Orientador: Nelson Filice de Barros / Tese (doutorado) - Univversidade Estadual de Campinas, Faculdade de Ciências Médicas / Made available in DSpace on 2018-08-16T09:11:31Z (GMT). No. of bitstreams: 1 Siegel_Pamela_D.pdf: 6725081 bytes, checksum: 927fab05ed1e53b418d141d74f04658e (MD5) Previous issue date: 2010 / Resumo: O yoga é uma prática psico-física sistematizada por Patanjali, sábio hindu, que viveu no século II a.C.. Em 1893 o yoga chega às Américas com a vinda do Swami Vivekananda aos Estados Unidos e no Brasil, nos anos de 1940, Caio Miranda começa a ensinar a prática no Rio de Janeiro. Portanto, o yoga é praticado há sessenta anos no país e há, ainda, poucas pesquisas sobre o mesmo no campo da saúde coletiva, razão esta que justificou o nosso interesse. Além do que em 2002 a Organização Mundial de Saúde incluiu o yoga no conjunto das práticas mente-corpo e estimulou seus países membros a pesquisar e adotar esta prática nos seus sistemas de saúde pública. O objetivo desse trabalho é analisar as percepções dos líderes das principais tradições do yoga em São Paulo sobre a possibilidade da inserção dessa prática como política pública no Sistema Único de Saúde (SUS) e seus processos de formação e profissionalização. Foram identificadas 21 tradições principais, das quais 18 líderes foram entrevistados e três não o foram por diferentes razões. Foram realizadas entrevistas em profundidade em janeiro/fevereiro de 2006; em setembro/outubro de 2008 e abril de 2009, com roteiro construído em três secções: a) Identificação pessoal; b) A prática do yoga e c) Yoga e saúde. As entrevistas tiveram duração média de 1,5h e aconteceram em diferentes locais da cidade de São Paulo, de acordo com os apontamentos dos entrevistados. Todas foram gravadas, transcritas e analisadas com base na tradição da análise temática da pesquisa qualitativa. A maioria dos instrutores tem curso superior, formação em yoga adquirida no Brasil e em países estrangeiros, em cursos nos EUA e na Índia, viagens e retiros. Em relação à profissionalização, alguns dos entrevistados tiveram contato muito cedo com o yoga, seja através de leituras, influências familiares, inclinações místicas, estados de saúde delicados ou simples curiosidade. Outros entraram em contato com a prática na idade adulta e decidiram se dedicar à docência do yoga. Os entrevistados atuam em escolas particulares de yoga ou em organizações que promovem diferentes tradições do yoga, dando aulas, palestras, cursos de formação, cursos intensivos e de férias, bem como organizando retiros, viagens, seminários, e alguns escrevem artigos e traduzem livros sobre temas do universo do yoga. Todos os entrevistados aprovam a inclusão do yoga no SUS e elaboraram sugestões sobre: como a prática poderia ser ofertada, o público alvo, as técnicas de yoga a serem ensinadas, a duração das aulas, etc. Algumas áreas em que o yoga poderia fazer importantes contribuições seriam: vegetarianismo; correção postural e integração dos movimentos; cultura de paz; cultivo de valores; abstenção de vícios; consciência espiritual; integração do si; cultivo da atenção, oxigenação cerebral; cultivo de uma disciplina e melhoria da qualidade de vida. Conclui-se que o yoga é visto como um conjunto de práticas físicas, sociais e filosóficas úteis para o campo da saúde, todavia com muitos desafios para a sua integração no SUS, devido à sua identificação com a cultura alternativa e distanciamento das bases epistemológicas da medicina complementar e integrativa. / Abstract: Background: Yoga is a psycho-physical practice systematized by Patanjali, a Hindu sage, who lived in the second century BCE. In 1983, yoga was brought to America by Swami Vivekananda. In Brazil, around 1940, Caio Miranda began teaching the practice in Rio de Janeiro. Thus yoga has been practiced for the last sixty years in the biggest urban centers of the country and there are very few academic studies on the subject in the health field, which is the main reason to justify our interest in the study. Besides, in 2002, the World Health Organization included yoga in the group of the mind-body practices and stimulated its members to study and adopt these practices in the national health systems. Objective: This article explores the São Paulo yoga leaders' perceptions regarding the potential insertion of yoga as a public policy into the Brazilian National Health System, and their process of professionalization. Methods: Twenty one main traditions were identified, of which 18 leaders were interviewed, and the other three didn't participate for different reasons. Indepth interviews were carried out in January/February 2006; September/October 2008 and April 2009, through the application of a questionnaire divided into three sections: (a) personal identification; (b) yoga practice; and (c) yoga and health. The interviews lasted approximately 1.5 hr and took place in various locations in São Paulo city, according to appointments arranged by the interviewees and