Submitted by Kelson (kelson@ucb.br) on 2016-08-10T18:39:32Z No. of bitstreams: 1 PaulaReyVilelaDissertacao2015.pdf: 1483700 bytes, checksum: bb313c8fc4c23a5e147be5b75964f7e2 (MD5) / Made available in DSpace on 2016-08-10T18:39:32Z (GMT). No. of bitstreams: 1 PaulaReyVilelaDissertacao2015.pdf: 1483700 bytes, checksum: bb313c8fc4c23a5e147be5b75964f7e2 (MD5) Previous issue date: 2015-09-11 / This research focuses on one person leader of a messianic movement in Brazil, Master Yokaanam, originally called de S?? Ocean. This was diagnosed with religious paranoia psychiatry. Nevertheless, Master Yokanaam effected a rich religious and community life. Question as it did his religious experience and their possible connections and distinctions with the mystic delirium, as proposed by traditional psychopathology. The aim was to describe their religious experience and critically examine their diagnosis, from an ethical point of view, epistemological and practical. It was considered for such discussions the knowledge of jasperiana psychopathology, Freudian psychoanalysis, psychology of religion, especially in William James, phenomenology of Husserl and Merleau-Ponty, and an introduction to Kantian philosophy. The method was the historiography and the history of life. We see that Yokaanam started its activities "psychic" in childhood, however, he only came to take them over in 1944 after the fall of President Vargas plane, which was official pilot. From this episode, he says he accepted his call to continue the Emmanuel Mission, becoming the Master Yokaanam, the Spiritual Head of the Religious Institution Universal Spiritual Brotherhood. His religious experience presents itself in the creation of eclectic doctrine in relief work for children abandoned in mediumship, the characters of belief reincarnated history and incorporation of Umbanda entities. From this, now has followers who sought him initially in search of spiritual healing. Without commenting on the ontological reality of the transcendent, the phenomenological approach adopted in this research led to glimpse such phenomena without delegitimizing Yokaanam experience with the transcendent, with time and space, as well as what happens in your world of life, the intentionality of consciousness. That is, a comprehensive clinic, their religious experiences are not just appreciated by its form or its contents, which resemble religious delusion, or the speeches of power that prevail in the West, they tend to dichotomizing human perceptions between false and true. Instead, they are seen as intrinsic to his own life story, and in this, their destination lived as prophetic, behaving fundamental sense in their context and with those who surround him. / Esta pesquisa tem como foco uma pessoa l??der de um movimento messi??nico no Brasil, Mestre Yokaanam, originalmente chamado Oceano de S??. Este recebeu o diagn??stico de paran??ia religiosa pela psiquiatria. N??o obstante, Mestre Yokanaam efetivou uma rica vida religiosa e comunit??ria. Questionamos como ocorreu sua experi??ncia religiosa e suas poss??veis conex??es e distin????es com o del??rio m??stico, tal como proposto pela psicopatologia tradicional. O objetivo foi descrever sua experi??ncia religiosa e examinar criticamente seu diagn??stico, de um ponto de vista ??tico, epistemol??gico e pr??tico. Considerouse para tais discuss??es os saberes da psicopatologia jasperiana, psican??lise freudiana, psicologia da religi??o, sobretudo em Willian James, fenomenologia de Husserl e Merleau-Ponty, e uma introdu????o ?? filosofia kantiana. O m??todo foi a historiografia e a hist??ria de vida. Vemos que Yokaanam iniciou suas atividades ???medi??nicas??? na inf??ncia, contudo, ele s?? veio a assumi-las em 1944, ap??s a queda do avi??o do presidente Vargas, do qual era piloto oficial. A partir deste epis??dio, ele diz que aceitou seu chamado de continuar a miss??o de Emmanuel, transformando-se no Mestre Yokaanam, o Chefe Espiritual da Institui????o religiosa Fraternidade Espiritualista Universal. Sua experi??ncia religiosa se apresenta na cria????o da doutrina ecl??tica, no trabalho assistencial a crian??as abandonadas, na mediunidade, na cren??a de personagens da hist??ria reencarnados e na incorpora????o de entidades da umbanda. A partir disso, passou a ter seguidores que lhe procuravam inicialmente em busca de cura espiritual. Sem se pronunciar sobre a realidade ontol??gica do transcendente, a postura fenomenol??gica adotada nesta pesquisa levou a vislumbrar tais fen??menos sem deslegitimar a experi??ncia de Yokaanam com o transcendente, com o tempo e o espa??o, bem como com o que ocorre em seu mundo da vida, na intencionalidade da consci??ncia. Ou seja, numa cl??nica compreensiva, suas experi??ncias religiosas n??o s??o apreciadas simplesmente pela sua forma ou seu conte??do, que se assemelham ao del??rio religioso, ou pelos discursos de poder que vigoram no Ocidente, que tendem a dicotomizar as percep????es humanas entre falsas e verdadeiras. Em vez disso, elas s??o vistas como intr??nsecas ?? sua pr??pria hist??ria de vida e, nesta, ao seu destino vivido como prof??tico, comportando sentidos fundamentais em seu contexto e junto aos que o cercam.

Made available in DSpace on 2014-12-17T14:46:40Z (GMT). No. of bitstreams: 1 MauraVSS_DISSERT.pdf: 1378285 bytes, checksum: 8eb979308465429c8c01806bc9b2de95 (MD5) Previous issue date: 2009-10-23 / The Community Therapy (CT) is in a practice of therapeutic effect and may also be considered as a technology takes care of the therapeutic procedure group, whose purpose is to promote health, prevent illness, developed within primary care in mental health. In this study we sought to understand the social representations of health professionals who work with the Community Therapy, on use of the Family Health Strategy (FHS) in the city of Joao Pessoa. This is a field research with a qualitative view Moscovician Theory of Social Representations, held with seven professionals of the FHS, therapists of Community Health District II. The empirical data were obtained by carrying out two thematic therapies in April 2009, which were wheeled CT. It was used as a technique for analyzing the collective subject discourse, and the data presented through graphs, charts, maps, pictures and graphics and arranged in three stages: Subjects of the study, characterizing the study participants; Social Representations of Therapist Community presenting and discussing the social representations of therapists community studied on CT, and Consequences of Community Therapy at the Family Health Strategy, discussing the meanings attributed by the study participants about changes in FHS. Meanings were attributed to the CT by the therapists studied originated from the speeches, songs, drawings and constructed, and that presented by schematic illustration show the relation between the representations: life, listening, faith / light, change, transformation. The web, symbol of CT, appeared on the images constructed by the representatives of the study and represents the formation of bonds that allows the construction of social support networks that strengthen relationships among community. In the study, proved by professionals who have the meanings about the changes in the work process from the introduction of CT, and shown that the change took place within a more welcoming attitude on the part of professionals, the relationship between Team members had no significant changes, explained by the low compliance of team members to the CT in relation to the user front, the bond was strengthened, and this involved strengthening the role of the therapist community. It is recognized, thereby transforming the character of CT in building links with users, requiring, however, that the team is viewed as offering therapeutic services, not the professional therapist. Therefore, the CT for being a new phenomenon in health services and community belonging, it fits like a novelty which affects the construction of a representation