O objetivo deste trabalho foi identificar as Representações Sociais de pacientes psiquiátricos, sobre suas situações de vida após convívio com a loucura, a internação e o sofrer psíquico. A partir de uma abordagem qualitativa de pesquisa, utilizei a técnica de História de Vida para entrevistar individualmente quatro pacientes (mulheres) internadas no hospital psiquiátrico. Construí os procedimentos teórico-metodológicos desta pesquisa, através da observação, da realização de entrevistas abertas não diretivas, enriquecidas com o uso de Técnica Projetiva (o desenho-estória livre e com tema) e de consulta feita nos prontuários. Utilizei a Análise Temática para analisar os dados, constatando que as pacientes constroem conhecimentos acerca da loucura. Deste modo, pude identificar as Representações Sociais que se constituem em sistemas de pensamentos organizados em verdadeiras teorias psicopatológicas, que se articulam ao redor de concepções sobre a loucura e suas conseqüências. As pacientes, através de vivências concretas, elaboraram teorias que denotam seus difíceis percursos de vida os quais conduziram-nas à condição de doentes mentais. A expressão a triste passagem, a triste paisagem, utilizada por uma paciente, sujeito da pesquisa, traduz o drama daqueles que passaram pela sofrida experiência da loucura, que foram submetidos ao tratamento psiquiátrico e que, conseqüentemente, tiveram longas internações. / This study aimed to identify the Social Representations of psychiatric patients on their circumstances of life after being familiar with insanity, internment and psyche suffering. From a qualitative approach of research, i applied the technique of Life History to interview four female patients interned in a Psychiatric Hospital separately. I made the methodologicaltheoretical procedures of this research through observation, non-directive open interviews enriched with the application of prospective techique (free historydrawing and thematic drawing) and consultation in the reports. I applied the thematic analysys to analyze the data confirming that the patients build up certain knowledge about their insanity. In this way, I could identify the Social Representations which are made in methods of thinking organized in true psycho-pathological theories which are combined with conceptions about insanity and its consequences. Through real grasp of life experience the patients developed theories denoting their difficult ways of life which led them to the status of mentally sick people. The saying the sad journey, the sad scenery used by a patient in this study puts in lay terms the tragedy of those who went through the hard experience of insanity, who underwent psychiatric treatment and therefore had lengthy internments.

O objetivo deste trabalho foi identificar as Representações Sociais de pacientes psiquiátricos, sobre suas situações de vida após convívio com a loucura, a internação e o sofrer psíquico. A partir de uma abordagem qualitativa de pesquisa, utilizei a técnica de História de Vida para entrevistar individualmente quatro pacientes (mulheres) internadas no hospital psiquiátrico. Construí os procedimentos teórico-metodológicos desta pesquisa, através da observação, da realização de entrevistas abertas não diretivas, enriquecidas com o uso de Técnica Projetiva (o desenho-estória livre e com tema) e de consulta feita nos prontuários. Utilizei a Análise Temática para analisar os dados, constatando que as pacientes constroem conhecimentos acerca da loucura. Deste modo, pude identificar as Representações Sociais que se constituem em sistemas de pensamentos organizados em verdadeiras teorias psicopatológicas, que se articulam ao redor de concepções sobre a loucura e suas conseqüências. As pacientes, através de vivências concretas, elaboraram teorias que denotam seus difíceis percursos de vida os quais conduziram-nas à condição de doentes mentais. A expressão a triste passagem, a triste paisagem, utilizada por uma paciente, sujeito da pesquisa, traduz o drama daqueles que passaram pela sofrida experiência da loucura, que foram submetidos ao tratamento psiquiátrico e que, conseqüentemente, tiveram longas internações. / This study aimed to identify the Social Representations of psychiatric patients on their circumstances of life after being familiar with insanity, internment and psyche suffering. From a qualitative approach of research, i applied the technique of Life History to interview four female patients interned in a Psychiatric Hospital separately. I made the methodologicaltheoretical procedures of this research through observation, non-directive open interviews enriched with the application of prospective techique (free historydrawing and thematic drawing) and consultation in the reports. I applied the thematic analysys to analyze the data confirming that the patients build up certain knowledge about their insanity. In this way, I could identify the Social Representations which are made in methods of thinking organized in true psycho-pathological theories which are combined with conceptions about insanity and its consequences. Through real grasp of life experience the patients developed theories denoting their difficult ways of life which led them to the status of mentally sick people. The saying the sad journey, the sad scenery used by a patient in this study puts in lay terms the tragedy of those who went through the hard experience of insanity, who underwent psychiatric treatment and therefore had lengthy internments.

