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  • About
  • The Global ETD Search service is a free service for researchers to find electronic theses and dissertations. This service is provided by the Networked Digital Library of Theses and Dissertations.
    Our metadata is collected from universities around the world. If you manage a university/consortium/country archive and want to be added, details can be found on the NDLTD website.
1

Prontid?o e tratamento em alcoolistas: an?lise de um programa / Readiness and treatment in alcoholics: analysis of a programme

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

Queimadura e sofrimento a partir da narrativa de uma psic?loga / Burns and suffering: a psychologist narrative

Pansani, Sara Regina Moreira 11 December 2013 (has links)
Made available in DSpace on 2016-04-04T18:28:12Z (GMT). No. of bitstreams: 1 SARA REGINA MOREIRA PANSANI.pdf: 751373 bytes, checksum: c7721f15505511e8790d5110de9614c7 (MD5) Previous issue date: 2013-12-11 / The aim of this research was to grasp the experience of suffering of patients based on the experience of a psychologist in a unit for treatment of burned victims at a hospital located in the state of S?o Paulo. It was developed as a qualitative research phenomenologically based. A narrative was built by psychologist/researcher as a methodological strategy to capture significant elements experienced in the daily activities with patients, families and multidisciplinary team. It included memories, pictures, thoughts and feelings that made possible the emergence of some meanings: the context of the burns unit is an environment that offers, in addition to treatment, care to patients and their families. Over the period of hospitalization, patients go through extensive physical and psychological suffering: they feel vulnerable and unprotected; resent the absence of family and feel isolated. The way they signify the causes that led to the accident that hurt them is important in the recovery process, as well as how they face intense physical pain and addiction that required care. Family members play an important role in the recovery process of patients as they convey security and affection, in this sense, they end up being part of the team, assisting in the process of recovery of autonomy. The multidisciplinary team responds in a contradictory way to the patients complaints. The exhaustive routine seems to hamper their understanding and acceptance of the patient. On the other hand, they demonstrate willingness and commitment to carry out the procedures necessary for recovery. The researcher's experience allowed understanding of new meanings with regard to the relationship between pain and suffering. She noted the importance of specific psychological attention in that context and how it provides space for the patient to express feelings of loneliness, fear and anguish over the unknown. On the other hand, staff and family members also demand attention to be able to carry out the necessary care. We conclude that suffering severe burns and being hospitalized is an experience that requires from the patient a restructuring in their way of being and living that affects both the professionals who make up the team, as well as the families. / O objetivo desta pesquisa consistiu em apreender o sofrimento vivido por pacientes a partir da experi?ncia de uma psic?loga em uma unidade para tratamento de queimados de um hospital localizado no estado de S?o Paulo. Desenvolveu-se como uma pesquisa qualitativa de inspira??o fenomenol?gica. Uma narrativa foi constru?da como estrat?gia metodol?gica pela psic?loga/pesquisadora para apreender elementos significativos vividos no trabalho cotidiano com pacientes, familiares e equipe multiprofissional. Incluiu lembran?as, impress?es, imagens, sentimentos e pensamentos que possibilitaram a emerg?ncia de alguns significados: o contexto da unidade para queimados constitui um ambiente que oferece, al?m de tratamento, acolhimento aos pacientes e seus familiares. Ao longo do per?odo de hospitaliza??o, os pacientes passam por grande sofrimento f?sico e psicol?gico: sentem-se vulner?veis e desprotegidos; ressentem-se da aus?ncia dos familiares e do isolamento. A maneira como significam as causas que provocaram o acidente que os vitimou tem import?ncia no processo de recupera??o, assim como a forma como enfrentam a dor f?sica intensa e a depend?ncia por necessitarem de cuidados. Os familiares desempenham papel importante no processo de recupera??o dos pacientes ao transmitirem seguran?a e afeto; neste sentido, acabam por fazer parte da equipe, auxiliando no processo de retomada da autonomia. A equipe multiprofissional reage de maneira paradoxal ?s queixas dos pacientes. A rotina exaustiva parece dificultar a capacidade de compreender e acolher. Por outro lado, demonstram disponibilidade e empenho para realizar os procedimentos necess?rios ? recupera??o. A experi?ncia da pesquisadora possibilitou entrar em contato com novos significados no que se refere ? rela??o entre dor e sofrimento. Constatou a import?ncia de uma aten??o psicol?gica espec?fica naquele contexto capaz de disponibilizar ao paciente espa?o para expressar sentimentos de solid?o, medo e ang?stia face ao desconhecido. Por outro lado, a equipe e os familiares tamb?m demandam aten??o a fim de poderem desempenhar os cuidados necess?rios. Conclui-se que sofrer queimadura grave e ser hospitalizado constitui uma experi?ncia que imp?e ao paciente uma reestrutura??o no modo de ser e de viver que afeta tanto os profissionais que comp?em a equipe como tamb?m as fam?lias.
3

Dan?ar o adolescer: estudo fenomenol?gico com um grupo de dan?a de rua em uma escola / Dancing and adolescencing: phenomenological study of a street dancer group in a public highschool

