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Considering that sexual dysfunction profoundly affects self-perception and quality of life, this study aims to understand the experience of living with vaginismus. This is an empirical, qualitative, exploratory research, in which nine women diagnosed with vaginismus at some point in their lives participated. Data were collected through individual semi-directed interviews and application of the drawing and story procedure with the theme "Vaginismus". In this paper, the analysis of the drawings and stories is highlighted due to the richness of this instrument. The material was interpreted together, enabling the construction of three thematic categories: "Representations: vaginismus as a protagonist", "The course and history of life: the different moments of vaginismus" and "Loneliness and relationships". The results pointed to different perceptions of vaginismus according to the time of treatment, highlighting the long duration of symptoms and the arduous process of living with this disorder. [ABSTRACT FROM AUTHOR]

This paper presents the concept of "Raw Art," following its main articulations in the field of art and mental health until the 1960s. Through a critical analysis, the text shows how this concept, despite encouraging the appreciation of artistic materials produced by psychiatric patients and other naïve artists, contributes to a segregationist categorization of the so-called "mad" artists, by adopting a reductionist and idealized understanding of creation as a spontaneous expression, accessible to these subjects precisely because they are "outsiders." Such notion, although still used today, underwent remodeling and renaming--as "outsider art"--between 1960/70, following the denaturalization of isolation for the so-called "insane" brought by the Psychiatric Reform and the advent of significant changes in the conception of art and artistic production. [ABSTRACT FROM AUTHOR]

This paper presents reflections from ethnographic data obtained during a master's degree research in a mental health service for immigrants, refugees and deaf people in the city of São Paulo, Brazil. During this research, I worked as a collaborating anthropologist for the service, and this was a dynamic and incessant process of invention and counter-invention as to what an anthropologist would do in a mental health service for people with what was defined as "linguistic and cultural vulnerabilities". From this, I present the logic of the machinery of production and assimilation (or not) of differences by separating the world between those who believe and those who know, or the premodern and the modern. Finally, I propose to populate these contexts and scenarios by anthropologists, taking seriously the symbolic dimensions in health contexts and producing data and care. [ABSTRACT FROM AUTHOR]

The present research discusses the relationship between holistic theories for mental health in the context of the coronavirus pandemic. The literature shows that social distancing, as well as contributed to the development of numerous mental health problems such as panic syndrome and depression In this sense it is assumed that holistic therapies contribute directly to the restoration of mental health, as well as the quality of life of the world population. An integrative literature review was developed based on unpublished articles published between 2019 and 2021 in the Scielo, Medline, and Pubmed databases. The inclusion criteria considered unpublished and original research on the theme, as well as the classics of the literature. Exclusion criteria were incomplete and/or non-original studies. After analysis of the papers it was concluded that holistic therapies, as well as healthy food and physical activities are indispensable for the maintenance of mental health in the context of medicine. [ABSTRACT FROM AUTHOR]

This paper proposes to discuss the public fund and the projects that dispute the expenses, the funding and the directions of Brazil's mental health policy, with focus on the analysis of federal government's budget. It consists of a bibliographic and documental review that utilizes secondary data, obtained from official federal government websites and researches on the social security budget, analyzed with the critic dialectic method. It is observed that the public funding is tensed by distinct interests, and it is no different on the mental health policy. From 2001 and on, the financing of the community based psychosocial attention services is made broader and the SUS healthcare model is strengthened, based on the anti-asylum Psychiatric Reform. However, since 2005, interests from corporate, religious and medical entities groups, among others, have gained strength on the political agenda and on the dispute for the public fund, putting in risk the historical conquers of the mental health, alcohol, and other drug's policy in the country. [ABSTRACT FROM AUTHOR]

While spirituality in itself is a very elusive concept, the specific challenge to the research in spirituality and health as a field is to define in which ways the concept 'spirituality' can be fruitfully applied to both mental and physical health. Since the hermeneutic relativity of such a humanistic concept has to be connected to the measurable results that empirical sciences work with, some difficulty inevitably arises. This has not impeded, however, the formation of at least two clearly defined approaches in spirituality and health, one we could call existential-behavioural and the other more related to the natural sciences. As we usually fail to discern these options, many interactions between the science of religion or religion studies and the research on spirituality and health are harmed to the point of an obstruction to dialogue. Our aim in this paper is to present and conceptualize both alternatives in the terms of the humanities. The first (humanistic) approach is easily adjusted to the methodological apparatus of the humanities. The very meaning of "Spiritual health", for instance, is purely philosophical. Not being restricted to the scope of the humanities, the second alternative analysed involves greater challenges to our fundamentally philosophical approach. However, we will show that perspectives oriented by the concepts of mental and physical health, from the experimental health sciences, both presuppose and engender philosophical issues. [ABSTRACT FROM AUTHOR]