dispute. Still, can contribute to the reorganization of mental health care in line with the new model of mental health care advocated by the Psychiatric Reform. / A Terapia Comunit?ria (TC) constitui-se em uma pr?tica de efeito terap?utico, podendo ser tamb?m considerada como uma tecnologia leve de cuidado de procedimento terap?utico grupal, cuja finalidade ? a promo??o da sa?de, a preven??o do adoecimento, desenvolvida no ?mbito da aten??o prim?ria em sa?de mental. Neste estudo buscou-se apreender as representa??es sociais dos profissionais de sa?de que atuam com a Terapia Comunit?ria, sobre a utiliza??o desta na Estrat?gia Sa?de da Fam?lia (ESF) do munic?pio de Jo?o Pessoa. Trata-se de uma pesquisa de campo com abordagem qualitativa, na perspectiva moscoviciana da Teoria das Representa??es Sociais, realizado com sete profissionais da ESF, terapeutas comunit?rios do Distrito Sanit?rio II. O material emp?rico foi produzido atrav?s da realiza??o de duas terapias tem?ticas no m?s de abril de 2009, na qual foram realizadas rodas de TC. Utilizou-se como t?cnica de an?lise o discurso do sujeito coletivo, sendo os dados apresentados, atrav?s de gr?ficos, quadros, mapas, figuras e infogr?ficos e dispostos em tr?s momentos: Sujeitos do estudo, caracterizando os participantes do estudo; Representa??es Sociais do Terapeuta Comunit?rio, apresentando e discutindo as representa??es sociais pelos terapeutas comunit?rios estudados sobre a TC; e Repercuss?es da Terapia Comunit?ria na Estrat?gia de Sa?de da Fam?lia, discutindo os significados atribu?dos pelos participantes da pesquisa sobre mudan?as na ESF. Significados foram atribu?dos ? TC pelos terapeutas estudados advindos das falas, m?sicas e desenhos constru?dos, e que, apresentados atrav?s de esquema ilustrativo, demonstraram a rela??o entre as representa??es: vida, escuta, f?/luz, mudan?a, transforma??o. A teia, s?mbolo da TC, apareceu nas imagens constru?das pelos representantes do estudo e representa a forma??o de v?nculos que permite a constru??o de redes de apoio social, que fortalecem a conviv?ncia na comunidade. No estudo, revelaram-se pelos profissionais os significados que possuem sobre as mudan?as no processo de trabalho a partir da implanta??o da TC, sendo evidenciados que a mudan?a deu-se no ?mbito de uma postura mais acolhedora por parte dos profissionais; a rela??o entre os membros das equipes n?o teve mudan?as significativas, explicadas pela pouca ades?o dos membros das equipes ? TC; na rela??o frente ao usu?rio, o v?nculo foi fortalecido, sendo esse fortalecimento associado ao papel do terapeuta comunit?rio. Reconhece-se, dessa forma, o car?ter transformador da TC na constru??o de v?nculos com os usu?rios, necessitando, todavia, que seja visualizada pela equipe como oferta terap?utica do servi?o e n?o do profissional terapeuta. Portanto, a TC por ser um fen?meno novo nos servi?os de sa?de e na comunidade de pertencimento, insere-se como uma novidade que repercute na constru??o de uma representa??o pol?mica. Mesmo assim, pode contribuir com a reorganiza??o da rede de cuidados em sa?de mental, em conson?ncia com o novo modelo de aten??o ? sa?de mental defendido pela Reforma Psiqui?trica

Made available in DSpace on 2014-12-17T14:46:43Z (GMT). No. of bitstreams: 1 GysellaRPCO_DISSERT.pdf: 1882123 bytes, checksum: 567dfcacd19a39b99bb1408ecf7decc2 (MD5) Previous issue date: 2008-12-22 / Conselho Nacional de Desenvolvimento Cient?fico e Tecnol?gico / We believe that the dissatisfaction arising from the lack of belief in the possibilities of change in the workplace, which cause difficulties to achieve professional results in the professional psychological distress that currently fits into the context of mental health. This is a qualitative, descriptive and representational research aiming to discover how the professional nurses represent the very psychological distress from work in the hospital environment. Aided and supported by specific objectives of identifying factors that generates this suffering and strategies for defense and confronting these professionals in the hospital. 22 nurses participated in this research, officials of the University Hospital Onofre Lopes, located in the city of Natal / RN, with length of service in the institution more than one year and less than five, and they accepted, by signing the Term of Free and Informed Consent, participate in the study. We use plurimethodological approach: a questionnaire, a semi-structured interview and the design-story with a theme adapted from Trinca with the support of the Theory of Social Representations and that nurses do in their psychological distress of the Central Core. We reviewed the data from the results generated by the ALCESTE software, based on hierarchical categorization downward, leading seven classes used as categories: Work process: completeness vs. incompleteness; labor contradiction of the nurse; qualitative aspects of interpersonal relationships; hospital surveillance: Challenges, muteness and neglect; Expectations, conflicts and feelings in the work process; Leisure: the other side of the work process, and Suffering generating aspects of in the work process. We consider the analysis of quarters generated by the program, which SLQ houses in the central core of the representations; the SRQ and the DLQ the intermediaries elements and the DRQ the peripheral elements that nurses do in their psychological distress. We analytically adequate results in the three belonging dimensions of social representations: the Subjectivity, the Intersubjectivity and Trans-subjectivity. We infer that the interpersonal relationship, the extra work, the deviation in the role of nurse show themself as the factors responsible for psychological distress of it. In that sense, the central core of SR of this profession is based on the level of trans-subjectivity and understood as a Social Representation controversy / Entendemos que a insatisfa??o advinda da falta de cren?a nas possibilidades de mudan?a do contexto laboral que originam dificuldades para a realiza??o profissional resulta no sofrimento ps?quico do profissional que, atualmente se insere no contexto da sa?de mental. Trata-se de uma pesquisa qualitativa, descritiva e representacional objetivando apreender como os profissionais enfermeiros representam o pr?prio sofrimento ps?quico decorrente do trabalho no ambiente hospitalar. Auxiliado e amparado pelos objetivos espec?ficos de identificar fatores geradores deste sofrimento e de identificar estrat?gias de defesa e enfrentamento desses mesmos profissionais em ambiente hospitalar. Participaram desta pesquisa 22 enfermeiros, funcion?rios do Hospital Universit?rio Onofre Lopes, situado no munic?pio de Natal/RN, com tempo de servi?o na institui??o maior que um ano e menor que cinco e que aceitaram, mediante a assinatura do Termo de Consentimento Livre e Esclarecido, participar do estudo. Utilizamos abordagem plurimetodol?gica: um question?rio, uma entrevista semi-estruturada e o Desenho-est?ria com tema adaptado de Trinca com o suporte da Teoria das Representa??es Sociais e a que os enfermeiros fazem do seu sofrimento ps?quico do N?cleo Central. Analisamos os dados a partir dos resultados gerados pelo software ALCESTE com base na categoriza??o hier?rquica descendente, derivando sete classes usadas como categorias: processo de trabalho: completude vs. incompletude; antinomia laboral do enfermeiro; aspectos qualitativos do relacionamento interpessoal; vigil?ncia hospitalar: desafios, silenciamento e neglig?ncia; expectativas, conflitos e sentimentos no processo de trabalho; lazer: o outro lado do processo de trabalho e, aspectos geradores de sofrimento no processo de trabalho. Consideramos pela an?lise dos quadrantes gerados pelo programa, que o Quadrante Superior Esquerdo abriga o n?cleo central das representa??es; o Quadrante Superior Direito e o Quadrante Inferior Esquerdo os elementos intermedi?rios e o Quadrante Inferior Direito os elementos perif?ricos que os enfermeiros fazem do seu sofrimento ps?quico. Adequamos analiticamente os resultados nas tr?s dimens?es de pertencimento das representa??es sociais: a Subjetividade, a Inter-subjetividade e a Trans-subjetividade. Inferimos que a rela??o interpessoal, a sobrecarga de trabalho, o desvio da fun??o do enfermeiro apresentou-se como os fatores respons?veis pelo sofrimento ps?quico do mesmo. Nesse sentido, o n?cleo central da representa??o social desta categoria profissional, insere-se no n?vel da trans-subjetividade e est? compreendida como uma Representa??o Social Pol?mica