Rego, Renata Marques 17 December 2008 (has links)
Made available in DSpace on 2016-04-04T18:27:42Z (GMT). No. of bitstreams: 1 Dissertacao Renata M Rego.pdf: 649608 bytes, checksum: d903f61a334d1c5183e78385631de5ab (MD5) Previous issue date: 2008-12-17 / Pontif?cia Universidade Cat?lica de Campinas / This research was carried out to understand the significance of dancing experience of adolescent street dancers within a school context. It was a qualitative study based on exploratory analysis and phenomenological background. The guiding theoretical reference undertaken in this study was the Humanistic Psychology, specifically the Client-Centered Approach, developed by Carl Rogers. This study was conducted on a public school environment employing street dance classes offered to teenagers as an extra curricular project. The researcher attended weekly the dancing classes during six months. Afterwards it was performed private interviews with adolescents. Seven narratives were developed according to the intersubjective relationship developed among the researcher and the students, focusing on personal experience by the adolescents. It was concluded that teenagers experience by taking street dance classes led to a significant learning, as developed by Rogers, since it becomes more spontaneous, self-guided, and toward selffulfilling. The experience offered to the street dancer group provided the students in their growing process with typical elements as follows: spontaneous interest in participate on personal activities which contribute to the physical and psychological growth; physical and emotional experience on their growing body, their losses and potential creativity; complete involvement of affection and intellect, throughout the learning processes; self-recognition assisted by a positive and varied acceptance weaning from parentship; distinction between their parents and themselves; the experience of being part of a group and have their own particularities at the same time; development of personal power and self-reliance as derived from the dancing process; the enthusiasm to the world desiring to change it, rethinking themselves in this process and enduring a smoother balance for integration extending this experience toward adulthood. This study suggests that the school context represents a potential to develop significant interpersonal relationship easing a psychological development. / Esta pesquisa prop?s-se a compreender os sentidos atribu?dos ? experi?ncia de dan?ar por adolescentes praticantes da dan?a de rua em um contexto escolar. Trata-se de um estudo qualitativo de car?ter explorat?rio e de inspira??o fenomenol?gica. O referencial te?rico norteador do estudo foi a psicologia de orienta??o humanista, especificamente a Abordagem Centrada na Pessoa (ACP), desenvolvida por Carl Rogers. Realizou-se no contexto de um grupo de dan?a de rua, oferecido a alunos adolescentes em uma escola p?blica da cidade de Campinas, sob a forma de um projeto extracurricular. A pesquisadora acompanhou, semanalmente, durante seis meses as aulas de dan?a e, posteriormente, realizou entrevistas individuais com os alunos que se interessaram em participar da pesquisa. Objetivando focar a experi?ncia vivida pelos participantes da pesquisa sob o prisma da rela??o intersubjetiva estabelecida entre a pesquisadora e os alunos, foram constru?das sete narrativas. Concluiu-se que a experi?ncia dos adolescentes com a dan?a de rua no contexto da escola aproxima-se da proposta de aprendizagem significativa, desenvolvida por Rogers, ao constituir-se em uma aprendizagem auto-iniciada, auto-dirigida e dotada de significa??o pessoal. A experi?ncia vivida no grupo de dan?a de rua proporcionou aos alunos a emerg?ncia de elementos t?picos da experi?ncia de adolescer, como o interesse espont?neo em participar de atividades dotadas de significa??o pessoal e que contribuam para o crescimento; viv?ncia f?sica e subjetiva do corpo em crescimento, suas perdas e potencial criativo; envolvimento integral com a experi?ncia de aprendizagem, envolvendo sentimentos e intelecto; busca por si mesmo facilitada pela aceita??o positiva de outros significativos; diferencia??o em rela??o aos pais; viv?ncia de pertencimento a um grupo que compartilha significados, ao mesmo tempo em que se diferencia da maioria; sentimentos de auto-confian?a e poder pessoal ao dan?ar; abertura para o mundo e interesse em modific?-lo, refazendo-se a si mesmo neste processo; desejo de levar da adolesc?ncia o dan?ar como um brincar e um modo de cuidar de si. Este estudo evidenciou tamb?m que o contexto da escola representa um espa?o potencial para o desenvolvimento de rela??es interpessoais significativas e facilitadoras para o desenvolvimento psicol?gico.
4

Aten??o psicol?gica em universidade: a experi?ncia de estudantes como clientes / Psychological care in the university: the experience of students as patients