Popular education was built as a critical and counter-hegemonic resistance movement. The second half of the twentieth century witnessed the mainstreaming of the Information and Communication Technologies (ICT) spread through the internet. This paper presents the experience of popular education and digital inclusion through the "I want to enter the Net" project, developed by ten residents of lowincome communities living in psychological distress. Based on Paulo Freire's theoretical assumptions, this work analyzes the mediator's role in the developed pedagogical processes. In social relationships, the methods and theoretical assumptions adopted were inspired by the "Translation of Knowledge" and efficiently promoted the participants' leadership and reduced their invisibility. The project developed students' skills and abilities in ICT management, resulting in creating the blog Libertando a Mente (Freeing the Mind). The experience reveals that mediation based on educational praxis from the freirean perspective was conducted through the exchange of knowledge and the appreciation of different types of knowledge. Thus, we can conclude that the methods employed fostered the information democratization processes and promoted the leadership of users in line with the Brazilian Psychiatric Reform guidelines. [ABSTRACT FROM AUTHOR]

This paper presents the protocol of support from Keep Calm, an e-health service via chat for people suffering from psychological distress related to COVID-19. A flowchart diagram of one-session chats was developed. Each session consisted of three steps: evaluation, support and conclusion. For each stage, decision-making milestones on what to do next were taken according to content and risk degree of the demand. At the support step, demands related to COVID-19 that did not involve high-risk situations were prioritized, that is, social and health issues, anxiety, depression symptoms or grief, and family or work conflicts. High-risk situations such as suicidal intention and violence, followed a specific referral flow to healthcare services. The article describes each step in detail and exemplifies the different flows according to case examples. The protocol is interdisciplinary and has the potential to be applied in health care services and school care services in universities. [ABSTRACT FROM AUTHOR]

Objective: Identifying in Brazilian and international scientific literature, the mental health repercussions caused by the new coronavirus (COVID 19) in nurses working on the front line of healthcare systems since the pandemic outbreak in Wuhan. Methods: An integrative literature revision was made in April 2020 into the following databases: Virtual Health Library, Brazil (BVS); Medical Subject Headings (MeSH), USA; Scopus, and CINAHL. Results: Nine papers were included in the final sample; they highlighted the scarcity of material resources in the hospitals and the prevalence of higher levels of mental health suffering in the nurses compared to the other professional workers on the frontline. Conclusion: It is evident that the mental health of nurses handling the Covid-19 pandemic is a topic that needs more attention not only from researchers but also from health managers and other authorities in charge of health policies. [ABSTRACT FROM AUTHOR]

It takes into consideration the different contexts and multiple repercussions associated with each specific experience of sexual abuse in adolescence. It is based on the premise that the psycho-dynamic approach offers the possibility to access the subjective implications of sexual abuse in adolescence. This paper used to illustrate the case study of Liz, a 14-years old girl interviewed after being sexually abused. The purpose of this paper is to discuss the contribution of the use of the Therapeutic Consultation to understand the impact of the sexual abuse of adolescents, especially the unique vicissitudes of being after the traumatic experience. Donald Winnicott developed this psychodynamic approach as a way to make the fullest use of the undefended material of the history-taking of the first interview or interviews. It requires an appropriate analytic setting, a holding environment, where the analyst can make use of the experience of mutuality. The objective of the Therapeutic Consultation is to identify the psychic conflict and to intervene to provide mental health. In conclusion, the psychoanalytic technique of Therapeutic Consultation is a useful mean of intervention for professionals who have to deal with cases of sexually abused adolescents in institutions. [ABSTRACT FROM AUTHOR]

This paper presents and discusses results of a study that investigated the conceptions of chaplains on relationships between religiosity and mental health (MH) of those under their care. The descriptive-empiric-phenomenological nature research employed semi-structured interviews with 15 chaplains in the Federal District. After transcription and revision, they were analyzed according to the Giorgi's method apprehending the meaning of the conceptions and experiences reported by the chaplains. Positive relationships between religiosity and MH were predominant, but they also pointed to negative, "double-edged sword" and nonlinear relationships. [ABSTRACT FROM AUTHOR]

The aim of this paper is to discuss the inseparable transversality of certain factors that shape the madperson's profile today. In this sense, we first consider the city and the urbanization processes led by the modern capitalist system as the socio-spatial framework in which misery and madness emerged en masse as permanent phenomena. In periphery countries, such as Brazil, which were colonized by the world capitalist system based on the slavery of the African workforce, madness persisted throughout the ages as a disease of the black and poor. At present, when the Brazilian urbanization rate approaches 90% and coincides with the structural crisis of the system, we observe that blacks are mostly concentrated in the dense peripheries of cities, with the worst indicators of housing, employment, income, education, and mental health. [ABSTRACT FROM AUTHOR]

