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INTRODUCTION: Antibodies to hexokinase 1 (HK1) and kelch-like 12 (KLHL12) have been identified as potential biomarkers in primary biliary cholangitis (PBC), and this study assesses changes of these antibodies over time and if they are associated with clinical outcomes. METHODS: Two hundred fifty-four PBC patients (93.3% female, 51 ± 12.3 years old) were tested for anti-HK1 and anti-KLHL12, antimitochondrial (AMA), anti-gp210, and anti-sp100 antibodies. One hundred sixty-nine patients were tested twice and 49 three times within 4.2 (0.8-10.0) years. Biochemistry and clinical features at diagnosis, response to therapy, events of decompensation, and liver-related death or transplantation were evaluated. RESULTS: Anti-HK1 and anti-KLHL2 were detected in 46.1% and 22.8% patients, respectively. AMA were positive in 93.7%, anti-sp100 in 26.4%, and anti-gp210 in 21.3% of patients. Anti-HK1 and anti-KLHL12 positivity changed over time in 13.3% and 5.5% of patients, respectively. Anti-HK1 or anti-KLHL12 were present in 37.5% of AMA-negative patients, and in 40% of AMA, anti-gp210, and anti-sp100 negative. No significant differences were observed between those with or without HK1 and KLHL12 antibodies, but transplant-free survival and time to liver decompensation were significantly lower in patients anti-HK1 positive (P = 0.039; P = 0.04) and in those anti-sp100 positive (P = 0.01; P = 0.007). No changes in survival and events of liver decompensation were observed according to the positivity of AMA, anti-KLHL12, or anti-gp210 antibodies. DISCUSSION: HK1 and KLHL12 antibodies are present in 40% of PBC patients who are seronegative by the conventional PBC-specific antibodies. The novel antibodies remain rather steady during the course of the disease, and HK1 antibodies are associated with unfavourable outcomes.
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Autoanticorpos/imunologia , Hexoquinase/imunologia , Cirrose Hepática Biliar/imunologia , Proteínas Adaptadoras de Transdução de Sinal/imunologia , Adulto , Antígenos Nucleares/imunologia , Autoantígenos/imunologia , Colagogos e Coleréticos/uso terapêutico , Progressão da Doença , Feminino , Humanos , Imunossupressores/uso terapêutico , Cirrose Hepática Biliar/terapia , Transplante de Fígado , Masculino , Pessoa de Meia-Idade , Proteínas Mitocondriais/imunologia , Complexo de Proteínas Formadoras de Poros Nucleares/imunologia , Prognóstico , Ácido Ursodesoxicólico/uso terapêuticoRESUMO
BACKGROUND AND AIM: undiagnosed hepatitis C virus (HCV) infection and/or inadequate access to care are barriers to the elimination of HCV. Reflex testing has proven to facilitate referral to care, treatment and viral elimination. In this study, a reflex testing program was implemented in Andalusia and its impact on access to care was evaluated. PATIENTS AND METHODS: an observational, retrospective and prospective study was performed across diagnostic laboratories responsible for HCV diagnosis in southern Spain. After surveying the barriers to performing reflex testing, the number of patients that were not referred for care in 2016 was retrospectively studied (pre-reflex cohort). Subsequently, several measures were proposed to overcome the identified barriers. Finally, reflex testing was implemented and its impact evaluated. RESULTS: the pre-reflex cohort included information from 1,053 patients. Slightly more than half of the patients (n = 580; 55%) visited a specialist for treatment evaluation during a median period of 71 days (interquartile range = 35-134) since the date of diagnosis. The post-reflex cohort (September 2017 to March 2018) included 623 patients. Only 17% (n = 106) of the patients had not been referred for care or evaluated for treatment in a median period of 52 days (interquartile range = 28-86). CONCLUSIONS: in 2016, nearly half of new HCV diagnoses in southern Spain were not referred for care. Barriers to the implementation of reflex testing were overcome in our study. Moreover, this strategy was effectively implemented in 2017. Reflex testing contributed to improving referral for care. This program will contribute to the micro-elimination of hepatitis C in Spain.