Made available in DSpace on 2014-12-17T14:46:45Z (GMT). No. of bitstreams: 1 DiegoB_DISSERT.pdf: 2006113 bytes, checksum: 24caddf7e16ff7f9db8fd37296acff67 (MD5) Previous issue date: 2010-11-08 / The objective of this work which is characterized as an applied research, with a qualitative exploratory approach and has case study character has been the analysis of the conceptions and dealings of health professionals of SAMU in Natal RN about the attendance of psychiatric urgencies. The information was collected between the months of March and April of 2010, by means of semi-structured interviews, performed with 24 health professionals integrating of SAMU-Natal as well as the usage of direct observation technique, performed in the institution's medical regulation room. Both the number of professionals involved in the interviews and the bringing about of the observations, were determined by saturation methods in qualitative research's information collecting. The interviews and observations were transcribed and submitted to contents analysis technique , more specifically, to thematic analysis, which made possible to reach the deepest levels, that go beyond what has simply been manifest in the speech of the interviewed, getting to the relations among the categories and social structures of the issue of the research. Keeping this in mind, three analysis categories have been built, namely: conceptions and concepts of psychiatric urgencies shared by health professionals in SAMU-Natal; attendances to psychiatric urgencies in SAMU-Natal; and the Brazilian Psychiatric Reformation under the view of the SAMU-Natal's health professionals. Reflection about the analyzed information revealed discussions pertaining to the stigma and prejudice on mental illness, and also, pointed out to some hindrances which impair the attendance to individuals in mental suffering in SAMU-Natal. The interviewed health professionals' conceptions on the individual in psychical crisis involve concepts of unpredictability, aggressiveness and risk, stigmatizing elements and historically associated to the social hazard ideology and need for mentally sicks' segregation. The predominance of these conceptions, seen in health professionals speech, had identifiable reflexes on assistance to psychiatric demands performed by SAMU-Natal, namely: indiscriminate request for military police's presence during psychic crisis intervention, neglect about occasions that involve mental health patients, as well as repetitive assisting practice directed on physical contention, and transportation to psychiatric hospital. Associated to it, the professionals have shown distorted and reductionist understanding about Brazilian Psychiatric Reformation, and, in the majority, haven't lent credibility to present model of attention to mental health, based on psycho-social treatment, pointing their speech to a need for psychiatric patient's internment. In this sense, we notice that the hospital-centered and excluding model conceived by classical psychiatry still remains alive in these health professionals' mentality as a reference to psychiatric urgency's assistance. Therefore, the research revealed a sequence of elements, that make us think about the challenges that health sector and society must face to realize Brazilian Psychiatric Reformation's principles and guidelines / O objetivo desse trabalho, caracterizado como uma pesquisa aplicada, de abordagem qualitativa, explorat?ria e do tipo estudo de caso, foi analisar as concep??es e pr?ticas dos profissionais de sa?de do SAMU de Natal-RN sobre o atendimento ?s urg?ncias psiqui?tricas. As informa??es foram coletadas entre os meses de mar?o e abril de 2010, por meio de entrevistas semi-estruturadas realizadas com 24 profissionais de sa?de lotados no SAMUNatal e da utiliza??o da t?cnica da observa??o direta, feita na sala de regula??o m?dica da institui??o. Tanto o n?mero de profissionais participantes nas entrevistas quanto o tempo de realiza??o das observa??es foram determinados pelo m?todo da satura??o na coleta de informa??es em pesquisas qualitativas. As entrevistas e observa??es foram transcritas e submetidas ? t?cnica da an?lise de conte?do, mais especificamente, da an?lise tem?tica, o que possibilitou o alcance de n?veis mais profundos, que ultrapassaram o que foi simplesmente manifesto nas falas, atingindo a rela??o entre as categorias e estruturas sociais do problema de pesquisa. Diante disso, foram constru?das tr?s categorias de an?lise, a saber: concep??es e conceitos de urg?ncia psiqui?trica dos profissionais de sa?de do SAMU Natal; a assist?ncia ?s urg?ncias psiqui?tricas no SAMU-Natal; e a Reforma Psiqui?trica brasileira sob o olhar dos profissionais de sa?de do SAMU de Natal-RN. A reflex?o sobre as informa??es analisadas revelaram discuss?es a respeito do estigma e preconceito sobre a doen?a mental, bem como, apontaram para alguns entraves que prejudicam a assist?ncia ao sujeito em sofrimento mental no SAMU-Natal. As concep??es sobre o sujeito em crise ps?quica dos profissionais de sa?de entrevistados envolvem os conceitos de imprevisibilidade, agressividade e do risco, elementos estigmatizantes e historicamente associados ? ideologia da periculosidade social e necessidade de segrega??o do doente mental. O predom?nio dessas concep??es, no discurso dos profissionais de sa?de, tem reflexos identific?veis na assist?ncia prestada pelo SAMU-Natal ?s demandas psiqui?tricas, na qual se destacam: a solicita??o indiscriminada da pol?cia militar durante as interven??es em crise ps?quica, a neglig?ncia com as ocorr?ncias que envolvem pacientes de sa?de mental, bem como, a pr?tica assistencial repetitiva e direcionada ? conten??o f?sica, medica??o e ao transporte para hospital psiqui?trico. Associado a isso, os profissionais demonstraram compreens?es deturpadas e reducionistas da Reforma Psiqui?trica brasileira e, em sua maioria, n?o deram credibilidade ao atual modelo de aten??o ? sa?de mental pautado no tratamento psicossocial, remetendo suas falas ? necessidade de internamento dos pacientes psiqui?tricos. Nesse sentido, percebemos que o modelo hospitaloc?ntrico e excludente concebido pela psiquiatria cl?ssica ainda permanece vivo no ide?rio desses profissionais como refer?ncia para a assist?ncia ?s urg?ncias psiqui?tricas. Portanto, a pesquisa revelou uma s?rie de elementos que nos fazem pensar a respeito dos desafios que o setor sa?de e a sociedade ainda precisam enfrentar para concretizar os princ?pios e diretrizes da Reforma Psiqui?trica brasileira