Souza, Grasiela Gomide de 16 February 2011 (has links)
Made available in DSpace on 2016-04-04T18:27:57Z (GMT). No. of bitstreams: 1 Grasiela Gomide de Souza.pdf: 1072611 bytes, checksum: 27c7ea4c46defb33e4c301c7a4c0f2ee (MD5) Previous issue date: 2011-02-16 / Universidade Estadual Paulista J?lio de Mesquita Filho / This research aimed to understand and interpret the experience of undergraduate students concerning psychological care that took place within the campus. This is a qualitative research based on phenomenology. There were thirteen participants - five men and eight women -, aging from 18 to 25 years old, coming from different academic courses. They received during the year of 2009, at least one of the following psychological treatments: time-limited psychotherapy and group therapy. The experience of the participants was gathered during individual interviews of dialogical nature. As a strategy for the analysis of the interviews, narratives were constructed by the researcher on the encounters in order to enable the emergence of the participants experienced meanings, based on the way she was affected in a phenomenological process. The results showed the possibilities and limits of psychological attention, when made available to students in the academic context: a) participants sought psychological help spontaneously, due to different kinds of problems, and found themselves experiencing self disclosure and the possibility of sharing their issues with different persons. This allowed them to discover new significance towards academic experiences. b) they perceived the onset of a moving personal process; c) they felt they were living a challenge in relation to a short time treatment experience, because for them there was not time enough for the psychological process to be accomplished, arising feelings of insecurity in relation to changes permanence; d) to them, the importance of psychological care was more related to the discovery of a new way of being and of developing relationships than to the scope or to the deepening of certain issues. That students' experience showed, convincingly, that the psychological attention available at the university has potentialized genuine impacts that produced an internal mobilization process, that brought about a greater personal autonomy / Esta pesquisa buscou compreender e interpretar a experi?ncia de universit?rios em rela??o ao atendimento psicol?gico recebido no contexto da universidade. Trata-se de uma pesquisa qualitativa de inspira??o fenomenol?gica. Dos treze participantes, cinco s?o homens e oito mulheres, com idades variando entre 18 e 25 anos, provenientes de cursos das v?rias ?reas do conhecimento e que receberam, durante o ano de 2009, pelo menos um dos seguintes tipos de atendimento psicol?gico: psicoterapia de tempo determinado e grupo terap?utico. A experi?ncia dos participantes foi apreendida pela pesquisadora durante entrevistas individuais de natureza dial?gica. Como estrat?gia para a an?lise das entrevistas, foram constru?das narrativas sobre os encontros que possibilitaram a emerg?ncia dos significados da experi?ncia vivida pelos participantes com base nas impress?es da pesquisadora, num movimento fenomenol?gico de constru??o de sentido. Os resultados evidenciaram possibilidades e limites da aten??o psicol?gica, quando disponibilizada a estudantes no contexto universit?rio: a) os participantes buscaram atendimento psicol?gico espontaneamente, em raz?o de diversos tipos de problemas, e vivenciaram a possibilidade de um encontro consigo mesmos e com outras pessoas que lhes permitiu desvelar novos significados em rela??o ?s experi?ncias universit?rias; b) perceberam o desencadeamento de um processo pessoal mobilizador; c) sentiram-se vivendo um desafio em rela??o a experi?ncia de um atendimento de curta dura??o, pois para eles n?o houve tempo suficiente para que o processo psicol?gico iniciado fosse finalizado, suscitando sentimentos de inseguran?a quanto ? perman?ncia das mudan?as; d) para os participantes, a import?ncia da aten??o psicol?gica relacionou-se mais ? descoberta de um novo modo de ser e de relacionar-se do que ? abrang?ncia ou o aprofundamento de determinadas quest?es. A experi?ncia dos estudantes evidenciou, de maneira contundente, que a aten??o psicol?gica disponibilizada na universidade potencializou encontros genu?nos desencadeadores de um processo de mobiliza??o interna no sentido de maior autonomia pessoal.
5

Falando pra galera :narrativas sobre a experi?ncia de profissionais da sa?de em um projeto social / Talking to the Kids: narratives on the experience of health professionals in a social project