Orientador: Ana Teresa de Abreu Ramos Cerqueira / Banca: Sandra Fortes / Banca: Vânia Moreno / Resumo: Os serviços de atenção básica à saúde acolhem vários tipos de demandas, e vêm sendo cada vez mais solicitados pela população que busca cuidados para agravos à saúde de origem psicossocial. Este estudo foi realizado no Centro de Saúde Escola da Faculdade de Medicina com o objetivo de compreender a manifestação e expressão do sofrimento psíquico, conhecer o trajeto da busca de cuidados para esse tipo de sofrimento, e a identificar a percepção que as mulheres usuárias deste serviço têm sobre as alternativas de tratamento para sofrimento mental. A pesquisa teve um desenho qualitativo, e os dados foram obtidos por meio da técnica de Grupo Focal de Discussão, para o qual foi utilizado um roteiro de perguntas norteadoras para investigação do tema em foco. Foram compostos quatro grupos de mulheres, segundo as modalidades de tratamento que recebiam no serviço: uso exclusivo de psicofármacos, terapêuticas não medicamentosas e psicofármacos, terapêuticas não medicamentosas exclusivas e um grupo composto para recém ingressos no serviço, que estavam com o projeto terapêutico em formulação. O material obtido foi analisado segundo o procedimento da Análise de Conteúdo. Foram identificadas três grandes categorias temáticas: manifestações do sofrimento psíquico, itinerário terapêutico e alternativas de tratamento. Observou-se que o sofrimento psíquico foi expresso por ampla diversidade de sintomas físicos e psíquicos, que produziam limitações nas atividades de vida diária e no relacionamento social e afetivo. A procura por serviços de saúde ocorria quando as sensações corporais que causavam mal estar eram identificadas e traduzidas como algo que necessitava de cuidado, ou quando profissionais de saúde ou pessoas do meio familiar identificavam o sofrimento e as alterações de comportamento como sintomas de algo que deveria ser tratado. Apenas... (Resumo completo, clicar acesso eletrônico abaixo) / Abstract: Basic medical care deals with various types of needs, and this level of care is increasingly sought out by the people looking for help with health problems of a psychosocial origin. This need is seen daily at the mental health service of the Teaching Health Centre, Botucatu School of Medicine, UNESP, Botucatu, SP, Brazil. This study was performed at this institution with the objective of understanding the meanings and feelings given to psychological suffering, and to know the path taken to find care for this type of suffering by this mental health service's patients. The study has a qualitative design, and data were obtained by the focus group discussion technique, using a list of questions directed towards investigating the theme in focus. There were four groups of women grouped according to type of treatment received at the service: exclusive use of medications, pharmacological plus non-pharmaclogical treatment, exclusive nonpharmacological treatment, and new patients who were on a developing treatment project. The material produced was analyzed by the Analysis of Content procedure. Three major thematic categories were identified: manifestations of psychological suffering, treatment program, and treatment alternatives. Psychological suffering was expressed through physical and psychological symptoms, which produced limitations in daily life activities and in social and affective relationships. Medical help was sought when bodily feelings causing discomfort were identified and interpreted as in need of treatment, or when health professionals or others in the family environment identified psychological symptoms in need of treatment. The health service was reported as the only proper place for mental health care; other resources, such as religion and family support were identified as reinforcing the effects of traditional conventional treatment. Psychological suffering is found... (Complete abstract click electronic access below) / Mestre

O câncer, como toda doença que ameaça a vida, atinge, além do doente, todos aqueles que lhe são próximos. Este estudo teve por objetivo compreender como é ser companheiro da mulher com câncer de mama, na perspectiva dele. Foi utilizada uma metodologia qualitativa, fundamentada no referencial teórico-metodológico da Psicologia Fenomenológico-Existencial, fundamentada no pensamento de Martin Heidegger. Participaram dez companheiros de mulheres com câncer de mama que frequentavam um núcleo de reabilitação de mastectomizadas. No período de junho a novembro de 2014, foram realizadas entrevistas fenomenológicas, individuais, audiogravadas, a partir de uma questão norteadora: \"Como tem sido para você ser companheiro de uma mulher com câncer de mama?