Made available in DSpace on 2014-12-17T14:46:59Z (GMT). No. of bitstreams: 1 JoseERJ_DISSERT.pdf: 1457023 bytes, checksum: 208c09b56664138cc540abb5ba16a86c (MD5) Previous issue date: 2013-02-27 / This study aimed to analyze the phenomenon of abdication of monitoring/treatment of crack users in a CAPS AD in Campina Grande-PB. That s an exploratory , description approach ,whose theoretical focus was historical-dialect of public politics on alcohol and drugs. The information collected was realized by using the technique of semi-structured interviews, combined with the crack users registered in CAPS AD in Campina Grande between 2007 and 2011.The material collected was subjected to thematic analysis method, obtaining the extraction of the following categories and subcategories of analysis: CATEGORY 1: Factors of abdication of monitoring/treatment in CAPS AD in Campina Grande PB with subcategory 1.1. Abdication on their own , 1.2. To take work/employment, 1.3 . Search for more intensive treatment , 1.4. Due to relapse; CATEGORY 2 : Treatment/monitoring in CAPS AD to the subcategory, 2.1. The dependence of crack and family support as reasons that led to frequent CAPS AD. CATEGORY 3: Living with crack addiction without treatment/monitoring in CAPS AD with the subcategory, 3.1. Religiosity as a therapeutic tool .The results showed a distance between priority for community treatment and the reality where there is lack of information about this kind of treatment and the admission as a solution. The discourse about the abdication of treatment of crack users make reference to the importance of family support, to the influence for the phenomenon of relapse and the affection to religious conceptions. Although the subjects recognize the qualifications of CAPS AD treatment, they try by themselves or by family influence, another ways of hospitalization. This leads us to conclude that it is necessary reflection and assessment of the work of CAPS AD. Counting on the social changes and the need of answers that the phenomenon requires / O presente estudo teve como objetivo analizar o fen?meno de desist?ncia do acompanhamento/tratamento de usu?rios de crack em um CAPS AD no munic?pio de Campina Grande-PB. Trata-se de uma pesquisa explorat?ria, descritiva e de abordagem qualitativa, cujo marco te?rico foi o enfoque hist?rico-dial?tico das pol?ticas p?blicas de aten??o em ?lcool e drogas. A coleta das informa??es foi realizada empregando-se a t?cnica de entrevista semiestruturada, aliada ao levantamento de prontu?rios dos usu?rios de crack cadastrados no CAPS AD de Campina Grande-PB no per?odo de 2007 a 2011. O material colhido em campo foi submetido ao m?todo de an?lise tem?tica, obtendo-se a extra??o das seguintes categorias e subcategorias de an?lise: CATEGORIA 1: Fatores de desist?ncia do tratamento/acompanhamento no CAPS AD de Campina Grande-PB com as subcategorias 1.1. Desist?ncias por conta pr?pria , 1.2. Para assumir trabalho/emprego, 1.3. Em busca de tratamento mais intensivo , 1.4. Devido a reca?da; CATEGORIA 2: O tratamento/acompanhamento no CAPS AD com a subcategoria 2.1 A depend?ncia do crack e o apoio da fam?lia como motivos que levavam a frequentar o CAPS AD; CATEGORIA 3: Conv?vio com a depend?ncia de crack sem tratamento / acompanhamento no CAPS AD com a subcategoria 3.1. Religiosidade como instrumento terap?utico. Os resultados evidenciaram uma dist?ncia entre a refer?ncia de prioridade para o tratamento comunit?rio e a realidade onde ainda h? desinforma??o sobre esse tipo de tratamento e a busca da interna??o como solu??o. Os discursos acerca do abandono do tratamento de usu?rios de crack fazem larga refer?ncia ? import?ncia do apoio familiar para a perman?ncia no tratamento, a influ?ncia de amigos para o fen?meno da reca?da e o apego ? concep??es religiosas. Embora os sujeitos reconhe?am a qualifica??o do CAPS AD no tratamento, tentam por iniciativa pr?pria ou por influ?ncia da fam?lia, dispositivos de interna??o. Isso nos leva a concluir que se faz necess?rio a reflex?o e avalia??o do processo de trabalho do CAPS AD ? luz das transforma??es sociais e da necessidade de respostas que o fen?meno exige

Made available in DSpace on 2014-12-17T14:47:05Z (GMT). No. of bitstreams: 1 LucidioCO_DISSERT.pdf: 1370942 bytes, checksum: 94a01f2ae86c5e51c81797c10c09ca12 (MD5) Previous issue date: 2014-03-21 / This study aims to identify the concepts of professional nursing team on assistance in urgency and psychiatric emergencies in SAMU in Mossor?/RN, identifying the difficulties in implementing an emergency assistance to the user in psychiatric distress in this service and point strategies in pursuit of consolidation and expansion of comprehensive health care to the public. It is a descriptive research with qualitative and exploratory approach. The subjects were employees of the nursing staff of SAMU of that mentioned municipality. Semi-structured interviews are applied as tool for data collection. It was counted on the consent of the institution where the study was developed and approval by the Ethics Committee in Research of UFRN with CAAE No 17326513.0.0000.5537, besides signing the Informed Free Consent Term by the participants. Data analysis was done by means of thematic analysis proposed by Bardin. Thus , as a result of the research produced the following categories: mechanistic practice; dehumanization of care; need for qualification, barriers to assistance in urgency and psychiatric emergency and strategies in pursuit of comprehensive care, which proceeded in preparing two articles entitled "Nursing care to the emergency room and psychiatric emergencies in the mobile emergency care service" and "Barriers for emergency service and psychiatric emergencies in the mobile emergency care service". In the studied reality it was identified that nursing care offered to users in situations of urgency and psychiatric emergency is made based primarily on the use of chemical and physical restraints, as well as transportation to the general hospital, constantly using the police force support, which meets the guidelines of the Psychiatric Reform and thereby undermining the provision of an effective and humane care. This scenario is worsened by the lack of an organized network of services in mental health, where after the service the user is taken to a general hospital, considering that there is no ready or appropriate psychiatric emergency service as a Center of Psychosocial Care - CAPs III to reference it, thereby precluding the realization of a resolute and comprehensive care. Thus, it is concluded that nursing care is based on biologicist and medicine-centered model advocated by classical psychiatry, and that despite all the advances in psychiatric reform, still guides the mental health care, so the lack of service network organized in hierarchical and mental health, where the user in urgency and emergency service can be watched in full and the guidelines of the psychiatric reform can be realized in practice / O presente estudo tem como objetivo conhecer as concep??es dos profissionais da equipe de enfermagem sobre a assist?ncia em urg?ncias e emerg?ncias psiqui?tricas no Servi?o de Atendimento M?vel de Urg?ncia (SAMU) em Mossor?/RN, identificar as dificuldades existentes na implementa??o de uma assist?ncia de emerg?ncia ao usu?rio em sofrimento psiqui?trico neste servi?o e apontar as estrat?gias na busca de uma consolida??o e amplia??o de uma assist?ncia integral a esse p?blico. Trata-se de pesquisa do tipo descritiva com abordagem qualitativa e de car?ter explorat?rio. Os sujeitos foram trabalhadores da equipe de enfermagem do SAMU do referido munic?pio. Emprega-se a entrevista semiestruturada como instrumento de coleta de dados. Contou com a anu?ncia da institui??o onde se desenvolveu o estudo e a aprova??o pelo Comit? de ?tica em Pesquisa da UFRN, com CAAE n? 17326513.0.0000.5537, al?m da assinatura do Termo de Consentimento Livre e Esclarecido pelos participantes. A an?lise de dados se fez por meio da An?lise Tem?tica proposta por Bardin. Desta forma, como resultado da pesquisa elaborou-se as seguintes categorias: pr?tica mecanicista; desumaniza??o da assist?ncia; necessidade de qualifica??o, entraves para uma assist?ncia em urg?ncia e emerg?ncia psiqui?trica e estrat?gias na busca da assist?ncia integral, o que procedeu na elabora??o de dois artigos intitulados Assist?ncia de enfermagem ?s urg?ncias e emerg?ncias psiqui?tricas no servi?o de atendimento m?vel de urg?ncia e Entraves para o atendimento ?s urg?ncias e emerg?ncias psiqui?tricas no servi?o de atendimento m?vel de urg?ncia . Na realidade estudada identificou-se que a assist?ncia de enfermagem ofertada aos usu?rios em situa??o de urg?ncia e Emerg?ncia psiqui?trica ? realizada baseada principalmente na utiliza??o de conten??es qu?micas e f?sicas, assim como no transporte para o hospital geral, constantemente utilizando o acionamento de for?a policial, o que vai de encontro as diretrizes da Reforma Psiqui?trica e assim comprometendo a oferta de uma assist?ncia efetiva e humanizada. Esse cen?rio agrava-se pela falta de um rede de servi?os em sa?de mental organizada, onde ap?s o atendimento o usu?rio ? levado a um hospital geral, tendo em vista que n?o existe um pronto socorro psiqui?trico ou servi?o apropriado, como um Centro de Atendimento Psicossocial CAPs III para referenci?-lo, impossibilitando assim a realiza??o de um atendimento resolutivo e integral. Dessa forma, conclui-se que a assist?ncia de enfermagem baseia-se no modelo biologicista e medicaloc?ntrico, defendido pela psiquiatria cl?ssica e que apesar de todos os avan?os da reforma psiqui?trica, ainda norteia a assist?ncia em sa?de mental, assim a falta de rede de atendimento em sa?de mental organizada e hierarquizada, onde o usu?rio em situa??o de urg?ncia e emerg?ncia psiqui?trica possa ser assistido de forma integral e as diretrizes da Reforma Psiqui?trica possam ser concretizadas na pr?tica