Assuntos
Hepacivirus , Hepatite C , Hepatite C/diagnóstico , Hepatite C/epidemiologia , Humanos , Estudos Prospectivos , Reflexo , Estudos Retrospectivos , Espanha/epidemiologiaRESUMO
RESUMEN Introducción: Más allá de los factores de riesgo (FR) tradicionales, hay determinantes no convencionales (DnoC) de la salud cardiovascular (CV) que operan en las mujeres como factores de riesgo adicional. Es por ello necesario explorarlos y establecer su prevalencia y vínculo con el género femenino. Objetivo: conocer la prevalencia de los DnoC socioeconómicos (SE) y psicosociales (PS) y su impacto en la salud CV de la mujer en Latinoamérica (LATAM). Material y métodos: estudio observacional, de corte transversal realizado a través de una encuesta anónima en mujeres de LATAM entre mayo y junio de 2022. Se recabaron datos sobre DnoC (SE y PS), FR convencionales y enfermedad cardiovascular (ECV). Resultados: participaron 4915 mujeres con edad media de 49 ± 13 años. El 49,6% residía en Argentina, el 55,8% en grandes ciudades, el 94,4% declaró acceso adecuado a la salud y el 89% tuvo acceso a algún nivel de educación. Si bien el 79,9% expresó tener trabajo remunerado, más de la mitad refirió percibir un salario no acorde (59,5%) y una exposición a la violencia en el ámbito laboral (26,7%). Los determinantes PS más prevalentes fueron el bajo a moderado nivel de satisfacción (68,3%), la ansiedad o irritabilidad (51,9%), el desinterés, los pensamientos negativos o la infelicidad (41,7%). El grupo de edad mayor de 45 años se asoció significativamente a más sobrepeso, obesidad, desempleo y violencia laboral. En el análisis multivariado se encontró asociación independiente con ECV para el trastorno del sueño (OR 1,7; p = 0,001), residir en una ciudad de baja densidad poblacional (OR 0,5; p <0,001), la violencia laboral (OR 1,8; p = 0,001), la ansiedad (OR 1,5; p = 0,001) y al haber padecido complicaciones del embarazo (OR 1,6; p = 0,022). Conclusión: se demostró una importante prevalencia de factores PS y SE que impactan en la salud CV de las mujeres en LATAM. Variables como la violencia laboral, la ansiedad o la irritabilidad, residir en ciudades de baja densidad poblacional, así como los trastornos del sueño y complicaciones del embarazo se asociaron de forma independiente con la ECV. Esta encuesta muestra el impacto de los DnoC SE y PS en la carga cardiometabólica (CCM) y la salud CV de las mujeres en LATAM, principalmente en aquellas mayores de 45 años.
ABSTRACT Background: Besides traditional risk factors (RF), non-conventional determinants (NCD) of cardiovascular (CV) health are additional risk factors in women. Therefore, they should be explored to establish their prevalence and association with the female gender. Objective: The aim of this study is to know the prevalence of socioeconomic (SE) and psychosocial (PS) factors as NCD in CV health in Latin American (LATAM) women. Methods: We conducted an observational, cross-sectional study using an anonymous survey distributed among LATAM women between May and June 2022. The information gathered included SE and PS NCD, traditional RF and cardiovascular disease (CVD). Results: A total of 4915 women participated; mean age was 49 ± 13 years. Most respondents (49.6%) lived in Argentina, 55.8% in large cities; 94.4% reported adequate access to healthcare services and 89% had access to some level of education. Although 79.9% had a paid job, more than half reported their salary was not commensurate (59.5%) and 26.7% reported exposure to violence at the workplace. The most prevalent PS factors were low to moderate level of satisfaction (68.3%), anxiety or irritability (51.9%), apathy, negative thoughts, or unhappiness (41.7%). Age >45 years was significantly associated with overweight, obesity, unemployment, and violence at the workplace. On multivariate analysis, sleep disorders (OR 1.7; p = 0.001), living in a city with low population density (OR 0.5; p <0.001), violence at the workplace (OR 1.8; p = 0.001), anxiety (OR 1.5; p = 0.001) and a history of pregnancy complications (OR 1.6; p = 0.022) were independently associated with CVD. Conclusion: The prevalence of PS and SE factors affecting the CV health of LATAM women was significant. Variables such as violence at the workplace, anxiety, or irritability, living in cities with low population density, sleep disorders and pregnancy complications were independently associated with CVD. This survey shows the impact of SE and PS factors as NCD on the cardiometabolic burden and CV health of women in LATAM, mainly in those > 45 years.
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OBJECTIVE The objective of the study was to describe the process of implementing a technology system to improve safety and quality in all processes involved in the treatment with parenteral antineoplastic agents within an interdisciplinary team and to analyze the errors detected and avoided thanks to this system at the different stages of the process. MATERIALS AND METHODS Observational and retrospective study where the implementation of an expert technology system in all phases of the therapeutic process is described: prescription, validation, preparation and administration of drugs, in which errors found in the different phases are analysed. A descriptive analysis of the errors recorded in the various stages of the process was carried out during 3 months. RESULTS There were a total of 2185 preparations belonging to 382 patients. 14 prescription errors were recorded, representing 0.6% of prescriptions. All were potential errors that the system helped to avoid and did not reach the patient. Quality control results: a total of 93 (4.2%) incorrect code readings were detected and 16 (0.7%) readings for wrong components / wrong drugs. Results of quantitative control: 95 mixtures (4.3%) were prepared incorrectly - 29 (1.3%) due to an overdosage, and 66 (3.0%) because of an underdosage. CONCLUSION Introduction of a new support technology to increase pharmacotherapeutic security in oncohematology, has been successfully achieved in all stages of the process. In the study period the implemented system successfully intercepted all the incidents that could have become errors in 6.9% of the prescribed mixtures, therefore no error reached any patient.
