Your browser doesn't support javascript.
Mostrar: 20 | 50 | 100
Resultados 1 - 20 de 13.705
Filtrar
2.
Neuropsychiatr ; 34(1): 15-21, 2020 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-32002764

RESUMO

Little research has been performed so far on the mental health state of grieving and recently traumatized children. "The Buoy" ("Die Boje"), a low threshold ambulatory provides non-bureaucratic help and short time psychotherapy to children and adolescents in need of professional support at no charge and treats about 1400 minors per year. Whilst performing a study on these patients with special regard to their social network, we found the process of recruitment to be extraordinarily challenging. Only about 25% of the eligible patients could be recruited successfully within during the period of one year. In this paper we try to examine the barriers we had to overcome in gaining access to the sensitive field of grieving and traumatized children and adolescents who rely on low threshold psychotherapeutic and neuropsychiatric support and analyze the factors leading to the high number of dropouts. In addition, the consequences for our results will be discussed.


Assuntos
Intervenção na Crise , Saúde Mental , Menores de Idade/psicologia , Trauma Psicológico/psicologia , Trauma Psicológico/terapia , Psicoterapia , Adolescente , Criança , Feminino , Pesar , Humanos , Masculino
4.
Med J Aust ; 211(11): 511-513, 2019 12.
Artigo em Inglês | MEDLINE | ID: mdl-31813172

RESUMO

OBJECTIVES: To assess whether specific factors predict the development of ManuScript Rejection sYndrome (MiSeRY) in academic physicians. DESIGN: Prospective pilot study; participants self-administered a questionnaire about full manuscript submissions (as first or senior author) rejected at least once during the past 5 years. SETTING: Single centre (tertiary institution). PARTICIPANTS: Eight academic physician-authors. MAIN OUTCOME MEASURES: Duration of grief. MiSeRY was pre-specified as prolonged grief (grief duration longer than the population median). RESULTS: Eight participants provided data on 32 manuscripts with a total of 93 rejections (median, two rejections per manuscript; interquartile range [IQR], 1-3 rejections per manuscript). Median age at rejection was 37 years (IQR, 33-45 years); 86% of 80 rejections involved male authors (86%), 56 of the authors providing data about these rejections were first authors (60%). The median journal impact factor was 5.9 (IQR, 5.2-17). In 48 cases of rejection (52%), pre-submission expectations of success had been high, and in 54 cases (58%) the manuscripts had been sent for external review. Median grief duration was 3 hours (IQR, 1-24 h). Multivariate analysis indicated that higher pre-submission expectation (adjusted odds ratio [aOR], 5.0; 95% CI, 1.5-18), first author status (aOR, 9.5; 95% CI, 1.1-77), and external review (aOR, 19.0; 95% CI 2.9-126) were independent predictors of MiSeRY. CONCLUSIONS: To help put authors out of their MiSeRY, journal editors could be more selective in the manuscripts they send for external review. Tempering pre-submission expectations and mastering the Coping and reLaxing Mechanisms (CaLM) of senior colleagues are important considerations for junior researchers.


Assuntos
Atitude do Pessoal de Saúde , Autoria , Pesar , Manuscritos Médicos como Assunto , Adulto , Estudos de Coortes , Políticas Editoriais , Humanos , Pessoa de Meia-Idade , Publicações Periódicas como Assunto , Projetos Piloto , Estudos Prospectivos
5.
Ágora (Rio J. Online) ; 22(3): 326-334, set.-dez. 2019.
Artigo em Inglês | LILACS, Index Psicologia - Periódicos técnico-científicos | ID: biblio-1043576

RESUMO

ABSTRACT: We review the concept of mourning, first as conceived by Freud and Klein, and how it relates with the contemporary "clinic of the void" as described by André Green. The clinic of the void is part of a series of modern manifestation of psychic malaise called "new symptoms". To illustrate, we present the case of Roxana, a Mexican woman whose psyche reflected the dynamic of the dead mother complex. Through an analysis of her interpersonal relationships and past experiences, and comparing with psychoanalytic literature, we conclude that the dead mother complex might become a common condition in our society.


Resumo: Revisamos o conceito de luto, primeiro como concebido por Freud e Klein, e como este se relaciona com a "clínica do vazio" contemporânea, como descrita por André Green. A clínica do vazio é parte de uma série de manifestações modernas do mal-estar psíquico chamado "novos sintomas". Para ilustrar, apresentamos o caso de Roxana, uma mulher mexicana cuja psique refletiu a dinâmica do complexo da mãe morta. Através de uma análise de suas relações interpessoais e experiências passadas, e comparando com a literatura psicanalítica, concluímos que o complexo da mãe morta pode se tornar uma condição comum em nossa sociedade.