after they had signed a voluntary consent form. All the interviews were tape-recorded, transcribed, and analyzed according to the qualitative research tradition. Most yoga leaders have college education and acquired their yoga training in Brazil and in foreign countries, like USA and India, and through trips and retreats. Concerning their professionalization, some of the interviewees came in contact with yoga at a young age either through books, family influences, mystical inclinations, delicate states of health or simply curiosity. Others discovered yoga as adults and decided to become yoga teachers. They work in private yoga schools or for organizations which promote different yoga traditions, teaching, giving lectures, courses for teachers, intensive and vacation courses, and they also organize retreats, trips and seminars; some of them write articles and translate books on different themes pertaining to the yoga field. Results: All the interviewees approve the inclusion of yoga in the Brazilian National Health System and suggested how the practice could be applied, the main public, the yoga techniques, the duration of the classes, etc. Areas in which yoga was perceived as being able to make important contributions included: vegetarianism; postural correction and integration of movements; peace culture; the cultivation of virtuous values; abstention from addictive substances; spiritual consciousness; integration of the self; cultivation of awareness; brain oxygenization; cultivation of discipline and improved quality of life. Conclusion: Yoga is seen as a group of useful physical, social, and philosophical practices for the health field. However, challenges to its integration into the BNHS include its maintenance as an alternative culture practice and its distance from the epistemological bases of present complementary and integrative medicine. / Doutorado / Saude Coletiva / Doutor em Saude Coletiva

This project analyzed professionals' opinions about biofeedback and neurofeedback.

The present study applies Driver and Gottman’s (2004a) Turning System to observations of the therapeutic relationship in a quasi-experimental between and within groups design. A sample of 63 full counseling sessions (21 first sessions with clients who return for four sessions, 21 first sessions for clients who terminate therapy prior to four sessions, and 21 fourth sessions) were collected from a university counseling center in South Florida. Clients and clinicians also completed self report evaluations of the therapeutic relationship that were also included in this study (Working Alliance Inventory – Short Form, and the Real Relationship Inventory). A series of multivariate analysis of the variance (MANOVA) tests were performed to assess for significant differences in Turning System behavior between return and dropout groups in the first sessions of therapy, as well as for significant differences between return groups’ first and fourth sessions. Correlation analyses were run for client and therapist self report data and Turning System codes. Overall, the Turning System codes did not predict attrition from therapy; however, significant effects were found for specific behaviors in the return versus dropout comparisons, including client’s uses of negative bids, high level questions, and preoccupied away responses. The Turning System also did not predict clear differences between behaviors in ongoing therapy, though significant effects were again found for individual behaviors enacted by both clients and therapists. Significant negative correlations were also found for return group clients between specific behaviors and ratings of the therapeutic alliance, such as high level questions and preoccupied away responses. Individual behaviors in the therapist return group, such as high level questions, negative bids, and interruptions, correlated negatively with ratings of the therapeutic alliance. The results of this study are presented in an effort to synthesize the data into a narrative for developing effective therapeutic relationships and guidance for future research. / Includes bibliography. / Dissertation (Ph.D.)--Florida Atlantic University, 2016. / FAU Electronic Theses and Dissertations Collection

This investigation utilized a novel, self-help, multi-element psychological program to manage chronic low back pain. A literature review indicated that this disorder was costly and prevalent, yet a large percentage of chronic low back pain patients did not respond to traditional treatment. Recent research has demonstrated that numerous psychological difficulties have been associated with this disorder, including depression and anxiety. It was hypothesized that these psychological concomitants of chronic low back pain maintain and promote further pain, as part of a vicious cycle. Self-help treatment attempted to break this tension-pain-anxiety cycle using various stress reduction, and cognitive and behavioral management strategies.