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Studies of repetitive transcranial magnetic stimulation (rTMS) in depression have found antidepressant effects when high frequency stimulation (HF-rTMS; >1 Hz) is applied over the left prefrontal cortex (LPF). A few studies have also reported success with low frequency stimulation (LF-rTMS) to the right prefrontal cortex (RPF). Both HF-rTMS and LF-rTMS have been reported to work better in areas with cerebral hypometabolism or hypermetabolism, respectively. Thirty medication-resistant patients with major depression were randomized into three groups. The first group received sham rTMS and the second group received active rTMS (20-Hz rTMS to the LPF and 1-Hz rTMS to the RPF). The third group, however, received active rTMS that was focused on different regions of the brain after examination with single photon emission computed tomography (20-Hz rTMS to an area of relatively low activity and 1-Hz rTMS to an area showing relatively high activation). Patients and raters were blind to the treatment condition. Comparison of the sham rTMS group with the overall group that received active rTMS revealed statistically significant changes on the Hamilton Rating Scale for Depression after 10 sessions. This study demonstrated that combined 20+1-Hz rTMS was effective, but no additional advantages were obtained by focusing rTMS on areas identified by single photon emission tomography as showing high versus low levels of functional activity.
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Antidepressivos/farmacocinética , Antidepressivos/uso terapêutico , Transtorno Depressivo Maior , Resistência a Medicamentos , Córtex Pré-Frontal/metabolismo , Córtex Pré-Frontal/fisiopatologia , Estimulação Magnética Transcraniana/métodos , Adulto , Idoso , Transtorno Depressivo Maior/tratamento farmacológico , Transtorno Depressivo Maior/metabolismo , Feminino , Lateralidade Funcional/fisiologia , Humanos , Masculino , Pessoa de Meia-Idade , Tomografia Computadorizada de Emissão de Fóton ÚnicoRESUMO
BACKGROUND AND AIM: undiagnosed hepatitis C virus (HCV) infection and/or inadequate access to care are barriers to the elimination of HCV. Reflex testing has proven to facilitate referral to care, treatment and viral elimination. In this study, a reflex testing program was implemented in Andalusia and its impact on access to care was evaluated. PATIENTS AND METHODS: an observational, retrospective and prospective study was performed across diagnostic laboratories responsible for HCV diagnosis in southern Spain. After surveying the barriers to performing reflex testing, the number of patients that were not referred for care in 2016 was retrospectively studied (pre-reflex cohort). Subsequently, several measures were proposed to overcome the identified barriers. Finally, reflex testing was implemented and its impact evaluated. RESULTS: the pre-reflex cohort included information from 1,053 patients. Slightly more than half of the patients (n = 580; 55%) visited a specialist for treatment evaluation during a median period of 71 days (interquartile range = 35-134) since the date of diagnosis. The post-reflex cohort (September 2017 to March 2018) included 623 patients. Only 17% (n = 106) of the patients had not been referred for care or evaluated for treatment in a median period of 52 days (interquartile range = 28-86). CONCLUSIONS: in 2016, nearly half of new HCV diagnoses in southern Spain were not referred for care. Barriers to the implementation of reflex testing were overcome in our study. Moreover, this strategy was effectively implemented in 2017. Reflex testing contributed to improving referral for care. This program will contribute to the micro-elimination of hepatitis C in Spain
No disponible
Assuntos
Humanos , Masculino , Feminino , Pessoa de Meia-Idade , Hepatite C/diagnóstico , Hepatite C/terapia , Encaminhamento e Consulta/estatística & dados numéricos , Programas de Rastreamento , Estudos Retrospectivos , Estudos Prospectivos , EspanhaRESUMO
Neste artigo, os autores procuram investigar nuances do humor na experiência clínica psicanalítica. Descrevem algumas das situações vivenciadas pelo analista no seu cotidiano em que, não raro, frente a certos disparates engendrados pelo inconsciente, se depara com o "só rindo". Compartilham algumas experiências que contribuíram para a percepção do humor como uma ferramenta capaz de favorecer a liberdade mental do analista em seu ofício. Apoiados em modelos extraídos da música e da poesia, interligados a elementos da metapsicologia freudiana, buscam expressar aquilo que apreenderam como função e lugar do humor na constituição de uma parceria analítica. Neste sentido, viram favorecidos elos entre o vasto mundo teórico e as peculiaridades da história dos membros da dupla, contribuindo para a retomada da produção de conhecimento pessoal e progresso interior de cada um e, portanto, da psicanálise.