Assuntos
Humanos , Feminino , Psicanálise , Luto , Poder Familiar
7.
Metas enferm ; 22(9): 28-32, nov. 2019.
Artigo em Espanhol | IBECS | ID: ibc-185039

RESUMO

Objetivo: evidenciar, durante el rito del velatorio, la existencia de diferencias de género en la sociedad, así como en función de la edad y la cercanía con la persona difunta. Método: se realizó una investigación cualitativa utilizando la técnica de observación participante y un diario de campo durante el velatorio de un difunto. La población de estudio fue una familia española residente en Tarragona, caucásica, de clase media, católica no practicante; también se incluyeron el resto de familiares menos allegados, así como amigos y conocidos de la familia. El ámbito de estudio fue la sala del tanatorio. La observación se llevó a cabo durante seis de las 12 horas que duró el velatorio. Resultados: se estudiaron 57 sujetos con edades comprendidas entre los 15 y 76 años (30 eran mujeres y 27 varones). Se observaron diferencias de género en el comportamiento, así como en función de la edad y la relación con el difunto. Estas diferencias condicionaron el modo de agruparse (según sexo y edad), la situación física para ocupar el lugar (mujeres más próximas al difunto que los hombres), las manifestaciones públicas de dolor (solo en mujeres) y el luto (únicamente viuda e hija). Conclusiones: el velatorio es un acto social de relación, donde el modo de actuar de las personas difiere en función del género al que pertenecen, la relación que les une con el difunto y la zona del velatorio donde se sitúen. Los asistentes se agrupan en función del sexo y la edad, asumiendo roles de género predeterminados por la sociedad y la cultura


Objective: to observe, during the rite of wake, the existence of differences by gender in society, as well as based on age and closeness with the deceased person. Method: a qualitative research was conducted, using the participant observation technique and a field diary during the wake for a deceased person. The study population was a Spanish family living in Tarragona, Caucasian and middle-class, who were non-practicing Catholics; those relatives not within the nuclear family were also included, as well as friends and acquaintances of the family. The setting of the study was the funeral parlour. The wake lasted 12 hours, and observation was conducted during six of them. Results: fifty-seven (57) subjects were studied, between 15 and 76-year-old (30 were female and 27 were male). Differences by gender were observed in their behaviour, as well as based on age and relationship with the deceased. These differences determined the way to gather (according to gender and age), the physical location occupied (women were closer to the deceased than men), public manifestations of grief (only in women) and mourning clothes (only in the widow and daughter). Conclusions: wake is a social interaction, where the manner in which people act varies according to their gender, their relationship with the deceased, and the place where they are situated. Assistants will group together according to gender and age, adopting gender roles predetermined by society and culture


Assuntos
Humanos , Masculino , Feminino , Adolescente , Adulto Jovem , Adulto , Pessoa de Meia-Idade , Idoso , Distribuição por Sexo , Rituais Fúnebres , Distribuição por Idade , Cultura , Comportamento , Pesquisa Qualitativa , Choro , Pesar
8.
J Couns Psychol ; 66(6): 714-725, 2019 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-31647284

RESUMO

This study aimed to test the hypothesis that meaning making is a mediating process in the relationship between risk factors for prolonged grief disorder (PGD) and subsequent emergence of PGD symptomatology. A survey design was employed with prospective measurement of PGD. The following variables were assessed 2-12 months postloss among adults across North America and Europe (N = 357): (a) risk factors for PGD (insecure attachment, social support, neuroticism, violent loss, and spousal loss) and (b) meaning made. Meaning made was measured using the Grief and Meaning Reconstruction Inventory (GMRI) as well as using the Integration of Stressful Life Experiences-Short Form (ISLES-SF). At a 7-10-months follow-up (n = 171) symptoms of PGD were assessed. The mean age at the second assessment point was 44.3 years (SD = 16.1) and the majority of the sample identified as female (71.9%). Process analysis was employed to test a series of simple mediation models. When the GMRI was used as a measure of meaning, the indirect effect of each risk factor on PGD symptoms, as mediated by meaning made, was significant (95% CI). When the ISLES-SF was used to measure meaning, the indirect effect of each risk factor with the exception of violent loss was significant (95% CI). The study demonstrates that meaning making serves to mediate the adverse impact of multiple PGD risk factors on the development of PGD symptomatology. Specifically, the study suggests that PGD risk factors exacerbate symptoms of PGD by impeding the meaning-making process. (PsycINFO Database Record (c) 2019 APA, all rights reserved).


