Ana Lúcia Francisco

Ação psicológica em saúde mental: uma abordagem psicossocial

This article has as proposal to reflect about aspects that are related to the mental disorders clinic in a psychosocial approach. In this direction, it presents the complex work in the context of the psychosocial approach, considering the transdisciplinary perspective and ratifying the importance of contemplating the culture and the daily life of those who demand for psychological attention, which means a clinic work that includes dialogue and the continuous assessment of assistance committed to the social and historical subject. Therefore, this is a clinic that takes into account the human being in his multiple aspects - individually and collectively -, examining the psychological actions in institutions and communities.This article has as proposal to reflect about aspects that are related to the mental disorders clinic in a psychosocial approach. In this direction, it presents the complex work in the context of the psychosocial approach, considering the transdisciplinary perspective and ratifying the importance of contemplating the culture and the daily life of those who demand for psychological attention, which means a clinic work that includes dialogue and the continuous assessment of assistance committed to the social and historical subject. Therefore, this is a clinic that takes into account the human being in his multiple aspects - individually and collectively -, examining the psychological actions in institutions and communities.

Paciente laringectomizado total: perspectivas para a ação clínica do psicólogo

La cirugia de laringectomia Total implica la necesidad de procedimientos agresivos que causan lesiones esteticas y funcionales irrecuperables y una serie de consecuencias biopsicosociales. Por una metodologia cualitativa investigamos las repercusiones psicosociales posibles en la construccion subjetiva de pacientes laringectomizados y sus cuidadores. Todo el pasaje alrededor de la enfermedad es vivido como un momento de crisis donde el sentimiento de abandono predomina. La perdida de la habla asume prioridad, conduciendo el paciente para aislarse de su cordialidad social, marcharse de sus funciones profesionales, con sentimientos inadecuados, estima propia baja, verguenza y culpa. La familia sufre doblemente: de un lado por la percepcion de la fragilidad y el temor de la perdida y de otro por tentativas, ni siempre exitosas, para dar apoyo y ofrecer el ambiente para las nuevas necesidades que se presentan. Conocer las repercusiones psicosociales de esa experiencia puede traer importantes subsidios para la psicologia clinicaA cirurgia de laringectomia total implica a necessidade de procedimentos agressivos e provoca lesoes esteticas e funcionais irrecuperaveis, acarretando repercussoes biopsicossociais. Por meio de pesquisa de natureza qualitativa foram investigadas as repercussoes psicossociais na construcao subjetiva de pacientes laringectomizados e de seus cuidadores. O percurso do adoecimento e vivido como um momento de crise em que predomina o sentimento de desamparo e desalojamento. A perda da fala pode levar o paciente a isolar-se socialmente, afastar-se de suas funcoes profissionais, com sentimentos de vergonha e culpa, provocando intensa angustia e sofrimento. Os cuidadores sofrem diante da possibilidade da perda de um ente querido e, tambem, por tentativas, nem sempre bem sucedidas, de dar suporte e oferecer ambiencia para as novas necessidades que se apresentam. Os resultados evidenciam que conhecer as repercussoes psicossociais dessa experiencia pode fornecer importantes subsidios para a psicologia clinica.

Proposições para a formação de aconselhadores em HIV/Aids

Problematiza-se a formacao de aconselhadores em HIV/Aids, exigencia do Ministerio da Saude, para que profissionais de saude desenvolvam essa pratica junto ao usuario que busca testagem anti-HIV. Abordar a formacao e estrategico para qualificar sua pratica na direcao de construcao de respostas mais eficazes e efetivas a Aids. Analises de manuais do ministerio e de entrevistas com aconselhadores, realizadas em pesquisa de tese (em andamento), subsidiam a discussao. Destacam-se das analises dos manuais uma concepcao de subjetividade-identidade, como uma marca inexoravel definida pelas praticas sexuais do usuario, e tendencia prescritiva e diretiva nas recomendacoes aos profissionais. Das analises de entrevistas, destacam-se os modos de aconselhar identificados - instrucao e relacao. Esses achados se somam as reflexoes em torno do aconselhamento - tratado como dispositivo em saude e como producao nao material no contexto das reflexoes sobre o mundo do trabalho nas sociedades capitalistas. Sugere-se que o aconselhamento tende a ser capturado por uma perspectiva mercadologica, pela intima associacao entre racionalidade cientifica e economica, no campo da saude. Esse arranjo e sustentado pela ainda hegemonica ideologia biomedica nas praticas em saude. Para escapar dessa direcao, sugere-se posicionamento critico do aconselhador na execucao de seu trabalho, evitando postura diretiva e protocolar. O aconselhamento-relacao apresenta-se como modo de aconselhar alternativo, pelo uso de tecnologias leves, relacoes horizontalizadas, respeito as singularidades e o protagonismo do usuario nos cuidados de si. Sao apresentadas, finalmente, proposicoes (principios e conteudos) para a realizacao de processos formativos na direcao do aconselhamento-relacao.

