The association between psychogenic knee pain in adolescent girls and parent-child behavior that involves (1) a high degree of control on the part of parents and (2) a high degree of submission on the part of adolescent daughters was investigated. The subjects, between the ages of 13 and 16 years, were patients of five doctors whom they were consulting about chronic knee pain. The doctors categorized each patient as either having "organic evidence" associated with their pain complaint (n=18) or "no organic evidence" (n=12). Each patient completed the Intrex Questionnaire: Short Forms B and C (Benjamin, 1988) which provided a set of data that descibed the daughters' perceptions of .their mothers' and fathers' behavior in relation to them and also the daughters' own behavior in relation to both parents. Similarity of the groups in terms of age, socioeconomic status and severity of pain was confirmed. Between-groups comparisons of the Intrex data yielded two significant differences. Daughters in the psychogenic pain group perceived their mothers as being both more controlling toward and more submissive to their daughters than did daughters in the organic group. Hypothesized differences between the groups regarding fathers' controlling behavior and daughters' submissive behavior were not supported. / Education, Faculty of / Educational and Counselling Psychology, and Special Education (ECPS), Department of / Graduate

Somatization, the presentation of physical symptoms without an identifiable cause, is among the most common problems in primary medical care. Treatment approaches are typically offered within the medical consultation interview once the medical provider distinguishes between physical and emotional etiology. This dualistic strategy is especially troublesome for patients whose physical complaints cannot be validated and who are recommended for only mental health therapy. The aim of this study was to examine how medical practitioners can instead motivate patients to consider both physical and emotional treatment. An analogue intervention consisting of an enhanced consultation interview was compared to a care as usual consultation interview on the key outcome of motivation to engage in mental health treatment. A total of 129 participants with medically unexplained symptoms were randomly assigned to these two conditions. Motivation to engage in mental health treatment was evaluated with the FMP Questionnaire, Credibility and Expectancy Questionnaire, and the newly developed Motivation to Engage in Therapy questionnaire (MET). Results of ANCOVA revealed significant differences between the two analogue consultation interviews on 3 out of 5 outcome measures. The largest effect was found for the MET followed by the credibility and expectancy subscales (1.6, .9, and .8). This finding suggests that a particular type of discourse between medical provider and patient can lead to increased motivation for holistic care treatment for those with somatization.

Abstract not available

Orientador: Guita Grin Debert / Dissertação (mestrado) - Universidade Estadual de Campinas, Instituto de Filosofia e Ciencias Humanas / Made available in DSpace on 2018-08-08T09:47:02Z (GMT). No. of bitstreams: 1 Silva_AngeloAugustoda_M.pdf: 205227 bytes, checksum: a90ee24c9c1dc0f0ec0d1f921904787b (MD5) Previous issue date: 2007 / Resumo: A pesquisa teve como objetivo inicial apreender as re-configurações dos saberes e práticas médico-psiquiátricas, no contexto atual de expansão da procura e oferta desses serviços e de uma rebiologização nas explicações destes saberes. Paradoxalmente os "fenômenos não explicados organicamente" constituem um grande desafio ao campo e são descritos frequentemente pelo fenômeno de "somatização", nome dado a um programa de pesquisa e atendimento à  população e objeto dessa pesquisa. Se no referido contexto o trato a estes sofrimentos a partir de uma visão organicista e unidirecional mostra-se insuficiente, a incorporação de psicoterapias e da psicanálise no tratamento cotidiano da clientela também não se mostra isenta de dificuldades e dilemas. Buscou-se compreender também como a própria classificação e elaboração do diagnóstico e prognóstico são realizadas segundo as representações e visão de mundo dos profissionais do programa, estreitamente coadunada com a visão psicologizante de Pessoa, configurando universos de valor diversos que são fundamentais de serem apreendidos para melhor compreensão e reflexão das questões e dificuldades em jogo no atendimento / Abstract: The aim of this research is to capture the re-configurations of the several kinds of medical and psychiatric knowledge and practices in the current context of demand and offer enlargement of those services and also of a re-biologization of the explanations related to this kind of knowledge. In a paradoxical way, the phenomena which are not explained in an organic way constitutes themselves a great challenge and are often described by the "somatization" phenomenon, name attributed to a research and support program to the population, and also the purpose of this study. If in the context mentioned, the treatment of these sufferings from an organicist and unidirectional point of view proves to be insufficient, an incorporation of psychotherapies and psychoanalysis in the daily treatment of clients also presents difficulties and dilemmas. We tried to understand how the very classification and elaboration of diagnosis and prognosis are made according to the representations and perspectives of the professionals of the program, strictly linked to their psychological view of the world, setting up universes with different values which have to be captured in order to find a better understanding about the issues and difficulties in the treatment / Mestrado / Mestre em Antropologia Social