Zaparoli, Carolina Teixeira 17 February 2011 (has links)
Made available in DSpace on 2016-04-04T18:27:59Z (GMT). No. of bitstreams: 1 Carolina Teixeira Zaparoli.pdf: 579714 bytes, checksum: 19514413578fa3f13ab8cfe93d5562dd (MD5) Previous issue date: 2011-02-17 / This research objectified to comprehend the experience of public health professionals in relation to the participation in a project called Talking to the Kids developed by a non governamental organization. It is a qualitative study of phenomenological inspiration. The theoretical framework included the concepts of Carl Rogers on significant learning and the pedagogical principles developed by Paulo Freire. The researcher interviewed seven health professionals: psychologist, occupational therapist, health communitarian agent, nurse, nurse aid, dentist and medical doctor. Objectifying to focus on the - experience lived by the participants and communicated during an encounter between the researcher and each one of the professionals, seven comprehensive narratives were constructed. The narratives had brought to clear significant elements of the experience lived by the professionals. It was concluded that the learning environment offered by the project to the professionals in relation to the development of activities with adolescents come close to the rogerian proposal for a meaningful learning, due to the inclusion of affective and cognitive elements, beyond having been auto-directed. The experience made possible for the professionals to rescue elements of their own adolescence and also it made them leave the condition of observers to assume qualified and efficient personal attitudes. It provided an experimental setting for the participants in order to allow them to try other ways to be a health professional. This research signals the importance of proposals that aim to characterize health professionals practices from strategies that value the personal experience, contributing for the reinforcement of the Unique Health System SUS in Brazil. / Esta pesquisa objetivou compreender a experi?ncia de profissionais de sa?de p?blica em rela??o ? participa??o em um projeto denominado Falando Pra Galera, desenvolvido por uma organiza??o n?o governamental. Trata-se de um estudo qualitativo de inspira??o fenomenol?gica. Os referenciais te?ricos norteadores foram os conceitos de Carl Rogers sobre aprendizagem significativa e os princ?pios pedag?gicos propostos por Paulo Freire. A pesquisadora entrevistou sete profissionais da sa?de: psic?logo, terapeuta ocupacional, agente comunit?rio de sa?de, enfermeiro, auxiliar de enfermagem, dentista e m?dico. Objetivando apreender a experi?ncia vivida pelos participantes.A partir de encontro dial?gico entre a pesquisadora e cada um dos profissionais, foram constru?das sete narrativas compreensivas. As narrativas trouxeram ? tona elementos significativos da experi?ncia vivida pelos profissionais. Concluiu-se que o ambiente de aprendizagem proporcionado pelo projeto aos profissionais em rela??o ao desenvolvimento de atividades com adolescentes aproxima-se da proposta de Rogers para uma aprendizagem significativa, ao incluir elementos afetivos e cognitivos, al?m de ter sido auto-dirigido. A experi?ncia possibilitou aos profissionais resgatar elementos de sua pr?pria adolesc?ncia, fazendoos sa?rem da condi??o de expectadores para assumirem uma postura pessoal, qualificada e eficaz. Proporcionou-lhes ainda um espa?o para a experimenta??o de outras maneiras de ser profissional da sa?de. Esta pesquisa sinaliza a import?ncia de propostas que visem qualificar a pr?tica dos profissionais da sa?de a partir de estrat?gias que valorizem a experi?ncia pessoal, contribuindo para o fortalecimento do Sistema ?nico de Sa?de SUS -- no Brasil.
6

Compreens?o psicol?gica das viv?ncias de pais em aconselhamento gen?tico (ag): um estudo fenomenol?gico / Psychological understanding of parent s experience in genetic counseling (GC): a phenomenological study