\" As entrevistas foram transcritas de forma literal e na íntegra, constituindo o corpus de análise. Nas sucessivas leituras empreendidas, focalizou-se o fenômeno pesquisado em busca das unidades de significado que foram agrupadas dando origem aos eixos temáticos. Foram respeitados os preceitos éticos para pesquisas com seres humanos, contidos na Resolução 466/2012 do Conselho Nacional de Saúde. Os resultados foram apresentados em sete unidades significativas: Vivendo o impacto do diagnóstico e uma desestabilização emocional; Compartilhando o cuidado à mulher com outros familiares; Compartilhando o enfrentamento da doença na relação a dois; O enfrentamento da doença e seus efeitos sobre a intimidade do casal; No horizonte do tempo, o aceno da sombra da morte; Sofrimento psicológico dos companheiros; Suporte social utilizado pelos companheiros. Os resultados demonstraram que os companheiros sofreram e se disponibilizaram ao cuidado para com suas mulheres, desde o recebimento da notícia da doença até o dia da entrevista. Também reconheceram seus sofrimentos pelas dificuldades enfrentadas, mas não buscaram nenhuma ajuda profissional para cuidar deles próprios / Cancer, like any disease that threatens life, reaches beyond the sick, those who are closest to him. The purpose of this study is to understand how to be companion of women with breast cancer, in his perspective. A qualitative methodology, grounded on the theoretical framework of Phenomenological-Existential Psychology, based in the thought of Martin Heidegger was used. A total of ten partners of women with breast cancer who attended one mastectomy rehabilitation center. In the period from June to November 2014, phenomenological interviews, individual audio recorded were carried out, from a guiding question: \"How has it been for you to be companion of a woman with breast cancer?\" The interviews were transcribed literally and in full, constituting the corpus of analysis. Undertaken in successive readings, focused to the phenomenon researched in search of the meaning units were grouped giving rise to the themes. The ethical principles were respected for research with human beings contained in the National Health Council Resolution 466/2012. The results were presented in seven major units: Living the impact of diagnosis and emotional instability; Sharing the care of women with other family members; Sharing coping with the disease in couple\'s relationship; The coping with the disease and its effect on the couple\'s intimacy; In the time horizon, the beckon of the shadow of death; Psychological suffering of companions; Social support used by companions. The results showed that the companions suffered and made themselves available to care for their women from receiving the news of the disease until the day of the interview. They also acknowledged their suffering by the difficulties encountered, but did not seek any professional help to take care of themselves

It is suggested that the lack of progress made towards understanding and preventing, or even in many cases even alleviating, psychological suffering has been due, in large part, to the way in which such suffering is conceptualised – as ‘disorder’, ‘illness’ or ‘disease’ which is located, and is thus potentially locatable, within the individual. This conceptualisation of psychological suffering is referred to in this thesis as the ‘Dysfunctional Mind Account’ (DMA). The DMA, it is argued, underlies all accepted models/theories of psychological suffering and is the dominant way of conceptualising such suffering for both professionals and lay-people in Western cultures. It is further argued that the main reason the DMA is unable to assist in understanding and alleviating psychological suffering is because it is underpinned by assumptions about human beings and their suffering which are inherently flawed. The account presented in this thesis places at its centre an analysis of persons and their experience that attempts to overthrow these assumptions. The resulting reconceptualisation presents a view of psychological suffering as emergent from our continual personal and embodied enmeshment within our social world, rather than as arising primarily out of the various processes occurring ‘within’ us (whether that be our neurochemistry or our ‘mental mechanisms’ or an ‘interaction’ between them). It is essentially suggested that psychological suffering emerges from the same source as all other aspects of our personal being; from the constant coactions between the various aspects of our being in the world – personal, organismic and molecular – with the environment within which we are enmeshed. This means that the feelings/thoughts/behaviours conceptualised as ‘mental disorder’ are as much part of our personal being as any other aspect of us; they are not ‘other’, they are not ‘disease’, ‘illness’ or ‘dysfunction’. Such feelings/thoughts/ behaviours, it is argued, almost always, perhaps inevitably, represent a very adaptive response, at every level of our being, to environmental contingencies. Thus, when understood in its full context, the suffering conceptualised as ‘mental disorder’ can be seen as the very understandable responses of the embodied person to what is happening to them, rather than ‘un-understandable’ dysfunctions, aberrations and pathological processes of the ‘mind’ (or brain).

