Sistemas vinculares vitimizado e cidadão: uma proposta socionômica / Victimized and citizen bond systems: a socionomic proposal / Sistemas vinculares victimizado y ciudadano: una propuesta socionómica

RESUMO Neste relato de experiência como terapeuta em programa governamental na periferia da cidade de São Paulo, o objetivo foi compreender, com enfoque na metodologia socionômica, como técnicos e usuários de um serviço assistencial lidaram com seus desafios do dia a dia no contexto comunitário. Foram identificadas duas sociodinâmicas dos papéis observados: o denominado Sistema Vincular Vitimizado (SVV), que atribui grande parte da responsabilidade dos acontecimentos a terceiros, envolvendo expectativa, culpa, busca de bodes expiatórios e consequente exclusão social; e o denominado Sistema Vincular Cidadão (SVC), que atribui corresponsabilidade, envolvendo diálogo e negociação na procura de soluções viáveis e gerando inclusão social. O SVV se mostrou menos eficiente na superação de desafios e a intervenção socionômica facilitou uma transição do SVV para o SVC.

ABSTRACT In this experience report as a therapist in a governmental program on the outskirts of the city of São Paulo, the goal was to understand, focusing on the socionomic methodology, how technicians and users of assistance service managed their day-to-day challenges in the community context. Two socio-dynamics were identified in the observed roles: the first one, named Victimized Bond System (VBS), assumes that most of the responsibility of the events belongs to third parties, involving expectation, guilt, scapegoating and consequent social exclusion; and the so-called Citizen Bond System (CBS), which attributes co-responsibility, involving dialogue and negotiation in search of viable solutions and generating social inclusion. VBS was proved less efficient in overcoming challenges and the socionomic intervention facilitated a transition from VBS to CBS.

RESUMEN En este informe de experiencia como terapeuta en programa gubernamental en las afueras de la ciudad de São Paulo, el objetivo fue comprender, enfocándose em la metodologia socionómica, cómo técnicos y usuarios del servicio de asistencia afrontaban sus desafíos cotidianos em el contexto comunitario. Se identificaron dos sociodinámicas de los roles observados: el llamado Sistema de Enlace Victimizado (SEV), que atribuye gran parte de la responsabilidad de los eventos a terceros, lo que implica expectativas, culpa, chivos expiatorios y la consiguiente exclusión social; y el llamado Sistema de Enlace Ciudadano (SEC), que atribuye la corresponsabilidad, lo que implica el diálogo y la negociación em la búsqueda de soluciones viables y generando inclusión social. El SVV fue menos eficiente para superar los desafíos y la intervención socionómica facilitó la transición del SEV al SEC.

Obsessive-compulsive or addiction? Categorical diagnostic analysis of excoriation disorder compared to obsessive-compulsive disorder and gambling disorder.

Excoriation disorder (ED) is currently classified in the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders' Obsessive-compulsive and Related Disorders section (OCRD). However, there remain debates regarding whether ED is related to obsessive-compulsive disorder (OCD) or whether it is better conceptualized as a behavioral addiction. The present research compared the diagnostic overlap and psychiatric comorbidities of 121 individuals seeking treatment for ED (n = 40), OCD (n = 41) and gambling disorder (GD) (n = 40). ED was more likely to overlap with OCD (n = 14) than GD (n = 3). Compared to OCD, ED had similar frequencies of other body focused repetitive behaviors (BFRBs), but higher frequency of addictive behaviors (Odds Ratio - OR = 11.82). In comparison to GD, ED had similar frequencies of addictive behaviors, but higher frequency of BFRBs (OR=19.67). The results support the recent classification of ED as an OCRD. However, ED presents an association with behavioral addictions that suggests a mixed impulsive-compulsive nature. A limitation of the present research was the use of a non-validated semi-structured clinical interview to diagnose impulse control disorders. Future research should examine other characteristics (e.g., epidemiology, neurobiology, genetics, treatment response) to further investigate whether ED should remain classified as an OCRD.

Group therapy for excoriation disorder: Psychodrama versus support therapy.