Messias, Tatiana Slonczewski Caselli 10 February 2006 (has links)
Made available in DSpace on 2016-04-04T18:29:24Z (GMT). No. of bitstreams: 1 Tatiana Messias.pdf: 927085 bytes, checksum: 3cdca6dadcee4ded792743072f7b01fb (MD5) Previous issue date: 2006-02-10 / The research aimed to understand psychologically mother s and couples experiences in a process of Genetic Counseling (CG) on the Perinatal Genetic Ambulatory of CAISM/ UNICAMP after the birth of a child with Neural Tube Defect compatible or not with surviving with the purpose of planning specific actions regarding the attention to mental health in that context. Ten participants were selected among the population of mothers and couples attended during the period from March, 2003 to February, 2004, based on the richness and how representative were the psychological experiences reported. The research descriptive and with an exploratory feature was developed based on the phenomenological method. It began with the researcher s insertion on the studied context as a trainee. Observations were made during the GC consultations and, in a posterior moment, interviews with the participants were conducted, stimulated by some starting questions, in two moments: immediately after the GC and about six months later. The reports, transformed in Narratives, brought elements of the parents psychological experiences both in regard to the malformed children s death and surviving, as well as meaningful interpersonal relationships with relatives, friends and medical staff. The malformation diagnosis, the decisions derived by it and the contact with the baby dead or alive was a painful experience to mothers and couples. The emphasis, however, was given to the mothers experiences because of the considerable personal transformation caused by the existence of a malformed child. All the women participants in the research experienced motherhood even those whose babies didn t survive or the ones who proceeded with early pregnancy interruption given to their babies the status of sons. The surviving of the malformed child altered essentially mother s lives and their plans about the future because demanded intensive care and dedication, many times in detriment of their own needs. In this way, although reporting certain surpass about the initial suffering, they started to live in accord to the child s progresses. Differently, but without less suffering, the mothers whose babies passed way seemed to be able to surpass part of the suffering, dealing with the emptiness derived from the suspension of the exercise of their mother capacity trough the retake of ordinary activities and plans for the future, as they recovered psychologically. Even having the parents limitations for the comprehension of the orientations they received at the GC, it was experienced positively, both in regard to the contact they had with the staff and by the fact it had become an opportunity for relieving guilt, demystification of fantasies about the origins of the pathology and better comprehension of the problem. The possibility of the researcher s insertion on the service added to the study an ethnographic feature that leaded to a wider psychological comprehension about the studied question, making possible the reflection regarding the proper institutional psychological attention to the context and phenomena on focus, generating some strategies of intervention. / A pesquisa teve como objetivo compreender psicologicamente viv?ncias de m?es e casais em processo de Aconselhamento Gen?tico (AG) no Ambulat?rio de Gen?tica Perinatal do CAISM/UNICAMP, ap?s o nascimento de um filho portador de defeito de fechamento do tubo neural - compat?vel ou n?o com a sobrevida - visando ao planejamento de a??es espec?ficas voltadas a aten??o ? sa?de mental nesse contexto. Dez participantes, atendidos naquele contexto no per?odo de mar?o/2003 a fevereiro/2004, foram selecionados tendo como crit?rios a riqueza e a representatividade das viv?ncias psicol?gicas relatadas. O estudo descritivo e de car?ter explorat?rio desenvolveu-se com base no m?todo fenomenol?gico. Iniciou-se com a inser??o da pesquisadora no ambulat?rio, na condi??o de estagi?ria. Foram realizadas observa??es durante as consultas de AG e, posteriormente, entrevistas semi-dirigidas com os participantes, estimuladas por quest?es disparadoras, em dois momentos: imediatamente ap?s o AG e cerca de seis meses depois. Os relatos, transformados em narrativas trouxeram elementos das viv?ncias psicol?gicas dos pais, tanto em rela??o ? morte quanto ? sobrevida do filho malformado, bem como de rela??es interpessoais significativas com familiares, amigos e com as equipes m?dicas. O diagn?stico da malforma??o, as decis?es dela decorrentes e o contato com o filho vivo ou morto - constitu?ram intensas viv?ncias psicol?gicas para m?es e casais. A ?nfase, por?m, foi dada ?s viv?ncias das m?es pela consider?vel transforma??o existencial em fun??o do nascimento de um filho malformado.Todas as participantes do estudo vivenciaram a maternidade, mesmo aquelas cujos filhos n?o sobreviveram ou que procederam ? interrup??o gestacional em etapa precoce do desenvolvimento fetal, e atribu?ram aos beb?s o status de filhos. A sobreviv?ncia do filho malformado, por sua vez, alterou essencialmente a vida das m?es e seus planos para o futuro, demandando delas intensos cuidados e dedica??o, muitas vezes em detrimento de suas pr?prias necessidades. Assim, embora relatassem certa supera??o em rela??o ao sofrimento inicial, passaram a viver de acordo com os progressos do filho. Diferentemente, embora n?o com menos sofrimento, as m?es cujos filhos faleceram parecem ter sido tamb?m capazes de superar parte do sofrimento ao longo do tempo, lidando com o vazio decorrente da suspens?o do exerc?cio da capacidade materna pela retomada de atividades rotineiras e de planos quanto ao futuro. Ainda que tenham existido limita??es por parte dos pais para a compreens?o das orienta??es recebidas no AG, este foi vivenciado positivamente, tanto em rela??o ao contato que tiveram com a equipe quanto ao fato de ele ter-se constitu?do numa oportunidade para al?vio da culpa, desmistifica??o de fantasias quanto ? origem da patologia e melhor compreens?o do problema. A possibilidade de inser??o da pesquisadora no servi?o acrescentou ao estudo car?ter etnogr?fico consideravelmente enriquecedor, levando a uma compreens?o psicol?gica mais abrangente da complexidade da quest?o estudada e possibilitando a reflex?o acerca da aten??o psicol?gica de car?ter institucional adequada ao contexto e ao fen?meno em foco, gerando algumas estrat?gias de interven??o.
7

Terapia de fam?lia e seus significados: narrativas sobre as experi?ncias dos clientes / Family therapy and its meanings: narratives on client s experiences