In this paper, the authors seek to investigate nuances of humor in the psychoanalytic experience. They describe some of the situations experienced by the analyst in his daily work in which, not infrequently, facing certain nonsenses engendered by the unconscious, he deals with the concept that "laughter is the only solution". They share some experiences which point to the perception of humor as a tool for the promotion of mental freedom of the analyst in performing his craft. Supported by some models extracted from music and poetry, connected with elements of Freudian metapsychology, they try to express what they learned about the function and the place of humor in the development of the analytical partnership. In this sense, they found favored links between the wide theoretical world and the peculiarities of the history of the members of the duo, allowing the resumption of the production of personal knowledge, of individual inner progress and, therefore, of psychoanalysis.
En este artículo, los autores tratan de investigar los matices del humor en la experiencia psicoanalítica. Describen algunas de las situaciones vividas por el analista en su actividad diaria cuando, no pocas veces, ante ciertos absurdos generados por el inconsciente, se encuentra con el "solo riendo". Comparten algunas experiencias que fomentaron la percepción del humor como una herramienta capaz de favorecer la libertad mental del analista en su actividad. Modelos extraídos de la música y la poesía, entrelazados con los elementos de la metapsicología freudiana, tratan de expresar lo que aprendieron de la función y el lugar del humor en la formación de una colaboración analítica. En este sentido, vieron favorecidos los vínculos entre el amplio mundo teórico y las peculiaridades de la historia de los miembros del par, lo que permite la producción de conocimiento personal y el progreso interior de cada uno y, por lo tanto, del psicoanálisis.
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A comparison is made between the use of a silica-based monolithic column and a RP-AmideC(16) column for the separation of phenol, thymol and carvacrol using reversed-phase liquid chromatography. The best results concerning total analysis time and sensitivity were obtained using the monolithic column. Detection was optimized using a fluorimetric detector which allowed better detection limits that those obtained with a photo-diode array spectrophotometer. Gradient elution with acetonitrile-water mixtures as mobile phases permitted good separation of the phenols. Identification of the peaks was based on their retention characteristics, varying the flow-rate, nature and composition of the mobile phase as well as the nature of the stationary phase, and using the fluorimetric detector to continuously measure the spectrum when the solute passed through the flow cell. Linearity, precision, recovery and sensitivity were satisfactory. The procedure was applied to the analysis of phenol, thymol and carvacrol in honey of different types. The extraction process was very simple, only involving dissolution of honey with water. Detection limits in the honey samples using the proposed procedure were between 1 and 4 ng g(-1).
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O presente trabalho aborda aspectos do ensino da psicanálise. Inicialmente, algumas considerações são feitas sobre a transmissibilidade possível de um saber em que a condição de efemeridade erige a solidez de seus achados. Considerar-se-á o pensamento de Freud acerca desta questão seguido, particularmente, pelos de Piera Aulagnier e Laplanche. Da tensão entre eles um emergente se desdobrará: a postura interrogante-interpretante. Nesta perspectiva, o modelo metodológico interpretativo por ruptura de campo, no sentido delineado por Fabio Herrmann lança uma outra modalidade de inter-relação entre o saber que interroga (teoria) e o saber da interrogação (método). Finalmente, duas experiências de ensino na Universidade, a partir das quais se delineia um esboço da encarnação de tal método, destinará o texto à reflexão de um possível ensino interpretante.(AU)
The present work deals with aspects of the psychoanalysis teaching. Firstly, some considerations are made under the possible transmissibility of knowledge where the condition of ephemerality erects the strength of its findings. Freuds thought will be considered about this issue followed, particularly, by the ones from Piera Aulagnier and Laplanche. From the tension among them, an emergent will unfold: the questioner-interpretant posture. On this perspective, the interpretative methodological model by field rupture, in the sense outlined by Fabio Herrmann launches another modality of interrelation between the knowledge that questions (theory) and the knowledge of interrogation (method). Finally, two teaching experiences at the university, from which a sketch of the incarnation of such method is outlined, will lead the text to the reflection of a possible interpretant education.(AU)
El presente trabajo aborda aspectos de la enseñanza del psicoanálisis. En principio, algunas consideraciones son hechas acerca de la transmisibilidad del saber donde la condición efímera establece la solidez de sus hallazgos. Será considerado el pensamiento de Freud acerca de esta cuestión seguido de Piera Aulagnier y Laplanche. De la tensión entre ellos un emergente se desdoblará: la postura indagativo-interpretante. Desde esta perspectiva, el modelo metodológico interpretativo por ruptura del campo-inconsciente, en el sentido planteado por Fabio Herrmann proyecta una otra modalidad de inter-relación entre el saber que interroga (teoría) y el saber de la interrogación (método). En el final dos experiencias de enseñanza en la universidad a partir de la que se dibuja un esbozo de la encarnación del método interpretativo, empleará el texto a la reflexión de una posible enseñanza interpretante.(AU)
Assuntos
Universidades , Psicanálise/educaçãoRESUMO
O presente trabalho aborda aspectos do ensino da psicanálise. Inicialmente, algumas considerações são feitas sobre a transmissibilidade possível de um saber em que a condição de efemeridade erige a solidez de seus achados. Considerar-se-á o pensamento de Freud acerca desta questão seguido, particularmente, pelos de Piera Aulagnier e Laplanche. Da tensão entre eles um emergente se desdobrará: a postura interrogante-interpretante. Nesta perspectiva, o modelo metodológico interpretativo por ruptura de campo, no sentido delineado por Fabio Herrmann lança uma outra modalidade de inter-relação entre o saber que interroga (teoria) e o saber da interrogação (método). Finalmente, duas experiências de ensino na Universidade, a partir das quais se delineia um esboço da encarnação de tal método, destinará o texto à reflexão de um possível ensino interpretante.
