questionário de Crenças Sexuais Disfuncionais (QCSD), Escala de Pensamentos Automáticos (EPA) e Sexual Self-Schema Scale (SSSS) para uso da população brasileira. MÉTODOS: Após a etapa de adaptação transcultural, os questionários em processo de validação foram disponibilizados em uma plataforma online, juntamente com Questionário de dados Sociodemográficos Clínico e Sexual, Quociente Sexual Feminino (QS-F) e Quociente Sexual Masculino (QSM). Foram convidados a participar do estudo homens e mulheres maiores de 18 anos, com vida sexual ativa. A análise exploratória dos dados foi realizada por Análise de Componentes Principais (PCA). O Teste de Kaiser-Meyer-Olkin (KMO) e o Teste de Bartlett foram conduzidos para assegurar as condições mínimas de fatoração. Como medida de validade convergente, foram testadas as correlações entre os escores obtidos no QCSD, EPA e SSSS com os escores do QS-M e QS-F. Como medidas de confiabilidade, o alpha Cronbach (A) foi utilizado para a análise de consistência interna dos instrumentos como um todo, bem como seus domínios, e o reteste foi realizado em parte da amostra após um intervalo de quatro semanas. RESULTADOS: Um total de 590 mulheres (M = 34,6, DP = 8,8) e 411 homens (M= 35,2, DP = 9,8) respondeu a todos os questionários. As análises psicométricas revelaram que, para a amostra brasileira, a versão feminina do QCSD é composta por 5 fatores, tendo A = 0,86. A versão masculina, 3 fatores, sendo A = 0,94. A versão feminina da EPA apresenta 6 fatores, tendo A = 0,92. A versão masculina, 5 fatores, com A = 0,90. O SSSS é composto por 3 fatores com A = 0,8. Os instrumentos tiveram correlação negativa com o QS-M e QS-F, evidenciando que quanto mais cognições disfuncionais, pior a função sexual. O teste reteste mostrou que todos os questionários apresentam boa estabilidade ao longo do tempo. CONCLUSÕES: As versões brasileiras dos questionários QCSD, EPA e SSSS apresentam evidências de validade e de confiabilidade e são recomendadas tanto no contexto clínico, quanto acadêmico/científico para identificação de crenças, pensamentos e autoesquema sexual que estão relacionados às disfunções sexuais / INTRODUCTION: Sexual dysfunction (DS) is a heterogeneous group of disorders that have in common a clinically significant impairment in the individual\'s ability to respond sexually or to experience sexual pleasure, causing psychological distress. Because there is growing evidence that DS are quite frequent and are related to dysfunctional cognitions about sexuality (sexual thoughts and beliefs), it becomes essential to identify these cognitions in order to contribute to the treatment of individuals who have sexual difficulties. OBJECTIVE: To develop versions with evidence of validity and reliability of the instruments: Dysfunctional Sexual Beliefs Questionnaire (QCSD), Automatic Thinking Scale (EPA) and Sexual Self-Schema Scale (SSSS) for use by the Brazilian population. METHODS: After the cross-cultural adaptation procedure, the questionnaires were available on an online platform, along with the Clinical and Sexual Sociodemographic Questionnaire, Female Sexual Quotient (QS-F), and Male Sexual Quotient (QS-M). Men and women over 18 years of age with an active sex life were invited to participate in the study. The exploratory analysis of the data was performed by Principal Component Analysis (PCA). The Kaiser-Meyer-Olkin Test (KMO) and the Bartlett Test were conducted to ensure the minimum conditions of factorization. As a measure of convergent validity, we tested the correlations between the scores obtained in the QCSD, EPA and SSSS with the QS-M and QS-F scores. As reliability measures, the Cronbach alpha (A) was used for the internal consistency analysis of the instruments as a whole, as well as their domains, and the retest was performed in part of the sample after an interval of four weeks. RESULTS: A total of 590 women (M = 34.6, SD = 8.8) and 411 men (M = 35.2, SD = 9.8) responded to all the questionnaires. The psychometric analysis revealed that, for the Brazilian sample, the female version of the QCSD is composed of 5 factors, with A = 0.86. The male version, 3 factors, where A = 0.94. The female version of the EPA has 6 factors, with A = 0.92. The male version, 5 factors, with A = 0.90. The SSSS consists of 3 factors with A = 0,8. The instruments had negative correlation with the QS-M and the QS-F, showing that the more dysfunctional cognitions, the worse the sexual function. The retesting test showed that all questionnaires have good stability over time. CONCLUSIONS: The Brazilian versions of the QCSD, EPA and SSSS questionnaires present evidence of validity and reliability and are recommended for both clinical and academic/scientific context in order to identify sexual beliefs, thoughts and self-schema that are related to sexual dysfunctions