Made available in DSpace on 2015-05-14T16:53:19Z (GMT). No. of bitstreams: 0 Previous issue date: 2014-02-24Bitstream added on 2015-05-14T16:59:02Z : No. of bitstreams: 1 000816084.pdf: 546108 bytes, checksum: 9ecb59e3d926b6379bd0209c2777d36b (MD5) / Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES) / Fundação Ezequiel Dias do Estado de Minas Gerais (FUNED) / A vivência da doença onco-ginecológica, proporciona sofrimento, preocupações e perdas tanto na paciente como nos membros da sua família, em particular, naquele que tem a responsabilidade da prestação de cuidados. Clinicamente, tem havido uma tentativa de modificar as respostas de estresse dos indivíduos, com terapias anti-estresse, que focam nas interações entre a mente e o corpo nos fatores mentais, sociais, espirituais e emocionais, afetando diretamente a saúde e a capacidade de auto-cuidado e auto-consciência. O objetivo deste estudo foi avaliar a influência do programa de medicina anti-estresse em mulheres com câncer de colo uterino submetidas à radioterapia e em seu cuidador. A amostra foi constituída de 60 mulheres com câncer de colo uterino, submetidas à radioterapia, acompanhadas pelo Hospital Luxemburgo, em Belo Horizonte, Minas Gerais, e 60 cuidadores, sendo divididos em dois grupos denominados caso e controle. O grupo caso era composto de 30 mulheres e seus respectivos cuidadores, que participaram do programa de medicina anti-estresse (PMAE). O grupo controle não participou da terapêutica (30 mulheres e 30 cuidadores). Os participantes completaram um conjunto instrumentos de medida: o questionário socio-demográfico e clínico, o questionário European Organization for Reseach and Treatment of Cancer Qualityof- Life Questionnaire (EORTC QLQ-C30), a Escala da Qualidade de Vida do Cuidador/Familiar Oncológico e o Termômetro de Distress. Foi coletada uma amostra de saliva para medição do cortisol salivar antes e após a realização das técnicas da medicina anti-estresse. Os grupos foram semelhantes em relação ao estado civil, escolaridade, menopausa, altura e peso. As pacientes que participaram do PMAE apresentaram melhora na qualidade de vida (p=0,0004), diminuição do distresse (p>0,0001) e cortisol salivar (p>0,0001). A qualidade de vida dos cuidadores de mulheres com câncer de colo uterino submetidas ... / The experience of onco-gynecological disease, provides distress, worries and losses in both patient and the family members, in particular, in that it has the responsibility of providing care. Clinically, there has been an attempt to modify the stress responses of individuals with anti-stress therapies, which focuses on the interactions between mind and body in the mental, social, spiritual and emotional factors directly affecting the health and capacity for self-care and self -awareness. The aim of this study was to evaluate the influence of the mindy-body medicine (MBM) in women with cervical cancer submitted to radiotherapy and their caregivers. The sample consisted of 60 women with cervical cancer submitted to radiotherapy, followed by Luxembourg Hospital in Belo Horizonte, Minas Gerais, and 60 caregivers were divided into two groups: case and control. The case group consisted of 30 women and their caregivers who participated of MBM. The control group did not participate in therapy (30 women and 30 caregivers). Participants completed a set of measurement instruments: the socio -demographic and clinical questionnaire, the questionnaire European Organization for Research and Treatment of Cancer Quality-of- Life Questionnaire (EORTC QLQ-C30), the Quality of Life Scale Caregiver / Family oncology and Distress Thermometer. A saliva sample for measurement of salivary cortisol before and after performing the techniques of MBM was collected. The groups were similar with respect to marital status, education, menopause, height and weight. The patients who participated MBM showed improved quality of life (p=0.0004), decreased distress (p>0.0001) and salivary cortisol (p>0.0001). The quality of life of caregivers of women with cervical cancer submitted to radiotherapy, which did not participate in MBM decreased (p=0.0475) compared to the group case. Caregivers PMAE participants showed decreased distress (p=0.0013) compared to the control group ...

