Apego Adulto y Soltería: Validación de una Escala / Adult Attachment and Singleness: Validation of a Scale

Resumen El apego es un vínculo afectivo que caracteriza y moldea las relaciones interpersonales cercanas. Los estilos de apego son el conjunto de conocimientos, expectativas e inseguridades que se sostienen sobre el sí mismo y los demás. El objetivo de la presente investigación fue elaborar una escala que evalúe el apego adulto no solo en el contexto romántico, sino con otros significativos, lo que permitirá el estudio de las personas sin pareja. Se realizaron tres estudios: en el estudio uno se realizó un análisis factorial exploratorio (n=400); en el estudio dos un análisis factorial confirmatorio (n=700). Se obtuvo una escala compuesta por 16 reactivos distribuidos en cuatro factores: preocupado, temeroso, evitante y seguro. La varianza explicada fue del 38.09%, con un índice de fiabilidad con un rango de 0.46 a 0.82 en los distintos factores. En el estudio tres se analizó la validez concurrente (n=201). En los tres estudios se encontraron diferencias entre las personas con pareja y sin pareja, puntuando más alto en seguridad las primeras y más alto en apego ansioso aquellas sin pareja. Se obtuvo una escala válida, confiable, culturalmente relevante que evalúa el apego adulto no solo en el ámbito romántico, sino con otros significativos.

Abstract The attachment is an affective bond that characterizes and shapes close interpersonal relationships. Attachment styles are the set of knowledge, expectations and insecurities about oneself and others. The aim of this research was to develop a scale with adequate psychometric properties, that allows to assess adult attachment not only in a romantic context, but with significant others in general. It will allow the study of groups such as single people. To address that aim, three studies were conducted in which men and women form Mexico City participated voluntarily. In study one an exploratory factor analysis was performed (n=400), in study two a confirmatory factor analysis was performed (n=700). As a result of these studies, it was obtained a scale compounded by 16 items distributed in four factors: preoccupied, fearful, dismissing, and secure. The explained variance was 38.09%, with a reliability index of 0.46 to 0.82 in the different factors. In study three concurrent validity was analyzed (n=201). Differences between people with a partner and single were found in the three studies, scoring higher in security the first and single people scoring higher in preoccupied attachment. It was obtained a valid, reliable, and culturally relevant scale to assess adult attachment not only in the romantic ambit, but also in relation to significant others like family and friends.

Flourishing Privately but Languishing Publicly: Ethnic Identity's Contribution to Understanding Eudaimonic Wellbeing.

The paper probes the meaning of wellbeing by examining whether ethnic identity is related to private and public conceptualisations of eudaimonic wellbeing. Private and public eudaimonic wellbeing are assessed as positive relations with others and social integration. Ethnic identity is a type of social identity that is meaningful in contexts of enduring inter-ethnic group contact. Fiji and Trinidad and Tobago (TT), nations with contact between two major ethnic groups for over a century, are the contexts for a preliminary exploration. Young adults (Fiji N = 38, 19-26 years old; TT N = 41, 18-25 years old) completed measures of positive relations with others (private eudaimonic wellbeing), social integration (public eudaimonic wellbeing), and ethnic identity development. Across the nations, a stronger sense of ethnic identity, or commitment to the ingroup, predicted better positive relations with others but worse social integration. Ethnic identity thus seems to be a key construct in understanding positive private, but negative public eudaimonic wellbeing among young adults in contexts of ethnic diversity. Findings are discussed by considering how implications of ethnic diversity (competitive inter-group relations, inter-group contact making ethnic group membership salient) might be related to ethnic identity development, and private and public eudaimonic wellbeing.

Compassion and Self-Compassion: Counterfactors of Burnout in Medical Students and Physicians.

OBJECTIVE: To examine the relationship between self-compassion, compassion for others and Burnout in medical students and physicians. METHODS: A cross-sectional study was conducted. Medicine students and general physicians from two Colombian cities participated (n = 359). The Compassion Scales and the Maslach Inventory were administered. An Exploratory Structural Equation approach was used for validating new measures and testing for relationships between latent variables. RESULTS: Most participants were students (85.9%), mean age was 22 years (SD = 7), 55.2% were female, 62,6% dedicated more than 48 weekly hours to study or practice, while physicians had worked a mean of 10.34 years (SD = 8.67). Self-compassion and Compassion for others action subscales were validated, but engagement subscales of were not. Participant´s compassion actions for others and self-compassion actions are negatively related to depersonalization and emotional exhaustion, respectively. Additionally, compassion dimensions were positively associated with professional accomplishment. CONCLUSION: Our findings indicate that compassion and self-compassion actions inversely relate to different components of Burnout and could constitute protective factors against the stress of healthcare. Compassion and self-compassion training programs for medical students and physicians might be an alternative to avoid Burnout, diminishing physicians' depersonalization and emotional exhaustion while enhancing their professional accomplishment.

Burnout, compassion for others and fear of compassion: a quantitative study in Iranian nurses.