Made available in DSpace on 2016-04-28T20:56:20Z (GMT). No. of bitstreams: 1 Alda Maria Bispo dos Santos Teles.pdf: 2507201 bytes, checksum: 6471988fc864cb682cbb372d6c5051cc (MD5) Previous issue date: 2010-11-19 / Coordenação de Aperfeiçoamento de Pessoal de Nível Superior / The objective of this analysis is the affective dimension in the context of the experience of student-professors in lato sensu post-graduate courses. The theoretical reference upon which this study is based with respect to affectivity was Henri Wallon's Development Theory, and for the questions related to the postgraduate course, authors were selected who deal with this theme. Answers to the following guiding questions were sought out in order to attain these objectives: What are the reasons for professors to seek out lato sensu post-graduate courses? What does the experience of the course selected mean to these student-professors? What are the feelings and emotions experienced by them in the course and their instigating situations? Two higher education institutions that offer in-class courses and two hundred and one practicing student-professors who were regularly enrolled and attending lato sensu courses in the area of education during the period of 2007 to 2009 in these institutions participated in this research. Two different courses and fifteen class groups were researched. The research methods used were: impressionistic observation, a questionnaire and discussion groups. The application of these methods took place on the campuses of the participating institutions. The questionnaire responses were consolidated into charts which served as stimulating elements for group discussion. The research results showed that: a high proportion of the professors looked for lato sensu post-graduate courses as a means of continuing education; the lato sensu course provides a space for student-professors to find favorable conditions for interaction with professors and student-professors from other backgrounds, providing a rich learning experience that reflects in their teaching practice; continuing in academic life as a lato sensu student enables new views of the teaching profession and this causes feelings of happiness, satisfaction and enthusiasm, among others; the lato sensu post-graduate courses they take complement graduate studies; there are problems of a personal and professional nature that negatively affect better utilization of the course which causes, mainly, a feeling of sadness / Esta pesquisa tem como objetivo analisar a dimensão afetiva no contexto do vivido por alunos-professores em cursos de pós-graduação lato sensu. O referencial teórico que embasou este estudo no que diz respeito à afetividade foi a Teoria de Desenvolvimento de Henri Wallon, e para as questões relativas ao curso de pós-graduação foram escolhidos autores que tratam desse tema. Para atingir esses objetivos foram buscadas respostas para as seguintes questões norteadoras: Quais as razões da procura, por professores, por cursos de pós-graduação lato sensu? O que significa para esses alunos-professores o vivido no curso escolhido? Quais os sentimentos e emoções vivenciados por eles no curso e suas situações provocadoras? Participaram desta pesquisa duas instituições de ensino superior que oferecem cursos presenciais e duzentos e um alunos-professores, em exercício, que estavam regularmente matriculados e frequentando, no período de 2007 a 2009, cursos lato sensu na área da educação nas instituições. Foram pesquisados doze diferentes cursos e quinze turmas. Os instrumentos de pesquisa utilizados foram: a observação impressionista, o questionário e o grupo de discussão. A aplicação desses instrumentos deu-se nos espaços escolares das instituições participantes. As respostas dos questionários foram sintetizadas em quadros, os quais serviram como elemento desencadeador para os grupos de discussão. Os resultados da pesquisa apontaram que: um grande contingente de professores procuram cursos de pósgraduação lato sensu como via de formação continuada; o curso lato sensu é um espaço onde alunos-professores encontram condições favoráveis para conviver com professores e alunos-professores de outras realidades, o que provoca uma rica experiência de aprendizagem que reflete na sua prática docente; continuar na vida acadêmica como aluno de lato sensu possibilita novos olhares para a profissionalidade docente e isso provoca sentimentos de alegria, satisfação, entusiasmo, entre outros; cursar pós-graduação lato sensu complementa os estudos da graduação; há dificuldades de ordem pessoal e profissional que afetam de forma negativa um melhor aproveitamento do curso, o que provoca, principalmente, sentimento de tristeza