A psoríase é uma dermatose crônica que produz diversos e amplos impactos na qualidade de vida dos pacientes e está intimamente relacionada a aspectos psicológicos. No Brasil, pouco se tem estudado sobre o assunto e são raros os relatos de intervenção psicológica com estes pacientes. O objetivo deste estudo foi realizar caracterização demográfica e psicossocial de pacientes portadores de psoríase atendidos no Ambulatório de Doenças Psicossomáticas (DPS) da Divisão de Dermatologia do Departamento de Clínica Médica do Hospital das Clínicas da Faculdade de Medicina de Ribeirão Preto da Universidade de São Paulo (HCFMRP-USP) e avaliar os efeitos de um grupo psicoeducativo na ansiedade, depressão e qualidade de vida destes pacientes. 100 pacientes participaram do estudo e 70 realizaram a 2ª entrevista. Os materiais utilizados foram dois roteiros de entrevista semiestrutarada (1ª e 2ª avaliações), o Inventário Beck de Ansiedade (BAI), o Inventário Beck de Depressão (BDI), e os instrumentos Índice de Qualidade de Vida em Dermatologia (DLQI) e Índice de Incapacidade Provocada pela Psoríase (PDI). Os pacientes foram convidados para participar da pesquisa quando compareciam aos grupos psicoeducativos realizados no ambulatório DPS e as entrevistas eram realizadas neste mesmo ambulatório. Após um período médio de um ano os pacientes passaram pela 2ª avaliação, constituída pelos mesmos instrumentos. Os resultados mostram que 56% dos pacientes avaliados eram do sexo feminino e 62% tinham companheiro. A maioria relatou perceber relação entre a psoríase e aspectos emocionais, principalmente na piora das crises, e relatou vivenciar situações de estresse em sua rotina diária. As estratégias de afastamento/distração negativas foram mais frequentemente relatadas como forma de enfrentar as situações estressantes. Metade da amostra apresentou níveis mínimos de ansiedade e por volta de 80% não apresentou sintomas indicativos de depressão. 62% dos pacientes relataram nenhum ou pouco impacto da psoríase, segundo o DLQI, e no PDI a média do impacto foi 6,47. Os testes estatísticos mostraram evidência de associação entre os aspectos psicossociais avaliados na entrevista e ansiedade, depressão e qualidade de vida. Também mostraram associação entre ansiedade e depressão, ansiedade e qualidade de vida e entre depressão e qualidade de vida. Para os dados da 2ª avaliação foram realizados testes que evidenciaram que mudanças no conhecimento sobre a dermatose, nos níveis de depressão (BDI e BDI-13) e no impacto na qualidade de vida (PDI) foram produtos de intervenção, possivelmente a participação dos pacientes no grupo. A avaliação do grupo foi majoritariamente positiva (87,1%) e os pacientes apontaram que aprenderam novas formas de se comportar (70%). Conclui-se que é importante realizar avaliações de ansiedade, depressão e qualidade de vida dos pacientes com psoríase e fornecer atenção especializada, incluindo acompanhamento psicológico juntamente com o tratamento médico, a fim de garantir não somente a melhora clínica do quadro, mas também a melhora da qualidade de vida. / Psoriasis is a chronic skin condition that causes impacts on patients\' quality of life and is closely related to psychological aspects. In Brazil, little has been studied on the subject and there are rare reports of psychological intervention. The aim of this study was to describe demographic and psychosocial features of psoriasis outpatients from the Clinic of Psychosomatic Diseases (DPS), Division of Dermatology, Department of Internal Medicine, Clinics Hospital, Faculty of Medicine of Ribeirão Preto, University of São Paulo (HCFMRPUSP) and evaluate the effects of a psychoeducational group on the anxiety, depression and quality of life of these patients. One hundred patients participated in the study and 70 underwent the 2nd interview. The materials used were two interview scripts (1st and 2nd assessments), the Beck Anxiety Inventory (BAI), the Beck Depression Inventory (BDI), and the instruments Dermatology Life Quality Index (DLQI) and Psoriasis Disability Index (PDI). Patients were invited to participate in the study when they came to the groups at DPS and the interviews were conducted at the same clinic. After an average period of one year the patients underwent the 2nd assessment, consisting of the same instruments. The results show that 56% of patients were female and 62% had a partner. Most reported perceiving the relationship between psoriasis and emotional aspects, especially in the worsening of the crisis, and reported experiencing stressful situations in their daily routine. The negative distraction strategies were the most used strategies to deal with stressful situations. Half of the patients showed minimal levels of anxiety and about 80% had no symptoms indicative of depression. 