Submitted by Automa??o e Estat?stica (sst@bczm.ufrn.br) on 2016-03-03T19:37:38Z No. of bitstreams: 1 FranciscoRafaelRibeiroSoares_DISSERT.pdf: 2420695 bytes, checksum: 173b378485db6eb3c2417148c29b1f55 (MD5) / Approved for entry into archive by Arlan Eloi Leite Silva (eloihistoriador@yahoo.com.br) on 2016-03-07T19:33:14Z (GMT) No. of bitstreams: 1 FranciscoRafaelRibeiroSoares_DISSERT.pdf: 2420695 bytes, checksum: 173b378485db6eb3c2417148c29b1f55 (MD5) / Made available in DSpace on 2016-03-07T19:33:14Z (GMT). No. of bitstreams: 1 FranciscoRafaelRibeiroSoares_DISSERT.pdf: 2420695 bytes, checksum: 173b378485db6eb3c2417148c29b1f55 (MD5) Previous issue date: 2014-12-09 / Os movimentos reformistas no campo da sa?de mental apontaram bandeiras de luta, entre as quais se destaca a prioriza??o da produ??o de cuidado em sa?de mental fora do ambiente manicomial, objetivando a redu??o dos leitos psiqui?tricos, maior controle sobre a interna??o, coparticipa??o da fam?lia e o resgate da cidadania dos atores sociais envolvidos. Com a diminui??o progressiva dos leitos manicomiais, associada a uma s?rie de problemas estruturais nos servi?os de sa?de, tem sido cada vez mais frequente a ocorr?ncia de crises fora do ambiente hospitalar, dando ? fam?lia importante papel terap?utico. Diante deste cen?rio, urge a necessidade de compreender a constru??o social do atendimento ?s emerg?ncias psiqui?tricas, identificando os significados atribu?dos pelos familiares aos seus aspectos constitutivos. O presente estudo busca responder ? seguinte quest?o de pesquisa: quais as representa??es sociais de familiares sobre o atendimento das emerg?ncias psiqui?tricas no munic?pio de Mossor?, Rio Grande do Norte? Portanto, objetiva-se analisar as representa??es sociais dos familiares acerca do atendimento das emerg?ncias psiqui?tricas no munic?pio de Mossor?, Rio Grande do Norte. Trata-se de um estudo explorat?rio, descritivo, com abordagem mista, utilizando-se de multim?todos: para coleta, a entrevista semiestruturada e a T?cnica de Associa??o Livre de Palavras; para a an?lise dos dados, utilizou-se a An?lise Tem?tica de Bardin e suas etapas, com o suporte informacional dos softwares ALCESTE (Analyse Lexicale par Contexte d?un Ensemble de Segments de Texte) e Iramuteq (Interface de R pour les Analyses Multidimensionnelles de Textes et de Questionnaires); e do suporte te?rico das representa??es sociais. Os sujeitos participantes do estudo, em n?mero de 72, foram selecionados a partir dos seguintes crit?rios: maiores de 18 anos, com grau de parentesco com usu?rios que sofram de algum transtorno mental e comportamental, e que j? tenham presenciado alguma situa??o de crise, resgatado pelo SAMU ou outro meio e conduzido ao hospital psiqui?trico ou pronto-socorro geral. Resultados preliminares apontam: 1. Nota pr?via do projeto de pesquisa com o objetivo divulg?-lo no meio cient?fico e garantir a propriedade intelectual do trabalho; 2. A an?lise contextual do atendimento ?s emerg?ncias no locus do estudo. A reflex?o sobre o fen?meno denomina o atendimento ?s emerg?ncias psiqui?tricas como contexto imediato; os aspectos t?cnicos e operacionais que influenciam no atendimento, como contexto espec?fico/geral; e as pol?ticas de sa?de mental no Brasil s?o identificadas como metacontexto; 3. A revis?o sistem?tica a partir de ensaios cl?nicos randomizados nas bases de dados PubMed, COCHRANE, LILACS, SciELO e SCIRUS, sendo utilizados os descritores: ?Restri??o f?sica?, ?Servi?os de emerg?ncia psiqui?trica?, ?Restraint?, ?Physical e Emergency Services?, ?Psychiatric?. Somente um trabalho atendeu aos crit?rios do protocolo de busca: um ensaio de curta dura??o que registra resultados limitados sobre a propor??o de pessoas que est?o em restri??o e isolamento. N?o apresenta resultados estatisticamente significativos em rela??o a indica??es, contraindica??es e riscos da utiliza??o da restri??o f?sica; 4. As representa??es sociais do atendimento ?s emerg?ncias psiqui?tricas. Os resultados do estudo apontam a presen?a de cinco categorias tem?ticas: 1. sentimento diante da crise/atendimento; 2. pensamento e perspectivas sobre a crise/atendimento; 3. centralidade do atendimento no trip? m?dico-medica??o-interna??o; 4. o pensar/agir diante do uso da restri??o f?sica e for?a policial; 5. periodicidade das crises. O n?cleo central da representa??o se encontra na primeira categoria, enquanto os elementos perif?ricos est?o na terceira e quinta categorias. A zona de contraste est? na segunda e quarta categorias. A tristeza ? o elemento de maior destaque da estrutura. As representa??es sociais sobre o atendimento ?s crises psiqui?tricas se encontram em um momento de transi??o entre os modelos hegem?nico e reformista, sendo os aspectos tradicionais ainda predominantes, mas j? apresentando elementos perif?ricos e de contraste que apontam para uma poss?vel mudan?a no campo representacional. / The reformist movements in the field of mental health have pointed battle flags, among which the prioritization of production of mental health care out of the asylum environment should be highlighted, aiming the reduction of psychiatric beds, greater control over the hospitalization, family co-participation and the rescue of the citizenship of the social players involved. With the progressive reduction of asylum beds, associated with a lot of structural problems in the health services, the occurrence of crises outside the hospital environment has been increasingly frequent, thus giving the family an important therapeutic role. In face of this scenario, there is an urgent need to understand the social construction of the care for psychiatric emergencies, identifying the meanings assigned by family members to their constituent aspects. This study seeks to answer the following research question: what are the social representations of family members about the care of psychiatric emergencies in the city of Mossor?, Rio Grande do Norte? Therefore, the aim is to analyze the social representations of family members about the care of psychiatric emergencies in the city of Mossor?, Rio Grande do Norte. This is an exploratory and descriptive study, with a mixed approach, making use of multimethods: for collection, the semi-structured interview and the Technique of Free Association of Words; for data analysis, the Thematic Analysis of Bardin and its steps was used, with the informational support of the softwares ALCESTE (Analyse Lexicale par Contexte d'un Ensemble de Segments de Texte) and Iramuteq (Interface de R pour les Analyses Multidimensionnelles de Textes et de Questionnaires); and the theoretical support of social representations. The study participants totaled 72, and they were selected from the following criteria: older than18 years, with degree of kinship with users suffering from some mental and behavioral disorder, and who have already witnessed a situation of crisis, rescued by the SAMU or other means and taken to the psychiatric hospital or general emergency room. Preliminary results point out: 1.Previous note of