Gabriel Lavorato Neto - Academia.edu (original) (raw)

Papers by Gabriel Lavorato Neto

European Psychiatry, 2021

IntroductionThe generalist assistance at the Primary Attention is fundamental to face the increas... more IntroductionThe generalist assistance at the Primary Attention is fundamental to face the increase of type 2 diabetes mellitus cases through the relationship physician-patient. This sets the therapeutic plan and its continuous review. Therapeutic Plan could be affected by the same psychocultural phenomena related to the increasing cases numbers of DM2. Therefore, new trends in Medical Psychology have been promoted during medical undergraduate course. These incorporate methods and concepts of Liberal Arts to develop specific psychosocial management skills to DM2 clinic.ObjectivesAIM: To understand the experience of medical students in the simulated care of DM2 cases in two different moments: 1) to diagnose and start treatment; 2) start insulinization.MethodsMETHOD: Clinical-Qualitative design; data collected through an semidirected interview of open-end questions in depth; thematic analysis generated categories discussed in light of Medical Psychology of psychodynamic framework.Resul...

European Psychiatry, 2017

IntroductionDespites nursing holistic trends for caring, in psychiatric wards of general hospital... more IntroductionDespites nursing holistic trends for caring, in psychiatric wards of general hospitals the spiritual dimension remains controversy. Evidence shows spirituality rule in recovering and also alerts about complications associated to mental disorders and spirituality.AimTo describe spirituality meanings attributed by a psychiatric nursing team and discuss how they apply them on professional cares.MethodClinical-qualitative design is a particularization of generic qualitative strategies brought from humanities to approach symbolic research questions in clinical settings. A semi-directed interview with open-ended question, in-depth, was carried out with a team of 22 nursing professionals in the psychiatric ward of a general hospital in Southeast Brazil. Data analysis was driven under the Ricoeur understanding of Freudian symbolic meaning, which affirm that a statement revels multiple meanings overwritten.ResultsSpirituality is developed from several sources of restlessness and ...

European Psychiatry, 2017

IntroductionThe relationship between parents and children is a complex link. In the process of pr... more IntroductionThe relationship between parents and children is a complex link. In the process of pregnancy-birth-puerperium, frequent feelings such as responsibility, love, fear, uncertainty, generate strong expectations at birth. The death of a newborn may not be perceived as natural by the parents, considering the local culture and the context of great technological development of neonatology.ObjectiveTo explore possible guilt and fantasies in life experiences of parents during mourning process due to death of their newborn.MethodClinical-qualitative design, a particularization of qualitative methods here applied in clinical assistance settings with highlight to psychological aspects. Data collection with the technique of semi-directed interview with open-ended questions, in-depth. Sample intentionally constructed, with closure by theoretical saturation of information. The participants were 7 parents, mourning by the death of their child at the neonatal intensive care unit, in a uni...

European Psychiatry, 2015

The Obsessive-Compulsive Disorder (OCD) is characterized by the experience of ruminative thoughts... more The Obsessive-Compulsive Disorder (OCD) is characterized by the experience of ruminative thoughts and/or the compulsive performance of rituals, with interference in activities. Objective to understand psychologically reports from outpatients in psychiatric treatment, diagnosed with OCD, in the search of developmentof strategies aiming egossintonia. Samplingand Method intentional sampling of nine outpatients from psychiatric service, enclosed by theoretical saturation. Clinical-qualitative outline, with semi-directed interviews withopen-ended questions. Fluctuating readings in search of units of meaning forthe categorization of the data. Resultsand Discussion five categories have emerged: (1) Control: the outpatient, in order to avoid anxiety, developsthe strategy of control, with a detailed planning of activities. (2) Socialisolation: diminishment of the social interaction due to the embarrassment ofperforming rituals in public. (3) Face-off: performance of activities in spite of rituals. (4) Rationalization: elaboration of forged explanations which dissemble obsessive ideations or rituals in order to attenuate psychic distressand social difficulties. (5) Dependence: search of involvement of other personsin the rituals, causing them to be less exhausting. Conclusion as the OCD impacts the outpatients’ quality of life, adaptation strategies are sought so as to minimize the discomfort. The awareness of such fact by health care providers enables greater empathy, leading to better adherence to treatments. Keywords: obsessive compulsive disorder; ego-syntonic behavior; qualitative research.