Quilombola populations have historically been affected by broad social inequalities, which generate vulnerabilities in various areas of daily life, associated with mental health and the production of psychic suffering. This paper aims to discuss the incidence of common mental disorders from the perspective of Social Determination of Health. A sociodemographic questionnaire, the Self-Reporting Questionnaire (SRQ-20), and a semi-structured interview in a rural quilombola community were applied. It was observed that the experiences of psychological suffering are related to social inequalities, the scarcity of community support strategies and of culturally sensitive reception and care possibilities in the psychosocial care network, as well as being unequally present between men and women. Institutional racism is revealed in health practices that perpetuate the inequalities affecting black and rural populations. These elements impact and reveal the intrinsic articulation between gender, race, class and mental health. [ABSTRACT FROM AUTHOR]

The aim of this paper is to present participant research from a group of older adult women (aged over sixty years) reading and writing poetry. The research monitored whether reading and writing poetry helped in the production of new meanings about aging, as well as the reflection that the older adults had about the aging development phase and its aesthetic, social and cultural ramifications. After reading the poems produced and the descriptive notes of the meetings, the following categories of analysis emerged: the meetings as an area of appropriation, conviviality and re- flection for the participants; society and the possibility of an active position in aging; the appropriation of the body in aging: experiences and criticism of the aesthetic model; and memory: recollections and meanings. As a result of the poetry workshop a space was established for creation, sharing and social recognition, recovery of memories and reflections about the stigmas. [ABSTRACT FROM AUTHOR]

The purpose of this paper is to present the results of an opinion poll conducted with residents in the state of Pernambuco about factors related to social isolation during a COVID-19 pandemic. Use a questionnaire created on Google Forms and sent by social networks. The questionnaire aims to show: socioeconomic profile; situation of social isolation; isolation impacts; expectation of time separating in isolation; and housing and health conditions. The 7,593 responses showed that 32% are in total isolation; 57% in partial isolation; and 11% are not isolated. 88% believe in the isolation strategy. Social interaction was the main impact perceived by 37% of respondents. 74% reported some level of stress; 21% stopped making money; 56% reported changes in sleep; only 37% are doing any exercise. In addition, 79% consider their residence to be good or excellent. Furthermore housing conditions showed a strong correlation with the possibility of staying longer in selfisolation. In the context of the state with more than 800 thousand people living in subnormal settlements, the importance of strategies aimed at this factor is emphasized to increase the effectiveness of the pandemic coping strategy. [ABSTRACT FROM AUTHOR]

This paper aimed to address the experience of the crisis in mental health from the cartoethnography of the existential territories and daily practices of care for candomblé followers in the process of deinstitutionalization in mental health in Salvador, Brazil, and adjacent areas. For these purposes, the cartoetnographic theoretical-methodological approach was used. The research involved unstructured interviews coupled with participant observation in the ethnographic molds in the participants' daily living spaces. Data analysis was based on ethical categories focused on the process of deinstitutionalization and on a second reading supported by what we proposed as the "cartoethnographic matrix of lines of thought". We find that the experience of crisis is very present in the trajectories of the interlocutors, which marks are the interruption of daily life, their moral value and the call (sometimes tacit) of the support network. From the narrative viewpoint, care in emergency rooms and / or psychiatric emergencies is symbolically emptied and even foracluted, while the care support in the terreiros is symbolically rich and offers an horizon for other interpretations and (re)creations of existence; this highlights their importance as institutions that can contribute to the deinstitutionalization in mental health of those who resort to them. [ABSTRACT FROM AUTHOR]

Working with urgency and emergency on the field of health can be a source of suffering, because the professionals tend to handle life and death situations constantly. This paper aims to investigate the relation between mental health and work conditions of professionals of a Brazilian emergency health service called SAMU (Service for Mobile Urgency Support). The objectives are to know in which ways the work conditions may affect the skills of the individual performing the services of rescue and support during urgencies and emergencies. The bibliographic research was conducted using samples of papers, data banks, magazines, books which covered the topics of "mental health", "urgency" and "emergency". The findings suggest that more thorough research is necessary on this topic and also that mental health and psychological intervention programs may be helping those professionals. [ABSTRACT FROM AUTHOR]

This paper aimed to raise, analyze and discuss studies of the Brazilian Psychiatric Reform and the Mental Health Care based on Psychosocial Model, guiding such discussion on models of social networks with theoretical framework of systemic-new paradigmatic approach. It consisted of a theoretical research with data collection in the following databases: PsycInfo, MEDLINE, SciELO, Virtual Health Library, BIREME and Lilacs. Were found and selected 33 productions published between 1984 and 2014, divided into 23 scientific papers, seven dissertations, two doctoral theses and one course conclusion monograph. We found a weakness of inter-institutional relations, a lack of specific training and culture of the professionals to work in the context of networks, making it important to reflect on models of psychosocial care in mental health from the concept of social network. The new-paradigm systemic-cybernetic perspective as theoretical framework appears as a possibility to develop a constructivist approach, focused on an attention directed to inter-subjective understanding of the subject and their social support network, with direction to lower dependence of users in relation to professionals. [ABSTRACT FROM AUTHOR]