Orientador: Paulo Traiman / Coorientador: Sara de Pinho Cunha Paiva / Banca: Rívia Mara Lamaita / Banca: Ricardo dos Reis / Banca: Luís Otávio Zanatta Sarian / Banca: Anaglória Pontes / Resumo: A vivência da doença onco-ginecológica, proporciona sofrimento, preocupações e perdas tanto na paciente como nos membros da sua família, em particular, naquele que tem a responsabilidade da prestação de cuidados. Clinicamente, tem havido uma tentativa de modificar as respostas de estresse dos indivíduos, com terapias anti-estresse, que focam nas interações entre a mente e o corpo nos fatores mentais, sociais, espirituais e emocionais, afetando diretamente a saúde e a capacidade de auto-cuidado e auto-consciência. O objetivo deste estudo foi avaliar a influência do programa de medicina anti-estresse em mulheres com câncer de colo uterino submetidas à radioterapia e em seu cuidador. A amostra foi constituída de 60 mulheres com câncer de colo uterino, submetidas à radioterapia, acompanhadas pelo Hospital Luxemburgo, em Belo Horizonte, Minas Gerais, e 60 cuidadores, sendo divididos em dois grupos denominados caso e controle. O grupo caso era composto de 30 mulheres e seus respectivos cuidadores, que participaram do programa de medicina anti-estresse (PMAE). O grupo controle não participou da terapêutica (30 mulheres e 30 cuidadores). Os participantes completaram um conjunto instrumentos de medida: o questionário socio-demográfico e clínico, o questionário European Organization for Reseach and Treatment of Cancer Qualityof- Life Questionnaire (EORTC QLQ-C30), a Escala da Qualidade de Vida do Cuidador/Familiar Oncológico e o Termômetro de Distress. Foi coletada uma amostra de saliva para medição do cortisol salivar antes e após a realização das técnicas da medicina anti-estresse. Os grupos foram semelhantes em relação ao estado civil, escolaridade, menopausa, altura e peso. As pacientes que participaram do PMAE apresentaram melhora na qualidade de vida (p=0,0004), diminuição do distresse (p>0,0001) e cortisol salivar (p>0,0001). A qualidade de vida dos cuidadores de mulheres com câncer de colo uterino submetidas ... / Abstract: The experience of onco-gynecological disease, provides distress, worries and losses in both patient and the family members, in particular, in that it has the responsibility of providing care. Clinically, there has been an attempt to modify the stress responses of individuals with anti-stress therapies, which focuses on the interactions between mind and body in the mental, social, spiritual and emotional factors directly affecting the health and capacity for self-care and self -awareness. The aim of this study was to evaluate the influence of the mindy-body medicine (MBM) in women with cervical cancer submitted to radiotherapy and their caregivers. The sample consisted of 60 women with cervical cancer submitted to radiotherapy, followed by Luxembourg Hospital in Belo Horizonte, Minas Gerais, and 60 caregivers were divided into two groups: case and control. The case group consisted of 30 women and their caregivers who participated of MBM. The control group did not participate in therapy (30 women and 30 caregivers). Participants completed a set of measurement instruments: the socio -demographic and clinical questionnaire, the questionnaire European Organization for Research and Treatment of Cancer Quality-of- Life Questionnaire (EORTC QLQ-C30), the Quality of Life Scale Caregiver / Family oncology and Distress Thermometer. A saliva sample for measurement of salivary cortisol before and after performing the techniques of MBM was collected. The groups were similar with respect to marital status, education, menopause, height and weight. The patients who participated MBM showed improved quality of life (p=0.0004), decreased distress (p>0.0001) and salivary cortisol (p>0.0001). The quality of life of caregivers of women with cervical cancer submitted to radiotherapy, which did not participate in MBM decreased (p=0.0475) compared to the group case. Caregivers PMAE participants showed decreased distress (p=0.0013) compared to the control group ... / Doutor