62% of the patients reported no impact or little impact of psoriasis according to DLQI, and the average impact measured by PDI was 6.47. Statistical tests showed evidence of association between psychosocial characteristics assessed in the interview and anxiety, depression and quality of life. The tests also showed an association between anxiety and depression, anxiety and quality of life and between depression and quality of life. For the data of the 2nd evaluation, tests performed showed that changes in knowledge about psoriasis, levels of depression (BDI and BDI-13) and the impact on quality of life (PDI) were products of intervention, possibly patients\' participation in the group. The patients evaluated the group as a positive experience (87.1%) and they indicated that they learned there new ways of behaving (70%). It is important to carry out assessments of anxiety, depression and quality of life of psoriasis patients and provide specialized care, including psychological counseling along with medical treatment, to ensure not only the improvement of the clinical condition, but also the improvement of their quality of life.

Background: Symptoms of depression and anxiety are highly prevalent amongst perinatal women in low-resource settings of South Africa, but there is no access to standardised counselling support for these conditions in public health facilities. The aim of this study was to report on the development of a maternal mental health counselling intervention for routine treatment of mild to moderate symptoms of depression and anxiety for primary healthcare in South Africa, as part of the Health Systems Strengthening in sub-Saharan Africa (ASSET) study. Methods: A four-phase study process informed the counselling intervention and training manual designed to train lay health workers. We first conducted a review of manuals from seven counselling interventions for depression and anxiety in low- and middle-income countries and two local health system training programmes to gather information on common counselling components used across maternal mental health and other evidence-based task-sharing interventions. Thereafter, semi-structured interviews were conducted with 20 health workers and 37 pregnant women from four Midwife Obstetric Units in Cape Town to explore mental health views and needs. In the third stage, multi-sector stakeholder engagements further informed the choice of intervention design and service provider. In the final phase, a four-day pre implementation pilot training with community-based health workers refined the counselling content and training material. Results: The manual review identified problem-solving, psychoeducation, basic counselling skills and behavioural activation as common counselling components across interventions. The interviews found that participants mostly identified symptoms of depression and anxiety in behavioural terms and lay health workers and pregnant women demonstrated their understanding through a range of contextual terms. Perceived causes of symptoms related to interpersonal conflict and challenging social circumstances. Stakeholder engagements identified a three session counselling model as most feasible for delivery as part of existing health care practices and community health workers in ward-based outreach teams as the best placed delivery agents. Pilot training of a three-session intervention with community-based health workers resulted in minor adaptations of the counselling assessment method. Conclusion: The study demonstrates how common therapeutic elements can be adapted to a local context and developed into an evidence-based manualised therapeutic programme while remaining sensitive to a health system's needs. While a problem-solving counselling approach, delivered in a structured format, was best suited for training lay health workers, input from health workers and perinatal mothers informed the manualised counselling content. The latter was a critical supplement to align the programme with contextual needs. Stakeholder engagements helped to align the intervention design to health system requirements and guidelines. Structured training practices and ongoing supervision of mental health workers are vital to develop counselling skills over time and to enhance personal support.