BACKGROUND: Excoriation disorder (ED) is characterized by recurring excoriation of the skin resulting in tissue damage, usually associated with emotional deregulation. Psychotherapy is a valuable treatment; however, no studies emphasize the patients' interactional aspect, nor the potential benefit of group treatment. METHODS: We recruited a convenience sample of 38 individuals with ED according to DSM-5 criteria, in which 19 individuals proceeded to treatment, 10 with psychodrama group therapy (PGT), and 9 with support group therapy (SGT) in an open pilot study. RESULTS: The entire sample presented improvement of skin excoriation on both self-report and clinician rating and improvement of social adjustment; however, there was no difference between groups (ie, time × group interaction). Also, there was no relevant change for anxiety, depression, or emotional regulation throughout treatment. Emotional deregulation was associated with excoriation severity as well as depression, anxiety, and social maladjustment, both at the beginning and end of treatment. CONCLUSIONS: Although both groups showed improvement of skin picking, the results contradict our primary hypothesis that PGT would have a superior efficacy to SGT for patients with ED. The findings encourage future studies of group interventions for ED in larger samples with a focus on emotional regulation enhancement.

Considerações sobre o processo de orientação de monografia em Psicodrama / Reflections on the mentoring process of preparing psycodrama dissertations

A literatura científica é escassa no que se refere aos aspectos subjetivos que influenciam as relações de orientador, orientando e parecerista, no processo de elaboração da produção teórica nos cursos de pós-graduação lato sensu. Considerando essas relações como determinantes para que o sujeito complete ou não sua pós-graduação, o intuito do texto é trazer à luz a alguns aspectos identificados a partir da literatura disponível, além de efetuar uma leitura socionômica do fenômeno referido. Com isso, pretendemos instrumentalizar os atores em questão para que logrem cuidar deste processo, a partir de uma perspectiva relacional, a fim de diminuir a ocorrência de desistências de entrega de monografias, e, dessa maneira, incrementar ainda mais o conhecimento científico e socionômico.(AU)

There is very little academic literature available regarding the subjective aspects that influence how mentors, in their relationship with students, advise and review them while writing their theoretical dissertations for post-gradual courses in general. As this relationship is crucial in determining whether students will complete their post-graduate training, the aim of this study is to shed light on some aspects of this relationship through reflecting on the available academic literature, as well as to explore this phenomenon from a socionomic perspective. By this, we intend to provide tools for those involved, in order to be able and better manage this process using a relational perspective, to reduce the number of abandoned dissertations, and to thus further enhance scientific and socionomic knowledge.(AU)

Considerações sobre o processo de orientação de monografia em Psicodrama / Reflections on the mentoring process of preparing psycodrama dissertations

A literatura científica é escassa no que se refere aos aspectos subjetivos que influenciam as relações de orientador, orientando e parecerista, no processo de elaboração da produção teórica nos cursos de pós-graduação lato sensu. Considerando essas relações como determinantes para que o sujeito complete ou não sua pós-graduação, o intuito do texto é trazer à luz a alguns aspectos identificados a partir da literatura disponível, além de efetuar uma leitura socionômica do fenômeno referido. Com isso, pretendemos instrumentalizar os atores em questão para que logrem cuidar deste processo, a partir de uma perspectiva relacional, a fim de diminuir a ocorrência de desistências de entrega de monografias, e, dessa maneira, incrementar ainda mais o conhecimento científico e socionômico...

There is very little academic literature available regarding the subjective aspects that influence how mentors, in their relationship with students, advise and review them while writing their theoretical dissertations for post-gradual courses in general. As this relationship is crucial in determining whether students will complete their post-graduate training, the aim of this study is to shed light on some aspects of this relationship through reflecting on the available academic literature, as well as to explore this phenomenon from a socionomic perspective. By this, we intend to provide tools for those involved, in order to be able and better manage this process using a relational perspective, to reduce the number of abandoned dissertations, and to thus further enhance scientific and socionomic knowledge...

Tire-me desta, mas daqui não me deixe sair Hospitalismo: reflexões sobre o drama da (co) depedência em instituição psiquiátrica / 'Get me out of here, but don't let me get out of here.' Being institutionalised: Reflections on the drama of (co)dependence in a psychiatric institution

Este artigo visa desenvolver uma compreensão do fenômeno do hospitalismo pela perspectiva da socionomia - sua definição, fatores sociodinâmicos que facilitam sua ocorrência e recursos sociátricos como forma de tratamento. O hospitalismo, como condição social, grupal e individual que se manifesta em cenário institucional, caracteriza-se pela ênfase numa relação entre quem tem dificuldades (dependente, inadaptado, impotente) e quem sabe como administrar as dificuldades (codependente, onipotente). Na condição de sistema fechado em ambiente hospitalar, papéis são vividos de forma enrijecida por pacientes - no caso psiquiátricos -, familiares e técnicos. Sociodrama institucional, grupo temático de desligamento e acompanhamento terapêutico são apresentados como recursos para a superação do fenômeno, com ganhos para a equipe técnica, pacientes, familiares e comunidade.(AU)