Objective: This paper aims to understand the meaning of psychiatric hospitalization for patients with schizophrenia. Methodology: It is a qualitative research with a phenomenological approach based on the theoretical reference of Maurice Merleau-Ponty, and carried out at the Psychiatric Hospitalization Unit of the Hospital de Clínicas de Porto Alegre (HCPA), Porto Alegre/RS. Results: Ten patients with the diagnosis of schizophrenia were interviewed, and the data submitted to phenomenological analysis from which six thematic units emerged. Conclusion: Based on Merleau-Ponty's findings, it was possible to understand how patients with the diagnose of schizophrenia see their improvements or deterioration during treatment. This study should be used as a tool to allow improvement of the care delivered to patients with schizophrenia, making it more patient-focused and unique. [ABSTRACT FROM AUTHOR]

This paper aim to describe the construction and functioning of the Children and Youth Psychosocial Care Center (CAPS-i). Therefore we hold an integrative review of the data base SciELO, BVS-psi and portal periodicals of CAPES from 2002 to 2013.The reviewed texts were subdivided into two groups. The first one was constituted by writings that covered the construction of CAPS-i and the second one by texts related to the working of the Centers. From the analysis and discussion of the reviewed texts we had come to the conclusion that the CAPS-i was created in order to guarantee the care for children and teenagers who were institutionalized and treated just by considering their organic issues. However, even with the creation of a specific service for this population, the CAPS-i hasn't been consolidated because it goes in a way of a medical transition models process or individualizing ones for the integrated care model. [ABSTRACT FROM AUTHOR]

This paper focuses on problematizing the State's concession of benefits to Mental Health service users, and on reflecting about the use the latter make of this money. Result of the authors' experience in deinstitutionalization strategies, this paper is based on the theoretical and clinical references of psychoanalysis - betting on the singularization of practices that exist in and around dealing with money in the field of Mental Health. Examples of clinic cases illustrate the problems. [ABSTRACT FROM AUTHOR]

This paper describes actions taken by a Psychosocial Care Center (CAPS, type II) in 2015, in a municipality of the state of Minas Gerais, Brazil. We conducted a retrospective, descriptive-exploratory study based on secondary data source accessed by means of Tab for Windows (TabWin), which led to the conclusion that the CAPS is fully able to develop intersectoral, multidisciplinary actions that aim to promote mental health, prevent aggravation and support people to tackle crisis situations. We also highlight how essential studies are that provide discussions on how to increase the participation of users in the mental health sector and to promote participatory spaces in society as a whole. [ABSTRACT FROM AUTHOR]

This paper describes actions taken by a Psychosocial Care Center (CAPS, type II) in 2015, in a municipality of the state of Minas Gerais, Brazil. We conducted a retrospective, descriptive-exploratory study based on secondary data source accessed by means of Tab for Windows (TabWin), which led to the conclusion that the CAPS is fully able to develop intersectoral, multidisciplinary actions that aim to promote mental health, prevent aggravation and support people to tackle crisis situations. We also highlight how essential studies are that provide discussions on how to increase the participation of users in the mental health sector and to promote participatory spaces in society as a whole. [ABSTRACT FROM AUTHOR]

The paper presents part of the research productions that accompanied the construction of bodies inserted in a Psychosocial Care Center for Alcohol and Other Drugs (CAPS-AD) of a city in the northern region of Brasil, focusing more sharply on masculinities arrangements. Special attention is given to the tension between normalized bodies and attempts at resistance and (re) exist. The argument is in the field of public health, particularly mental health, and rooted in gender and sexuality studies. The data production methodology made use of observations recorded in a diary, itinerant follow-up of a collective of research, interviews, focus groups where, among other things, was discussed diary topics, conversation circles and workshops. The attempt was to produce a way of collective narrating strategy, combining up experience and body (un)learn well as ways of producing health care and doing research. [ABSTRACT FROM AUTHOR]

The limits and possibilities of matrix support in mental health within the basic health system are analyzed from the point of view of health managers and professional in a regional health center in the state of Paraná, Brazil. The paper is a section of a research titled Network Components in Mental Health Care at the 4th and 5th Regional Center of the state of Paraná. Data were collected by a focal group and submitted to content analysis from which two categories emerged. The first category discusses the non-occurrence of matrix by and Caps and the contradictions between health policies and their materialization. The second category underscores the performance and potentialities of matrix in mental health. It became evident that matrix support teams should bear the responsibility of technical support in Basic Care, especially in complying with mental health needs. [ABSTRACT FROM AUTHOR]