INTRODUCTION: Occupational burnout in nurses is a barrier to job promotion and achievement of job-related goals, resulting in reduced hospital performance. OBJECTIVE: Considering the importance of the role of compassion in occupational burnout among nurses, this cross-sectional study aimed to explore the burnout levels and their relationships with compassion for others and fear of compassion. METHODS: This descriptive correlation study was carried out with 216 nurses who were selected using a multistage cluster sampling method and asked to respond to the Maslach Burnout Inventory, a compassion for others scale and Fears of Compassion Scales (FCS), which includes three subscales; fears of compassion for self, compassion for others, and compassion from others. RESULTS: The results showed that burnout had a negative correlation with compassion for others, but had positive correlations with fear of compassion for others, fear of compassion from others, and fear of self-compassion. Moreover, the results of regression analysis showed that 21% of burnout variance was explained by compassion for others and 29% of its variance was explained by fears of compassion scales. CONCLUSION: Based on the findings, compassion can be considered as a protective factor in preventing burnout among nurses.

Burnout, compassion for others and fear of compassion: a quantitative study in Iranian nurses

Abstract Introduction Occupational burnout in nurses is a barrier to job promotion and achievement of job-related goals, resulting in reduced hospital performance. Objective Considering the importance of the role of compassion in occupational burnout among nurses, this cross-sectional study aimed to explore the burnout levels and their relationships with compassion for others and fear of compassion. Methods This descriptive correlation study was carried out with 216 nurses who were selected using a multistage cluster sampling method and asked to respond to the Maslach Burnout Inventory, a compassion for others scale and Fears of Compassion Scales (FCS), which includes three subscales; fears of compassion for self, compassion for others, and compassion from others. Results The results showed that burnout had a negative correlation with compassion for others, but had positive correlations with fear of compassion for others, fear of compassion from others, and fear of self-compassion. Moreover, the results of regression analysis showed that 21% of burnout variance was explained by compassion for others and 29% of its variance was explained by fears of compassion scales. Conclusion Based on the findings, compassion can be considered as a protective factor in preventing burnout among nurses.

Prevalence of drug interactions in hospitalised elderly patients: a systematic review.

BACKGROUND: The prevalence of drug-drug interactions (DDIs) in hospital settings is variable, and elderly patients are considered a high risk population for DDIs. There are no systematic reviews describing the prevalence of DDIs in hospitalised elderly patients. OBJECTIVES: To assess and summarise the available data on the prevalence of DDIs in hospitalised elderly patients and to describe which drugs, drug classes and drug combinations are most commonly involved in DDIs. DATA SOURCE: A systematic electronic literature search was conducted on Medline/PubMed, Embase, Lilacs, SciElo, Web of Science, Cinahl, Scopus, Cochrane, OpenGrey, Capes Thesis Bank, OasisBR, OpenAire and abstracts from scientific events, without limitation on language or period of publication. Study selection was completed on 21 September 2018. STUDY ELIGIBILITY CRITERIA, PARTICIPANTS AND INTERVENTIONS: Original observational studies that reported the prevalence of actual or potential DDIs during hospitalisation in patients aged 60 years or older were included. The main outcome measure was prevalence of DDIs and number of DDIs per patient. Subgroup analysis was performed in studies that reported the prevalence of DDIs in geriatric units. STUDY APPRAISAL AND SYNTHESIS METHODS: Study quality was assessed using the Agency for Healthcare Research and Quality methodological checklist for cross sectional and prevalence studies. RESULTS: 34 studies were included, involving 9577 patients. The prevalence of DDIs ranged from 8.34% to 100%. In studies conducted in geriatric units, the prevalence ranged from 80.5% to 90.5%. The number of DDIs per patient ranged from 1.2 to 30.6. Single drugs most commonly involved in DDIs were furosemide, captopril, warfarin and dipyrone. Drug classes mostly involved were potassium sparing diuretics and angiotensin converting enzyme inhibitors. LIMITATIONS: The main limitation is the heterogeneity between the included studies that precluded a meta-analysis. Several different methods were used to identify DDIs, majorly, and potential DDIs. Few studies have reported measures to control the quality of the collected data. CONCLUSIONS AND IMPLICATIONS OF KEY FINDINGS: The prevalence of DDIs ranged widely, and the variation may reflect differences in the conditions of the elderly patients and level of attention (or complexity of care), as well as methodological differences, especially the methods and/or software used to identify DDIs. SYSTEMATIC REVIEW REGISTRATION NUMBER: CRD42018096720.

Cross-National Comparisons and Correlates of Harms From the Drinking of People With Whom You Work.

BACKGROUND: While research in high-income countries (HICs) has established high costs associated with alcohol's harm to others (AHTO) in the workplace, scant attention has been paid to AHTO in the workplace in lower- or middle-income countries (LMICs). AIM: To compare estimates and predictors of alcohol's impacts upon coworkers among workers in 12 countries. METHODS: Cross-sectional surveys from 9,693 men and 8,606 women employed in Switzerland, Australia, the United States, Ireland, New Zealand, Chile, Nigeria, Lao PDR, Thailand, Vietnam, India, and Sri Lanka. Five questions were asked about harms in the past year because of coworkers' drinking: Had they (i) covered for another worker; (ii) worked extra hours; (iii) been involved in an accident or close call; or had their (iv) own productivity been reduced; or (v) ability to do their job been affected? Logistic regression and meta-analyses were estimated with 1 or more harms (vs. none) as the dependent variable, adjusting for age, sex, rurality of location, and the respondent worker's own drinking. RESULTS: Between 1% (New Zealand) and 16% (Thailand) of workers reported that they had been adversely affected by a coworker's drinking in the previous year (with most countries in the 6 to 13% range). Smaller percentages (<1% to 12%) reported being in an accident or close call due to others' drinking. Employed men were more likely to report harm from coworkers' drinking than employed women in all countries apart from the United States, New Zealand, and Vietnam, and own drinking pattern was associated with increased harm in 5 countries. Harms were distributed fairly equally across age and geographic regions. Harm from coworkers' drinking was less prevalent among men in HICs compared with LMICs. CONCLUSIONS: Workforce impairment because of drinking extends beyond the drinker in a range of countries and impacts productivity and economic development, particularly affecting men in LMICs.