The present work deals with aspects of the psychoanalysis teaching. Firstly, some considerations are made under the possible transmissibility of knowledge where the condition of ephemerality erects the strength of its findings. Freuds thought will be considered about this issue followed, particularly, by the ones from Piera Aulagnier and Laplanche. From the tension among them, an emergent will unfold: the questioner-interpretant posture. On this perspective, the interpretative methodological model by field rupture, in the sense outlined by Fabio Herrmann launches another modality of interrelation between the knowledge that questions (theory) and the knowledge of interrogation (method). Finally, two teaching experiences at the university, from which a sketch of the incarnation of such method is outlined, will lead the text to the reflection of a possible interpretant education.
El presente trabajo aborda aspectos de la enseñanza del psicoanálisis. En principio, algunas consideraciones son hechas acerca de la transmisibilidad del saber donde la condición efímera establece la solidez de sus hallazgos. Será considerado el pensamiento de Freud acerca de esta cuestión seguido de Piera Aulagnier y Laplanche. De la tensión entre ellos un emergente se desdoblará: la postura indagativo-interpretante. Desde esta perspectiva, el modelo metodológico interpretativo por ruptura del campo-inconsciente, en el sentido planteado por Fabio Herrmann proyecta una otra modalidad de inter-relación entre el saber que interroga (teoría) y el saber de la interrogación (método). En el final dos experiencias de enseñanza en la universidad a partir de la que se dibuja un esbozo de la encarnación del método interpretativo, empleará el texto a la reflexión de una posible enseñanza interpretante.
Assuntos
Psicanálise/educação , UniversidadesRESUMO
Esse artigo busca uma articulação entre alguns pensamentos sobre a contemporaneidade e a eleição do adolescente como modelo desse novo modo de pensar e agir. Para tanto, o Orkut - site de relacionamentos bastante difundido no Brasil - foi utilizado como campo de pesquisa, múltiplas identidades construídas na contemporaneidade, em acordo com novas formas de relacionamentos. Dentro dele destacamos a resposta de alguns adolescentes sobre uma pergunta: quem sou eu? E assim, nos conectamos e des-conectamos no mundo contemporâneo. O que permanece é uma questão: como a sociedade apreendeu essa informação e como ela lida com esse estilo de vida sem qualquer resistência? O mundo parece ter um prazer nas compras diárias, sejam elas quais forem. Do pão nosso de cada dia aos relacionamentos de uma noite, somos consumistas ou consumidores de estilos de vida, com uma aceitação inquietante de uma normalidade causadora de sofrimentos cada vez mais presenciados nos consultórios de psicologia, por exemplo. Tratamos, portanto, de um mundo que não favorece a aproximação entre as pessoas, a criação de vínculos duradouros. Nesse cenário, o adolescente se vê instigado a estabelecer o modo típico de relacionamento desse tempo: relações breves, voltadas para a satisfação de necessidades e desejos imediatos, sem compromissos que ultrapassem o momento da relação. Se usarmos uma expressão radical, diríamos que os relacionamentos atuais são instantâneos, ou seja, possuem a exata duração da confluência de demandas efêmeras, uma vez que se renovam continuamente e se multiplicam. Acreditamos na difícil tarefa de se responder sobre quem somos. Muitas possibilidades podem ser encontradas. Assim, o passeio feito no Orkut e a retirada de trechos de alguns perfis mostra-nos a qualidade de mercadoria que podemos encontrar na contemporaneidade.(AU)
This article seeks a link between some thoughts on the contemporary and the election of the adolescent as a model of this new way of thinking and acting. Thus, the Orkut - site of relationships quite widespread in Brazil - was used as a resource for research. Inside out the answer to a question about some teenagers: Who am I? And so, we connect and disconnect in the contemporary world. What remains is a question: how the society seized this information and how it deals with this life-style without any resistance? The world seems to have a happy shopping day, whoever they are. From the day our daily bread to the relationships of a night, we are consumed or consumers of lifestyles, with a disturbing acceptance of a normal cause of suffering increasing presence in the offices of