Nelson Iguimar Valério

Psicologia da Saúde: Extensão de serviços à comunidade, ensino e pesquisa.

Psychologists have had an increasing role in the medical area. The objective of this study is to report the development and current status of the Psychology Service at Hospital de Base, Sao Jose do Rio Preto Medical School (FAMERP), which started in 1981, when a psychologist was hired to work at the Pediatrics Outpatient Ward. Currently, the hospital has a staff of 40 psychologists (professors, supervisors, and residents), developing community services, education and research activities in Health Psychology. Such activities are carried out at a primary, secondary and tertiary level at the outpatient ward of the hospital and at a Medical School Health Community Center, especially with interdisciplinary teams. Teaching involves classes in post-graduation courses in medicine and nursing; internships for psychology students; a Residency Program in Health Psychology; Extension, Specialization, and Teaching Courses; and assistance to graduate students from the Post-Graduation Program in Health Sciences (masters degree and PhD) at FAMERP. Research is aimed at assessing the relationship between behavior and health, approaching issues such as providing health, prevention and assistance in the treatment and management of diseases. Even though this is an expanding area, the maintenance of credibility and the progress achieved depend on a solid professional training, ethics and the development of research in the area.

Bronquiectasia e fisioterapia desobstrutiva: ênfase em drenagem postural e percussão

Bronchiectasis consists of abnormal, permanent and irreversible dilation of bronchi and bronchia, with recurrent infections, inflammation, hypersecretion and reduction of mucus clearance. It predominantly affects women of between 28 and 48 years old and more frequently affects the inferior lobes. Clinical manifestations are chronic cough, fever and voluminous expectoration, with a fetid odor. The etiology is

Physiotherapeutic conduct in amyotrophic lateral sclerosis

Amyotrophic Lateral Sclerosis (ALS) is a fatal progressive neurodegenerative disease with multifactorial etiology for which, so far, there is no effective medicinal treatment. However, by means of kinesiotherapy intervention and patient guidance and care, physiotherapy can delay physical functional losses, muscle fatigue and immobility of the joint-muscle system, thereby improving the quality of life. This survey had the aim of reviewing the physiotherapeutic conduct currently used in ALS cases. Monthly monitoring is recommended, with changes in goals and conduct at each stage of the disease, activities to be pursued around the home, and emphasis on stretching, muscle strengthening, posture adequacy and respiratory kinesiotherapy.

Itervenção cognitivo-comportamental em violência sexual: estudo de caso

Sexual violence is a serious problem of public health: it reaches all social classes, ethnics, religions and cultures, specially children and adolescents of the female sex. The objective of the present study is to describe the impact of a cognitive-behavior intervention on a 13-year-old adolescent, victim of rape attempt. The process included 45 sessions, distributed in initial evaluation, intervention, final evaluation and follow-up. It also used semi-directed interview, DSM-IV diagnostic criteria, Children’s Depression Inventory (CDI), cognitive-behavior techniques, and mother counseling. On the first interview the therapist identified school and behavior problems, symptoms of pos-traumatic stress disorder and moderate symptoms of depression, intensified by the episode of violence. Transgerational standard repetition was also observed: promiscuous behavior, alcoholism, sexual violence and relationship instability. Results demonstrated reduction of the initial complaints, acquisition of new behavior repertoire, better psicossocial functioning and positive impact of the intervention. The data indicate the need for inclusion of the family in the process.

Psico-Oncologia: atuação do psicólogo no Hospital de Câncer de Barretos

A Psico-Oncologia surgiu a partir da necessidade do acompanhamento psicologico ao paciente com câncer, a sua familia e a equipe que o acompanha. O papel do psicologo em oncologia propoe o apoio psicossocial e psicoterapeutico diante do impacto do diagnostico e de suas consequencias e mostra a possibilidade de auxilio para melhor enfrentamento e qualidade de vida do doente e de seus familiares. O objetivo deste relato consiste em descrever a atuacao desenvolvida por psicologos do Servico de Psicologia do Hospital de Câncer de Barretos/Fundacao Pio XII - SP, uma instituicao medica especializada em oncologia.Psycho-oncology arose from the need of psychological intervention for patients with cancer, their families and medical staff. The role of the psychologist in this field is to provide psychosocial support and psychotherapy in face of the impact of the diagnosis and its aftermath. It aims at facilitating better coping and quality of life for patients and their families. The objective of this report is to describe the actions developed by the psychologists of the Department of Psychology at the Barretos Cancer Hospital/ Pio XII Foundation - SP, a medical institution specialized in oncology.