the research project with the aim to disseminate it in the scientific community and ensure the intellectual property of the work; 2.The contextual analysis of the care for emergencies in the study place. Reflection about the phenomenon provide a name to the care for the psychiatric emergencies, which is called immediate context; the technical and operational aspects that influence the care, as a specific/ general context; and mental health policies in Brazil are identified as metacontext; 3. The systematic review from randomized clinical trials in the databases PubMed, COCHRANE, LILACS, SciELO and SCIRUS, with the use of the descriptors: ?Physical restraint?, ?Psychiatric emergency services?, ?Restraint?, ?Physical and Emergency Services?, ?Psychiatric?. Only one work met the search protocol criteria: a short-term essay that records limited results about the proportion of people who are in restraint and seclusion. It does not show statistically significant results in relation to indications, contraindications and risks of the use of physical restraint; 4. The social representations of the care for psychiatric emergencies. The study results point to the presence of five thematic categories: 1. feeling in the face of the crisis/care; 2. thoughts and perspectives about the crisis/care; 3. centrality of care in the medical- medication-hospitalization triad; 4. the thinking/acting in the face of the use of physical restraint and police force; 5. periodicity of crises. The central core of the representation is in the first category, whilst the peripheral elements are in the third and fifth categories. The contrast zone is in the second and fourth categories. The sadness is the most prominent element of the structure. The social representations about the care for psychiatric crises are at a time of transition between the hegemonic and reformist models, with the traditional aspects being predominant, but already showing peripheral and contrast elements that point to a possible change in the representational field.

Submitted by Automa??o e Estat?stica (sst@bczm.ufrn.br) on 2017-07-17T13:17:48Z No. of bitstreams: 1 LarissaCoutinhoDeLucenaTrigueiro_TESE.pdf: 3684513 bytes, checksum: d0e00ee60fb41da8bc2e8a7c971a2def (MD5) / Approved for entry into archive by Arlan Eloi Leite Silva (eloihistoriador@yahoo.com.br) on 2017-07-19T13:14:31Z (GMT) No. of bitstreams: 1 LarissaCoutinhoDeLucenaTrigueiro_TESE.pdf: 3684513 bytes, checksum: d0e00ee60fb41da8bc2e8a7c971a2def (MD5) / Made available in DSpace on 2017-07-19T13:14:31Z (GMT). No. of bitstreams: 1 LarissaCoutinhoDeLucenaTrigueiro_TESE.pdf: 3684513 bytes, checksum: d0e00ee60fb41da8bc2e8a7c971a2def (MD5) Previous issue date: 2016-12-15 / Coordena??o de Aperfei?oamento de Pessoal de N?vel Superior (CAPES) / Artigo 1 - Analisar a descri??o epidemiol?gica de indiv?duos com doen?a de Parkinson (DP), de acordo com medidas agrupadas conforme a estrutura conceitual da Classifica??o Internacional de Funcionalidade, Incapacidade e Sa?de (CIF); Artigo 2 ? Avaliar a preval?ncia de quedas e os fatores associados em indiv?duos com DP caidores recorrentes e n?o caidores. M?todo: Estudo do tipo anal?tico e transversal com amostra de 78 indiv?duos com DP residentes em Natal, Rio Grande do Norte. Foram coletadas informa??es de natureza sociodemogr?ficas e relacionadas ao desempenho f?sico funcional, sa?de mental e qualidade de vida por meio de 14 instrumentos categorizados entre os dom?nios ?Estrutura e fun??o corporal?, ?Atividade? e ?Participa??o?. No dom?nio ?Estrutura e fun??o corporal? foram utilizados a Escala de Incapacidade de Hoehn & Yahr (HY), Montreal Cognitive Assessment (MoCA), Unified Parkinson Disease Rating Scale - UPDRS (dom?nio III, exame motor), For?a de preens?o manual, Geriatric Depression Scale (GDS - 15) e Falls Efficay Scale ? International (FES - I). No dom?nio ?Atividade?, Nine Hole Peg Test (9HPT), UPDRS (dom?nio II, atividades de vida di?ria), Freezing of Gait Questionnaire (FOGQ), MiniBESTest, Timed Up & Go (TUG), Perfil de Atividade Humana (PAH), Velocidade da marcha de 10 metros (10MWT) e Five Times Sit to Stand (STDP - 5X). E no dom?nio ?Participa??o?, o Parkinson Disease Quality of Life Questionnaire (PDQ ? 39). Todos os participantes foram avaliados no tempo ON da medica??o antiparkinsoniana. A an?lise estat?stica foi realizada no programa Statistical Package for Social Sciences (SPSS Inc., Chicago, USA), vers?o 21.0. A normalidade dos dados foi verificada pelo teste Shapiro Wilks, tendo sido adotado p < 0.05. Artigo 1 ? Testes T de Student para amostras independentes e U de Mann-Whitney foram utilizados para a compara??o das vari?veis relacionadas ao desempenho f?sico funcional, sa?de mental e qualidade de vida, entre os sexos. Artigo 2 ? Regress?o log?stica bin?ria foi utilizada para determinar os preditores de quedas, onde as vari?veis com p < 0.10 foram inclu?das no modelo final multivari?vel. Resultados: Artigo 1 - Mais da metade da amostra (64.1%) foi composta por homens, com maior preval?ncia na faixa et?ria entre 70 e 79 anos (35.9%). Quanto ao n?mero de comorbidades, 52 (66.7%) afirmaram possuir ? 4 e dentre estas a mais citada foi disfun??o visual (87.2%). Diferen?as significativas entre homens e mulheres foram observadas para: preens?o manual (p= 0.001), MiniBESTest (p=0.034), FES ? I (p=0.004) e PDQ ? 39 (p=0.006), onde as mulheres apresentaram pior desempenho. Quadro de dem?ncia estava presente em 64.1% da amostra total. Artigo 2 ? Quanto ao hist?rico de quedas, 47 (60.3%) da amostra foi classificada como ?n?o caidor? e 31 (39.7%) como ?caidor recorrente?. Os fatores de risco associados ?s quedas recorrentes foram: tempo longo de dura??o da DP [OR=1.24, (95% IC=1.05?1.47), p=0.010], presen?a de hipertens?o arterial sist?mica [OR=5.81, (95% IC=1.46?23.09), p=0.012), dificuldade de evacua??o [OR=3.71, (95% IC=1.01?13.66), p=0.048] e presen?a de freezing [OR=3.78, (95% IC=1.02?13.97), p=0.046]. Conclus?o: A amostra revelou-se, predominantemente, masculina, muito idosa, fisicamente debilitada ou inativa, com quadro de dem?ncia e classificada, em sua maioria, como ?n?o caidor?. Tempo de dura??o da DP, presen?a de hipertens?o arterial sist?mica, dificuldade de evacua??o e freezing s?o fatores de risco para quedas recorrentes na amostra estudada. O conhecimento acerca das caracter?sticas sociodemogr?ficas e cl?nicas da popula??o com DP pode permitir ao fisioterapeuta e a equipe de sa?de uma melhor compreens?o do progn?stico da doen?a e partir disso, planejar condutas terap?uticas mais adequadas as reais demandas apresentadas por essa popula??o. / Article 1 ? Analyze the epidemiological description of individuals with Parkinson?s disease (PD), according to clustered measures, in line with the conceptual structure of the International Classification of Functionality, Disability and Health (ICF); Article 2 ? Assess the prevalence of falls and associated factors in recurrent fallers and non-fallers with PD. Method: Analytical cross-sectional study with a sample of 78 individuals with PD, residing in Natal, Rio Grande do Norte state, Brazil. Sociodemographic information and that related to physical functioning, mental health and quality of life was collected using 14 instruments categorized in the domains ?Structure and Body function?, ?Activity? and ?Participation?. For the ?Structure and Body function? domain the following instruments were used: Hoehn & Yahr (HY) Disability Scale, Montreal Cognitive Assessment (MoCA), Unified Parkinson Disease Rating Scale - UPDRS (part III, motor subscale), Grip strength, Geriatric Depression Scale (GDS - 15) and Falls Efficacy Scale ? International (FES - I). The following were applied for the ?Activity? domain: Nine Hole Peg Test (9HPT), UPDRS (part II, activities of daily life), Freezing of Gait Questionnaire (FOGQ), MiniBESTest, Timed Up & Go (TUG), Human Activity Profile (HAP), 10 Meter Walking Test (10MWT) and Five Times Sit to Stand (STDP - 5X). In the ?Participation? domain, the Parkinson Disease Quality of Life Questionnaire (PDQ ? 