A transferência como meio de tratamento do outro e recurso de contenção à passagem ao ato na psicose / The transference as a way to treat the other and means of holding back the passage to the act in psychosis / La transferencia como medio de tratamiento del otro y como recurso de contención del pasaje al acto en la psicosis

Este artigo se propõe a investigar, com base no estudo de um caso clínico, de que modo a manobra da transferência na psicose nos permite apostar em sua eficácia como meio de tratamento do Outro e recurso de contenção à passagem ao ato nessa estrutura. Orientados pela leitura lacaniana, constatamos que, na psicose, o simbólico não opera na negativação do gozo, o que faz com que este retorne sobre o psicótico de forma maciça na figura de um Outro ameaçador. Consequentemente, a passagem ao ato nessa estrutura se configura como uma tentativa de extrair o excesso de gozo no campo do Outro. Diante dessa observação, a manobra da transferência seguiu como orientação o tratamento do Outro para fazer barreira ao transbordamento da pulsão, ou seja, uma modalidade de trabalho que buscou regular o gozo do Outro mediante estratégias criadas pelo que se mostrou possível na particularidade do caso.

The aim of this article is to investigate, based on a clinical case, the way the transference maneuver in psychosis allows us to rely on its efficacy as a way to treat the Other and means to hold back the passage to the act in this structure. Oriented by the reading of Lacan’s writing, we determined that in psychosis the symbolic does not operate in the negativity of the pleasure, which makes it returns over the psychotic subject in a fierce way as a frightening figure of the Other. Consequently, the passage to the act in this structure is pictured as an attempt to withdraw the excess of enjoyment from the Other’s field. In face of this observation, the transference maneuver took as guideline the treatment of the Other to block the overflow of the pulsion; in other words, a work modality that meant to regulate the enjoyment of the Other through strategies created by what was possible in this case.

Este artículo propone investigar, a partir del estudio de un caso clínico, de qué manera la transferencia en la psicosis nos permite apostar en su eficacia como medio de tratamiento del Otro, y como recurso de contención de pasar al acto en esa estructura. Guiados por la lectura Lacaniana, vimos que en la psicosis lo simbólico no opera en la negativización del goce, lo que hace que este vuelva sobre el psicótico de forma masiva en la figura de un Otro amenazador. Consecuentemente, el pasaje al acto en esa estructura se configura como una tentativa de extraer el exceso de goce en el campo del Otro. Frente a esa observación, la maniobra de transferencia continuó como orientación en el tratamiento del Otro para levantar una barrera en el transbordo de la pulsión, o sea, una modalidad de trabajo que buscó regular el goce del Otro a través de las estrategias creadas, como fue posible observar en la particularidad del caso.

O estigma e o ódio contra si mesmo / Stigma and self-hate / El estigma y el odio de sí mismo / Le stigmate et la haine de soi

Este trabalho aborda a questão do estigma, que evoca inúmeros problemas ligados ao social e ao psíquico. Um estigma é uma anomalia, mas torna-se estigmatizante quando se desenvolve ódio contra si mesmo, quando nos depreciamos. O autor considera que o ambiente familiar representa um papel nessa evolução que não pode ser negligenciado. Estuda diferentes derivações e, em especial, as consequências do olhar do outro. Se o grupo social e o grupo familiar desempenham um papel nessa evolução, é com o grupo e escorando-se nele que a situação da estigmatização se inverterá e o estigma poderá tornar-se uma força. Um caso clínico permite ilustrar os efeitos do ódio contra si mesmo. As contribuições da filosofia e da sociologia ampliam esse debate.

The author discusses the problem of stigmatization, evoking many problems related to the social and the psychic orders. A stigma is a defect, but when it is stigmatized, self-hate develops and the subject depreciates him or herself. The author considers that family environment has an important role in this evolution. He studies diverse aspects, principally the consequences of the gaze of others. Since family and social groups play an important part in this development, it is in groups and with their support that the situation of stigmatization is reverted and stigma may become strength. A clinical case illustrates effects of self-hate. Contributions from philosophy and sociology expand this debate.

Este trabajo aborda el problema de la estigmatización: evoca numerosos problemas relacionados con lo social y lo psíquico. Un estigma es um defecto, pero cuando se lo estigmatiza, se desarrolla odio contra sí mismo, el sujeto se deprecia. Para el autor, el entorno familiar juega un papel importante en esta evolución. Estudia diversas derivas, principalmente las consecuencias de la mirada de los demás. Si los grupos familiar y social desempeñan un papel importante en tal evolución, es com estos grupos y apoyándose sobre ellos que la situación de la estigmatización se revertirá y que el estigma podrá transformarse en una fuerza. Un caso clínico ilustra los efectos del odio de sí. Las aportaciones de la filosofía y la sociología amplían este debate.