Assuntos
Pesar , Acontecimentos que Mudam a Vida , Negociação/psicologia , Inquéritos e Questionários , Adulto , Feminino , Seguimentos , Humanos , Masculino , Pessoa de Meia-Idade , Negociação/métodos , Estudos Prospectivos , Fatores de Tempo
9.
J Music Ther ; 56(4): 348-380, 2019 Nov 19.
Artigo em Inglês | MEDLINE | ID: mdl-31605612

RESUMO

Music therapy research with youth who are grieving often reports on a combination of interventions, such as lyric analysis, improvisation, and/or songwriting. Unfortunately, the lack of theoretical transparency in how and why these interventions affect targeted outcomes limits interpretation and application of this important research. In this exploratory study, the authors evaluated the impact of an 8-session, theory-driven group songwriting program on protective factors in adolescent bereavement, and also sought to better understand adolescents' experiences of the program. Using a single-group, pretest-posttest convergent mixed methods design, participants were enrolled from three study sites and included 10 adolescents (five girls and five boys), ages 11-17 years, who self-identified as grieving a loss. Outcomes measured included grief, coping, emotional expression, self-esteem, and meaning making. Qualitative data were captured through in-session journaling and semi-structured interviews. There were no statistically significant improvements for grief, self-esteem, coping, and meaning making. Individual score trends suggested improvements in grief. The majority of the participants reported greater inhibition of emotional expression, and this was statistically significant. Thematic findings revealed that the program offered adolescents a sense of togetherness, a way to safely express grief-related emotions and experiences verbally and nonverbally, and opportunities for strengthening music and coping skills. These findings suggest that engaging in collaborative therapeutic songwriting with grieving peers may decrease levels of grief, enhance creative expression, and provide social support. More research is needed on measuring self-esteem, emotional expression, coping, and meaning making outcomes in ways that are meaningful to adolescents.


Assuntos
Adaptação Psicológica , Luto , Emoções , Musicoterapia/métodos , Redação , Adolescente , Criança , Feminino , Pesar , Humanos , Masculino , Música , Pesquisa Qualitativa , Autoimagem , Apoio Social
10.
Artigo em Inglês | MEDLINE | ID: mdl-31590225

RESUMO

Suicide often imparts highly stressful ramifications to those left behind. Previous research on suicide survivors (SUSs) has demonstrated their being at high risk for developing anxiety and depression, including pathological complicated grief (CG). Self-disclosure (S-D)--the tendency to share one's personal feelings--has been found to be an important component of dealing with grief. In this study, we examined the effect of S-D on CG in an 18-month longitudinal design following one hundred fifty-six SUSs. We found that SUSs suffering from pathological CG at Time 1 (T1) were lower in S-D at T1 and T2 and higher in depression at T2. We also found that SUSs with lower S-D at T1 had higher CG at T2. Using a structural equation model, we found that S-D at T1 contributed significantly (and negatively) to CG at T1, above and beyond the natural fading of CG over time. Our findings emphasize that while CG is highly prevalent among SUSs, S-D has a beneficial effect which can serve as a protective factor against CG for this group. Implications regarding possible interventions with SUSs were discussed.


Assuntos
Depressão/psicologia , Pesar , Autorrevelação , Suicídio/psicologia , Sobreviventes/psicologia , Adolescente , Adulto , Idoso , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Fatores de Risco , Adulto Jovem
11.
Rev Esc Enferm USP ; 53: e03521, 2019.
Artigo em Português, Inglês, Espanhol | MEDLINE | ID: mdl-31618316

RESUMO

OBJECTIVE: To understand the meanings assigned by bereaved parents to their relationships with healthcare professionals during the end-of-life hospitalization of their child. METHOD: Qualitative-interpretative study based on hermeneutics. Data were collected from interviews with parents who were grieving the death of a child with cancer in the hospital and participant observation in an oncology ward. Deductive thematic analysis for data interpretation ensued. RESULTS: The experience of parents is the sum of all relationships during treatment. Therefore, meanings form a tangle of interrelated senses built not only in the interaction with these professionals, but also with the child and with grief itself. In relationships with professionals, meanings related to the memories of the child, negative emotions and regret were identified. CONCLUSION: The experiences and meanings of grief are shaped by the social processes and interactions experienced by the family in the hospital. The relationship with the professionals represents part of the support in coping with the grief after the child's death in the hospital, due to the perpetuity of the love shown for the child as a possible legacy in the legitimacy of the experienced interactions.