This paper aims to present a bibliographic review on near-death experience (NDE) and discuss its consequences, considering it as a mystical experience. NDE is an anomalous phenomenon which happens to some patients, generally, during or close to clinical death. When reanimated and conscious, the patient usually reports out-of-body experience, contact with deceased loved ones, a trip through a tunnel towards transcendent planes, find a light that radiates love... After this intense experience, the person starts to re-evaluate his life and this can promote intense transformations in his beliefs, values and lifestyle. We conclude that the study of NDEs can be fruitful both for the science of religion in its interface with the health area and for a better understanding of NDEs in the psychological clinic. [ABSTRACT FROM AUTHOR]

This paper aims to describe and analyze certain aspects that concern the creation of a video installation by two artists in collaboration with mental health service users in Rio de Janeiro, Brazil. The author highlights certain privileged issues regarding clinical practices: fragmentation and reintegration in psychosis, the use of images and their returns for participating customers, the role of the public for the expansion of the witness function, and the problem of authorship in this context. [ABSTRACT FROM AUTHOR]

This paper aims to describe and analyze certain aspects that concern the creation of a video installation by two artists in collaboration with mental health service users in Rio de Janeiro, Brazil. The author highlights certain privileged issues regarding clinical practices: fragmentation and reintegration in psychosis, the use of images and their returns for participating customers, the role of the public for the expansion of the witness function, and the problem of authorship in this context. [ABSTRACT FROM AUTHOR]

The national mental health policies addressed to young people in Brazil constitute a complex system, which is still little explored as a locus of research, consideration and criticism. Thus, understanding the historical background of the mental health for children and young people in this country becomes a challenge that must also be undertaken in this paper. The National Health Conferences (NHCs) are the basic parameter in this article due to their pioneering in transforming Brazilian health policies into systematic and organized initiatives in favor of a democratic republic. Based on the examination of the reports generated by the holding of the 14 NHCs, it was possible to envisage a more faithful historical panorama related to proposed conceptions to meet demands on child mental health, or the ongoing vacuum regarding the problematization, and, by consequence, to have an overview of the actions that must be taken in order to contemplate its effective promotion. [ABSTRACT FROM AUTHOR]

Contemporary society is a reflection of a series of transformations in the social, political, cultural and economic sphere that alter the forms of establishing social ties. The know-how in Mental Health has also undergone important and significant transformations in Brazil. It has evolved, definitively, from a model centered on the hospital reference to a model of diversified attention, community territorial base, found in the Centros de Atenção Psicossocial (Centers for Psychosocial Attention/CAPS) one of its main references. The purpose of this paper is to demonstrate how the assembly of this service suffers the effects of the described changes in the name of post modernity. The malaise, described by Freud, finds in contemporary perspective new forms of expression. This implies in new forms of modulating the psychic suffering. In this context, the body becomes the privileged stage to support these different forms of presentation of malaise, is sometimes captured by the language game of a neurobiological clinic that excludes the dimension of the subject, thus silencing its suffering. [ABSTRACT FROM AUTHOR]

This paper is part of a project called MOdEAS that aims at creating a model of the Admission Interviews (AIs) in Public Mental Health carried out in Youth Centres of Mendoza Province, Argentina. My study focuses on the Narrative Instances (NIs) that are part of the AIs. The categories of NIs that I apply in my study — Narrations (Labov, 1972) and Recounts, Anecdotes, Exempla and Observations (Plum, 2004; Martin and Rose, 2008) — have been developed by using written narrative texts or oral ones but induced. The NIs of the AIs are, on the contrary, spontaneous and coproduced. As a consequence, it is necessary to make changes in the aforementioned categories of narratives so that they suit the spontaneous and coproduced orality of the NIs of my corpus. Therefore, the purpose of the first stage of my research project is to redefine the narrative categories so that they can be applied to the analysis of the NIs of the AIs. In Salmaso (2009) I redefined the category Recount; in this paper I provide a definition of Anecdotes. For the Anecdotes I propose (i) changes in the schematic structure through (a) the inclusion of the constituents 'abstract', 'record of events', 'interpretation of the reaction' and 'reorientation'; (b) a change in nomenclature from 'extraordinary event' to 'disruption' in order to use the same label for this element in the different categories of NIs since it has the same function in all of them; (c) a redefinition of the function of the 'reaction' and 'coda'; and I also claim that (ii) due to the presence of an 'interpretation of the reaction', the purpose of the Anecdotes is to show the reaction of a participant/ narrator to a disruption and to interpret such reaction. [ABSTRACT FROM AUTHOR]