Ce travail aborde le problème du stigmate : il évoque de nombreux problèmes liés au social et au psychique. Un stigmate est un défaut mais il devient stigmatisant lorsqu'on développe de la haine à l'encontre de soi, que l'on se déprécie. Pour l'auteur, l'environnement familial joue une fonction non négligeable dans cette évolution. Il étudie différentes dérives et notamment les conséquences du regard d'autrui. Si le groupe social et le groupe familial jouent un rôle dans cette évolution, c'est avec le groupe et en s'étayant sur lui que la situation de la stigmatisation se renversera et que le stigmate pourra devenir une force. Un cas clinique permet d'illustrer les effets de la haine de soi. Les contributions de la philosophie et de la sociologie élargissent ce débat.

The social location of harm from others' drinking in 10 societies.

AIMS: Survey data from 10 diverse countries were used to analyse the social location of harms from others' drinking: which segments of the population are more likely to be adversely affected by such harm, and how does this differ between societies? METHODS: General-population surveys in Australia, Chile, India, Laos, New Zealand, Nigeria, Sri Lanka, Thailand, United States and Vietnam, with a primary focus on the social location of the harmed person by gender, age groups, rural/urban residence and drinking status. Harms from known drinkers were analysed separately from harms from strangers. RESULTS: In all sites, risky or moderate drinkers were more likely than abstainers to report harm from the drinking of known drinkers, with risky drinkers the most likely to report harm. This was also generally true for harm from strangers' drinking, although the patterns were more mixed in Vietnam and Thailand. Harm from strangers' drinking was more often reported by males, while gender disparity in harm from known drinkers varied between sites. Younger adults were more likely to experience harm both from known drinkers and from strangers in some, but not all, societies. Only a few sites showed significant urban/rural differences, with disparities varying in direction. In multivariate analyses, most relationships remained, although some were no longer significant. CONCLUSION: The social location of harms from others' drinking, whether known or a stranger, varies considerably between societies. One near-commonality among the societies is that those who are themselves risky drinkers are more likely to suffer harm from others' drinking.

Guardianship, psychotic disorders and capacity to vote / Procesos de Determinación de la Capacidad Jurídica, Trastornos Psicóticos y Competencia para Votar.

The article is aimed to offer an approach of the state of the art of the practices in legal ability determination proceedings in people affected by psychotic disorders and their competency to vote. Therefore, we offer a revision of the subject with special emphasis in the contribution from psychiatry, linked with capacity evaluation models for the decision-making process, and the report of a brief descriptive study based on the results of legal proceedings carried on by a Family Court in Buenos Aires Province from March 2014 to December 2016.

El objetivo del presente artículo es ofrecer una aproximación al estado de la cuestión de la actuación en los procesos judiciales de determinación de la capacidad jurídica en personas afectadas por trastornos psicóticos y su competencia para votar. Para ello se ofrece centralmente una revisión de la temática con especial énfasis en los aportes desde la psiquiatría, vinculados entre otros aspectos a los modelos de evaluación de capacidad para toma de decisiones, y la comunicación de un breve estudio descriptivo de los resultados obtenidos en procedimientos realizados en un Juzgado de Familia de la Provincia de Buenos Aires en el período comprendido desde marzo de 2014 a diciembre de 2016.

El Papel de la Dimensión Colectiva en el Estudio de la Felicidad / The Role of the Collective Dimension in the Study of Happiness / O Papel da Dimensão Coletiva no Estudo da Felicidade

Resumen Los estudios sobre felicidad incluyen diversas perpectivas, conceptualizaciones y factores asociados a este concepto; sin embargo, las investigaciones sobre felicidad con frecuencia se concentran en la dimensión individual de la misma. El presente trabajo hace énfasis en la concepción de la felicidad como un constructo multidimensional conformado por aspectos individuales y por aspectos colectivos. De manera que el propósito central del artículo es presentar un análisis sobre la dimensión colectiva de la felicidad, la cual ha sido poco estudiada en el contexto latinoamericano. En particular este artículo busca enfatizar el papel de las relaciones afectivas, la conducta prosocial y la inversión en los demás, en la comprensión de la felicidad. En las conclusiones se identifican temáticas relevantes asociadas a la dimensión colectiva que permitirán ampliar la investigación sobre la felicidad.

Abstract Studies of happiness include diverse perspectives, concepts and factors; however, research on happiness often focuses on its individual dimension. This work emphasizes the concept of happiness as a multidimensional construct of individual and collective aspects. The main purpose of the article is to present an analysis of the collective dimension of happiness, which has been little studied in the Latin American context. In particular, this article seeks to emphasize the role of relationships, prosocial behavior and investment in others in the understanding of happiness. The conclusions identify issues associated with the collective dimension that permit a broadening of the research on happiness.

Resumo Os estudos sobre felicidade incluem diversas perspectivas, conceituações e fatores associados a esse conceito; contu do, as pesquisas sobre felicidade com frequência concentram-se na dimensão individual dela. Este trabalho enfatiza a concepção da felicidade como um constructo multidimensional conformado por aspectos individuais e por aspectos coletivos. Assim, o propósito central deste artigo é apresentar uma análise sobre a dimensão coletiva da felicidade, a qual tem sido pouco estudada no contexto latino-americano. Em particular, neste texto, busca-se salientar o papel dos relacionamentos afetivos, do comportamento pró-social e do investimento nos demais, na compreensão da felicidade. Nas conclusões, identificam-se temáticas relevantes associadas à dimensão coletiva que permitirão ampliar a pesquisa sobre a felicidade.