Durante o periodo de latencia e do pensamento operatorio, o principal motivo de consulta psicologica contempla problemas de aprendizagem e de adaptacao escolar. Tanto para a psicogenese piagetiana como para a psicanalise, o fracasso ou sucesso na escola constitui uma experiencia que tonaliza um percurso singular em relacao ao conhecimento e ao prazer de pensar. A presente pesquisa se insere na interface da psicologia do desenvolvimento e da psicologia clinica. Estabelece um dialogo conceitual entre as teorias piagetiana e psicanalitica para subsidiar a compreensao do complexo fenomeno das dificuldades escolares e suas ressonancias afetivas e cognitivas no desenvolvimento do prazer de pensar. Para isso, postula relacoes de correspondencia entre a dialetica afetividade-pensamento no periodo operatorio e da latencia. Propoe uma fundamentacao teorica para o estudo do jogo de mesa como trabalho sublimatorio e como instrumento clinico no setting psicanalitico com criancas da latencia. O metodo baseou-se na analise de producoes realizadas por criancas de 7 a 12 anos em contexto de atendimento grupal em oficinas de jogos (Leda/USP). Os materiais de arquivo correspondem a 195 encontros realizados ao longo do periodo 2011-2014. Para sua analise, combinou-se o estudo qualitativo e quantitativo de producoes discursivas, graficas e de acoes. Foram escolhidos registros escritos de: 106 rodas de conversa, 172 protocolos de observacao, 49 questionarios preenchidos por pais, 128 fichas de matricula, falas espontaneas, desenhos, e relatorios institucionais. Pode-se destacar os seguintes resultados: 1) O discurso adulto (pais e professores) em torno da queixa escolar focalizou a falta de atencao e de concentracao. O esforco da crianca seria o modo de compensar e superar essa dificuldade. Ja as criancas focaram seus problemas em conteudos escolares. 2) Acerca dos conflitos intersubjetivos com pares, viu-se como a debilidade do respeito mutuo e a rivalidade edipica pode levar a hostilidades corporizadas em insultos e julgamentos desvalorizadores. Verificou-se um baixo investimento dos professores como figuras identificatorias de conhecimento e de autoridade. 3) Comprovou-se que as criancas manifestam interesse e persistencia no contexto de jogo, porem esse investimento energetico da tarefa nao e suficiente pela recorrencia de estrategias nao operatorias, pouco planejamento da acao e analise dos meios. 4) Observaram-se tres tendencias nas tramas significantes sobre a interacao com o conflito cognitivo: irrupcao de afetos, mediacao via pensamento e inibicao. As explicacoes causais do resultado no jogo seguem a linha genetica piagetiana do fazer e compreender em tres modalidades de explicacao causal: pelo pensamento, pela acao e pelo acaso, que se correspondem, respectivamente, as compensacoes tipo gama, beta e alfa. Verificou-se que o sentido de ser bom aluno esta intrinsecamente relacionado a definicao de ser inteligente, de obediencia e de atencao homologada a esforco pessoal. 5) Articularam-se confluencias e recorrencias clinicas de modalidades energeticas e conteudos em seis estudos de caso sistematizados a partir de 109 indicadores empiricos que ilustraram a dinamica afeto-pensamento. Por fim, apresentou-se uma sintese teorico-clinica de 12 convergencias que articulam o dialogo teorico entre a psicanalise e a teoria piagetiana desenvolvido ao longo da tese / During latency period and operative thinking, the main reason for psychological consultation contemplates learning problems and school adaptation. For both Piagetian psychogenesis and psychoanalysis, failure or success in school is an experience that sets a singular course in relation to knowledge and the pleasure of thinking. The present research is inserted in the interface of developmental psychology and clinical psychology. It establishes a conceptual dialogue between Piagetian and psychoanalytic theories to understand the complex phenomenon of school difficulties and their affective and cognitive resonances in the development of the pleasure of thinking. This thesis postulate relations of correspondence between the affective-thought dialectic in the operative period and latency. It proposes theoretical basis for the study of games as a sublimatory work and as a clinical instrument in the psychoanalytic setting with latency children. Method was based on the analysis of productions performed by children aged 7 to 12 years in the context of group attendance in games workshops (Leda / USP). Archival materials correspond to 195 meetings held over the period 2011-2014. For its analysis, the qualitative and quantitative study of actions, discursive and graphic productions was combined. Written records of 106 conversation wheels, 172 observation protocols, 49 questionnaires filled out by parents, 128 registration forms, spontaneous speeches, drawings, and institutional reports were chosen. The following results can be highlighted: 1) Adult discourse (parents and teachers) surrounding the school complaint focused on the lack of attention and concentration. Child \"effort\" would be the way to compensate and overcome this difficulty. Children have focused their problems on school subjects. 