39) test was used. All participants were assessed during the ?ON? time of antiparkinsonian medication. Statistical analysis was conducted using Statistical Package for Social Sciences (SPSS Inc., Chicago, USA) 21.0 software. Data normality was verified by the Shapiro-Wilks test, adopting p < 0.05. Article 1 ? The variables related to physical functioning, mental health and quality of life were compared between sexes using the Student?s t-test for independent samples and the Mann-Whitney U test. Article 2 ? Binary logistic regression was applied to determine the predictors of falls, where variables with p < 0.10 were included in the final multivariate model. Results: Article 1 ? More than half the sample (64.1%) was composed of men, with higher prevalence in the 70-79 year age group (35.9%). With respect to the number of comorbidities, 52 (66.7%) had 4 or more and the most reported were visual dysfunction (87.2%). Significant differences were observed between men and women for grip strength (p= 0.001), MiniBESTest (p=0.034), FES ? I (p=0.004) and PDQ ? 39 (p=0.006), where women exhibited worse performance. Dementia (64.1%) was present in the entire sample. Article 2 ? In regard to history of falls, 47 (60.3%) individuals in the sample were classified as ?non-fallers? and 31 (39.7%) as ?recurring fallers?. The following risk factors were associated with recurring falls: prolonged PD [OR=1.24, (95% CI=1.05?1.47), p=0.010], presence of systemic hypertension [OR=5.81, (95% CI=1.46?23.09), p=0.012), evacuation difficulties [OR=3.71, (95% CI=1.01?13.66), p=0.048] and presence of freezing [OR=3.78, (95% CI=1.02?13.97), p=0.046]. Conclusion: The sample was predominantly male, elderly, physically disabled or inactive, with the presence of dementia, depressive symptoms and a majority classified as ?non-fallers?. PD duration, systemic hypertension, evacuation difficulties, and freezing are risk factors for recurring falls in the study sample. Knowledge of the sociodemographic and clinical characteristics in the population with PD would provide physiotherapists and the health team with better understanding of its prognosis, thereby contributing to planning therapies that meet the real demands of this population.

Submitted by Ricardo Cedraz Duque Moliterno (ricardo.moliterno@uefs.br) on 2016-10-10T22:19:59Z No. of bitstreams: 1 Dissertac?a?o_J_Smolen_PDF.pdf: 5008620 bytes, checksum: 417a8a5d29c91048ba70f7afe58d1578 (MD5) / Made available in DSpace on 2016-10-10T22:19:59Z (GMT). No. of bitstreams: 1 Dissertac?a?o_J_Smolen_PDF.pdf: 5008620 bytes, checksum: 417a8a5d29c91048ba70f7afe58d1578 (MD5) Previous issue date: 2016-02-15 / Mental disorders cause the largest burden of disability worldwide, and Common Mental Disorders (CMD) cause a significant burden to the community. Brazil has prioritized the health of Black population and the identification of racial disparities in health, yet few studies on mental health exist in Brazil that use race as a variable of analysis. Through a systematic review of the literature, these studies were identified to understand the association between race and mental health. No studies conducted an intersectional analysis of race and gender. The objective of this study is to examine the interaction between race, gender, and CMD in Feira de Santana, BA. This cross-sectional study used a representative sample of the urban population of 15 years or older in Feira de Santana. All those who self-identified as branco, preto, or pardo were included in the analysis. The Self-Report Questionnaire (SRQ-20) was used to determine the presence of CMD. Prevalence ratios for the four race/gender groups (white men, black men, white women, black women) were calculated using a Poisson regression, and an interaction analysis was performed to assess the contribution of the perspective of intersectionality. The results are presented in the form of journal articles. The systematic review is titled ?Race/skin color and mental health disorders in Brazil: a systematic review?, and the analytic article is entitled ?The perspective of intersectionality in quantitative health research: an analysis of the association between the intersections of race and gender, and Common Mental Disorders.? The systematic review showed that studies on mental health that assessed race often used different screening tools to identify the mental disorder and had small sample sizes of Afro-Brazilians; despite these problems, the overall trend shows a positive association between race and anxiety and/or depression. The results of the analytic article show that Black women had the highest prevalence of CMD of all the four race/gender groups, and even controlling for potential confounders Black women had a significantly higher prevalence of CMD, 2.43 times that of White men. The analysis of interaction shows the value of the intersectional perspective?that the prevalence seen in Black women is greater than would have been expected if examining race and gender separately. Determining the prevalence of TMC according to race and gender, and the association between these is essential to truly understand the racial disparities in CMD and for Brazil to fulfill its constitutional right of health for all. / Transtornos mentais causam a maior carga de incapacidade mundialmente, e Transtornos Mentais Comuns (TMC) causam uma carga significante na comunidade. O Brasil est? priorizando a sa?de da popula??o negra e a identifica??o de desigualdades raciais em sa?de, mas existem poucos estudos sobre sa?de mental no Brasil que inclu?ram a vari?vel ra?a/cor da pele como uma vari?vel de an?lise. Atrav?s de uma revis?o sistem?tica, esses estudos foram identificados para entender a rela??o entre ra?a/cor da pele e sa?de mental. Nenhum estudo realizou an?lises sobre a interseccionalidade de g?nero e ra?a com sa?de mental. O objetivo desse estudo ? avaliar a intera??o entre ra?a/cor da pele, g?nero, e TMC em Feira de Santana, BA. Esse estudo transversal utilizou uma amostra representativa da popula??o de 15 anos ou mais de idade na ?rea urbana de Feira de Santana. Todas as pessoas que se auto classificaram como branca, parda, ou preta foram inclu?das na an?lise. O Self Report Questionnaire (SRQ-20) determinou a presen?a de TMC. A preval?ncia de TMC segundo os quatro grupos de ra?a/g?nero (homens brancos, homens negros, mulheres brancas, mulheres negras) foram analisados atrav?s de raz?es de preval?ncia, calculados por regress?o de Poisson. Uma an?lise de intera??o foi realizada para examinar a contribui??o de interseccionalidade. Os resultados est?o apresentados na forma de artigo cient?fico. A revis?o sistem?tica tem o t?tulo ?Ra?a/cor da pele e transtornos mentais no Brasil?, e o artigo anal?tico tem o t?tulo ?A perspectiva de interseccionalidade na pesquisa quantitativa em sa?de: uma an?lise da associa??o entre as intersec??es de ra?a e g?nero e Transtornos Mentais Comuns?. A revis?o sistem?tica mostrou que estudos sobre sa?de mental que avaliaram ra?a/cor da pele muitas vezes usaram instrumentos diferentes e tiveram n?meros pequenos de pessoas negras; mesmo assim, no geral, esses estudos mostraram associa??o positiva entre a ra?a/cor da pele negra e transtornos mentais, como depress?o. Os resultados do artigo anal?tico mostraram que mulheres negras tiveram a preval?ncia mais alta de TMC de todos os quatro grupos de ra?a/g?nero, e quando ajustadas para covari?veis essa preval?ncia foi significantemente maior: 2,43 vezes maior que em homens brancos. A an?lise de intera??o mostrou o valor de utilizar a perspectiva interseccional. A preval?ncia nas mulheres negras foi maior do que era esperado em uma analise tradicional que trata de ra?a e g?nero como fatores separados e independentes. Entender a preval?ncia de TMC segundo ra?a/cor da pele e g?nero, e entender a associa??o entre essas vari?veis ? essencial para compreender as desigualdades raciais nos TMC e para o Brasil cumprir o direito constitucional ? sa?de para todos.

