Pedro Silberman

Análisis contextual - relacional del sujeto: Herramienta para la entrevista psiquiátrica

La entrevista medica es el momento en que se produce y reproduce en acto la Medicina. La evidencia muestra que existen limitaciones del modelo medico dominante. Es necesaria una reconfiguracion de la practica y de las herramientas que ayuden a un abordaje eficaz y accesible. Se presenta una herramienta practica para la historia clinica que permita recolectar informacion mostrando la interaccion con el sujeto, con las dimensiones contextuales y que acompanan al sintoma que presenta. Se desarrollo un instrumento a manera de esquema que permite incluir informacion relacionada tanto con cuestiones estaticas como dinamicas de las personas. Resulta una sintesis entre el genograma, el ecomapa y la Matriz de Procesos Criticos (Breilh, 2003). El esquema plantea una nueva herramienta que debe resultar en utilidad, practicidad y posibilidad de explorar nuevas dimensiones y debe convertirse en indispensable para el abordaje integral de la persona que consulta y su familia.

Barreras en la atención de la salud sexual en Argentina: percepción de las mujeres que tienen sexo con mujeres

Objective The objective is to describe the barriers to sexual health care of Women Who Have Sex with Women (WSW) in Argentina during 2013. Methods A cross-sectional, descriptive and quantitative study. An online survey was conducted using the Internet, in the period of April-July 2013, with homosexual and bisexual women over 18 living in Argentina, making use of the snowball methodology. Results A total of 161 women were surveyed. The results showed that 97.5 % had previously visited a doctor. The doctor did not ask about their sexual orientation in 82.8 % of cases. 93.6 % of the surveyed did not receive information about STDs; 83.8 % perceive little/no risk regarding STDs. 48.4 % are unaware of the methods of protection of STDs among women and 51.6 % obtained this information from websites and friends. 77.5 % reported not using protection methods. The main reasons were: stable partner, discomfort and the inability to acquire them. Discussion The results of this research allow for identifying the low perception among WSW regarding STDs, and the difficulty of approaching health professionals about this subject.

Evaluación de una propuesta pedagógica de enseñanza de la Medicina

In this article we discuss the role that medical schools play in the creation of a particular profile of health professionals. To this end, we analyze the impact of two field experiences carried out in 2006 and 2009 with students in the Epidemiology course of the Faculty of Medical Sciences in the Universidad Nacional de La Plata (in the province of Buenos Aires, Argentina). Using individual semistructured questionnaires applied to students as well as focus group strategies, the study sought to obtain information about the ideas and representations of the students before and after these educational experiences. The ability of students to reconsider the explicative models of the health-disease-care process and the weight of social problems in the phenomena of sickness and health is highlighted as one of the studys primary results.In this article we discuss the role that medical schools play in the creation of a particular profile of health professionals. To this end, we analyze the impact of two field experiences carried out in 2006 and 2009 with students in the Epidemiology course of the Faculty of Medical Sciences in the Universidad Nacional de La Plata (in the province of Buenos Aires, Argentina). Using individual semistructured questionnaires applied to students as well as focus group strategies, the study sought to obtain information about the ideas and representations of the students before and after these educational experiences. The ability of students to reconsider the explicative models of the health-disease-care process and the weight of social problems in the phenomena of sickness and health is highlighted as one of the studys primary results.