2) Concerning intersubjective conflicts with peers, it has been seen how the weakness of mutual respect and oedipal rivalry can lead to hostilities embodied in insults and devaluing judgments. There was a low investment of teachers as identifiable figures of knowledge and authority. 3) It has been shown that children express interest and persistence in the context of the game, but this energy investment of the task is not enough by the recurrence of nonoperational strategies, little planning of the action and analysis of the means. 4) There were three trends in the significant frames of interaction with cognitive conflict: irruption of affections, mediatization through thought and inhibition. Causal explanations of the result in the game follow the Piagetian genetic line of doing and understanding in three modes of causal explanation: by thought, by action and by chance, which correspond, respectively, to the gamma, beta and alpha compensations. It was found that the sense of \"being a good student\" is intrinsically related to the definition of \"being intelligent\", of obedience and \"attention\" homologated to \"personal effort\". 5) Clinical confluences and recurrences of energy modalities and subjects were articulated in six case studies systematized from 109 empirical indicators that illustrated the affection-thought dynamic. Finally, a theoreticalclinical synthesis was presented with 12 convergences that articulate the theoretical dialogue between psychoanalysis and the Piagetian theory developed throughout the thesis

Submitted by admin tede (tede@pucgoias.edu.br) on 2016-09-22T12:27:26Z No. of bitstreams: 1 Simone Sara Batista.pdf: 1294511 bytes, checksum: b5690089a49a641c2f261d320bcf916a (MD5) / Made available in DSpace on 2016-09-22T12:27:26Z (GMT). No. of bitstreams: 1 Simone Sara Batista.pdf: 1294511 bytes, checksum: b5690089a49a641c2f261d320bcf916a (MD5) Previous issue date: 2015-07-14 / The main objective of this research was to reflect upon the communication standards of former spouses in divorce and in litigation. The theoretical framework was that of social constructionism. The focus of the methodological approach was centered on the analysis of discoursive practices. Due to this, the specific objectives presuppose the understanding of the implications of direct communication between former spouses in dispute and the comprehension of the social representations that they express by means of dialogue in relation to divorce proceedings and child custody. So that, the communication affects and is affected by the litigation. The field of this empirical research was the project Families’ Educative Justice developed by the Psychological Clinics of PUC-GO. The individuals who took part of the subproject were chosen by means of randomical way: former spouses whose age varied from 30 to 50 years old, with sons and daughters from five to 20 years old. Besides this researcher, a group of educators was composed by professors, psychologists and post-graduated students. During six meetings, the data which were collected by this researcher revealed the social phenomenum of communication between former couples when it was occurring. With the participants’ agreement, these sessions were recorded by audio broadcasting and fully transcribed in order to register the data of this research. The conclusions were that the divorce, within the marital context, is influenced by various marital ways of living, as well as the past experiences of the former couple before the divorce and the infinity of economic, social and cultural circumstances. / O objetivo principal desta dissertação foi o de refletir acerca do tema da comunicação entre ex-cônjuges no divórcio e no litígio, de acordo com o referencial teórico do construcionismo social e da metodologia qualitativa de análise de práticas discursivas. Procurou-se compreender as formas de se falar do litígio e da guarda de filhos, identificar os repertórios utilizados pelos ex-cônjuges sobre o divórcio e o litígio, e evidenciar como a comunicação influencia e é influenciada pelo litígio. O campo de pesquisa empírica foi o projeto Justiça Educativa de Famílias (JEF), desenvolvido na Clínica-Escola de Psicologia da Pontifícia Universidade Católica de Goiás, cujos instrumentos foram o diálogo e a reflexão sobre o divórcio e o litígio.Os sujeitos deste subprojeto foram escolhidos de forma randômica: quatro ex-cônjuges com idades variando de 30 a 50 anos e com filhos de cinco a 20 anos. Durante seis sessões, os dados coletados por esta pesquisadora, juntamente com uma equipe formada por educadores (professores, mestrandos, doutorandos e psicólogos), revelaram o fenômeno social da comunicação entre os ex-cônjuges nas sessões, com suas implicações para o diálogo educativo sobre o divórcio, o litígio e a guarda de filhos. Essas sessões, com o consentimento dos participantes, foram gravadas em áudio e transcritas na íntegra, para incorporar o banco de dados do campo da pesquisa. Este estudo chegou à conclusão de que a comunicação sobre o divórcio, no contexto conjugal, ocorre sob a influência de diversas vivências, bem como das experiências dos ex-cônjuges anteriores ao divórcio e da infinidade de circunstâncias econômicas, sociais e culturais a ele associadas.