It is suggested that the lack of progress made towards understanding and preventing, or even in many cases even alleviating, psychological suffering has been due, in large part, to the way in which such suffering is conceptualised – as ‘disorder’, ‘illness’ or ‘disease’ which is located, and is thus potentially locatable, within the individual. This conceptualisation of psychological suffering is referred to in this thesis as the ‘Dysfunctional Mind Account’ (DMA). The DMA, it is argued, underlies all accepted models/theories of psychological suffering and is the dominant way of conceptualising such suffering for both professionals and lay-people in Western cultures. It is further argued that the main reason the DMA is unable to assist in understanding and alleviating psychological suffering is because it is underpinned by assumptions about human beings and their suffering which are inherently flawed. The account presented in this thesis places at its centre an analysis of persons and their experience that attempts to overthrow these assumptions. The resulting reconceptualisation presents a view of psychological suffering as emergent from our continual personal and embodied enmeshment within our social world, rather than as arising primarily out of the various processes occurring ‘within’ us (whether that be our neurochemistry or our ‘mental mechanisms’ or an ‘interaction’ between them). It is essentially suggested that psychological suffering emerges from the same source as all other aspects of our personal being; from the constant coactions between the various aspects of our being in the world – personal, organismic and molecular – with the environment within which we are enmeshed. This means that the feelings/thoughts/behaviours conceptualised as ‘mental disorder’ are as much part of our personal being as any other aspect of us; they are not ‘other’, they are not ‘disease’, ‘illness’ or ‘dysfunction’. Such feelings/thoughts/ behaviours, it is argued, almost always, perhaps inevitably, represent a very adaptive response, at every level of our being, to environmental contingencies. Thus, when understood in its full context, the suffering conceptualised as ‘mental disorder’ can be seen as the very understandable responses of the embodied person to what is happening to them, rather than ‘un-understandable’ dysfunctions, aberrations and pathological processes of the ‘mind’ (or brain).

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior / This scientific study follows the Search Line of Teachers from the Post-Graduation Program on Education and it is based on the investigation and identification of the subjective experience of the psychological pressure on teachers of the PPGE/CE/UFSM, and its straight relationship with the Burnout Syndrome. The theme choice was originated from the difficulties observed in the daily activities of these professionals facing the countless demands they are imposed, and their real labor conditions contradictory and complex day after day. Taking into consideration the aspects that characterize this crisis (of educators identity and the education itself) the affective character has been pointed out, inherent to the activity evidenced by the straight bond established between teachers and students. In this way, it has been consolidated as an approach of extreme prominence, since they get vulnerable to the continuous difficulties and feel their emotional resistance influencing negatively the pedagogic practice and, in some situations, provoking the incidence of the burnout, which is divided in three dimensions: Emotional Exhaustion (EE), Personal Realization at Work (PR) and Depersonalization (DE). It corresponds to an occupational syndrome, where there is an exhaustion of the vital energy caused by the daily stress that professors are submitted and by the interpersonal involvement attempted. A descriptive-interpretative investigation of a quantity-qualitative nature was carried out using the MBI-ED instrument (Maslach Burnout Inventory Educators Survey), considered as one of the best instruments to detect the burnout degree in the professionals of the area. The analysis of the results, showed that ≈27% of the professors has manifested representative index to burnout or for some of its dimensions. From these, ≈55% revealed high level for EE, ≈41% low level for PR, and ≈36% high DE. The results confirmed that the peculiarity on this level of teaching favored the incidence of the Burnout Syndrome and only by the knowledge of the causes, it will be possible to elaborate efficient strategies of intervention and the solution for this