Costa, Juares Soares 16 December 2011 (has links)
Made available in DSpace on 2016-04-04T18:29:55Z (GMT). No. of bitstreams: 1 Juares Soares Costa.pdf: 813333 bytes, checksum: 5ebcc05b5997c26ade8e02f369b798af (MD5) Previous issue date: 2011-12-16 / The purpose of this study was to apprehend and interpret in a phenomenological way some of the significant elements from people s experiences whom have concluded a process of family therapy. The research focus was on the meaning given by clients to their experiences. The researcher constituted a dialogical relationship with participants and, by doing so was able to access the meanings of their experiences and to communicate them through comprehensive narratives inspired by the ideas of Walter Benjamin. Narrative emerged as a proper methodological strategy to present and analyze patients experiences on family therapy as it was told to the researcher in a clinical setting. After all the families were interviewed a narrative synthesis was written with the main meanings of their experiences as they were understood by the researcher. These interpretations pointed a way that made possible the proposition of some guidelines for the clinical practice with families in institutional settings: 1) the therapy may work even if only two family members take part in it; 2) an easy and neutral attitude by the therapist is positive for the clients; 3) the therapeutical conversation is a model for the family in other contexts; 4) the reflexive conversation between the therapists or between a therapist and a family member is a model for changes in the family dynamics; 5) the couple or any other part of the family may be counseled apart, as a way to deal with specific issues that may influence other family members; 6) the families appreciates the conversations where they can speak, hear and be heard; 7) Even the persons who did not volunteer to go to therapy saw it as an opportunity for positive changes; 8) The pre-settled number of therapy sessions may be changed in a process where the decision is shared with the patients. / Este estudo buscou apreender e interpretar, fenomenologicamente, elementos significativos da experi?ncia vivida por pessoas que conclu?ram um processo de terapia de fam?lia. O foco da investiga??o localizou-se em como os clientes significam a experi?ncia vivida. Foi desenvolvido como uma pesquisa fenomenol?gica na qual o pesquisador constituiu uma rela??o dial?gica com os participantes, a partir da qual apreendeu significados e os comunicou sob a forma de narrativas compreensivas. A narrativa, inspirada nas id?ias de Walter Benjamin, emergiu como uma estrat?gia metodol?gica adequada para apresentar e analisar as experi?ncias de pessoas atendidas em terapia de fam?lia, relatadas ao pesquisador em uma situa??o cl?nica. Constru?ram-se narrativas compreensivas ap?s cada encontro com membros de cinco fam?lias. Posteriormente, foi elaborada uma narrativa-s?ntese contendo os principais significados da experi?ncia dos participantes da forma como foram apreendidos pelo pesquisador. Estes significados apontaram um sentido que possibilitou a proposi??o de alguns norteadores para a pr?tica cl?nica com fam?lias em contextos institucionais: 1) o processo terap?utico pode ser eficaz mesmo com a participa??o de apenas dois membros da fam?lia; 2) uma postura neutra e tranq?ila por parte do terapeuta ? percebida como positiva pelos clientes; 3) a conversa??o terap?utica constitui um referencial que a fam?lia adota em outros contextos; 4) o modelo de conversa??o reflexiva entre os terapeutas ou entre o terapeuta e membros da fam?lia tamb?m pode constituir um modelo para mudan?a das din?micas do grupo familiar; 5) a fam?lia pode beneficiar-se do atendimento em separado do casal ou de outro subgrupo, com o objetivo de trabalhar quest?es espec?ficas que possam ter influ?ncia sobre os problemas de outros membros; 6) as fam?lias valorizam as conversa??es que permitem a todos serem ouvidos e falar; 7) o encaminhamento involunt?rio para a terapia ? percebido pelas fam?lias como uma oportunidade para mudan?as construtivas; 8) o n?mero pr?-estabelecido de sess?es pode se revisto em cada caso a partir de um processo de decis?o compartilhado com os clientes.
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Gota d'?gua: imagin?rio coletivo de educadoras inclusivas sobre ser professor em tempos de inclus?o / "The Last Straw": collective imagination of inclusive educators about being a teacher in times of inclusion

Zia, Katia Panfiete 16 February 2012 (has links)
Made available in DSpace on 2016-04-04T18:29:56Z (GMT). No. of bitstreams: 1 Katia Panfiete Zia.pdf: 1311803 bytes, checksum: 0f5d76c969dd793243c8eb2d9cac828b (MD5) Previous issue date: 2012-02-16 / This research aimed to investigate psychoanalytically the collective imagination of inclusive educators about being a teacher nowadays, given the importance of this professional in the execution of the inclusive process. We conducted four group interviews for approaching collective personhood, in which participated eleven teachers from a public institution for special education support. Affiliated to intersubjective psychoanalysis, we used Winnicott's spontaneous theater to facilitate emotional communication. We recorded the clinical event through psychoanalytic narratives, whose approach enabled the interpretative production of a field of affective-emotional meaning, called "the last straw". This is organized around the belief in that "being a teacher" is to suffer due to increasing requests to assume tasks beyond their responsibilities. In this context, school inclusion is not specifically discussed, being confounded with one of the various requirements imposed to teachers. Work-related suffering is translated as impotence and incapability of perceiving a broader social and political horizon that forges, in a perverse way, the precarious working conditions in education. / Esta pesquisa objetivou investigar psicanaliticamente o imagin?rio coletivo de educadores inclusivos acerca do ser professor em tempos de inclus?o escolar, dada a import?ncia deste profissional na efetiva??o do processo educacional. Realizamos, para tanto, quatro entrevistas grupais para abordagem da pessoalidade coletiva, utilizando o teatro espont?neo winnicottiano como recurso facilitador da comunica??o subjetiva. Participaram onze educadoras de uma institui??o p?blica de apoio ? educa??o especial. Registramos o acontecer cl?nico por meio de narrativas psicanal?ticas, cuja abordagem permitiu a produ??o interpretativa de um campo de sentido afetivo-emocional, denominado Gota d??gua . Este foi organizado ao redor da cren?a de que ser professor ? sofrer devido a crescentes solicita??es a assumir deveres que ultrapassam suas responsabilidades. Neste campo, a inclus?o escolar n?o ? especificamente tematizada, sendo confundida com uma das in?meras exig?ncias que lhes s?o impostas. O sofrimento no trabalho se traduz como impot?ncia e incapacidade de percep??o de um horizonte social e pol?tico mais amplo que forja de modo perverso as condi??es prec?rias de trabalho na educa??o.
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Acolhimento como pr?tica psicol?gica no contexto de um Centro de Aten??o Psicossocial em ?lcool e Drogas / Welcoming as a psychological practice in the context of a Psychosocial Care Center on Alcohol and Drugs