Submitted by Cristiane Oliveira (cristiane.oliveira@fgv.br) on 2011-05-18T15:06:11Z No. of bitstreams: 1 71070100701.pdf: 1065077 bytes, checksum: af869b88cf592cce1617c4f69902d716 (MD5) / Approved for entry into archive by Gisele Isaura Hannickel(gisele.hannickel@fgv.br) on 2011-05-18T15:16:24Z (GMT) No. of bitstreams: 1 71070100701.pdf: 1065077 bytes, checksum: af869b88cf592cce1617c4f69902d716 (MD5) / Approved for entry into archive by Gisele Isaura Hannickel(gisele.hannickel@fgv.br) on 2011-05-18T15:17:05Z (GMT) No. of bitstreams: 1 71070100701.pdf: 1065077 bytes, checksum: af869b88cf592cce1617c4f69902d716 (MD5) / Made available in DSpace on 2011-05-18T15:19:26Z (GMT). No. of bitstreams: 1 71070100701.pdf: 1065077 bytes, checksum: af869b88cf592cce1617c4f69902d716 (MD5) Previous issue date: 2011-02-25 / Care experience in Programa de Atendimento e Estudos de Somatização do Departamento de Psiquiatria da UNIFESP/ HSP and scientific literature show that somatizing patients tend to establish an expensive relationship to hospital organization, increasing material and emotional costs. From the case study of Hospital São Paulo (HSP) and the Universidade Federal de São Paulo (UNIFESP), this work analyzed, qualitatively, which factors these organization’s culture offer to its community to allow them to build and to integrate social representations on psychic and somatic issues. Through psycossociologic methods analyses, it was noted that these organizations do not provide a culture that would help its members to deal with the anguish roused by the medical task, while dealing with somatization disorder patients. This task usually waves the possibility of death, determining hypochondria as its main anguish. / A experiência do Programa de Atendimento e estudos de Somatização do Departamento de Psiquiatria da UNIFESP/HSP e a literatura científica mostram que os pacientes somatizadores tendem a estabelecer com a organização hospitalar uma relação muito dispendiosa, tanto do ponto de vista da relação que mantem com seus profissionais quanto com relação ao volume de recursos materiais que consomem. a partir do estudo de caso do Hospital São Paulo e da Universidade Federal de São Paulo, o presente estudo analisou qualitativamente que elementos a cultura das organizações oferece a seus membros para que eles construam, coletivamente, representações sociais acerca do psíquico e do somático, e que elementos oferece para que tais representações sejam integradas, articuladas ou cindidas coletivamente por seus membros. Tendo concluído, através da análise das instâncias propostas pela metodologia psicossociológica, que as organizações analçisadas não dispõem de uma cultura que favoreça, através das representaçoes sociais, a articulação e integração psíquica das angústias despertadas pela tarefa médica em geral, e tampouco pelas angústias despertadas pelos pacientes somatizadores. Tarefa que constantemente acena a possibilidade da morte, determinando como angústia central despertada, a hipocondria.