Assuntos
Pesar , Hospitalização , Neoplasias/psicologia , Relações Profissional-Família , Adaptação Psicológica , Adolescente , Adulto , Atitude Frente a Morte , Criança , Pré-Escolar , Feminino , Humanos , Entrevistas como Assunto , Masculino , Pessoa de Meia-Idade , Relações Pais-Filho , Pais/psicologia , Apoio Social , Adulto Jovem
13.
Soins Pediatr Pueric ; 40(310): 31-33, 2019.
Artigo em Francês | MEDLINE | ID: mdl-31543232

RESUMO

The death of a twin hospitalised in neonatal intensive care presents several issues that the children's nurse must take into account. Identifying the elements which characterise the issues around supporting families confronted at the same time with the grieving and bonding processes enables suitable actions to be put in place.


Assuntos
Pesar , Enfermeiras Pediátricas/psicologia , Pais/psicologia , Relações Profissional-Família , Humanos , Recém-Nascido , Recém-Nascido Prematuro , Terapia Intensiva Neonatal , Apego ao Objeto , Gêmeos
14.
Artigo em Inglês | MEDLINE | ID: mdl-31500266

RESUMO

Recent research has highlighted that the number of people impacted by a death by suicide is far greater than previously estimated and includes wider networks beyond close family members. It is important to understand the ways in which suicide impacts different groups within these wider networks so that safe and appropriate postvention support can be developed and delivered. A systematic review in the form of a qualitative research synthesis was undertaken with the aim of addressing the question 'what are the features of the experiences of workers in health, education or social care roles following the death by suicide of a client, patient, student or service user?' The analysis developed three categories of themes, 'Horror, shock and trauma', 'Scrutiny, judgement and blame', and 'Support, learning and living with'. The mechanisms of absolution and incrimination were perceived to impact upon practitioners' experiences within social and cultural contexts. Practitioners need to feel prepared for the potential impacts of a suicide and should be offered targeted postvention support to help them in processing their responses and in developing narratives that enable continued safe practice. Postvention responses need to be contextualised socially, culturally and organisationally so that they are sensitive to individual need.


Assuntos
Atitude Frente a Morte , Luto , Família/psicologia , Pessoal de Saúde/psicologia , Papel Profissional/psicologia , Suicídio/psicologia , Adulto , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Pesquisa Qualitativa
15.
Medicine (Baltimore) ; 98(36): e16692, 2019 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-31490361

RESUMO

OBJECTIVES: To ascertain bereavement practices offered by hospitals and medical practitioners (MPs), factors that influence the likelihood of MPs' involvement in funeral attendance, the benefits and barriers to attendance to a patient's funeral as perceived by MPs and the rate of attendance to patients' funeral by MPs. DESIGN: MEDLINE (Ovid), Embase, PubMed, and Google Scholar were searched with a systematic search structure for randomized controlled trials, comparative observational studies, case series, cross-sectional studies, editorials, and letters. The search was limited to English only. The study was registered with Prospero (Registration Number: CRD42018095368). RESULTS: A total of 381 articles were identified with 46 articles meeting the inclusion criteria. Of the 46, 16 were editorials and 12 were letters. Eighteen were cross-sectional studies conducted in the United States, Canada, Australia, Israel, and Ireland. Year of publication ranged from 1990 to 2017. Of these, 12 were quantitative, 3 were qualitative, and 3 were mixed-method studies. Two of the cross-sectional studies involved family members of deceased patients while others involved MPs. Bereavement practices offered by hospitals included memorial services, letters, and services provided by bereavement coordinators. Bereavement practices employed by MPs included answering or making phone calls, attending family meetings, and sending condolence letters. MPs' attendance at a patient's funeral was influenced by MPs' gender, age years of experience the medical specialty. Perceived benefits of MPs' attendance at a patient's funeral included providing support to the family, extending the professional relationship, illustrating respect to the patient and the family, resolving guilt and personal growth. Barriers to the attendance included a lack of time, blurring of professional boundaries, personal discomfort with death, emotional arousal, and discouragement by colleagues. General practice had an attendance rate of 71%. Attendance rates for palliative care, oncology, and psychiatrists ranged from 63% to 81%, 7.1% to 67%, and 15% to 67%, respectively. Intensivists had an attendance rate of 22%. CONCLUSION: Several bereavement practices are provided by hospitals and MPs. Funeral attendance is an uncommon bereavement practice. MPs' attitudes toward attending a patient's funeral are understudied in many specialties. Patient factors that influence MPs' participation in bereavement practices are poorly understood.