problem. / O presente estudo científico, pertencente à Linha de Pesquisa Formação de Professores do Programa de Pós-Graduação em Educação, do Centro de Educação, da Universidade Federal de Santa Maria, embasou-se na investigação e identificação das vivências subjetivas de sofrimento psíquico nos professores do PPGE/CE/UFSM e na sua intrínseca relação com a Síndrome de Burnout. A escolha temática originou-se das dificuldades observadas no cotidiano desses profissionais, frente as inúmeras exigências que lhes são impostas e as reais condições laborais oferecidas, cada vez mais contraditórias e complexas. Considerando a abrangência dos aspectos que configuram tal crise crise, essa, de identidade dos educadores e da própria educação priorizou-se o caráter afetivo, inerente à atividade, evidenciado pelo estreito vínculo firmado entre professores e alunos. Dessa forma, consolidou-se como uma abordagem de extrema relevância, uma vez que, vulneráveis às contínuas adversidades, vêm abalada sua resistência emocional, comprometendo a praxis pedagógica e proporcionando o aparecimento do burnout. Este, divide-se em três dimensões: Exaustão Emocional (EE), Realização Pessoal no Trabalho (RP) e Despersonalização (DE), e corresponde a uma síndrome ocupacional, onde há o esgotamento das energias vitais, provocado pelo desgaste diário ao qual é submetido através do envolvimento interpessoal empreendido. Para tanto, foi realizada uma investigação descritivo-interpretativa, de cunho quanti-qualitativo, utilizando o instrumento MBI-ED (Maslach Burnout Inventory Educators Survey), conceituado um dos melhores para detectar o grau de burnout nos profissionais da área. Todo o corpo docente do PPGE/CE/UFSM participou da avaliação e após a análise dos resultados, verificou-se que ≈27% do total de sujeitos manifestou índices representativos para o burnout ou para alguma das suas dimensões. Destes, ≈55% revelaram elevado nível para EE, ≈41% baixa RP e ≈36% alta DE. Confirmou-se, então, que as especificidades da docência nesse nível de ensino favorecem a ocorrência da Síndrome. E, somente o conhecimento aprofundado de causa pode possibilitar maior conscientização, elaboração de eficientes estratégias de intervenção e a solução de tal problemática.

Made available in DSpace on 2014-06-11T19:29:34Z (GMT). No. of bitstreams: 0 Previous issue date: 2009-08-02Bitstream added on 2014-06-13T18:39:15Z : No. of bitstreams: 1 nogueira_cao_me_botfm.pdf: 438700 bytes, checksum: 473bbdb28e46e115d76c24701ea0c192 (MD5) / Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES) / Os serviços de atenção básica à saúde acolhem vários tipos de demandas, e vêm sendo cada vez mais solicitados pela população que busca cuidados para agravos à saúde de origem psicossocial. Este estudo foi realizado no Centro de Saúde Escola da Faculdade de Medicina com o objetivo de compreender a manifestação e expressão do sofrimento psíquico, conhecer o trajeto da busca de cuidados para esse tipo de sofrimento, e a identificar a percepção que as mulheres usuárias deste serviço têm sobre as alternativas de tratamento para sofrimento mental. A pesquisa teve um desenho qualitativo, e os dados foram obtidos por meio da técnica de Grupo Focal de Discussão, para o qual foi utilizado um roteiro de perguntas norteadoras para investigação do tema em foco. Foram compostos quatro grupos de mulheres, segundo as modalidades de tratamento que recebiam no serviço: uso exclusivo de psicofármacos, terapêuticas não medicamentosas e psicofármacos, terapêuticas não medicamentosas exclusivas e um grupo composto para recém ingressos no serviço, que estavam com o projeto terapêutico em formulação. O material obtido foi analisado segundo o procedimento da Análise de Conteúdo. Foram identificadas três grandes categorias temáticas: manifestações do sofrimento psíquico, itinerário terapêutico e alternativas de tratamento. Observou-se que o sofrimento psíquico foi expresso por ampla diversidade de sintomas físicos e psíquicos, que produziam limitações nas atividades de vida diária e no relacionamento social e afetivo. A procura por serviços de saúde ocorria quando as sensações corporais que causavam mal estar eram identificadas e traduzidas como algo que necessitava de cuidado, ou quando profissionais de saúde ou pessoas do meio familiar identificavam o sofrimento e as alterações de comportamento como sintomas de algo que deveria ser tratado. Apenas... / Basic medical care deals with various types of needs, and this level of care is increasingly sought out by the people looking for help with health problems of a psychosocial origin. This need is seen