Made available in DSpace on 2016-04-04T18:27:54Z (GMT). No. of bitstreams: 1 Geraldo Luiz de Oliveira de Resende.pdf: 328555 bytes, checksum: d8f400ef60541e88e6c9278d439e55fd (MD5) Previous issue date: 2003-02-21 / This study aims to verify the readiness to begin a treatment and the effect of a treatment (Minnesota Style) done to alcoholics in a center for treatment in Brazil for those who are drug dependents. In this survey, 25 alcoholic patients were treated. The patients ranged from severe to moderate level of addiction, aged from 23 to 60 years old, male and female who came to be treated at the center for treatment of alcohol dependents. The procedure consisted of first contact with the subjects for an explanation of the aims of the research and the filling in of their informed consent to it. With the aim of identifying the level of readiness to change / motivation of the subjects in the begining, middle, at the end and after the treatment and to evaluate the rate of recovering, the interviews were done in stages. The first one was performed on the very first day of the treatment and consisted of demographic data and the application of the instruments Alcohol Dependence Data Questionaire (SADD) and The Stages Readiness and Treatment Eagerness Scale (SOCRATES). The second interview was done 23 days after the begining of the treatment and the third one at the end. The fourth interview was done a month after the end of the treatment, which was considered the follow-up. Those interviews consisted of the SOCRATES scale. The main results of this study showed that the majority of the participants were predominantly men (80%), white men (60%), married or living in concubinage (60%), having studied only up to the first 4 years of elementary school (60%), without an occupation (60%), with a family income from 2 to 5 minimum wages (40%) and having a serious exposure to the disease (76%). There has been a correlation among the SOCRATES scale factors of ambivalence and acknowledgement, acknowledgement and ambivalence, action and acknowledgement and acknowledgement and action in the entrance to the treatment. Comparing the factors of the scale in the different stages of the treatment, there has been no significant difference, thus having no reduction of the ambivalence. The results made it possible to conclude that there must be a valuation of the patients in a long term basis after the end of the programme so as to have a better notion of their gradual development on the stages, and researches which aim to verify the specific efficacy of the patterns of treatment so as to encourage the motivation for a change and to lower the ambivalence of the patients. / O objetivo desta pesquisa foi verificar a prontid?o para iniciar o tratamento e o efeito de um tratamento (Modelo Minnesota) em alcoolistas em um centro de tratamento para depend?ncia qu?mica, no Brasil. Participaram dessa pesquisa, 25 pacientes alcoolistas, de grau moderado e severo, com idade entre 23 a 60 anos, de ambos os sexos que deram entrada no centro de tratamento de depend?ncia qu?mica. O procedimento realizado constou de contato inicial com os sujeitos para a explana??o dos objetivos da pesquisa e preenchimento do consentimento informado. Com o objetivo de identificar o grau de prontid?o para mudan?a / motiva??o dos sujeitos no in?cio, meio, t?rmino e ap?s o tratamento e avaliar os ?ndices de recupera??o, as entrevistas foram feitas em etapas. A primeira entrevista foi realizada no primeiro dia do tratamento dos sujeitos e constou de dados demogr?ficos, e aplica??o dos Instrumentos Alcohol Dependence Data Questionaire (SADD) e The Stages Readiness and Treatment Eagerness Scale (SOCRATES). A segunda entrevista foi realizada vinte e tr?s dias ap?s o in?cio do tratamento, a terceira no t?rmino do tratamento e a quarta um m?s ap?s o t?rmino do tratamento, que foi considerado o seguimento. Essas entrevistas constaram da Escala SOCRATES. Os principais resultados deste estudo mostraram que os participantes eram predominantemente homens (80%), brancos (60%), casados ou amasiados (60%), do 1? grau (60%), sem ocupa??o (60%), com renda familiar entre 2 a 5 sal?rios m?nimos (40%) e com comprometimento grave da doen?a (76%). Houve