Navegando por Assunto "Psicologia clínica"

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Adesão ao tratamento por pacientes portadores de diabetes tipo 1 e tipo 2: efeitos do treino de discriminação de dicas internas e externas
(Universidade Federal do Pará, 2003-03-01) BRANDÃO, Washington Luiz de Oliveira; FERREIRA, Eleonora Arnaud Pereira; http://lattes.cnpq.br/6600933695027723; TOURINHO, Emmanuel Zagury; http://lattes.cnpq.br/5960137946576592
The present study aims to compare the results of discriminatioll training of symptoms and actions related to the treatment of Type I and Type 2 diabetes, evaluating the effectíveness of these trainings for the estimation of glicemic levels and adherence to the treatment. A countless number of surveys carried on in the Health psychology field has the goal of improving the treatment to diabetic patients. Part of these surveys use a procedure caUed general blood glucose selfmonitoring which is based on skills such as observation, checking and registering the relevant aspects in the treatment of diabetes such as: (a) glícemic leveI (GL); (b) symptoms (internal cues - 1C); and (c) actions related to the treatment such as medication, nourishment and physical activity (external cues - EC). The studieshave shownthat general blood glucose.self-monitoring helps the patients to improve the levei of discrimination ofthe glicemic a1terations. This 1iterature is not clear about defining which is the best cue to the used to improve the discrimination of the glicemic levels and states that the development of this skill does not enhance the adherence to the treatment. This study was made of three distinct phases: (a) Baseline and introdutory interview; (b) Trainings interviews; (c) Devolutive final interview. The training phase is divided ln two parts - Internal Cues (IC) and External Cues (EC). During the training phases the participants estimated and assigned a cause to the glicemic leveI on their blood stream measured by a memory-containing reflectometer in the interviews. During in the EC, the participantes also received a feedback from the researcher about the report of the directions followed, based on the directions given by medical advice and compiled from medical registers ofthe patients. 1ts rate of adherence (RA) was measured in the two first phases. The training interviews were conducted at 'the participant's home, in the intervals of 3 days, during which the participants registered the events which took place during corresponding phase. The results showed that independently of the type of training which was accomplished, the participants estimated their glicemic levels based on external cues. The symptoms related to 1Cphase were not always associated to glicemic leveI measured. The participants with diabetes Type 1 reached a higher degree of precision on their estimations during the EC training. The majority of participants had higher degree of the adherence to the treatment when they stared by the EC training. The results suggest that: (a) the reports of the symptoms are not the best indication to evaluate glicemic leveI and adherence of treatment; (b) the best type of training to enhance the adherence to the treatment is the one which involves external cues
Acesso aberto (Open Access)
Efeitos do treino de cuidadores sobre comportamentos de apoio à adesão às orientações nutricionais por portadores de diabetes
(Universidade Federal do Pará, 2005-05-13) MALCHER, Michele da Silva; FERREIRA, Eleonora Arnaud Pereira; http://lattes.cnpq.br/6600933695027723
Health studies have pointed out that social support is one of the factors related to the adherence to diabetes patients treatment. Based on behavior analysis reference and especially on Goldiamonds constructional approach this study aimed to evaluate the effects of training procedure on caregivers support behavior offered to adult patients feeding behavior. Further, it was intended to analyze effects of this training on the patients adherence to dietary prescription. Taking part on this study were three women enrolled in a program for diabetes patients and one family member of each patient, amounting to three caregiver-patient dyads, two of which were allocated on a Training Condition (TC) and one, on a Non-Training Condition (NTC). As information sources, one used the verbal reports of the patients and of the caregivers, direct observation of behavioral interaction and clinical indicators. Using the subject as its own control, the intervention consisted on the training in contingency analysis and behavioral handling, accomplished in home visits by means of self monitoring records. The results showed that caregivers who took part on the Training Condition presented enlargement on the support behavior repertoire, which was not verified regarding the caregiver who took part on the Non-Training Condition. The glycemic levels reduction and the reports presented by the Training Condition patients suggest that the intervention has contributed to improvements on the adherence to nutritional orientations by theses patients.