Interface - Comunicação, Saúde, Educação

This qualitative research aimed to understand the experiences of a fourth-year medical class duri... more This qualitative research aimed to understand the experiences of a fourth-year medical class during two clinical simulation scenarios of type 2 diabetes management in Primary Care. Ten simulated students were interviewed. The results describe the symbolic conception of diabetes and its treatment as anguish, damage, condemnation and an unpleasant sentence that affects the appropriation and performance of the medical role by students. Considering Medical Psychology, we suggest that such subjective factors should be addressed in teaching-learning in addition to commonly cognitive aspects mentioned in the medical education literature in order for students to develop the work profile to cope with diabetes in Primary Care. Clinical simulation facilitates the subjective approach through its group support component to promote reflection, insights and self-awareness.

Orientador: Claudinei José Gomes CamposDissertação (mestrado) - Universidade Estadual de Campinas... more Orientador: Claudinei José Gomes CamposDissertação (mestrado) - Universidade Estadual de Campinas, Faculdade de EnfermagemResumo: Este trabalho trata da espiritualidade no cenário de cuidados em psiquiatria. Definida pela área como uma necessidade humana elementar e que exerce profunda função interior na vida das pessoas e ligada à promoção do bem-estar, do estabelecimento de conexões transcendentais com o sagrado, com o ser profundo (eu interior), e com a vida comum e cotidiana, esta função modula a experiência de significação simbólica do propósito e dos eventos da vida. Para os cuidados de enfermagem, a abordagem desta necessidade atende as qualificações de uma clínica que pretende ser holística, segundo as tendências adotadas nas diretrizes do cuidado. Nosso objetivo é expor a conceituação atual no campo de saúde mental e psiquiatria sobre o manejo das necessidades espirituais dos pacientes; e analisar os significados atribuídos pelos profissionais de enfermagem em enfermaria ps...

This Integrative Review aims to explore the Brazilian scientific production of psychiatric nursin... more This Integrative Review aims to explore the Brazilian scientific production of psychiatric nursing about psychosocial rehabilitation from 1992 to 2014. The analysis of the surveyed articles results in five thematic categories: nursing and Psychiatric Reform, tools and strategies that provide psychosocial rehabilitation, family background in psychosocial rehabilitation, Psychosocial Care Centers and other spaces as facilitators of psychosocial rehabilitation and mental health in primary care. According to our conclusions greater investment in the nurses’ professional training is necessary in order to fulfill the demands of care to the people with mental illness presented by the Psychiatric Reform, which has been slowly consolidating with inclusion strategies that seem appropriate, but still insufficient.

The objective of this article is to discuss emotional experiences of women who had fetal loss aft... more The objective of this article is to discuss emotional experiences of women who had fetal loss after twenty weeks of pregnancy, collected in field research. We used the clinical-qualitative method. The construction of the subject sample was intentional and closed by the information saturation criterion. We used the semistructured interview technique of open-ended questions with five women. Data treatment included: transcription of the interviews, free-floating readings and categorization in topics through content analysis. From qualitative analysis, four categories emerged: 1) "I received the news of the loss ..."; 2) "My son was born dead ..."; 3) "Why me?"; 4) "I feel so ...". It is identified the need to ensure that mothers and families to enter the perinatal grief process that will reflect on minimizing psychological damage. It should be prioritized a support by the health team involved, that considers the woman since the moment which is given to death news.

OBJECTIVE:To understand fourth-year medical students’ experiences in a Performance-Based Educatio... more OBJECTIVE:To understand fourth-year medical students’ experiences in a Performance-Based Education theatrical intervention in the clinical management of Type 2 Diabetes Mellitus 2 (T2DM) in Primary Care.METHODOLOGY:Qualitative design in which 10 students were interviewed after intervention of the following two T2DM management scenarios: 1) the diagnosis and initiation of the therapeutic plan; 2) initiation of insulin therapy. The symbolic meanings that the students attributed to the experience are described and discussed following the Balint Medical Psychology framework and literature on T2DM in undergraduate studies in medicine. RESULTS:We present two categories: 1) Concerning the symbolic meanings of T2DM and its management and; 2) Regarding the role of the performer towards the person with T2DM, their colleagues and the T2DM clinic. CONCLUSION:Subjective factors in teaching T2DM management that need to be addressed are: anxieties and negative ideas about the treatment and difficu...