psychology, for example. We treat, therefore, a world that does not favor the rapprochement between the people, the creation of links. In this scenario, the adolescent is seen instigated to establish how typical this time of relationships: brief relationships, focused on the satisfaction of immediate needs and desires, no commitments beyond the time of the relationship. If you use a radical expression, we would say that the current relationships are instantaneous, in another word, have the exact duration of the confluence of ephemeral demands, since they continually renew and are multiplying. We believe in the difficult task to answer who we are. Many possibilities can be found. Thus, the tour made on Orkut and removal of sections of some profiles shows us the quality of merchandise we can find in contemporary.(AU)
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Humanos , Masculino , Feminino , Adolescente , Comportamento do Adolescente , Comportamento do Adolescente/psicologia , Relações InterpessoaisRESUMO
Esse artigo busca uma articulação entre alguns pensamentos sobre a contemporaneidade e a eleição do adolescente como modelo desse novo modo de pensar e agir. Para tanto, o Orkut - site de relacionamentos bastante difundido no Brasil - foi utilizado como campo de pesquisa, múltiplas identidades construídas na contemporaneidade, em acordo com novas formas de relacionamentos. Dentro dele destacamos a resposta de alguns adolescentes sobre uma pergunta: quem sou eu? E assim, nos conectamos e des-conectamos no mundo contemporâneo. O que permanece é uma questão: como a sociedade apreendeu essa informação e como ela lida com esse estilo de vida sem qualquer resistência? O mundo parece ter um prazer nas compras diárias, sejam elas quais forem. Do pão nosso de cada dia aos relacionamentos de uma noite, somos consumistas ou consumidores de estilos de vida, com uma aceitação inquietante de uma normalidade causadora de sofrimentos cada vez mais presenciados nos consultórios de psicologia, por exemplo. Tratamos, portanto, de um mundo que não favorece a aproximação entre as pessoas, a criação de vínculos duradouros. Nesse cenário, o adolescente se vê instigado a estabelecer o modo típico de relacionamento desse tempo: relações breves, voltadas para a satisfação de necessidades e desejos imediatos, sem compromissos que ultrapassem o momento da relação. Se usarmos uma expressão radical, diríamos que os relacionamentos atuais são instantâneos, ou seja, possuem a exata duração da confluência de demandas efêmeras, uma vez que se renovam continuamente e se multiplicam. Acreditamos na difícil tarefa de se responder sobre quem somos. Muitas possibilidades podem ser encontradas. Assim, o passeio feito no Orkut e a retirada de trechos de alguns perfis mostra-nos a qualidade de mercadoria que podemos encontrar na contemporaneidade.
This article seeks a link between some thoughts on the contemporary and the election of the adolescent as a model of this new way of thinking and acting. Thus, the Orkut - site of relationships quite widespread in Brazil - was used as a resource for research. Inside out the answer to a question about some teenagers: Who am I? And so, we connect and disconnect in the contemporary world. What remains is a question: how the society seized this information and how it deals with this life-style without any resistance? The world seems to have a happy shopping day, whoever they are. From the day our daily bread to the relationships of a night, we are consumed or consumers of lifestyles, with a disturbing acceptance of a normal cause of suffering increasing presence in the offices of psychology, for example. We treat, therefore, a world that does not favor the rapprochement between the people, the creation of links. In this scenario, the adolescent is seen instigated to establish how typical this time of relationships: brief relationships, focused on the satisfaction of immediate needs and desires, no commitments beyond the time of the relationship. If you use a radical expression, we would say that the current relationships are instantaneous, in another word, have the exact duration of the confluence of ephemeral demands, since they continually renew and are multiplying. We believe in the difficult task to answer who we are. Many possibilities can be found. Thus, the tour made on Orkut and removal of sections of some profiles shows us the quality of merchandise we can find in contemporary.