Submitted by Jadson Francisco de Jesus SILVA (jadson@uefs.br) on 2017-02-17T23:28:50Z No. of bitstreams: 1 DISSERTA??O FINAL LUANE ENTREGA.pdf: 2532690 bytes, checksum: 88f111a657fa7e101a4836c4e02d275c (MD5) / Made available in DSpace on 2017-02-17T23:28:50Z (GMT). No. of bitstreams: 1 DISSERTA??O FINAL LUANE ENTREGA.pdf: 2532690 bytes, checksum: 88f111a657fa7e101a4836c4e02d275c (MD5) Previous issue date: 2015-09-11 / Coordena??o de Aperfei?oamento de Pessoal de N?vel Superior - CAPES / The body image involves a tangle of factors that define how individuals see themselves and how they think and are seen by others people. Be satisfied or not with de image body is a constant training process, as from the experiences, the individual may feeling dissatisfied with your body image. The violence and racial discrimination are listed how negative influencers for the concept of body image of the individual, because after suffered aggresions by subject, is possible that your concept of satisfaction with your bodyimage, be reversed for dissatisfaction. However, there aren?t studies in Literature the relate to mental health and feelings of women`s satisfaction/dissatisfaction feelings, victms of domestic violence with their body image, considering the differentials by race/color. OBJECTIVE: Avaliate the satisfaction with body image and situation of mental health of the women, victms of domestic violence highlighting differences by race/color, attended at Women?s Reference Center in Bahia. METHODOLOGY: A descriptive quantitative study used document analysis and interviews among the women attended at women?s Reference Dandara Center, in Serrinha-Bahia. An individual questionnaire was applied, with the Stunkard Silhouettes Scale, the Self Report Questionnaire (SRQ-20), Beck?s depression inventory and the Patient Health Questionnaire (PHQ). The data collection was searched in October 2014 to June 2015. RESULTS: The most women were young, single, with children, low level of education, took head family, worked,they received less than a minimum salary, practiced leisure activities and were predominantly black women, also as related most variables from race/color. There was a predominance of the violence by intimate partners, into their own homes, specially the psychological and physical violence. Found predominance of dissatisfaction about their body image, particularly about black women, aged less than 40 years, without partners and received less than a minimum salary. The most women, indicated like dissatisfied about body image, showed high levels of disorders and depression. CONCLUSION: Leave the this violent means and the reduction of racial discriminations, can be important actions to reduce the dissatisfactions about the body image, mental disorders and depression. This study provides informations to developing strategies for a good mental health of the women in domestic violence situation, specially the black women, to minimize the consequences of suffered violence by them. / A imagem corporal envolve um emaranhado de fatores que definem como os indiv?duos se veem e como acham que s?o vistos pelas outras pessoas. Estar satisfeito ou n?o com a imagem do corpo ? um processo em constante forma??o, pois a partir das experi?ncias vividas, o indiv?duo pode se sentir insatisfeito com a sua imagem. A viol?ncia e a discrimina??o racial est?o elencadas como fortes influenciadores negativos para o conceito da imagem corporal do indiv?duo, pois a partir das agress?es sofridas pelo sujeito, ? poss?vel que seu conceito de satisfeito com a imagem corporal seja revertido para insatisfa??o. No entanto, s?o escassos na literatura estudos que relacionem a sa?de mental e os sentimentos de satisfa??o/insatisfa??o de mulheres v?timas de viol?ncia dom?stica com a imagem corporal, considerando os diferenciais por ra?a/cor. OBJETIVO: avaliar a satisfa??o com a imagem corporal e a situa??o de sa?de mental das mulheres v?timas de viol?ncia dom?stica com destaque para diferenciais segundo ra?a/cor, atendidas em um Centro de Refer?ncia da Mulher em um munic?pio da Bahia. METODOLOGIA: Foi realizado um estudo quantitativo descritivo que utilizou an?lise documental e entrevista com mulheres em situa??o de viol?ncia atendidas no Centro de Refer?ncia da Mulher Dandara em Serrinha-Ba. Foi utilizado um question?rio individual, contendo a Escala de Silhuetas de Stunkard, o Self Report Questionnaire (SRQ-20), o Invent?rio de Depress?o de Beck e o Patient Health Questionnaire (PHQ). A coleta de dados foi realizada de Outubro de 2014 at? Junho de 2015. RESULTADO: A maioria das mulheres era jovem, solteira, com filhos, baixo n?vel de escolaridade, assumia a chefia da fam?lia, trabalhava, tinha renda mensal menor que um sal?rio m?nimo, praticava atividades de lazer e era, predominantemente, negra, tamb?m quando relacionadas ? maioria das vari?veis com a ra?a/cor. Houve predomin?ncia da viol?ncia praticada por parceiro ?ntimo, no pr?prio lar, destacando-se a viol?ncia psicol?gica e f?sica. Constatou-se predomin?ncia de insatisfa??o com a imagem corporal, principalmente em mulheres negras, com idade menor que 40 anos, sem parceiro e com renda menor que um sal?rio m?nimo. A maioria das mulheres indicadas como insatisfeitas com a imagem corporal apresenta elevados n?veis de Transtorno Mental Comum e Depress?o. CONCLUS?O: Abandonar o meio violento e a redu??o da discrimina??o racial podem ser a??es importantes para a redu??o da insatisfa??o com a imagem corporal, transtornos mentais e Depress?o. Este estudo fornece subs?dios para elabora??o de estrat?gias para a melhoria da sa?de mental das mulheres que se encontram em situa??o de viol?ncia dom?stica, em especial as negras, a fim de minimizar as consequ?ncias da viol?ncia sofrida.