correla??o significante entre os fatores da escala SOCRATES de ambival?ncia e reconhecimento, reconhecimento e ambival?ncia, a??o e reconhecimento e reconhecimento e a??o na entrada do tratamento. Na compara??o entre os fatores da escala nas diferentes fases do tratamento n?o houve diferen?a significante, n?o havendo diminui??o da ambival?ncia. Os resultados possibilitaram concluir que se faz necess?rio seguimento dos pacientes em longo prazo ap?s o t?rmino do programa para se ter uma maior no??o de sua evolu??o, e pesquisas que visem verificar a efic?cia particular dos modelos de tratamento a fim de fortalecer a motiva??o para a mudan?a e diminuir a ambival?ncia dos pacientes.

Researchers have suggested an increased focus on positive psychological interventions to enhance college students' happiness levels; however, few studies have addressed positive interventions on at-risk college students. Based on the theoretical framework of positive psychology and impact of positive exercises on happiness, this study addressed whether a positive intervention would increase happiness as evidenced by scores on the Satisfaction with Life Scale (SWLS) and the Positive and Negative Affect Scale (PANAS). The experimental design included random group assignment and pre- and posttest surveys to collect data from 135 at-risk community college students in Southeast Texas. The experimental group participated in a 1-week intervention consisting of 2 gratitude exercises, and the control group completed early memory journaling. Results indicated significant differences in SWLS and PANAS scores between the two groups with an increase in life satisfaction and positive affect and a decrease in negative affect in the experimental group. Results may be used by institutions seeking positive interventions to increase at-risk college student success and retention.

Submitted by Catiele Paixão (cpaixao.psi@gmail.com) on 2016-08-29T12:28:51Z No. of bitstreams: 1 Dissertação de Mestrado _ Catiele Paixão.pdf: 1696050 bytes, checksum: 08a685e9328b9dba92f25132600abfed (MD5) / Approved for entry into archive by Uillis de Assis Santos (uillis.assis@ufba.br) on 2016-10-20T17:01:33Z (GMT) No. of bitstreams: 1 Dissertação de Mestrado _ Catiele Paixão.pdf: 1696050 bytes, checksum: 08a685e9328b9dba92f25132600abfed (MD5) / Made available in DSpace on 2016-10-20T17:01:33Z (GMT). No. of bitstreams: 1 Dissertação de Mestrado _ Catiele Paixão.pdf: 1696050 bytes, checksum: 08a685e9328b9dba92f25132600abfed (MD5) / Fundação de Amparo à Pesquisa do Estado da Bahia - FAPESB / Os prejuízos imediatos e tardios decorrentes tanto do adoecimento quanto do tratamento para tumor cerebral na infância, com frequência, acarretam agravos no desenvolvimento da competência social de crianças sobreviventes. Este estudo teve como objetivo adaptar uma intervenção individual para favorecer a competência social de crianças sobreviventes de tumor cerebral e avaliar o padrão de mudanças na competência social de cada um dos casos submetidos à intervenção, por meio de um delineamento de estudo de casos múltiplos. Participaram do estudo duas díades mãe-criança, que receberam três visitas domiciliares, para a avaliação pré-intervenção e outras três visitas domiciliares, dois meses após o término da intervenção, para a avaliação pós-intervenção. Foram utilizados uma ficha de dados sociodemográficos, uma ficha de informações clínicas da criança, o formulário para pais do Sistema de Avaliação da Habilidades Sociais (SSRS-BR), entrevistas com a mãe e com a criança sobre o ajustamento social infantil e o Inventário de Comportamentos da Infância e Adolescência de 6 a 18 anos (CBCL/6-18 anos). A intervenção, que foi iniciada logo após a avaliação pré-intervenção, teve em média oito sessões semanais, para o treinamento de habilidades sociais e o acolhimento psicológico individual para a mãe e para a criança, visando a abordar situações desafiadoras, não previstas nas sessões do tratamento que já estavam predefinidas. Os dados foram submetidos à técnica analítica de modelo lógico de nível individual. Os resultados revelaram uma melhora na competência social de ambos os casos, bem como em cada um dos componentes desse construto, a saber: processamento da