daily at the mental health service of the Teaching Health Centre, Botucatu School of Medicine, UNESP, Botucatu, SP, Brazil. This study was performed at this institution with the objective of understanding the meanings and feelings given to psychological suffering, and to know the path taken to find care for this type of suffering by this mental health service´s patients. The study has a qualitative design, and data were obtained by the focus group discussion technique, using a list of questions directed towards investigating the theme in focus. There were four groups of women grouped according to type of treatment received at the service: exclusive use of medications, pharmacological plus non-pharmaclogical treatment, exclusive nonpharmacological treatment, and new patients who were on a developing treatment project. The material produced was analyzed by the Analysis of Content procedure. Three major thematic categories were identified: manifestations of psychological suffering, treatment program, and treatment alternatives. Psychological suffering was expressed through physical and psychological symptoms, which produced limitations in daily life activities and in social and affective relationships. Medical help was sought when bodily feelings causing discomfort were identified and interpreted as in need of treatment, or when health professionals or others in the family environment identified psychological symptoms in need of treatment. The health service was reported as the only proper place for mental health care; other resources, such as religion and family support were identified as reinforcing the effects of traditional conventional treatment. Psychological suffering is found... (Complete abstract click electronic access below)

O câncer, como toda doença que ameaça a vida, atinge, além do doente, todos aqueles que lhe são próximos. Este estudo teve por objetivo compreender como é ser companheiro da mulher com câncer de mama, na perspectiva dele. Foi utilizada uma metodologia qualitativa, fundamentada no referencial teórico-metodológico da Psicologia Fenomenológico-Existencial, fundamentada no pensamento de Martin Heidegger. Participaram dez companheiros de mulheres com câncer de mama que frequentavam um núcleo de reabilitação de mastectomizadas. No período de junho a novembro de 2014, foram realizadas entrevistas fenomenológicas, individuais, audiogravadas, a partir de uma questão norteadora: \"Como tem sido para você ser companheiro de uma mulher com câncer de mama?\" As entrevistas foram transcritas de forma literal e na íntegra, constituindo o corpus de análise. Nas sucessivas leituras empreendidas, focalizou-se o fenômeno pesquisado em busca das unidades de significado que foram agrupadas dando origem aos eixos temáticos. Foram respeitados os preceitos éticos para pesquisas com seres humanos, contidos na Resolução 466/2012 do Conselho Nacional de Saúde. Os resultados foram apresentados em sete unidades significativas: Vivendo o impacto do diagnóstico e uma desestabilização emocional; Compartilhando o cuidado à mulher com outros familiares; Compartilhando o enfrentamento da doença na relação a dois; O enfrentamento da doença e seus efeitos sobre a intimidade do casal; No horizonte do tempo, o aceno da sombra da morte; Sofrimento psicológico dos companheiros; Suporte social utilizado pelos companheiros. Os resultados demonstraram que os companheiros sofreram e se disponibilizaram ao cuidado para com suas mulheres, desde o recebimento da notícia da doença até o dia da entrevista. Também reconheceram seus sofrimentos pelas dificuldades enfrentadas, mas não buscaram nenhuma ajuda profissional para cuidar deles próprios / Cancer, like any disease that threatens life, reaches beyond the sick, those who are closest to him. The purpose of this study is to understand how to be companion of women with breast cancer, in his perspective. A qualitative methodology, grounded on the theoretical framework of Phenomenological-Existential Psychology, based in the thought of Martin Heidegger was used. A total of ten partners of women with breast cancer who attended one mastectomy rehabilitation center. In the period from June to November 2014, phenomenological interviews, individual audio recorded were carried out, from a guiding question: \"How has it been for you to be companion of a woman with breast cancer?