Psychosocial Care Centres for children and adolescents (CAPSi) are the main services concerning Brazilian Psychiatric Reform and aim to the assistance of children and adolescents suffering from persistent psychic diseases. The objective of the paper is to describe the profile of patients of a CAPSi, considering sex, age, diagnosis, kind of referral, school insertion and reason for searching for the service. Method: data have been collected from all active patients files from a unit from São Paulo state, Brazil - one hundred and three - through a protocol. This paper shows partial data from a project entitled Epidemiologic and Social demographic characteristics of patients of the CAPSi from São Paulo state. Results: most patients assisted in this service are between five and fifteen years old (68,9%) and are male (61,2%). Behavioural and emotional disorders afected 21,4% of all patients, followed by disorders of psychological development (16,2%) and mental retardation (10,5%). Patients were referred to the unit mostly by State Child Protection Agency (22,3%) and had motor neuronal problems (17,5%), school difficulties (15,5%) and social behavior matters (14,6%) as the main reasons for searching for assistance. Conclusions: the high number of motor neuronal problems may indicate specific characteristics of the unit, which has taken patients and professionals from an older outpatient rehabilitations service. The great number of relevant characteristics were not found in patients files may show lack of standard in registration. [ABSTRACT FROM AUTHOR]

This paper aims to discuss the subjective experience of using psychotropic drugs from the perspective of people diagnosed with schizophrenia. This is a qualitative study, with a hermeneutic or interpretative phenomenological base, that resulted from analyzing narratives produced in focus groups. It concludes that the experience of drug users is diverse and important, and should be included in the decision-making process as to their drug treatment, in which the subject must be central. [ABSTRACT FROM AUTHOR]

Winnicott was one of the main theorists of psychoanalysis that stressed human communicability from the “mirroring function” and mutuality in the mother-infant relationship. The objective of this paper is to analyze the importance of mirroring at mental health of baby through a “triple helix narcissistic” that emphasizes continuous reciprocity at mother look to her baby and from baby to his mother, while both enjoying an experience of mutuality. These experiences can be observed when the mother feed the baby or through games and play with the maternal environment. To corroborate this thought, the author presents a clinical vignette showing the mirroring function during feeding of a child with congenital malformation of the esophagus, by your doctor and its relationship to develop the communication. [ABSTRACT FROM AUTHOR]

This paper addresses complex and challenging relations suffering's manifestations of workers and health surveillance practices. It is a theoretical essay whose objective is to perform a critical analysis about challenges and dilemmas related to mental health integration in worker's health surveillance in the Brazilian health system. We realize that some practices from public health services has pathologized workers and, therefore, based on theoretical premises from authors like Agamben, Guattari, Szasz e Rorty, we discuss conceptual and practice dilemmas, technical and ethical dilemmas of mental disorders related to word diagnosis. We also highlight risks and dangers from hegemonic tendency focused on epidemiological and biomedical approach to deal with worker's suffering manifestations. Finally, we point out alternatives to the development of strategies to break with pathologizing devices of worker's sufferings. [ABSTRACT FROM AUTHOR]

Objective: This paper aims at analyzing the concept of mental health demand in Primary Healthcare. Materials and Methods: All the information was taken from an integrative literature review as the research was carried out in four interdisciplinary databases, LILACS, SciELO Brazil, INDEXPsi and BDENF. The data crossing was made out of 30 descriptors related to the theme in discussion, resulting in 190 articles of which 14 were selected according to the inclusion and exclusion criteria. Results: Data were organized into two categories of analysis: a) interparadigmatic conception of mental health demand in Primary Healthcare b) the challenges to respond to the demands in mental health in Primary Healthcare. Conclusion: It was found that the mental health conceptions in Primary Healthcare are guided in clinical manuals of biomedical inference what indicates the priority to review the concepts of mental health demand for the consolidation of the psychiatric reform and the professional practice. [ABSTRACT FROM AUTHOR]

The concept of gender points to social inequalities among men and women. This paper aims to describe and discuss, through gender identity theories, the role of relatives in the responsibility of providing physical, emotional care and financial support of Psychosocial Heath Centers for children and adolescents (CAPSi). Descriptive cross sectional study conducted in 19 CAPSi's in the State of São Paulo, Brazil, in 2009. Data were collected from a sample of 921 patients' records and submitted to descriptive statistical analysis. Mothers are the main responsible for the care in 56.9%(N=517) of cases, followed by grandparents, 7.8%(N=71) and fathers, 2.5%(N=23). Fathers are the main responsible for financial support in 20.3%(N=185) of cases, followed by mothers 8.9%(N=81). Great part of information about this subject was not found on patients' records (49.2%). It was found that women are the main responsible by children care even when they are responsible for financial support. Data collected revealed the great importance of mother and women in care of children and adolescents in CAPSi and the hegemony of female gender as having the role of care. Gender bias is present in mental health field, and considering its importance, may be considered in the care of the population. [ABSTRACT FROM AUTHOR]