informação social, interação social e ajustamento social. Além disso, foi também constatada uma redução dos problemas emocionais e comportamentais. Discutem-se as características idiossincráticas de cada caso ao longo da intervenção e as implicações das sequelas do adoecimento no desenvolvimento da competência social. / The immediate and late damages due to both the illness and the treatment for brain tumor in childhood, often, cause losses in the development of social competencies of the surviving kids. The goal of this study was to adapt an individual intervention in order to develop social competence of the surviving children of brain tumor and evaluate the pattern of changes in social competence of each case before the intervention, by means of a multiple cases study design. The study involved two mother-child dyads, who received three home visits for the pre-intervention assessment and three home visits, two months after the intervention, for the post-intervention assessment. It was used a form of socio-demographic data, a form of clinical information of the child, the form for parents from Social Skills Rating System (SSRS-BR), interviews with the mother and the child on child social adjustment and Child Behavior Checklist for child of 6-18 years (CBCL / 6-18 years). The intervention, which was immediately initiated after pre-intervention assessment, had an average of eight weekly sessions for social skills training and individual psychological care for the mother and the child in order to cover challenging situations not foreseen in treatment sessions that were already predefined. The data were submitted to analytical technique of logic modelo on individual basis. The results have shown an improvement of the social competence in both cases, as well as each of the components of this constructo: processing of social information, social interaction and social adjustment. Furthermore, it was also observed a reduction in emotional and behavioral problems. It is discussed the idiosyncratic characteristics of each case during the intervention and the implications of illness consequences in the development of social competence.

Essa dissertação objetiva desenvolver, aplicar e avaliar um modelo de intervenção psicológica em grupo baseado nas abordagens cognitivo-comportamental e positiva para pacientes com miastenia gravis. Participaram cinco mulheres entre 20 e 53 anos diagnosticadas com a doença. A psicoterapia foi composta por oito encontros semanais, com duração aproximada de uma hora e trinta minutos. Foram realizadas entrevistas semi-estruturadas nos períodos pré e pós-intervenção e após seis meses, além de instrumentos psicológicos para as variáveis estresse, qualidade de vida e forças pessoais. Os dados foram analisados qualitativamente, a partir da análise de biografia e narrativas de Gibbs. Pôde-se observar redução de estresse em participantes que haviam apresentado algum nível antes dos encontros. Além disso, os resultados sugeriram modificações pertinentes ao modelo de intervenção proposto, tendo em vista o caráter exploratório e inicial do estudo. A pesquisa levantou considerações sobre a necessidade de um acompanhamento psicológico sistemático para pacientes com miastenia gravis. / This research aims to develop, implement and evaluate a model of group psychotherapy based on cognitive-behavioral therapy and positive psychology for patients with myasthenia gravis. Participants were five women aged between 20 and 53 years old and diagnosed with the disease. Psychotherapy consisted of eight weekly meetings, which lasted approximately one hour and thirty minutes. Semi-structured interviews pre and post intervention and after six months were applied, as well as psychological instruments for the variables stress, quality of life and character strengths. Data were analyzed qualitatively, from the Gibbs’ analysis of narrative biography. It was observed reduction of stress in participants who had experienced earlier. Furthermore, results suggested important modifications to the model proposed intervention, considering it was an exploratory study. The research raised considerations about the need for a systematic psychological counseling for patients with myasthenia gravis.