Da experiência da fala de sujeitos usuários na clínica psicológica às suas possíveis repercussões

This paper intends to promote a reflection on the psychological clinic as an opening place to a creative speech of direction, starting from the experience of the users. Taking into account that there is a particularity of the language in the clinic, one believes that this work makes possible a better understanding of the uniqueness, singularity and importance of this field, leads to reflections and discussions and gives support to the academy and the psychologists fields of activity. The clinical modality chosen to reflect the expressed language in the narrative of the subjects was psycotherapy. For this, it was used the existencial phenomenological methodology to understand and to interpret, through hermeneutics, the experiences of three patients, without taking in consideration age, sex and theoretical approach, because the objective was to collect narratives concerning the experience in the psychological clinic without any specification. The access to these people was made through a previous meeting with colleagues, what made possible the direct contact with the subjects. A triggering/provoking question was asked with the intention of making the patients speak feely about their experience. The discussions became possible from affectations and reflections among the testimonies and the researcher, as well as from dialogues with authors who deal with this field.

A instrução e a relação como modos de aconselhamento em HIV/Aids

The paper purpose is problematize the professional relation of health-user in the counseling in HIV-Aids. For this purpose, present results from qualitative survey, based in interviews with 12 advisors acting in Centers of Tests and Counseling in DST/Aids (CTA) of Pernambuco, located in the mesoregions of the State-metropolitan areas, specifi c areas like: mata, agreste, sertao. The interviews were recorded and transcribed. The treatment and analysis of the material were done from a hermeneutic pair. We identifi ed two ways of counseling. In the counseling-education the emphasis is in the transmission of information from the professional to the user, being his/her, considered responsible for his serological condition. In the counseling-relation, the professional contact goes up in value with the user, offering listening andThe paper purpose is problematize the professional relation of health-user in the counseling in HIV-Aids. For this purpose, present results from qualitative survey, based in interviews with 12 advisors acting in Centers of Tests and Counseling in DST/Aids (CTA) of Pernambuco, located in the mesoregions of the State-metropolitan areas, specifi c areas like: mata, agreste, sertao. The interviews were recorded and transcribed. The treatment and analysis of the material were done from a hermeneutic pair. We identifi ed two ways of counseling. In the counseling-education the emphasis is in the transmission of information from the professional to the user, being his/her, considered responsible for his serological condition. In the counseling-relation, the professional contact goes up in value with the user, offering listening and 1 Endereco para correspondencia: Rua Sete de Setembro, 365/1002, Boa Vista, Recife, PE, Brasil 50050-030. E-mail: wedna.galindo@gmail.com Este trabalho recebeu fi nanciamento da Fundacao de Amparo ao Desenvolvimento Cientifi co do Estado de Pernambuco (Facepe), a partir de Bolsa de Doutorado. Galindo, W. C. M., Francisco, A. L., Rios, L. F. 990 refuge. The results besides contributing with the discussions on the approach and the handling of the notions of risk and sexuality, in the counseling, can help in the advisors’ formation.

Instruction and relation as ways of counseling in HIV/Aids

The paper purpose is problematize the professional relation of health-user in the counseling in HIV-Aids. For this purpose, present results from qualitative survey, based in interviews with 12 advisors acting in Centers of Tests and Counseling in DST/Aids (CTA) of Pernambuco, located in the mesoregions of the State-metropolitan areas, specifi c areas like: mata, agreste, sertao. The interviews were recorded and transcribed. The treatment and analysis of the material were done from a hermeneutic pair. We identifi ed two ways of counseling. In the counseling-education the emphasis is in the transmission of information from the professional to the user, being his/her, considered responsible for his serological condition. In the counseling-relation, the professional contact goes up in value with the user, offering listening andThe paper purpose is problematize the professional relation of health-user in the counseling in HIV-Aids. For this purpose, present results from qualitative survey, based in interviews with 12 advisors acting in Centers of Tests and Counseling in DST/Aids (CTA) of Pernambuco, located in the mesoregions of the State-metropolitan areas, specifi c areas like: mata, agreste, sertao. The interviews were recorded and transcribed. The treatment and analysis of the material were done from a hermeneutic pair. We identifi ed two ways of counseling. In the counseling-education the emphasis is in the transmission of information from the professional to the user, being his/her, considered responsible for his serological condition. In the counseling-relation, the professional contact goes up in value with the user, offering listening and 1 Endereco para correspondencia: Rua Sete de Setembro, 365/1002, Boa Vista, Recife, PE, Brasil 50050-030. E-mail: wedna.galindo@gmail.com Este trabalho recebeu fi nanciamento da Fundacao de Amparo ao Desenvolvimento Cientifi co do Estado de Pernambuco (Facepe), a partir de Bolsa de Doutorado. Galindo, W. C. M., Francisco, A. L., Rios, L. F. 990 refuge. The results besides contributing with the discussions on the approach and the handling of the notions of risk and sexuality, in the counseling, can help in the advisors’ formation.