Current paper discusses education for people who return to or start the schooling process in their adulthood, in the Education of Young People and Adults program, as an instrument for the promotion of mental health. A research with eleven adult students in the first stages of the Primary School showed that the admittance or re-admittance in school provided significant benefits in the life of these people from an emotional, cognitive and social aspect. School attendance provides a remediation and prevention of mental health problems by the empowerment of people through schooling. [ABSTRACT FROM AUTHOR]

In this paper we aim to identify and analyze prevalent diagnosis of teachers' health problems, especially those concerning the mental health. The data are acquired of federal university research in expansion-internalization process, which analyzed the impact of the multiple demands of this process at work, related to health and subjectivity. The methodological instrument was composed of: semi-structured interviews with teachers of different areas, campuses and academic units; analysis of documents and data on the expansion; systematization of data on nonattendance due to health problems collected in consultation with the books of medical committee of the institution. We place in order the presentation of such records. On the other hand, we pointed out, to develop the scope limit of the article, qualitative aspects of the disease process and/or suffering with intersections between identified diagnoses and analysis of interviews. We conclude that sickness and suffering involve affective, ethical and political dimensions. [ABSTRACT FROM AUTHOR]

This paper aims at identifying and analyzing possibilities and difficulties of Psychosocial Care Center (CAPS) users related to citizenship and the building of life projects, in the perspective of promoting social inclusion. The qualitative approach was used as the research methodology and the Agnes Heller's concept about everyday was used as a philosophical reference. Data was gathered from semi-structured interviews with users and people from their social network. Discourse analysis was used for examining the data. The service users found difficulties to get their rights assured, however, they also found possibilities, especially with CAPS's help. Furthermore, they fight for their rights, engaging in the social movements, promoting their own inclusion processes. The practice of citizenship is the first step towards social inclusion. The next steps are taken from the service user's personal projects and desires, in connection with the possibilities offered by the context. [ABSTRACT FROM AUTHOR]

The gap in Mental Health Care is a worldwide problem. Primary Health Care (PHC) is the framework basis for providing integrated care. Integrating Psychiatry into PHC is fundamental to solve this problem. Based on the issue of how integration of PHC into Mental Health Care is being developed with matrix support from psychiatrists, this paper investigates the role of Psychiatry in the organization of PHC, within a health comprehensive model approach. Problem-based analysis was used to systematize the knowledge and experiences gained by the authors during the execution of several research projects developed at the Laboratory of Interdisciplinary Research in Primary Health Care (LIPAPS) of Rio de Janeiro State University. Conceptual references such as Comprehensive Care, Collaborative Care and the Brazilian Model of Matrix Support Teams, as well as the most frequent Mental Health demands in PHC are reviewed, while discussing their influence on mental health care, medical education and changes imposed on Psychiatry. In conclusion, PHC may be considered as a new scenario for Psychiatry that raises important challenges related to mental health education and services. [ABSTRACT FROM AUTHOR]

This paper discusses the effects of pervert's denial (Verleugnung) of the other, the collectivity and highlights its possible directions. The related research was carried out at a family health unit in Recife, Pernambuco, Brazil, and the participants were female community health workers in discussion groups. We discussed a clinical fragment in which a child had been abused by a perverse individual. There was a clear need for intervention to stop the pervert's jouissance and free the child. [ABSTRACT FROM AUTHOR]

Studies have shown that aversive conditions at the university may have great influence on academic achievement and the development of psychiatric disorders such as depression. In university context, social relations have been investigated over the years, but are scarce publications relating mental health and social skills. Thus, this paper compared a group of college students with a clinical depression with a group without clinical depression for the consequences and feelings that differents responses of social skills may have in social interactions with various interlocutors. A total of 128 students participated, 64 for clinical depression and 64 non-clinical. Questionário de Avaliação de Comportamentos e Contextos para Universitários - QHC - Universitários, Inventário de Fobia Social (Mini-Spin), Inventário de Depressão de Beck (BDI) and Entrevista clínica estruturada para o DSM-IV (SCID-I) were applied. The data were analyzed by test t of Student. The results show that students with depression have a great difficulty about the social skills regardless of which require more or less assertion and general way for all social interactions, either family, friends, roommate and partner. [ABSTRACT FROM AUTHOR]

The aim of this paper is to reflect on the relationship between mental health and social vulnerability at the intersection of biological psychiatry and the Brazilian psychiatric reform. The concepts of mental health and social vulnerability, as based on diagnostic manuals and epidemiological research, are taken up in the scope of public health policies. We identify the need to overcome the traditional technical and scientific logic to incorporate the singularity and knowledge related to human suffering. [ABSTRACT FROM AUTHOR]