Harm to others from alcohol: the role of socio-cultural variables / Daño a otros por causa del alcohol: la contribución de las variables socioculturales / Dano a outros causado pelo álcool: o papel das variáveis socioculturais

This paper describes the changes in alcohol research, from a traditional individual focus on individual bodily and mental effects, to a broader focus on harm to others. This shift has coincided with broader sequential definitions of the progression from normal through harmful alcohol dependence, both in the specialized epidemiological and also in the newer classificatory systems (DSM 5 and CIE 11 draft). After presenting updated global, regional and chilean data, an international collaborative Project (Alcohol Harm to Others, ATOH) is described, with the participating institutions: the local study and the chilean components of the research team, the conceptual framework of harm to others (families, children, women; neighbors, friends, co-workers; society at large). Ethical aspects and institutional approval are presented and the principal results outlined: socio-demographic data (with special focus on the role of gender, socio-economic level and religiosity/spirituality). The data is presented for the chilean sample, with examples from other participating countries. The complexity of the link between alcohol harm to others and religious and spiritual factors is studied comparing data from several of the participating countries, and the impact upon vulnerable populations, especially women and children. The discussion reviews some of the confounding and intervening factors that could influence the results. The conclusion about prevention and policy development closes the paper.

Este artículo describe los cambios en investigación sobre el abuso de alcohol, desde un enfoque tradicional sobre los efectos corporales y mentales en el individuo, a un enfoque amplio sobre el daño a otros. Este cambio ha coincidido con definiciones secuenciales más amplias de la progresión desde el estado normal a la dependencia dañina al alcohol, ambas en la especialidad de la epidemiología y también en los nuevos sistemas de clasificación (DSM 5 y propuesta de CIE 11). Después de presentar datos actualizados globales, regionales y chilenos, se describe un proyecto internacional colaborativo (Daño a Otros por Causa del Alcohol, ATOH) con las instituciones participantes: el estudio local y los componentes chilenos del equipo de investigación, la estructura conceptual de daño a otros (familias, niños, mujeres; vecinos, amigos, compañeros de trabajo; la sociedad en general). Se presenta la aprobación institucional y aspectos éticos, así como se delinean los principales resultados: datos sociodemográficos (con enfoque especial en el rol de género, nivel socioeconómico y espiritualidad/religiosidad). Se presentan los datos de la muestra chilena, con ejemplos de otros países participantes. Se estudia la complejidad del vínculo entre el daño por alcohol a otros y factores religiosos y espirituales, comparando datos de varios de los países participantes, y el impacto sobre poblaciones vulnerables, especialmente mujeres y niños. La discusión revisa algunos de los factores de confusión y de intervención que podrían influenciar los resultados. Se cierra el artículo con conclusiones sobre prevención y desarrollo de normativas.

Este artigo descreve as alterações na pesquisa do álcool, a partir de um foco individual tradicional sobre os efeitos orgânicos e mentais individuais, para um foco mais amplo sobre danos a outros. Essa mudança coincidiu com mais amplas definições sequenciais da progressão do normal através de dependência de álcool prejudiciais, tanto na epidemiologia especializada como nos sistemas classificatórios mais recentes (DSM 5 e CIE 11 minuta). Depois de apresentar dados atualizados globais, regionais e chileno, um projeto internacional colaborativo (Alcohol Harm to Others, ATOH) é descrito, com as instituições participantes: o estudo local e os componentes chilenos da equipe de pesquisa, o quadro conceitual do dano a outrem ( famílias, crianças, mulheres, vizinhos, amigos, colegas de trabalho, e sociedade em geral). Aspectos éticos e aprovação institucional são apresentados e os principais resultados delineados: dados sócio-demográficos (com especial destaque para o papel do sexo, nível socioeconômico e espiritualidade / religiosidade). Os dados são apresentados para a amostra chilena, com exemplos de outros países participantes. A complexidade da relação entre efeitos nocivos do álcool para os outros e fatores religiosos e espirituais é estudada comparando os dados de vários dos países participantes, bem como o impacto sobre populações vulneráveis, especialmente mulheres e crianças. A discussão revê alguns dos fatores de confusão e intervenientes que poderiam influenciar os resultados. A conclusão sobre a prevenção e desenvolvimento de políticas define o papel.

Escrita, psicologia e produção de cuidado: ética, estética e política / Writing, psychology, production and care: ethics, aesthetics and politics / Escritura, psicología, producción y atención: la ética, la estética y la política

Este artigo visa problematizar a escrita na pesquisa como encontros e conversações, por meio de práticas de cuidado de si e dos outros, tendo Foucault, Deleuze e Guattari como intercessores. O objetivo foi analisar anotações, cartas e a escrita através do compartilhamento de saberes e experimentações para os amigos como uma intervenção crítica do presente. Criar, pela escrita e pela leitura, um analisar produtor de liberdade pela história do próprio pensamento era, para estoicos, pitagóricos e epicuristas, um desafio de buscar a transformação de si e o deslocamento de onde se estava. Trata-se de forjar uma caderneta de notas pensadas a partir do cotidiano, na qual se registra algo para não se perder em uma instabilidade da atenção e poder constituir um cuidado de existências.