\" The interviews were transcribed literally and in full, constituting the corpus of analysis. Undertaken in successive readings, focused to the phenomenon researched in search of the meaning units were grouped giving rise to the themes. The ethical principles were respected for research with human beings contained in the National Health Council Resolution 466/2012. The results were presented in seven major units: Living the impact of diagnosis and emotional instability; Sharing the care of women with other family members; Sharing coping with the disease in couple\'s relationship; The coping with the disease and its effect on the couple\'s intimacy; In the time horizon, the beckon of the shadow of death; Psychological suffering of companions; Social support used by companions. The results showed that the companions suffered and made themselves available to care for their women from receiving the news of the disease until the day of the interview. They also acknowledged their suffering by the difficulties encountered, but did not seek any professional help to take care of themselves

Esta pesquisa visou à compreensÃo da percepÃÃo, vivÃncia e enfrentamento de crianÃas portadoras de sofrimento psÃquico usuÃrias do Centro de AtenÃÃo Psicossocial Infantil (CAPSi) Maria Ileuda VerÃosa. O sofrimento psÃquico foi analisado à luz da teoria Winnicottiana, atravÃs da teoria do amadurecimento humano, onde foi discutida a importÃncia do suporte familiar e do meio saudÃvel para um desenvolvimento emocional que tenda à integraÃÃo do indivÃduo, sendo o sofrimento psÃquico da crianÃa gerado pela falha desta estrutura.Os sujeitos foram dez crianÃas de 7 a 11 anos. Foi feito um levantamento de dados com as respectivas cuidadoras apenas como uma maneira de complementaÃÃo das informaÃÃes coletadas. O local escolhido corresponde ao primeiro CAPS infantil do estado do Cearà e atende ao pÃblico infanto-juvenil de 67 bairros do municÃpio de Fortaleza. Para tanto, foi feito um levantamento documental dos prontuÃrios e das anotaÃÃes dos diÃrios de campo, assim como entrevistas semi-estruturadas com as crianÃas colaboradoras e suas cuidadoras, no perÃodo de agosto a dezembro de 2010. Os resultados encontrados apontam para a propriedade que as crianÃas tÃm de reconhecer e expressar suas formas diversas de vivenciarem o sofrimento psÃquico: agressividade, mudanÃas de humor, queixas de ansiedade, dificuldades escolares, dificuldade de aceitaÃÃo da realidade, estigma, violÃncia domÃstica e sexual. Por fim, a relevÃncia deste trabalho encontra-se na compreensÃo do sofrimento psÃquico pela Ãtica de quem o vivencia e na contribuiÃÃo para com pesquisas futuras, pois hà na literatura pouco material sobre o sofrimento psÃquico da crianÃa respeitando o discurso da mesma. A importÃncia tambÃm à dada como um conhecimento que pode facilitar a reorientaÃÃo de melhores prÃticas profissionais e de polÃticas pÃblicas voltadas para a saÃde mental infantil. / This research aimed at the understanding of the perception, existence and confrontation of children bearing psychological suffering, who attend the Centro de AtenÃÃo Psicossocial Infantil (CAPSi) Maria Ileuda VerÃosa. The psychological suffering was analyzed based on Winnicottâs theory, through the theory of human development, where the importance of the familiar support and the healthy environment was discussed, towards an emotional development which leads to the individualâs integration; being the childâs psychological suffering produced by a failure of this structure. There were 10 subjects who were children from seven up to eleven years old. A data survey was made with their respective caretakers only as a means by which to supply the collected information. The chosen place corresponds to the first CAPS Infantil do Estado do Cearà and attends children and adolescents of 67 districts of Fortaleza county. This way, a documental survey of the medical records and the notes of the area diaries was made, as well as semi-structured interviews with the collaborator children and their caretakers from August to December, in 2010. The results which were found point to the property that children have to recognize and express their several ways to experience psychological suffering: aggressiveness, changes of humor, complaints about anxiety, school difficulties, difficulty for accepting reality, stigma, domestic and sexual violence. Finally, the relevance of this work lies on the understanding of the psychological suffering through the view of those who experience it and the contribution this research paper may give to further investigation, since there is not so much literature on childrenâs psychological suffering respecting their own discourse. Its importance is also given as a piece of knowledge that can facilitate the reorientation of the best professional practices and public policy towards childish mental health