Orientadores: Eusebio Lobo da Silva, Sara Pereira Lopes / Dissertação (mestrado) - Universidade Estadual de Campinas, Instituto de Artes / Made available in DSpace on 2018-08-09T17:05:18Z (GMT). No. of bitstreams: 1 Elias_MarinaFernanda_M.pdf: 1393264 bytes, checksum: b45b1100c2f16ad4983f15813ffd2ed6 (MD5) Previous issue date: 2007 / Resumo: Esta pesquisa apresenta um estudo sistemático sobre a improvisação enquanto ferramenta para o processo de criação coletiva nas artes cênicas, e a conseqüente sistematização de um jogo teatral ao qual chamamos Zona do Improviso. Utilizamos como norteadores da investigação dois sistemas com evidentes possibilidades de diálogo e entrelaçamento: o Sistema Effort-Shape, desenvolvido por Rudolf Von Laban, e o exercício do Campo de Visão, desenvolvido pelo Prof. Marcelo Ramos Lazzaratto. A partir do interjogo entre esses dois sistemas e, somando como suporte teórico e prático os estudos sobre jogo e improvisação de Viola Spolin, sistematizamos a Zona do Improviso que nos proporcionou juntamente com os dois citados sistemas, a montagem do espetáculo ¿Alma de Papel¿. Levantamos a hipótese de que a relação de cada intérprete com seu material criativo e espontâneo interfere no seu desenvolvimento técnico poético e na criação cênica em si. O desenvolvimento desta pesquisa se deu a partir da experimentação destes conceitos aplicados a dois tipos de propostas realizadas em laboratórios práticos: um processo pedagógico de sistematização destas idéias (Zona do Improviso) e uma experimentação de criação cênica (Alma de Papel). Participaram dos laboratórios vinte estudantes dos cursos de graduação em Artes Cênicas, Artes Corporais, Artes Plásticas e Música, da Unicam / Abstract: This research presents a systematical study about the use of improvisation as a tool for the collective creation in the performing arts, and the consequent systematization of an improvisation game called 'Improvisation Zone¿. As references of this research, we made use of two systems with clear possibility of dialogue and interlacement: the Effort-Shape System developed by Rudolf Von Laban, and the 'Vision Area¿ game, developed by Prof. Marcelo Ramos Lazzaratto. Starting from the 'intergame¿ between theses two systems and guided by the practical and theoretical studies of Viola Spolin, we systematized the 'Improvisation Zone¿, playing a key role in our creation of the play 'Alma de Papel¿. This research enquires the relationship of each interpreter with his own spontaneous and creative material, and how it interferes with his technique and poetic development and in the scenic construction. The development of this research was based on the experimentation of these concepts, applied on two propositions: the pedagogic process of systematization of these ideas ('Improvisation Zone¿) and the experimentation of the scenic construction / Mestrado / Mestre em Artes

Chronic stress contributes to a global burden of disease that include mental illness, cardiovascular disease and early mortality. One pathway linking stress responses to health outcomes involves cardiovascular response to psychological stress. Specifically, vagal response as indexed by heart rate variability (HRV) can be used to examine autonomic processes, dysfunction of which can predict cardiovascular morbidity and mortality. The competitive academic climate on undergraduate campuses and insufficient time for recreation, rest and study, combined with inadequate coping skills can equate to consistent stressors that lead to subsequent stress and psychopathology among college students. Research demonstrates that reduced HRV can be observed among students during exam time, whereas increased HRV is observed in times of rest, suggesting that academic stress contributes to real-time physiological changes that, when prolonged, can be pathogenic in nature. Interventions aimed at influencing these processes via relaxation or other mind-body approaches have shown that enhancing meta-cognitive skills and other coping strategies have proven helpful in both improving perceived stress and psychological distress as well as improving HRV when compared with controls. This study investigates potential positive physiological effects of an eight-week Spiritual-Mind-Body (SMB) intervention, Awakened Awareness for Adolescents (AA-A), for undergraduate students. Specifically, we explore changes in HRV during resting, stress and recovery phases before and after the eight-week intervention. Additionally, we examine the association between change in self-report on measures of personal spirituality and psychological variables (pre-post AA-A), and changes across a host of HRV indices. Results include improvements in HRV recovery from stress and that a process of spiritual recovery is associated with these changes. SMB interventions that aim to improve spiritual and psychological functioning may promote psychophysiological resilience from stress.

