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Uma clínica para respirarLopérgolo, Ana Cristina Delgado 18 December 2009 (has links)
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Previous issue date: 2009-12-18 / The present thesis has constituted itself from the survey of many practical possibilities
in the dealings with a particular set of issues raised from the encounters of a psy as
related to certain varieties of therapeutic initiatives. Under the inspiration of one of such
initiatives the work carried out at the Peri-Peri Local Psychology Care Unit with
babies and their parents this report´s chapters are structured using pregnancy as a
metaphor. In the chapter named The Thesis Pre-history , there is a report about the
author´s beginning professional path, before she started at the Ambulatório de
Especialidades do Jardim Peri-Peri, when a certain design, a certain reference had
constituted her as a therapist. In Part 1, or The First Trimester referring to the
period when the author´s had already joined the Unit s children´s mental health care
team the thesis maps the constitution of such clinical practice, from the viewpoint of
both children psychiatry and psychoanalysis, and, still, it tries and approaches some
issues as posed by this same practice at present. In Part 2, or The Second Trimester ,
the thesis explores the work carried out with the team in charge with the babies; maps
some of the possible intervention strategies, charged with the effort of hearing the
sufferings of such young patients the babies as well as the dealings with the
sufferings of both parents and members of the rest of the team. Some therapeutic
initiatives in which this psy took part are discussed. Such initiatives are based on a
clinical practice which is politically prone to view the care unit in such a way so as to
incite changes, resist to the processes which oppress subjectivities and to promote
differences. After the third trimester, a baby is ready to be born. It is in The Third
Trimester , that the Final Considerations are presented, stressing that the preparing of a
psy is a never ending process, because of the impossibility of dissociation between
practice and theory. The thesis is born ! / Essa tese de doutorado constitui-se num traçado de possibilidades práticas no trato de
uma problemática dos encontros de um psi envolvido com determinadas variedades de
iniciativas terapêuticas. Inspirada em uma dessas iniciativas - o trabalho com os bebês e
seus pais desenvolvido no Ambulatório do Peri-Peri - essa tese utilizou-se da gravidez
como metáfora para a construção dos seus capítulos. No capítulo intitulado A Pré-
História da Tese , faz um recorte do percurso profissional da autora, anterior à sua
inserção no Ambulatório de Especialidades do Jardim Peri-Peri, apresentando um certo
esquema, uma certa referência que a constitui enquanto terapeuta. Na Parte 1, ou O
Primeiro Trimestre , a partir da inserção da autora na equipe de saúde mental infantil do
ambulatório, a tese se propõe a mapear a constituição dessa clínica, tanto pelo viés da
psiquiatria infantil, quanto pelas contribuições da psicanálise e, ainda, abordar algumas
questões colocadas por essa clínica na atualidade. Na Parte 2, ou O Segundo
Trimestre , a tese explora o trabalho realizado na equipe de bebês, mapeia algumas
estratégias de intervenções possíveis, tanto na escuta do sofrimento de alguém tão
pequeno o bebê , quanto no acolhimento do sofrimento de seus pais e também da
equipe. Também são apresentadas algumas das iniciativas terapêuticas que envolveram
esse psi . Iniciativas, essas, caudatárias de uma posição clínico-política, que investe na
clínica como ocasião de produzir mudanças, produzir resistência aos processos de
massacre das subjetividades e incitar diferenças. O Terceiro Trimestre , do ponto de
vista de uma gravidez, é considerado como aquele em que o bebê é viável; é nesse
capítulo que a autora tece as Considerações Finais da tese, ressaltando o caráter
interminável da formação psi , pela indissociabilidade que há entre a teoria e a prática.
A tese nasceu !
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The potential relationships between hormone biomarkers and functional and health outcomes of ageingEendebak, Robert January 2017 (has links)
Although the female menopause has been extensively characterized as a well-defined symptomatic state of oestrogen deficiency, which responds relatively well to oestrogen replacement therapy, the symptomatic state of androgen deficiency in men is poorly defined and uncertainty exists whether it responds to testosterone replacement. It has been proposed that hypothalamic-pituitary-testicular (HPT)-axis function (responsible for the production of androgens) and regulation could be viewed as a âbarometerâ of health status in older men and that potential alterations in HPT-axis function and regulation reflect subclinical and clinical deficits in function and health, which may result in an aged phenotype of human health and disease in older men. The HPT-axis constitutes a well-defined, tractable, clinically-relevant, biological system, which may permit insight into the mechanisms underlying the expression of ageing-related phenotypes of human health and disease. By using a different lens â such as the genetic background; the compensatory responses within the HPT-axis; the syndromes of androgen deficiency; the ethnic background of an individual or the life course trajectory of function and health from conception into older age â to magnify potential dysregulation in the HPT-axis will it be possible to visualize and understand the phenotypic expression of human male ageing as a gradient of functional and health outcomes. This will allow for a better understanding of the physiological mechanics underlying symptomatic expression of dysregulation in the HPT-axis.
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