Reflexões sobre o trabalho de aconselhamento em HIV/AIDS

The article analyses the Health Department’s recommendations to HIV/aids professional health counselors in Brazil. It recognizes that professional counseling as a strategy to combat HIV/aids recently came about in Brazil due to its population’s demands for improvement in the public health sector, in that access to health is seen as a citizen’s right and an obligation of the State to their citizens, such demands were especially noticed in the movement for sanitary reform. Three handbooks issued by the Health Ministry on HIV/aids counseling were analyzed with an emphasis on the performance and development

Reflections on HIV/AIDS counseling

The article analyses the Health Department’s recommendations to HIV/aids professional health counselors in Brazil. It recognizes that professional counseling as a strategy to combat HIV/aids recently came about in Brazil due to its population’s demands for improvement in the public health sector, in that access to health is seen as a citizen’s right and an obligation of the State to their citizens, such demands were especially noticed in the movement for sanitary reform. Three handbooks issued by the Health Ministry on HIV/aids counseling were analyzed with an emphasis on the performance and development

Reflexiones acerca del trabajo de aconsejamiento en HIV/SIDA

The article analyses the Health Department’s recommendations to HIV/aids professional health counselors in Brazil. It recognizes that professional counseling as a strategy to combat HIV/aids recently came about in Brazil due to its population’s demands for improvement in the public health sector, in that access to health is seen as a citizen’s right and an obligation of the State to their citizens, such demands were especially noticed in the movement for sanitary reform. Three handbooks issued by the Health Ministry on HIV/aids counseling were analyzed with an emphasis on the performance and development

La instrucción y la relación como modos de aconsejamiento en HIV/SIDA

The paper purpose is problematize the professional relation of health-user in the counseling in HIV-Aids. For this purpose, present results from qualitative survey, based in interviews with 12 advisors acting in Centers of Tests and Counseling in DST/Aids (CTA) of Pernambuco, located in the mesoregions of the State-metropolitan areas, specifi c areas like: mata, agreste, sertao. The interviews were recorded and transcribed. The treatment and analysis of the material were done from a hermeneutic pair. We identifi ed two ways of counseling. In the counseling-education the emphasis is in the transmission of information from the professional to the user, being his/her, considered responsible for his serological condition. In the counseling-relation, the professional contact goes up in value with the user, offering listening andThe paper purpose is problematize the professional relation of health-user in the counseling in HIV-Aids. For this purpose, present results from qualitative survey, based in interviews with 12 advisors acting in Centers of Tests and Counseling in DST/Aids (CTA) of Pernambuco, located in the mesoregions of the State-metropolitan areas, specifi c areas like: mata, agreste, sertao. The interviews were recorded and transcribed. The treatment and analysis of the material were done from a hermeneutic pair. We identifi ed two ways of counseling. In the counseling-education the emphasis is in the transmission of information from the professional to the user, being his/her, considered responsible for his serological condition. In the counseling-relation, the professional contact goes up in value with the user, offering listening and 1 Endereco para correspondencia: Rua Sete de Setembro, 365/1002, Boa Vista, Recife, PE, Brasil 50050-030. E-mail: wedna.galindo@gmail.com Este trabalho recebeu fi nanciamento da Fundacao de Amparo ao Desenvolvimento Cientifi co do Estado de Pernambuco (Facepe), a partir de Bolsa de Doutorado. Galindo, W. C. M., Francisco, A. L., Rios, L. F. 990 refuge. The results besides contributing with the discussions on the approach and the handling of the notions of risk and sexuality, in the counseling, can help in the advisors’ formation.