Objective: to understand mothers' bereavement experiences regarding the loss of their newborn... more Objective: to understand mothers' bereavement experiences regarding the loss of their newborn child in the Neonatal Intensive Care Unit of a Brazilian university hospital. Methods: the study was designed by the clinical-qualitative method to understand the meaning of the emerging relationships of health scenarios. Sample consisted of six mothers. The sufficiency of the sample was verified through the saturation of the data. The data collection instrument was a semistructured interview with script of open questions, the collected material was recorded and transcribed in full. Thematic analysis was performed by two independent authors. Results: feelings and perceptions of the grieving process gave rise to three categories: 1. Guilt and fantasy of bereavement related to the death and grief for their children; 2. Relationships and ambiguities - the relationship between internal concerns and perception of external relations; 3. Fear, disbelief, abandonment and loneliness - questions ...

Revista brasileira de enfermagem, 2018

Gather the concepts, theories and interventions about spirituality, its nature and functions in m... more Gather the concepts, theories and interventions about spirituality, its nature and functions in mental health and psychiatric nursing. A literature review proceeded on February 2016. It has integrated 214 studies published until December 2015 by crossing Spirituality and Psychiatric Nursing mesh terms in databases. Conceptualization about spirituality and religion, their complexity in nursing research, education, and clinical approach; their functions to human being correlated to the purpose of life, transcendental connections, and support in mental health; the professional boundaries in address to spirituality in mental health scenery, and a descriptive literature recommendations and a instruments catalog. Spirituality in nursing mental health and psychiatry remains a theoretical problem, and has a clinical mischaracterized approach; recently publications try to promote a human and holistic trend in the practice, as a challenge to lead the current circumstances to valid nursing bases.

SMAD. Revista Eletrônica Saúde Mental Álcool e Drogas (Edição em Português), 2016

Esta Revisão Integrativa objetiva explorar a produção científica nacional de enfermagem psiquiátr... more Esta Revisão Integrativa objetiva explorar a produção científica nacional de enfermagem psiquiátrica sobre a reabilitação psicossocial no período de 1992 a 2014. A análise dos artigos levantados, resulta cinco categorias temáticas: enfermagem e a Reforma Psiquiátrica, ferramentas e estratégias que possibilitam a reabilitação psicossocial, o contexto familiar na reabilitação psicossocial, CAPS e outros espaços como facilitadores da reabilitação psicossocial e saúde mental na atenção básica. Nossas conclusões consideram a necessidade de um investimento maior na capacitação profissional do enfermeiro para compatibilizar com as demandas de cuidados aos doentes mentais apresentadas pela Reforma Psiquiátrica, que vem se consolidando paulatinamente com estratégias de inclusão que parecem adequadas, porém ainda insuficientes.

The objective of this article is to discuss emotional experiences of women who had fetal loss aft... more The objective of this article is to discuss emotional experiences of women who had fetal loss after twenty weeks of pregnancy, collected in field research. We used the clinical-qualitative method. The construction of the subject sample was intentional and closed by the information saturation criterion. We used the semistructured interview technique of open-ended questions with five women. Data treatment included: transcription of the interviews, free-floating readings and categorization in topics through content analysis. From qualitative analysis, four categories emerged: 1) "I received the news of the loss ..."; 2) "My son was born dead ..."; 3) "Why me?"; 4) "I feel so ...". It is identified the need to ensure that mothers and families to enter the perinatal grief process that will reflect on minimizing psychological damage. It should be prioritized a support by the health team involved, that considers the woman since the moment which is gi...

Estudos Interdisciplinares em Psicologia, 2014

Resumo O objetivo deste artigo é discutir vivências emocionais de mulheres que tiveram perda feta... more Resumo O objetivo deste artigo é discutir vivências emocionais de mulheres que tiveram perda fetal após vinte semanas de gravidez, coletadas em pesquisa de campo. Utilizou-se o método clínico-qualitativo. A amostra de sujeitos foi intencional e fechada pelo critério de saturação de informações. Utilizou-se a técnica de entrevista semidirigida de questões abertas com cinco mulheres. O tratamento de dados incluiu: transcrição das entrevistas, leituras flutuantes e categorização em tópicos através de análise de conteúdo. Da análise qualitativa dos dados emergiram quatro categorias: 1) "Recebi a notícia da perda..."; 2) "Meu filho nasceu morto..."; 3) "Por que comigo?"; 4) "Eu me sinto assim...". Identificou-se a necessidade de assegurar que as mães e familiares ingressem no processo de elaboração do luto perinatal que refletirá na minimização de prejuízos psicológicos. Deve ser priorizado um suporte por parte da equipe de saúde envolvida, que considere a mulher desde o momento em que é dada a notícia do óbito. Palavras-chave: óbito perinatal; luto; maternidade; pesquisa qualitativa.