Zini, Renato Luis 05 February 2013 (has links)
Made available in DSpace on 2016-04-04T18:29:58Z (GMT). No. of bitstreams: 1 RENATO LUIS ZINI.pdf: 1427658 bytes, checksum: 7c80a7801d1d0faac14eae07f351aaac (MD5) Previous issue date: 2013-02-05 / This phenomenological research aimed to apprehend the experience of persons who have been attended in a Psychosocial Care Center on Alcohol and Drugs - CAPS - located in a medium size town in S?o Paulo state in the context of the practice of welcoming made effective by a psychologist. This practice has been regarded as one of the facilitator contrivance for the consolidation of the National Health Humanization Program, implemented by the Ministry of Health since 2004. Although, the act of welcoming is recommended as interdisciplinary and inserted into the routine of all professionals and services related to Brazilian Public Health, the purpose was to analyze it from the perspective of a humanistic oriented psychologist. This is a qualitative phenomenological research based on the encounters of the researcher and the participants on the context of a duty care routine service. Thirty-six adults of both sexes were interviewed including those who attended the service for the first time and those who returned to treatment after a period of neglect during the period of September 2011 and August 2012. From these thirty-six people, fifteen were selected to participate in the research. As a strategy for the analysis of the encounters with the participants, there were constructed written narratives that enabled the researcher to approach with elements of the experience of these people from his own impressions on meeting them in a dialogic relationship. The results showed significant elements that emerged from these clinical encounters: 1) self-image: the participants refer to themselves as people who can undertake changes in the way of living towards the physical and psychological health; feel hopeful about the possibility of recovery from treatment adherence; 2) relationship with the body: the experience revealed a split between the physical body and its symbolization leading them to neglect the information transmitted to them by service technicians as to be carriers of serious physical ailments and other health problems; 3 ) selfperception: they preserve the condition of narrating their own life story, relating facts and relevant events that impelled them to be in the present condition; 4) affective relationships: the beginning of the use of chemicals is associated with emotionally relevant people, but it is also, the decision to seek help to get rid of addiction, 5) suffering because of the manner they are living as a trigger for seeking professional help, 6) relationship with drugs consumption: independent of the substance(s) sed, most of the time, consumption was reported by participants as something that they had already stopped when they took the initiative to seek help from CAPS.Participants felt welcomed during the encounters due to the empathic attitude and acceptance of the psychologist. The practice of welcoming performed in this study regarded the well-known institutional practice of psychology on duty care as proposed by Brazilian psychologists as an intervention made effective by the means of some specific attitudes held by the psychologists in order to receive clients psychological emergency demand. Thus, it was possible to realize the importance of a dialogic relationship to engage an experiential process that provides the client with a rescue of his/her subjectivity. / A pesquisa objetivou apreender fenomenologicamente a experi?ncia de pessoas atendidas em um Centro de Aten??o Psicossocial em ?lcool e Drogas, situado em um munic?pio do interior do estado de S?o Paulo, a partir da pr?tica de acolhimento efetivada por um psic?logo. Esta pr?tica tem sido considerada como um dos dispositivos facilitadores para a consolida??o do Programa Nacional de Humaniza??o em Sa?de, implementado a partir de 2004 pelo Minist?rio da Sa?de. Embora o ato do acolhimento seja preconizado como interdisciplinar e inserido na rotina de todos os profissionais e servi?os de sa?de p?blica brasileiros, procurou-se analis?-lo sob a perspectiva da pr?tica de um psic?logo de orienta??o humanista. Trata-se de uma pesquisa qualitativa de inspira??o fenomenol?gica e o contexto escolhido para os encontros do pesquisador com os participantes foi o atendimento rotineiro de plant?o. Foram entrevistadas trinta e seis pessoas adultas de ambos os sexos que compareceram ao servi?o pela primeira vez ou retornaram ao tratamento ap?s um per?odo de abandono, entre os meses de setembro de 2011 e agosto de 2012. Destas, foram selecionadas quinze para participarem da pesquisa. Como estrat?gia para a an?lise dos encontros com os participantes foram constru?das narrativas que possibilitaram ao pesquisador uma aproxima??o com elementos da experi?ncia dessas pessoas a partir de suas pr?prias impress?es ao estar com elas numa rela??o dial?gica. Os resultados evidenciaram elementos significativos que emergiram dos atendimentos: 1) autoimagem: os participantes referem-se a si mesmos como pessoas capazes de empreender mudan?as na forma de viver em dire??o ? sa?de f?sica e psicol?gica; sentemse esperan?osos em rela??o ? possibilidade de recupera??o a partir da ades?o ao tratamento; 2) rela??o com o corpo: revelou-se a experi?ncia de uma cis?o entre o corpo f?sico e sua simboliza??o, levando-os a negligenciarem as informa??es que lhes eram transmitidas pelos t?cnicos do servi?o quanto a serem portadores de mol?stias f?sicas graves e outros agravos ? sa?de; 3) percep??o de si: preservam a condi??o de narrarem sua pr?pria hist?ria de vida, relacionando fatos e eventos relevantes que os impeliram a estar na condi??o atual; 4) rela??es afetivas: o in?cio do uso de subst?ncias qu?micas est? associado a pessoas afetivamente relevantes; da mesma forma em rela??o ? decis?o de procurar por ajuda para livrar-se da depend?ncia; 5) sofrimento face a maneira como se est? vivendo como elemento desencadeador da busca por ajuda profissional; 6) rela??o com o consumo de drogas: independente da(s) subst?ncia(s) usada(s), o consumo era referido pelos participantes na maioria das vezes como algo que j? haviam deixado, assim que tomaram a iniciativa de procurar pelo CAPS. Os participantes sentiram-se acolhidos durante os atendimentos em fun??o da postura emp?tica e aceitadora do psic?logo. Os atendimentos realizados assemelham-se ao plant?o psicol?gico como pr?tica de interven??o cl?nica em institui??es quanto ?s atitudes do plantonista e a sua forma de acolher a demanda do cliente. Foi poss?vel constatar a import?ncia de uma rela??o dial?gica para o desencadear de um processo experiencial que disponibiliza ao cliente um resgate de sua subjetividade.
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Aten??o psicol?gica em situa??es extremas: compreendendo a experi?ncia de psic?logos / Psychological care in extreme situations: understanding the psychologists experience