Increasing prevalence and severity of undergraduate psychopathology, combined with heightened burden on college campus counseling centers and the potential for sustained distress and self-harm, has necessitated comprehensive, vertically integrated on-campus mental health services. Initiatives include preventive interventions that: 1) foster resilience and adaptive coping, 2) ameliorate sub-threshold symptoms of pathology as secondary prevention, and 3) foster well-being and meaningful student experiences for greater fulfillment and thriving. A growing body of supportive data has led to some expansion of mental health and wellness services on college campuses, including the use of spiritually integrated mind-body practices to promote well-being. While college campuses’ wellness initiatives show promise, structured spiritual-mind-body (SMB) interventions have yet to be formally tested in either open or controlled clinical trials. The primary aim of this open-trial pilot study was to evaluate the feasibility and acceptability of an eight-session SMB-integrated wellness intervention, Awakened Awareness for Adolescents (AA-A), adapted specifically for late adolescent (ages 18 - 25) college students from Awakened Awareness for adults (AA) to support spiritual development and individuation. A secondary aim was to obtain preliminary data on changes in undergraduate students’ mental health and spiritual well-being across the AA-A intervention. Participants consisted of 77 non-clinically-referred undergraduates aged 18 - 24, who attended an average of M = 5.75 (SD = 1.42) out of the eight sessions. Measures included common psychopathology symptoms, spiritual well-being, psychological, and psychosocial variables using validated self-report assessments. Additionally, we explored the effect of spiritual well-being variables’ change scores as predictors of post-AA-A psychopathology symptom scores, controlling for pretest symptom scores. Differential effects between participants with high and low baseline depression symptoms were examined on outcome measures. Preliminary findings support the feasibility and acceptability of the AA-A intervention for college student’s mental health and spiritual well-being. Results include significant reductions in depression, anxiety, post-traumatic stress (PTS) symptoms, and significant improvements in numerous spiritual well-being, psychological, and psychosocial variables. Further, a recovery process from high rates of PTS symptomatology and spiritual decline may be initiated by SMB interventions that foster enhanced spiritual perception and build awareness of personal and relational spirituality.

In this dissertation the phenomenological method together with the hermeneutical concepts of experience, devotion, constant remembrance and transmission focus on yogic transmission in Sahaj Marg of the Shri Ram Chandra Mission. Sahaj Marg is an adaptation of Raj a Yoga. Sahaj Marg emphasises the practical approach and calls for the aspirant to follow the teachings and methods of the spiritual Master. Yogic transmission is the unique feature of this system. Preceptors have been trained by the Master to aid in the spiritual evolution of humanity. Pranahuti is defined by the Master as a forceless force for the spiritual transformation of humanity. This system can be followed by all aspirants, the only qualification being a willingness to follow the practice. Sahaj Marg has been created for the present day aspirant to achieve liberation in the quickest time possible. / Religious Studies and Arabic / M.A. (Religious Studies)