Assuntos
Atitude do Pessoal de Saúde , Luto , Rituais Fúnebres , Profissionalismo/normas , Fatores Etários , Estudos Transversais , Emoções , Feminino , Humanos , Masculino , Relações Profissional-Paciente , Fatores Sexuais , Fatores de Tempo
16.
Psychiatr Danub ; 31(Suppl 3): 434-437, 2019 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-31488767

RESUMO

The notion of "mixity" of the dysphoric phases of the bipolarity includes the most insidious symptoms of the bipolar spectrum of mood disorders: the overlapping between depression-restlessness-irritability-grief-tension-anxiety can cause worsening of the mood disorders and in the most acute phases may cause increased risk of major behavioural disruption including murder and suicide. The early utilization of the rating scale on mixed states, "GT-MSRS", which can demonstrate the level of "mixity" of the mood disorder, can prevent this.


Assuntos
Transtorno Bipolar/diagnóstico , Transtorno Bipolar/psicologia , Transtornos do Humor/diagnóstico , Transtornos do Humor/psicologia , Ansiedade/psicologia , Depressão/psicologia , Pesar , Homicídio/psicologia , Humanos , Humor Irritável , Agitação Psicomotora/psicologia , Suicídio/psicologia
17.
Prim Care ; 46(3): 373-386, 2019 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-31375187

RESUMO

Patients with serious illness and their family caregivers face numerous ongoing psychological and social concerns and stressors throughout the disease trajectory. Common challenges relate to the need to manage the disease by making complex and often difficult medical decisions. In addition, the presence of psychological and psychiatric distress, including depression and anxiety, may significantly add to the overall symptom burden for the patient and family caregivers. These challenges negatively impact mood, cognitive function, interpersonal relationships, and medical decision making. If not recognized and adequately addressed, they can seriously undermine coping and resilience, eroding psychological well-being and quality of life.


Assuntos
Adaptação Psicológica , Luto , Estado Terminal/psicologia , Família/psicologia , Atenção Primária à Saúde/organização & administração , Afeto , Ansiedade/epidemiologia , Ansiedade/terapia , Competência Cultural , Depressão/epidemiologia , Depressão/terapia , Humanos , Relações Interpessoais , Relações Médico-Paciente , Qualidade de Vida , Apoio Social , Estresse Psicológico/epidemiologia , Estresse Psicológico/terapia
18.
Prim Care ; 46(3): 461-473, 2019 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-31375193

RESUMO

Pediatric palliative care and hospice medicine is a field in which a multidisciplinary team assists in the management and treatment of infants, children, and young adults with a serious condition. A therapeutic relationship is created among the team, patients, and their caregivers to address total pain. This encompasses exploration of physical pain, social, spiritual, and emotional pain. Patient-centered and family-centered shared decision-making is paramount when setting and revisiting goals of care with patients and their families. Consider a checklist when faced with a dying patient so that the family and team feel supported.


Assuntos
Família/psicologia , Cuidados Paliativos/métodos , Cuidados Paliativos/psicologia , Fatores Etários , Anorexia/terapia , Criança , Pré-Escolar , Tomada de Decisões , Delírio/terapia , Emoções , Pesar , Humanos , Lactente , Recém-Nascido , Relações Interpessoais , Manejo da Dor/métodos , Planejamento de Assistência ao Paciente , Qualidade de Vida , Espiritualidade , Assistência Terminal/métodos , Assistência Terminal/psicologia
19.
Psychiatr Hung ; 34(2): 199-213, 2019.
Artigo em Húngaro | MEDLINE | ID: mdl-31417008

RESUMO

The study deals with the psychiatric treatment of the writer with a tragic fate, Sylvia Plath. Sylvia's treatment began with electroconvulsive therapy for suicidal thoughts at the age of 20 and soon afterended up in hospital for an attempted suicide with sleeping pills to McLean Hospital.Her treatment was trusted on Doctor Ruth Beuscher with whom she's been remaining in touch directlyor indirectly (phone, mail) all her life. At the age of 30 she passed away committing suicide at her flatin London after having been treated with antidepressant for her assumably psychotic depression.In the article we provide an insight to the main therapeutic events of Sylvia's treatment and invitethe colleagues for an imaginary experiment based on modern knowledge and family system approach with a trauma focus (on theory of structural dissociation)- hoping it provides us with a conclusionto use in the treatment of suicidal patients.


Assuntos
Criatividade , Transtorno Depressivo/psicologia , Transtorno Depressivo/terapia , Poesia como Assunto/história , Suicídio/história , Suicídio/psicologia , Eletroconvulsoterapia , Feminino , Pesar , História do Século XX , Humanos , Ideação Suicida , Suicídio/prevenção & controle
SELEÇÃO DE REFERÊNCIAS
DETALHE DA PESQUISA