Vasconcelos, Ticiana Paiva de 10 February 2015 (has links)
Made available in DSpace on 2016-04-04T18:30:02Z (GMT). No. of bitstreams: 1 Ticiana Paiva de Vasconcelos.pdf: 3538927 bytes, checksum: d5d1b1a88d630edaf25edceb9109b780 (MD5) Previous issue date: 2015-02-10 / This research aimed to apprehend and interpret the experience of psychologists who have worked in several contexts considered extreme situations, including those designated as abrupt - environmental disasters and plane crashes - and as chronic - armed conflicts, post-war and epidemics. The investigation was characterized as an exploratory qualitative research of phenomenological inspiration. Individual encounters with nine psychologists ocurred from April to September of 2013. As a strategy for the participants experience based on the researcher's impressions. A narrative-synthesis emerged from all the individual narratives pointing to interpretative elements relatd to the studied phenomenon: (1) being exposed to constant threats to the their physical and psychological integrity and living with risk becomes an inherent part of this professional practice; (2) belonging to an organization that manages the team's actions allows a certain structure for their interventions and also offers support and care to the professionals; (3) psychological care develops in harmony eith the specificities and demands of the situation, developing from attitudes of empathy and acceptance, as well as from the authenticity of the psychologist himself; (4) psychologists revealed feelings of sefrealization as a result of participating in extreme situations, and a desire to remain in a state of readiness for action. (5) working in extreme situations is a fertile and peculiar opportunity of learning. These results revealed the meaning of the psychological practice in extreme situations as human gesture of casting oneself in the direction of others as a mission to care for and facilitate the clinical situation. / Esta pesquisa objetivou compreender e interpretar a experi?ncia de psic?logos que atuaram em diversos contextos considerados como situa??es extremas, incluindo as denominadas abruptas - desastres ambientais e acidentes a?reos - e as cr?nicas - conflitos armados, p?s-guerras e epidemias. Caracterizou-se como pesquisa explorat?ria de inspira??o fenomenol?gica. Foram realizados encontros individuais com nove psoc?logos no per?odo de abril a setembro de 2013. Como estrat?gia para a an?lise dos encontros foram elaboradas narrativas que desvelaram os significados da experi?ncia dos participantes a partir da compreens?o da pesquisadora. Uma narrativa-s?ntese emergiu do conjunto de narrativas individuais apontando elementos de natureza interpretativa em rela??o ao fen?meno estudado: (1) diante da exposi??o a constantes amea?as ? sua propria integridade f?sica e psicol?gica, conviver com o risco torna-se parte inerente a este tipo de pr?tica profissional; (2) pertencer a uma organiza??o que gerencia as a??es da equipe possibilita estruturar a interven??o e tamb?m oferece apoio e cuidado aos profissionais; (3) a aten??o psicol?gica desenvolve-se em sintonia com as especificidadese demandas da situa??o, constituindo-se a partir de atitudes de empatia e aceita??o ?s pessoas, assim como de autenticidade em rela??o a si pr?prio; (4) os psic?logos revelaram sentimentos de autorrealiza??o em decorr?ncia da participa??o em situa??es extremas e anseio por permanecer em estado de prontid?o para entrar em a??o; (5) atuar em situa??es extremas constitui campo f?rtil e peculiar de aprendizagem. Esses resultados desvelaram o sentido da pr?tica psicol?gica em situa??es extremas como um gesto humano de lan?ar-se em dire??o ao outro tendo como miss?o o cuidar e possibilitando e emerg?ncia do acontecer cl?nico.

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