Felicia Knobloch

Gender Dysphoria in a 62-Year-Old Genetic Female With Congenital Adrenal Hyperplasia

We report a case of gender dysphoria (GD) in a 62-year-old genetic female patient, raising the pros and cons of performing corrective surgery later in life. This 46,XX DSD patient was registered and reared as a girl; CAH was diagnosed late in childhood. Poor adherence to treatment and lack of proper psychological management contributed to evident GD. Living for years as a male, the patient applied for a legitimate male identification document in his late 50s; thereafter, he requested a sex-reassignment surgery “to disguise his female body upon his death.” We informed the patient and family about surgery hazards, while analytical therapy allowed the group to evaluate the actual wish for surgery. When the wish was brought up, the role of death urged the group to rethink the course of treatment. During the process, it became clear that the patient’s desire for surgery, more than a wish for changing the genitalia, expressed an impulse related to issues of endorsement and acceptance of his male identity. This report raises interesting questions about sexuality in a social context and prompts the idea that sexuality is broader than sex itself, raising new questions on the psychological risks faced when considering a body change after years of living with a disorder of sex development.

A equipe enquanto lugar de formação: a educação permanente em um Centro de Atenção Psicossocial Álcool e outras drogas

Este artigo visa analisar criticamente a experiencia de implantacao de um processo de educacao permanente pelos profissionais de um Centro de Atencao Psicossocial alcool e outras drogas (CAPS ad) do municipio de Campinas, SP, Brasil. Os dados obtidos foram coletados por grupos focais com os trabalhadores do referido servico e a analise do material produzido nestes encontros se utilizou de narrativas.

Atuação do psicólogo em situações de desastre: reflexões a partir da práxis

From a series of work experiences in disaster situations, especially in the mountainous region of the state of Rio de Janeiro, Brazil, in early 2011, this paper aims to present some reflections regarding the actions of psychologists in the context of disasters. It begins with a brief historical-institutional summary of this issue in Brazil and then presents some conceptual and practical reflections on mental health in this regard. Lastly, it discusses the principles and guidelines for interventions in disaster situations, with the backdrop of the scenario in the state of Rio de Janeiro in January 2011. The aim is to argue that interventions by psychologists in the context of disasters need to be linked with interventions of other types, contextualized and detached from the notion of trauma as the main operator in the clinical approach.

Psychologists’ actions in disaster situations: reflections based on practice

From a series of work experiences in disaster situations, especially in the mountainous region of the state of Rio de Janeiro, Brazil, in early 2011, this paper aims to present some reflections regarding the actions of psychologists in the context of disasters. It begins with a brief historical-institutional summary of this issue in Brazil and then presents some conceptual and practical reflections on mental health in this regard. Lastly, it discusses the principles and guidelines for interventions in disaster situations, with the backdrop of the scenario in the state of Rio de Janeiro in January 2011. The aim is to argue that interventions by psychologists in the context of disasters need to be linked with interventions of other types, contextualized and detached from the notion of trauma as the main operator in the clinical approach.

Actuación del psicólogo en situaciones de desastre: reflexiones a partir de la praxis

From a series of work experiences in disaster situations, especially in the mountainous region of the state of Rio de Janeiro, Brazil, in early 2011, this paper aims to present some reflections regarding the actions of psychologists in the context of disasters. It begins with a brief historical-institutional summary of this issue in Brazil and then presents some conceptual and practical reflections on mental health in this regard. Lastly, it discusses the principles and guidelines for interventions in disaster situations, with the backdrop of the scenario in the state of Rio de Janeiro in January 2011. The aim is to argue that interventions by psychologists in the context of disasters need to be linked with interventions of other types, contextualized and detached from the notion of trauma as the main operator in the clinical approach.