Assuntos
Humanos , Masculino , Feminino , Adolescente , Comportamento do Adolescente , Comportamento do Adolescente/psicologia , Relações InterpessoaisRESUMO
O Homem apreende as sequências de acontecimentos em função de símbolos reguladores temporais, como se fossem característicos do Humano. A constituição temporal é inseparável do simbólico. Pelo interesse investigativo e terapêutico, instigou-se uma questão: como operar na lógica do desejo, nas lógicas temporais do campo transferencial? Buscou-se investigar até onde o método psicanalítico pode ser intimado, em uma específica lógica temporal constituinte. Qual dimensão constitui a psique? Ao pensar o tempo pela lente psicanalítica articulado à contemporaneidade, busca-se ampliar os horizontes da psicanálise e tomá-la fora da clínica padrão. Tal discussão remeteu à noção do tempo lógico de Lacan, e aos tempos da análise de Herrmann, que articulado com o que se presentifica em determinado proceder analítico, inaugura uma outra dimensão de tempo advindo da experiência de um vínculo em condição de análise, a intemporalidade
El hombre aprende las fases de los acontecimientos en función de símbolos de regulación temporal, como si fueran característicos de lo humano. La constitución temporal es inseparable de lo simbólico. Por el interés investigativo y terapéutico, se investiga una cuestión: ¿cómo operar en la lógica del deseo, en las lógicas temporales del campo transferencial? Buscamos investigar, hasta donde el método psicoanalítico puede quedarse llevado, en una específica lógica temporal constituyente. ¿Qué dimensión constituye la psique? Al pensar en el tiempo desde el punto de vista psicoanalítico articulado con la contemporaneidad, se busca ampliar los horizontes del psicoanálisis y tomarlo fuera de la clínica estándar. Tal discusión nos lleva a la noción del tiempo lógico de Lacan, y al tiempo del análisis de Herrmann, que junto con lo que se vive en determinado proceder analítico, se inaugura otra dimensión de tiempo proveniente de la experiencia de un vínculo en condición de análisis, la intemporalidad
Man understands sequences of events according to temporal regulatory symbols, as if they were Human characteristics. Temporal constitution is inseparable from symbolic constitution. In the name of investigative and therapeutic interest, the following question was incited: how to operate in the logic of desire, in the temporal logic of the transference field? We tried to investigate the point to which the psychoanalytic method could be intimated in a constituent specific temporal logic. Which dimension constitutes the psyche? Considering time trough the psychoanalytic view in a contemporaneous way, we look to broaden the horizon of Psychoanalysis and contemplate it outside the standard clinic. This discussion takes us back to Lacan's notion of logical time, and to the time of Herrmann's analysis, which, joined with present specific analytic proceedings, establishes another time dimension arising from the experience of a link in analysis condition, specific time
Assuntos
Humanos , Psicanálise/métodos , Inconsciente Psicológico , Análise Espaço-TemporalRESUMO
O Homem apreende as sequências de acontecimentos em função de símbolos reguladores temporais, como se fossem característicos do Humano. A constituição temporal é inseparável do simbólico. Pelo interesse investigativo e terapêutico, instigou-se uma questão: como operar na lógica do desejo, nas lógicas temporais do campo transferencial? Buscou-se investigar até onde o método psicanalítico pode ser intimado, em uma específica lógica temporal constituinte. Qual dimensão constitui a psique? Ao pensar o tempo pela lente psicanalítica articulado à contemporaneidade, busca-se ampliar os horizontes da psicanálise e tomá-la fora da clínica padrão. Tal discussão remeteu à noção do tempo lógico de Lacan, e aos tempos da análise de Herrmann, que articulado com o que se presentifica em determinado proceder analítico, inaugura uma outra dimensão de tempo advindo da experiência de um vínculo em condição de análise, a intemporalidade.(AU)
El hombre aprende las fases de los acontecimientos en función de símbolos de regulación temporal, como si fueran característicos de lo humano. La constitución temporal es inseparable de lo simbólico. Por el interés investigativo y terapéutico, se investiga una cuestión: ¿cómo operar en la lógica del deseo, en las lógicas temporales del campo transferencial? Buscamos investigar, hasta donde el método psicoanalítico puede quedarse llevado, en una específica lógica temporal constituyente. ¿Qué dimensión constituye la psique? Al pensar en el tiempo desde el punto de vista psicoanalítico articulado con la contemporaneidad, se busca ampliar los horizontes del psicoanálisis y tomarlo fuera de la clínica estándar. Tal discusión nos lleva a la noción del tiempo lógico de Lacan, y al tiempo del análisis de Herrmann, que junto con lo que se vive en determinado proceder analítico, se inaugura otra dimensión de tiempo proveniente de la experiencia de un vínculo en condición de análisis, la intemporalidad.(AU)
Man understands sequences of events according to temporal regulatory symbols, as if they were Human characteristics. Temporal constitution is inseparable from symbolic constitution. In the name of investigative and therapeutic interest, the following question was incited: how to operate in the logic of desire, in the temporal logic of the transference field? We tried to investigate the point to which the psychoanalytic method could be intimated in a constituent specific temporal logic. Which dimension constitutes the psyche? Considering time trough the psychoanalytic view in a contemporaneous way, we look to broaden the horizon of Psychoanalysis and contemplate it outside the standard clinic. This discussion takes us back to Lacan's notion of logical time, and to the time of Herrmann's analysis, which, joined with present specific analytic proceedings, establishes another time dimension arising from the experience of a link in analysis condition, specific time.(AU)
Assuntos
Psicanálise/métodos , Inconsciente Psicológico , Análise Espaço-TemporalRESUMO