This article intends to discuss the writing on research as meetings and conversations through self care and the others' care practices, with Foucault, Deleuze and Guattari as intercessors. The aim was to analyse notes, letters and writing through the sharing of knowledge and experimentation to friends as a critical intervention of the present. Create, by writing and reading, an analyse producer of freedom in the history of itself thought was, to stoics, pythagoreans and epicureans, a challenge to seek a transformation of self and a displacement of where they were. This is possible preparing a booklet to write thoughts from daily life, where it can be written things to not get lost in an instability of attention, which can constitutes a care stocks.

Este artículo se propone problematizar la escritura en la investigación como reuniones y conversaciones a través del autocuidado y otras prácticas, teniendo Foucault, Deleuze y Guattari como intercesores. El objetivo era analizar notas, letras y escritos a través del intercambio de conocimientos y experimentaciones con los amigos como una intervención crítica del presente. Crear, con la escrita y la lectura, un análisis productor de la libertad por la historia del pensamiento en sí era, para los estoicos, epicúreos pitagóricos, un desafío de buscar la transformación de uno mismo y el desplazamiento de dónde estaba. Se está forjando un pensamiento del libro de calificaciones de la vida cotidiana, en la que tiene algo para no perderse en una inestabilidad de la atención y ser capaz de construir una atención de las existencias.

Escrita, psicologia e produção de cuidado: ética, estética e política / Writing, psychology, production and care: ethics, aesthetics and politics / Escritura, psicologia, produccion y atencion: la ética, la estética y la política

Este artigo visa problematizar a escrita na pesquisa como encontros e conversações, por meio de práticas de cuidado de si e dos outros, tendo Foucault, Deleuze e Guattari como intercessores. O objetivo foi analisar anotações, cartas e a escrita através do compartilhamento de saberes e experimentações para os amigos como uma intervençمo crítica do presente. Criar, pela escrita e pela leitura, um analisar produtor de liberdade pela história do própio pensamento era, para estoicos, pitagóricos e epicuristas, um desafio de buscar a transformaçمo de si e o deslocamento de onde se estava. Trata-se de forjar uma caderneta de notas pensadas a partir do cotidiano, na qual se registra algo para não se perder em uma instabilidade da atenção e poder constituir um cuidado de existências(AU)

This article intends to discuss the writing on research as meetings and conversations through self care and the others' care practices, with Foucault, Deleuze and Guattari as intercessors. The aim was to analyse notes, letters and writing through the sharing of knowledge and experimentation to friends as a critical intervention of the present. Create, by writing and reading, an analyse producer of freedom in the history of itself thought was, to stoics, pythagoreans and epicureans, a challenge to seek a transformation of self and a displacement of where they were. This is possible preparing a booklet to write thoughts from daily life, where it can be written things to not get lost in an instability of attention, which can constitutes a care stocks(AU)

Este artículo se propone problematizar la escritura en la investigación como reuniones y conversaciones a través del autocuidado y otras prلcticas, teniendo Foucault, Deleuze y Guattari como intercesores. El objetivo era analizar notas, letras y escritos a través del intercambio de conocimientos y experimentaciones con los amigos como una interverción crítica del presente. Crear, con la escrita y la lectura, un análisis productor de la libertad por la historia del pensamiento en sí era, para los estoicos, epicurios y pitagóricos, un desafio de buscar la transformación de uno mismo y el desplazamiento de dَnde estaba. Se está forjando un pensamiento del libro de calificaciones de la vida cotidiana, en la que tiene algo para no perderse en una inestabilidad de la atención y ser capaz de construir una atención de las existencias.

Humanbecoming Hermeneutic Sciencing: Reverence, Awe, Betrayal, and Shame in The Lives of Others.

The purpose of this article is to report the details of the humanbecoming hermeneutic sciencing of dignity--the universal living experiences of reverence, awe, betrayal, and shame in The Lives of Others. With this report new language for humanbecoming hermeneutic sciencing is introduced. Language both reflects and cocreates meanings. Language is an evolutionary patterning of symbols specifying meanings for the moment; it is fluid and everchanging. All language evolves gradually as generative ideas dawn, shifting the meaning of words and systems of words. The new language here includes: humanbecoming hermeneutic sciencing as coming to know a text or artform in discoursing with penetrating engaging, interpreting with quiescent beholding, and understanding with inspiring envisaging; horizon of inquiry; scholar-text; scholar-artform; contextually construed circumstance; foreknowings; and newknowings--all of which cocreate new meanings.

Tensions et stratégies identitaires des enfants de couples mixtes / Tensões e estratégias identitárias de filhos de casais mistos / Identity tensions and strategies of nationally mixed people / Tensiones y estrategias identitarias de hijos de parejas mixtas

Appréhender l'identité d'individus dont l'origine est "mixte" permet de questionner l'existence de tensions entre deux groupes auxquels ils pourraient s'identifier nationalement. L'objet de cet article est de voir si de telles tensions existent, et comment les enfants de couples mixtes y font face. L'analyse d'une centaine d'entretiens effectués en France, au Royaume-Uni et en Allemagne révèle différentes situations où les enfants de couples mixtes, c'est-à-dire les individus ayant des parents nés dans des pays différents, connaissent une crise identitaire : en cas de concurrence entre lignées, ou d'inadéquation entre identités pour soi et pour autrui. Dans les cas où ils ne connaissent pas de concurrence entre groupes, les enfants de couples mixtes n'ont pas connu de tensions identitaires. Dans les autres cas, ils ont développé différentes stratégies afin de se forger une identité cohérente et positive. L'entredeux identitaire est donc une position que l'individu fait tout pour quitter. (AU)