The aim of this paper is to present the historical background in which the current Brazilian Health Policy was drawn, telling both a literature survey conducted with authors who address the topic of Social Services and Mental Health and the relation of social work with respective area, among the authors discussed include Iamamoto (2002), Faleiros (2000), Vasconcelos (2010) and Bravo (2006). The work will take into account the major changes in the Brazilian reality from the 1930s to the period of great social mobilization that occurred in the 1980s, which resulted in the promulgation of the 1988 Constitution, considered one of the greatest achievements of Brazilian society, the article will highlight the importance of this document for effective health policy of the country. Then far will a brief explanation of the insertion of the social worker in the area of Brazilian psychiatry and its participation in the first institutions dedicated to serving the mentally ill. Later we will describe on the Mental Health area, identifying key areas of work that rely on the work of this professional, which is driven by both the principles and guidelines of the National Health System as well as the principles of psychiatric reform, enhancing professional action and recognition in the field of health in Brazil. [ABSTRACT FROM AUTHOR]

This paper is aimed at describing the mental health care knowledge built by Community Health Agents while providing mental health care. This is qualitative research drawing on Social Constructionism as its theoretical framework. Data were gathered from focal groups and then analyzed and assigned to the following thematic categories: "We need to guide the families", encompassing the meanings related to providing care to families living with mental distress; "Just stopping and listening...", in which the repertoire concerning the usage of relationship technologies in mental health care is described; "We know about it because we are around", outlining the strategies employed in building wisdom; and finally the category describing the meanings related to being afraid of the mentally ill: "We are afraid of what we see". The knowledge built by Community Health Agents in their everyday work, once reflected upon and systematized, is shown to be potent in creating care practices in accordance with the psychosocial paradigm of assisting people and families in mental distress. [ABSTRACT FROM AUTHOR]

Despite all technological advances in the last decades, kidney patients still need to adapt to emotional and behavioral changes due to chronic kidney disease and its treatment. This paper aims to identify the hemodialysis treatment role on chronic kidney patient's daily life. By means of interviews analyses, ambivalent feelings towards treatment were found as well as symptoms of depression and impotence with prevalence of dependence, which hinders patients' daily activities. Emotional alterations were found to be present, regardless of disease stage, age or gender. Other findings are: the influence of surroundings, with safety and stability stemming from the support network expressed by kidney patients regarding acceptance of the disease and treatment; individual characteristics as a part of the chronic disease treatment process; signs of rebellion and acceptance found in the diseased, which are shown to be a necessary part of the adaptation and adherence process of hemodialysis. [ABSTRACT FROM AUTHOR]

The paper aims to describe and analyze the process of inserting the issue of violence in the legal frameworks of the Brazilian public politics on mental health, with a view to contribute to the identification of challenges and dilemmas in this area. We conducted a documental analysis of laws, decrees and orders issued by the Health Ministry and official publications of this Coordination of Mental Health Ministry issued from January 2001 to December 2011. We observed the consolidation of three trends in these documents: Violence and psychiatric institution (2001-2003), marked by the consolidation of parameters guiding deinstitutionalization policies and ensuring the rights of individuals with mental disorders; violence, the territory and its demands (2004-2008), where attention to social vulnerabilities and integral health care are identified; violence and the challenge of harmful use of alcohol and other drugs (2009-2011), showing that risk situations and violence associated with this use sharpen tensions between conservative political forces in the field of social policies. We conclude that mental health policies were adapted to the emerging social problems in the country, with a view to enhancing the quality of life and prevention of violence. [ABSTRACT FROM AUTHOR]

This paper aims to discuss the relationships between immigrants' religiosity and mental health and its implications for clinical practice of psychiatrists and psychologists who attend them in specialized services. It presents an analytical summary of the main issues raised in the literature concerning the relationships between religiosity and mental health, articulating them with immigrant's specific reality, as well as pointing to the importance of this issue in contemporary context and how it is perceived and drawn up by professionals of the PSY field. It concludes that more research is needed on the subject, whose discussion is largely absent throughout the training of PSY professionals. [ABSTRACT FROM AUTHOR]

The objective of this paper is to describe the framework and methodology of +Contigo, registered in UICISA:E. The mental health promotion and prevention of suicidal behavior in schools continues to be an object of study. Knowing the importance of school as a place of intervention, studies with the robustness of the methodological point of view, that confirm the effectiveness of such measures are scarce. The objectives of the Project +Contigo are promoting mental health and wellbeing and prevent suicidal behavior in young people attending 3rd cycle and secondary education. Interventions include training for health professionals in the influence area of the school, teacher training, awareness of tutors/caregivers, four moments of intervention in the classroom for students, with three stages of evaluation by questionnaire (diagnostic evaluation; after intervention; six months after intervention). In each school a control group will be defined, without specific intervention. The results obtained in the preliminary years allow us to believe that the Project +Contigo can bring new evidence on the prevention and suicidal behavior in schools, with a network intervention and cost-effectiveness. [ABSTRACT FROM AUTHOR]