O apoio da rede social a transexuais femininas

O presente estudo teve como objetivo compreender a relacao atual de transexuais femininas com suas redes sociais. Participaram cinco pacientes submetidas a cirurgia de transgenitalizacao em um hospital publico do interior do Estado de Sao Paulo, Brasil. Elas responderam a entrevista semi-estruturada e a perguntas para a construcao de Genogramas e Mapas de Rede. Os dados foram compreendidos de forma qualitativa a partir da teoria sistemico-cibernetica novo paradigmatica. As entrevistadas relataram situacoes em que sentiram apoio, inclusive diante da decisao de operar, mas tambem descreveram situacoes nas quais sentiram humilhacao e exclusao pelo fato de expressarem e viverem sua sexualidade de forma diferente da maioria das pessoas. O estudo mostrou que ainda prevalece a posicao heteronormativa, sustentando preconceitos e atos de discriminacao direcionados as mulheres transexuais.This study aimed at understanding the current ratio of feminines transsexuals with their social networks. The participants were five patients undergoing reassignment surgery in a public hospital in the state of Sao Paulo, Brazil. They responded to the semi-structured interview questions for the construction of Genograms and Network Maps. The data were understood in a qualitati- ve way from the new paradigm systemic-cybernetic theory. Interviewees reported situations where they felt supported, even before the decision to operate, but also described situations in which they felt humiliation and exclusion by the fact express and live their sexuality differently from most people. The study showed that still prevails heteronormative position, supporting acts of prejudice and discrimination directed at women transsexuals.

Adesão ao tratamento após aconselhamento genético na Síndrome de Down

Early stimulation provides significant benefits for Down syndrome individuals, their families and society. This study evaluated the effect of genetic counseling on the adherence behavior of parents to stimulation therapy, the factors that influence access to genetic counseling and to treatment and the satisfaction supplied by counseling. The parents of 12 individuals participated in this study using routine semi-structured interviews at three stages: before counseling, after counseling and follow-up. In spite of the difficulties to access genetic counseling and treatment, most parents were satisfied with the service. This process significantly influenced the adherence to treatment as, probably, the guidance was responsible for changes in behavior. Well-defined rules, useful in Down syndrome, promoted behavioral changes. Rules function as a discriminative stimulus for parents to adherence to the treatment of their children.Early stimulation provides significant benefits for Down syndrome individuals, their families and society. This study evaluated the effect of genetic counseling on the adherence behavior of parents to stimulation therapy, the factors that influence access to genetic counseling and to treatment and the satisfaction supplied by counseling. The parents of 12 individuals participated in this study using routine semi-structured interviews at three stages: before counseling, after counseling and follow-up. In spite of the difficulties to access genetic counseling and treatment, most parents were satisfied with the service. This process significantly influenced the adherence to treatment as, probably, the guidance was responsible for changes in behavior. Well-defined rules, useful in Down syndrome, promoted behavioral changes. Rules function as a discriminative stimulus for parents to adherence to the treatment of their children..

Asma, competência social e transtornos comportamentais em crianças e adolescentes

The aim of this study was to assess social skills and behavioral disorders in children with asthma. Participants included 62 children/adolescents (between 7 and 16 years of age) with moderate and severe asthma and a control group whose parents completed the Brazilian version of the Child Behavior Checklist. Results: There is evidence of an association between asthma and deficiencies in overall social skills related to activities (p=0.001) and school (p=0.01). The severity of the asthma has no clear link to social skills. There is evidence of an association between behavioral disorders and asthma, especially internalizing disorders, such as anxiety and depression, irrespective of sex, age and severity of asthma. Children/adolescents with asthma had more problems with general social skills and skills associated with activities and school, when compared to the control group. They also had more general and internalizing disorders, which may impair their progress, quality of life and the satisfactory management of the illness.

Psycho-oncology: the psychologist in the Barretos Cancer Hospital

A Psico-Oncologia surgiu a partir da necessidade do acompanhamento psicologico ao paciente com câncer, a sua familia e a equipe que o acompanha. O papel do psicologo em oncologia propoe o apoio psicossocial e psicoterapeutico diante do impacto do diagnostico e de suas consequencias e mostra a possibilidade de auxilio para melhor enfrentamento e qualidade de vida do doente e de seus familiares. O objetivo deste relato consiste em descrever a atuacao desenvolvida por psicologos do Servico de Psicologia do Hospital de Câncer de Barretos/Fundacao Pio XII - SP, uma instituicao medica especializada em oncologia.Psycho-oncology arose from the need of psychological intervention for patients with cancer, their families and medical staff. The role of the psychologist in this field is to provide psychosocial support and psychotherapy in face of the impact of the diagnosis and its aftermath. It aims at facilitating better coping and quality of life for patients and their families. The objective of this report is to describe the actions developed by the psychologists of the Department of Psychology at the Barretos Cancer Hospital/ Pio XII Foundation - SP, a medical institution specialized in oncology.

Família e orientação sexual: dificuldades na aceitação da homossexualidade masculina

This article objectived to understand the living of men with homosexual orientation and the construction of meanings about homosexuality in their own families, through participant narratives. The participants this research were fi ve male persons with homosexual orientation, resident and domiciled at Sao