Ao estudar a identidade de indivíduos de origens nacionais “mistas”, a pesquisa investiga o impacto das tensões possíveis que estes indivíduos podem experimentar por pertencer a duas nacionalidades. O objetivo deste artigo é verificar se estas tensões existem e, caso existam, como “pessoas de nacionalidade mista”, ou seja, pessoas tendo pais nascidos em países diferentes, respondem a elas. A análise de cerca de cem entrevistas conduzidas na França, no Reino Unido e Alemanha, trouxeram a tona diferentes situações nas quais eles experimentaram uma crise identitária: no caso da competição de descendência, ou um desajuste entre a identidade construída para si e para os outros. Quando eles não se encontram imersos em tensões intergrupais, pessoas de nacionalidade mista não experimentam tensões identitárias. Em outros casos, eles desenvolvem estratégias para construir uma identidade positiva e coerente, mostrando que a situação de conflito identitário é algo que eles buscam ativamente se desvencilhar. (AU)

In studying the identity of individuals of “mixed” national origins, the research investigates the impact of potential tensions these individuals could experience in belonging to two national groups. The purpose of this article is to see if such tensions exist, and if so, how “nationally mixed people,” that is people having parents born in two different countries, respond to them. The analysis of about a hundred interviews conducted in France, the UK and Germany highlights different situations where they experience an identity crisis: in the case of competition between lineage, or a mismatch between self-identity and identity for others. When they were not in the middle of intergroup tensions, nationally mixed people did not experience identity tension. In other cases, they developed strategies in order to build a coherent and positive identity, thus, showing that having a conflicting identity was a situation the individual was strongly fighting to leave. (AU)

Al estudiar la identidad de los individuos de orígenes nacionales “mixtas”, la investigación indaga el impacto de las tensiones posibles que estos individuos pueden experimentar por su pertenencia a las dos nacionalidades. El objetivo de este artículo es verificar si estar tensiones existen y, caso existan, como “personas de nacionalidades mixtas”, o sea, personas teniendo padres nacidos en países distintos, contestan a ellas. El análisis de cerca de cien entrevistas conducidas en Francia, en Reino Unido y Alemania, traen a la superficie distintas situaciones en las cuales ellos experimentan una crisis identitaria: en el caso de la competición de descendencia, o un desajustes entre la identidad construida para sí mismo y para los otros. Cuando ellos no se encuentran inmersos en tensiones intra-grupales, personas de nacionalidad mixta no experimentan tensiones identitaria. En otros casos, ellos desenvuelven estrategias para construir una identidad positiva y coherente, mostrando que la situación de conflicto identitario es algo que ellos buscan activamente desvencijarse. (AU)

Tensions et stratégies identitaires des enfants de couples mixtes / Tensões e estratégias identitárias de filhos de casais mistos / Identity tensions and strategies of nationally mixed people / Tensiones y estrategias identitarias de hijos de parejas mixtas

Appréhender l'identité d'individus dont l'origine est "mixte" permet de questionner l'existence de tensions entre deux groupes auxquels ils pourraient s'identifier nationalement. L'objet de cet article est de voir si de telles tensions existent, et comment les enfants de couples mixtes y font face. L'analyse d'une centaine d'entretiens effectués en France, au Royaume-Uni et en Allemagne révèle différentes situations où les enfants de couples mixtes, c'est-à-dire les individus ayant des parents nés dans des pays différents, connaissent une crise identitaire : en cas de concurrence entre lignées, ou d'inadéquation entre identités pour soi et pour autrui. Dans les cas où ils ne connaissent pas de concurrence entre groupes, les enfants de couples mixtes n'ont pas connu de tensions identitaires. Dans les autres cas, ils ont développé différentes stratégies afin de se forger une identité cohérente et positive. L'entredeux identitaire est donc une position que l'individu fait tout pour quitter.

Ao estudar a identidade de indivíduos de origens nacionais “mistas”, a pesquisa investiga o impacto das tensões possíveis que estes indivíduos podem experimentar por pertencer a duas nacionalidades. O objetivo deste artigo é verificar se estas tensões existem e, caso existam, como “pessoas de nacionalidade mista”, ou seja, pessoas tendo pais nascidos em países diferentes, respondem a elas. A análise de cerca de cem entrevistas conduzidas na França, no Reino Unido e Alemanha, trouxeram a tona diferentes situações nas quais eles experimentaram uma crise identitária: no caso da competição de descendência, ou um desajuste entre a identidade construída para si e para os outros. Quando eles não se encontram imersos em tensões intergrupais, pessoas de nacionalidade mista não experimentam tensões identitárias. Em outros casos, eles desenvolvem estratégias para construir uma identidade positiva e coerente, mostrando que a situação de conflito identitário é algo que eles buscam ativamente se desvencilhar.

In studying the identity of individuals of “mixed” national origins, the research investigates the impact of potential tensions these individuals could experience in belonging to two national groups. The purpose of this article is to see if such tensions exist, and if so, how “nationally mixed people,” that is people having parents born in two different countries, respond to them. The analysis of about a hundred interviews conducted in France, the UK and Germany highlights different situations where they experience an identity crisis: in the case of competition between lineage, or a mismatch between self-identity and identity for others. When they were not in the middle of intergroup tensions, nationally mixed people did not experience identity tension. In other cases, they developed strategies in order to build a coherent and positive identity, thus, showing that having a conflicting identity was a situation the individual was strongly fighting to leave.