This article aims to develop a comprehension of the phenomenon of hospitalism from a socionomic perspective - it´s definition, sociodynamic factors that facilitate its occurrence and sociatry as a possible treatment resource. The hospitalism, as a social, group and individual condition which manifests itself in the institutional setting, features a relationship among those who have difficulties (dependent, inadequate, impotent) and those who know how to manage the difficulties (codependent, omnipotent). As a closed system in the hospital setting, roles are experienced in a nonflexible way by psychiatric patients, family, and the staff. Institutional sociodrama, thematic group of detachment and therapeutic attendance are presented as resources to overcome the phenomenon, with gains for the staff, patients, families and the community.(AU)

Vínculo e confiança em atendimento psicoterapêutico psicodramático grupal com presidiários / Bond and trust in group psychodrama psychotherapy care with prisoners

Este artigo discorre sobre experiências de atendimento a presos realizadas em instituições penitenciárias de Franco da Rocha, numa proposta psicoterápica grupal utilizando a metodologia do psicodrama. Busca-se demonstrar a importância de trabalhos dessa natureza, a partir de um foco na questão do vínculo terapêutico e da co-criação de vínculos de confiança. O relato, baseado na prática de atendimento a um grupo, caracterizado por quatorze encontros com onze detentos durante o segundo semestre de 2004, também considera a troca de experiências com colegas de trabalho, membros do grupo Mentes sem Grades. O desenvolvimento de vínculos de confiança possibilita novas experimentações de papéis, que podem estimular esperança, amor e talvez a superação de um ciclo que envolva isolamento e exclusão. O resultado do trabalho indica um aumento da tolerância dos presos em relação a sua própria condição, além de melhora nas relações interpessoais entre estes e também entre os não-presos.(AU)

This article reports care experiences with prisoners carried out in the penitentiary institutions of Franco da Rocha, in a group psychotherapy proposal that used psychodrama methodology. The aim is to demonstrate the importance of the work of this nature, focused on the issue of the therapeutic bond and of on the co-creation of trust bonds. The report, based on the practice of care given to a group, totalizing fourteen meetings and was composed of eleven prisoners during the second semester of 2004, also considers the exchange of experiences with coworkers, members of the group Minds without barriers/prison bars. The development of trust bonds allows them to experience new roles, stimulating hope, love and making it possible to help them overcome a cycle that involves isolation and exclusion. The work results indicate an increase of tolerance of the prisoners toward their own condition, in addition to an improvement in their interpersonal relationships with other prisoners as well as with non-prisoners.(AU)

Vínculo e confiança em atendimento psicoterapêutico psicodramático grupal com presidiários / Bond and trust in group psychodrama psychotherapy care with prisoners

Este artigo discorre sobre experiências de atendimento a presos realizadas em instituições penitenciárias de Franco da Rocha, numa proposta psicoterápica grupal utilizando a metodologia do psicodrama. Busca-se demonstrar a importância de trabalhos dessa natureza, a partir de um foco na questão do vínculo terapêutico e da co-criação de vínculos de confiança. O relato, baseado na prática de atendimento a um grupo, caracterizado por quatorze encontros com onze detentos durante o segundo semestre de 2004, também considera a troca de experiências com colegas de trabalho, membros do grupo Mentes sem Grades. O desenvolvimento de vínculos de confiança possibilita novas experimentações de papéis, que podem estimular esperança, amor e talvez a superação de um ciclo que envolva isolamento e exclusão. O resultado do trabalho indica um aumento da tolerância dos presos em relação a sua própria condição, além de melhora nas relações interpessoais entre estes e também entre os não-presos.

This article reports care experiences with prisoners carried out in the penitentiary institutions of Franco da Rocha, in a group psychotherapy proposal that used psychodrama methodology. The aim is to demonstrate the importance of the work of this nature, focused on the issue of the therapeutic bond and of on the co-creation of trust bonds. The report, based on the practice of care given to a group, totalizing fourteen meetings and was composed of eleven prisoners during the second semester of 2004, also considers the exchange of experiences with coworkers, members of the group Minds without barriers/prison bars. The development of trust bonds allows them to experience new roles, stimulating hope, love and making it possible to help them overcome a cycle that involves isolation and exclusion. The work results indicate an increase of tolerance of the prisoners toward their own condition, in addition to an improvement in their interpersonal relationships with other prisoners as well as with non-prisoners.