Ao propor articular a teoria nietzschiana com a psicanálise, a idéia é tentar pensar em possíveis contribuições para compreender o sujeito na contemporaneidade. Esta reflexão baseia-se em Zaratustra, personagem central de Assim falou Zaratustra, escrito por Nietzsche (1883-1885), uma de suas principais obras. A finalidade é articular a categoria desamparo através deste personagem que faz um caminho árduo,levando-o a experimentar o lado sombrio e tenebroso da vida. Por meio da categoria desamparo, articulada com a cultura, o homem atual experimenta, na sua relação com o outro, uma angústia paralisante. Questões estas que vêm ao encontro da dissertação de mestrado de Sandra de Camargos, defendida na Universidade Federal de Uberlândia, Minas Gerais, Brasil. (AU)
Proposing to articulate Nietzsches theory and psychoanalysis, the paper makes a contribution for understanding the subject in the contemporary world. The reflection is based on Zarathustra, principal character in the book Thus spoke Zarathustra, written by Nietzsche (1883-1885). The aim is to think about helplessness through this character which makes his difficult way in experiencing the dark and mysterious side of life. Throughout the helplessness category, articulated with culture, the contemporary human being experiences, in his relation with the other, a stony anxiety. Questions alike have been discussed within the masters thesis of Sandra de Camargos presented to the Federal University of Uberlândia, Minas Gerais, Brasil. (AU)
Assuntos
Desamparo Aprendido , Psicanálise , FilosofiaRESUMO
Neste artigo, parte-se da ideia de corpo virtual, de sexualidade e das histórias do travestismo e transexualismo. Aborda-se a busca pelo feminino por alguns homens e também por mulheres. Para tanto, utiliza-se o conceito de body building, um fenômeno que começou no pós-guerra e vem se solidificando na atualidade devido ao desenvolvimento da ciência na área de cirurgia plástica e outros métodos de construção do corpo. Discute-se a inadequação do termo travestismo, uma vez que a caracterização do feminino nestes casos não está mais só nas vestes e sim, também no corpo. Por fim, fala-se a respeito da força que a feminilidade exerce sobre o ser humano e de um novo sujeito que surge nas sociedades atuais, desafiando conceitos teóricos e padrões culturais de gênero.(AU)
In this work, we address the search for the feminine side by some men and also by women, from the standpoint of the idea of the virtual body, of sexuality and the history of transvestism and transsexualism. To this end, we have used the concept of body-building, a phenomenon that began in the post-war period and which, today, is stronger than ever due to the development of science in plastic surgery and other body building methods. We discuss the inadequacy of the term transvestism since the characterization of what is feminine in these cases is not only in the wearing of clothes, but also in the body itself. Finally we question the power that femininity has over the human being and discuss the new individual that is emerging in society today, challenging theoretical concepts and cultural gender models.(AU)
Assuntos
Humanos , SexualidadeRESUMO
Neste artigo, parte-se da ideia de corpo virtual, de sexualidade e das histórias do travestismo e transexualismo. Aborda-se a busca pelo feminino por alguns homens e também por mulheres. Para tanto, utiliza-se o conceito de body building, um fenômeno que começou no pós-guerra e vem se solidificando na atualidade devido ao desenvolvimento da ciência na área de cirurgia plástica e outros métodos de construção do corpo. Discute-se a inadequação do termo travestismo, uma vez que a caracterização do feminino nestes casos não está mais só nas vestes e sim, também no corpo. Por fim, fala-se a respeito da força que a feminilidade exerce sobre o ser humano e de um novo sujeito que surge nas sociedades atuais, desafiando conceitos teóricos e padrões culturais de gênero.
In this work, we address the search for the feminine side by some men and also by women, from the standpoint of the idea of the virtual body, of sexuality and the history of transvestism and transsexualism. To this end, we have used the concept of body-building, a phenomenon that began in the post-war period and which, today, is stronger than ever due to the development of science in plastic surgery and other body building methods. We discuss the inadequacy of the term transvestism since the characterization of what is feminine in these cases is not only in the wearing of clothes, but also in the body itself. Finally we question the power that femininity has over the human being and discuss the new individual that is emerging in society today, challenging theoretical concepts and cultural gender models.
Assuntos
Humanos , Sexualidade , TransexualidadeRESUMO
Ao propor articular a teoria nietzschiana com a psicanálise, a idéia é tentar pensar em possíveis contribuições para compreender o sujeito na contemporaneidade. Esta reflexão baseia-se em Zaratustra, personagem central de Assim falou Zaratustra, escrito por Nietzsche (1883-1885), uma de suas principais obras. A finalidade é articular a categoria desamparo através deste personagem que faz um caminho árduo,levando-o a experimentar o lado sombrio e tenebroso da vida. Por meio da categoria desamparo, articulada com a cultura, o homem atual experimenta, na sua relação com o outro, uma angústia paralisante. Questões estas que vêm ao encontro da dissertação de mestrado de Sandra de Camargos, defendida na Universidade Federal de Uberlândia, Minas Gerais, Brasil.
Proposing to articulate Nietzsches theory and psychoanalysis, the paper makes a contribution for understanding the subject in the contemporary world. The reflection is based on Zarathustra, principal character in the book Thus spoke Zarathustra, written by Nietzsche (1883-1885). The aim is to think about helplessness through this character which makes his difficult way in experiencing the dark and mysterious side of life. Throughout the helplessness category, articulated with culture, the contemporary human being experiences, in his relation with the other, a stony anxiety. Questions alike have been discussed within the masters thesis of Sandra de Camargos presented to the Federal University of Uberlândia, Minas Gerais, Brasil.