Al estudiar la identidad de los individuos de orígenes nacionales “mixtas”, la investigación indaga el impacto de las tensiones posibles que estos individuos pueden experimentar por su pertenencia a las dos nacionalidades. El objetivo de este artículo es verificar si estar tensiones existen y, caso existan, como “personas de nacionalidades mixtas”, o sea, personas teniendo padres nacidos en países distintos, contestan a ellas. El análisis de cerca de cien entrevistas conducidas en Francia, en Reino Unido y Alemania, traen a la superficie distintas situaciones en las cuales ellos experimentan una crisis identitaria: en el caso de la competición de descendencia, o un desajustes entre la identidad construida para sí mismo y para los otros. Cuando ellos no se encuentran inmersos en tensiones intra-grupales, personas de nacionalidad mixta no experimentan tensiones identitaria. En otros casos, ellos desenvuelven estrategias para construir una identidad positiva y coherente, mostrando que la situación de conflicto identitario es algo que ellos buscan activamente desvencijarse.

Epistemes ­ otras: contribución potencial a la organización intercultural de la salud en Colombia / Epistemes - other: potential contribution to intercultural health organization in Colombia

El artículo de reflexión da cuenta que el Sistema de Salud en Colombia, al operar bajo los criterios de la Ley 100 de 1993, no hizo previsiones pertinentes para garantizar la letra de la jurisprudencia, y se quedó en la imposición de un modelo único que desconoce la diversidad sociocultural colombiana con sus epistemes y prácticas curativas heterogéneas que han permanecido en el tiempo, no obstante la variedad de estrategias que han buscado eliminarlas. De esa experiencia de resistencia hacen parte 87 pueblos indígenas que han sobrevivido por sus destrezas y principios culturales al construir el presente de manera permanente y no coyuntural, en contextos de cambio y transformación, donde no propiamente la permanencia de "elementos arcaicos" define sus etnicidades. De ser acogidas las epistemes-otras, podrían contribuir en la organización de la salud en una perspectiva intercultural y de servicio público para fortalecer los territorios, gobiernos y culturas indígenas.

The reflection article reports that the Health System in Colombia, due to its operations under the standards of the law 100 of 1993, did not do relevant previsions to guarantee the accomplishment of the law, and it was limited to the imposition of a unique model that does not recognize the Colombian sociocultural diversity with its epistemes and heterogeneous healing practices that have remained on time, despite the variety of strategies that have tried to eliminate them. There are 87 indigenous people from this resistance experience who have survived, thanks to their abilities and cultural principles, by constructing the present constantly and not conjectural in contexts of change and transformation, where the permanence of "archaic elements" is not exactly what defines their ethnicities. If the epistemes-others were recognized, they could contribute to the organization of health in an intercultural perspective and public service to strengthen the territories, governments and indigenous cultures.

Senhoras de si e do próprio tempo: narrativas e representações sobre o tempo entre mulheres idosas / Ladies of themselves and of their own time: narratives and representations about time among older women

Este trabalho e resultado de uma pesquisa recentemente defendida no doutorado em Sociologia na UFPB. Nele objetiva-se discutir de forma panorâmica algumas representações do tempo por mulheres idosas pertencentes a dois segmentos sociais distintos: os segmentos médios e populares. Procura-se ainda apresentar alguns dos usos que elas fazem do tempo cotidiano, revelando a velhice como uma fase favorável para o desenvolvimento de uma vida para si, autossatisfatória, que tem como base o enaltecimento de uma ética que privilegia “um tempo para si” em detrimento ao “tempo dedicado aos outros”, especialmente a família. Os elementos empíricos deste trabalho foram qualitativamente selecionados. Utilizou-se primordialmente o recurso das narrativas de vida de 13 senhoras, com idade entre 60 e 70 anos, pertencentes aos segmentos citados, segundo os moldes de Bertaux (1997), residentes na cidade de João Pessoa. Também foram realizadas observações diretas, seguindo as orientações metodológicas de Magnani (2002), em um dos bairros dessa cidade, o bairro de Bancários. As narrativas das senhoras em relação ao tempo mostram a preocupação de um redimensionamento do tempo limitado pela ideia de seu próprio fim, a partir da opinião de que o tempo passado parece ser mais longo do que aquele que se esta por vir. Com isso ressalta-se a necessidade de um tempo para se viver melhor o aqui e o agora, priorizando o presente e seu bom proveito.(AU)

This work is the result of a survey recently defended in the doctorate in sociology at UFPB. In it we aim to discuss panoramically some representations of time by older women belonging to two distinct social groups: the popular and middle segments. We also seek to present some of the uses that they make from their daily time, revealing old age as a favorable phase for the development of a life for themselves, self satisfying, which is based on the enhancement of an ethic that emphasizes “a time for yourself “over the “time devoted to others”, especially to family. The empirical elements of this study were qualitatively selected. It was used, primarily, the resource of life narratives of 13 women, aged between 60 and 70 years, belonging to the mentioned segments, in the manner of Bertaux (1997), in the city of Joao Pessoa. Direct observations were also carried out, following the methodological guidelines of Magnani (2002), in one of the neighborhoods of this city, Bancarios neighborhood. The ladies’narratives over time show the concern of a resizing of the time limited by the idea of its own end, from the view that the past time seems to be longer than that which is to come. With it, the need for a time to live better here and now is highlighted, prioritizing the present and its good use.(AU)