Acesso aberto (Open Access)
A integralidade na prática clínica e institucional e na relação ensino-serviço: um estudo de caso sobre a formação do psicólogo em hospital público
(Universidade Federal do Pará, 2009-07-01) SOUZA, Ana Vicentina Santiago de; OLIVEIRA, Paulo de Tarso Ribeiro de; http://lattes.cnpq.br/9266787581530443; MOREIRA, Ana Cleide Guedes; http://lattes.cnpq.br/9245673017553186
This work consists of studying the clinical and institutional practice in the psychologist’s formation under the perspective of the totality in health in the João de Barros Barreto Academical Hospital - HUJBB. The choice of the study field was due to the knowledge of the hospital while work area, as well as for the fact of this to be one of the three only places in Unique Wealth System SUS that serve as practice for the Course of Psychology of UFPA, where it is propitiated the students to have contact with the clinical and institutional practice, applying theoretical-methodological backgrounds of Psychoanalysis, institutional analysis, processes group and of communication and knowledge of Public Health. Being used of the qualitative approach, the procedures of collection of data were the semi-structured interview, the questionnaires and the participant observation. Among the important aspects in the study was observed: the constant fragmentation of the several involved professionals’ work and the psychologist’s search for a space more consolidated and articulate of performance in the team of health; the lack of previous knowledge of collective health on the part of the students motivating a concentrated effort of the supervisors and field advisors in the relationship teaching-service; the failed of the physical facilities and of the equipments of the hospital generating difficulties, but, simultaneously, stimulating an expressed subjectivity in the collaboration between employees and students; the effort of the Service of Psychology in drill the work centered in the medical act and in the sick body for an attention marked by the relationship with the patient as subject and for the different manners of psychopathologic subjectivization that constitute the theoretical-methodological problem placed for your psychotherapic effectiveness; and, finally, its insert in the teams multiprofessionals. The plot formed by the group of those protagonisms it configures the psychologist’s challenge, with the other professionals, to understand and to carry out the wholeness of the attention, in permanent exercise of construction in the hospital. Two theoretical stand out in the argument that problematizes the integral attention in the hospital - Canguilhem, for the discussion of the concept of health while possibility to live in conformity with the middle and Winnicott, in the possible clinical perspective in that adapts.
Acesso aberto (Open Access)
Valores do terapeuta na clínica analítico-comportamental
(2015-12) CELSO, João Paulo Watrin Martin; STEIN, Silvia Canaan de Oliveira
Since the 1950s, it has been argued that, to some extent, therapists do not remain value-free in psychotherapy and may even influence clients' values. Behavior-analytic therapy is no exception to this rule, even though its concept of values differs from traditional views. This work demonstrates how therapists can reveal their values during behavior-analytic therapy, whether these values are personal or shared with a particular culture (e.g., society as a whole, psychology, behavior analysis). To this purpose, it reviews how values have been conceptualized in behavior analysis and discusses what makes it possible for therapists to disclose their values during behavior-analytic therapy. At the end, some implications of this issue for clinical practice are briefly discussed.
Acesso aberto (Open Access)
Vivências de pais e/ou cuidadores de crianças com autismo em um serviço de plantão psicológico
(Universidade Federal da Bahia, 2018) NOBRE, Diana da Silva; SOUZA, Airle Miranda de
Objective: to reveal the experiences of parents and / or caregivers of children with autism in a Psychological Service. Method: a descriptive, qualitative study with phenomenological inspiration, carried out with six parents / guardians by a nongovernmental organization located in Belém, Pará, Brazil. An interview and the versions of meaning were used for data collection. After analyzing the convergent points present in the versions of meaning, the analysis of the data was performed through the formation of three themes of meanings. Results: There was a formation of three themes of meaning: “mourning due to the diagnosis of autism”; “Difficulties with childcare” and “social isolation”. Conclusion: the stories and needs that led parents and / or caregivers of the children with autism to seek psychological services present singularities, however mourning due to the diagnosis of autism, difficulties with childcare and social isolation were the commonly shared themes
Acesso aberto (Open Access)
Vivências de pais e/ou cuidadores de crianças com autismo em um serviço de plantão psicológico
(Universidade Federal da Bahia, 2018) NOBRE, Diana da Silva; SOUZA, Airle Miranda de
Objective: to reveal the experiences of parents and / or caregivers of children with autism in a Psychological Service. Method: a descriptive, qualitative study with phenomenological inspiration, carried out with six parents / guardians by a nongovernmental organization located in Belém, Pará, Brazil. An interview and the versions of meaning were used for data collection. After analyzing the convergent points present in the versions of meaning, the analysis of the data was performed through the formation of three themes of meanings. Results: There was a formation of three themes of meaning: "mourning due to the diagnosis of autism"; "Difficulties with childcare" and "social isolation". Conclusion: the stories and needs that led parents and / or caregivers of the children with autism to seek psychological services present singularities, however mourning due to the diagnosis of autism, difficulties with childcare and social isolation were the commonly shared themes.