Essa dissertação objetiva desenvolver, aplicar e avaliar um modelo de intervenção psicológica em grupo baseado nas abordagens cognitivo-comportamental e positiva para pacientes com miastenia gravis. Participaram cinco mulheres entre 20 e 53 anos diagnosticadas com a doença. A psicoterapia foi composta por oito encontros semanais, com duração aproximada de uma hora e trinta minutos. Foram realizadas entrevistas semi-estruturadas nos períodos pré e pós-intervenção e após seis meses, além de instrumentos psicológicos para as variáveis estresse, qualidade de vida e forças pessoais. Os dados foram analisados qualitativamente, a partir da análise de biografia e narrativas de Gibbs. Pôde-se observar redução de estresse em participantes que haviam apresentado algum nível antes dos encontros. Além disso, os resultados sugeriram modificações pertinentes ao modelo de intervenção proposto, tendo em vista o caráter exploratório e inicial do estudo. A pesquisa levantou considerações sobre a necessidade de um acompanhamento psicológico sistemático para pacientes com miastenia gravis. / This research aims to develop, implement and evaluate a model of group psychotherapy based on cognitive-behavioral therapy and positive psychology for patients with myasthenia gravis. Participants were five women aged between 20 and 53 years old and diagnosed with the disease. Psychotherapy consisted of eight weekly meetings, which lasted approximately one hour and thirty minutes. Semi-structured interviews pre and post intervention and after six months were applied, as well as psychological instruments for the variables stress, quality of life and character strengths. Data were analyzed qualitatively, from the Gibbs’ analysis of narrative biography. It was observed reduction of stress in participants who had experienced earlier. Furthermore, results suggested important modifications to the model proposed intervention, considering it was an exploratory study. The research raised considerations about the need for a systematic psychological counseling for patients with myasthenia gravis.

Essa dissertação objetiva desenvolver, aplicar e avaliar um modelo de intervenção psicológica em grupo baseado nas abordagens cognitivo-comportamental e positiva para pacientes com miastenia gravis. Participaram cinco mulheres entre 20 e 53 anos diagnosticadas com a doença. A psicoterapia foi composta por oito encontros semanais, com duração aproximada de uma hora e trinta minutos. Foram realizadas entrevistas semi-estruturadas nos períodos pré e pós-intervenção e após seis meses, além de instrumentos psicológicos para as variáveis estresse, qualidade de vida e forças pessoais. Os dados foram analisados qualitativamente, a partir da análise de biografia e narrativas de Gibbs. Pôde-se observar redução de estresse em participantes que haviam apresentado algum nível antes dos encontros. Além disso, os resultados sugeriram modificações pertinentes ao modelo de intervenção proposto, tendo em vista o caráter exploratório e inicial do estudo. A pesquisa levantou considerações sobre a necessidade de um acompanhamento psicológico sistemático para pacientes com miastenia gravis. / This research aims to develop, implement and evaluate a model of group psychotherapy based on cognitive-behavioral therapy and positive psychology for patients with myasthenia gravis. Participants were five women aged between 20 and 53 years old and diagnosed with the disease. Psychotherapy consisted of eight weekly meetings, which lasted approximately one hour and thirty minutes. Semi-structured interviews pre and post intervention and after six months were applied, as well as psychological instruments for the variables stress, quality of life and character strengths. Data were analyzed qualitatively, from the Gibbs’ analysis of narrative biography. It was observed reduction of stress in participants who had experienced earlier. Furthermore, results suggested important modifications to the model proposed intervention, considering it was an exploratory study. The research raised considerations about the need for a systematic psychological counseling for patients with myasthenia gravis.