Revista brasileira de enfermagem

To analyze the meanings attributed by nursing professionals in psychiatry to spirituality and its... more To analyze the meanings attributed by nursing professionals in psychiatry to spirituality and its relationship with care. Clinical-qualitative, with appreciation of symbolic meanings. We interviewed 18 individuals for a semi-structured script of open questions and the data were analyzed in the light of psychoanalytic hermeneutics. The discussion was undertaken with the overlap of understanding of the sacred symbol, psychological and the meaning of life. Different spiritualities are interposed by personal restlessness and the experience of transience. Spirituality aids in social functions, personal balance and commitment to endure the anguish of transience. Among professionals, it has been shown as an ethical-combative attitude to evil forms, but there is a restriction in dealing with patients' spirituality. The meanings pointed to the limits of human reason, resembling caregivers and patients in subjective conditions by which they avoid spirituality in psychiatry. It is suggeste...

European Psychiatry, 2021

IntroductionThe generalist assistance at the Primary Attention is fundamental to face the increas... more IntroductionThe generalist assistance at the Primary Attention is fundamental to face the increase of type 2 diabetes mellitus cases through the relationship physician-patient. This sets the therapeutic plan and its continuous review. Therapeutic Plan could be affected by the same psychocultural phenomena related to the increasing cases numbers of DM2. Therefore, new trends in Medical Psychology have been promoted during medical undergraduate course. These incorporate methods and concepts of Liberal Arts to develop specific psychosocial management skills to DM2 clinic.ObjectivesAIM: To understand the experience of medical students in the simulated care of DM2 cases in two different moments: 1) to diagnose and start treatment; 2) start insulinization.MethodsMETHOD: Clinical-Qualitative design; data collected through an semidirected interview of open-end questions in depth; thematic analysis generated categories discussed in light of Medical Psychology of psychodynamic framework.Resul...

European Psychiatry, 2017

IntroductionDespites nursing holistic trends for caring, in psychiatric wards of general hospital... more IntroductionDespites nursing holistic trends for caring, in psychiatric wards of general hospitals the spiritual dimension remains controversy. Evidence shows spirituality rule in recovering and also alerts about complications associated to mental disorders and spirituality.AimTo describe spirituality meanings attributed by a psychiatric nursing team and discuss how they apply them on professional cares.MethodClinical-qualitative design is a particularization of generic qualitative strategies brought from humanities to approach symbolic research questions in clinical settings. A semi-directed interview with open-ended question, in-depth, was carried out with a team of 22 nursing professionals in the psychiatric ward of a general hospital in Southeast Brazil. Data analysis was driven under the Ricoeur understanding of Freudian symbolic meaning, which affirm that a statement revels multiple meanings overwritten.ResultsSpirituality is developed from several sources of restlessness and ...

European Psychiatry, 2017

IntroductionThe relationship between parents and children is a complex link. In the process of pr... more IntroductionThe relationship between parents and children is a complex link. In the process of pregnancy-birth-puerperium, frequent feelings such as responsibility, love, fear, uncertainty, generate strong expectations at birth. The death of a newborn may not be perceived as natural by the parents, considering the local culture and the context of great technological development of neonatology.ObjectiveTo explore possible guilt and fantasies in life experiences of parents during mourning process due to death of their newborn.MethodClinical-qualitative design, a particularization of qualitative methods here applied in clinical assistance settings with highlight to psychological aspects. Data collection with the technique of semi-directed interview with open-ended questions, in-depth. Sample intentionally constructed, with closure by theoretical saturation of information. The participants were 7 parents, mourning by the death of their child at the neonatal intensive care unit, in a uni...

European Psychiatry, 2015

The Obsessive-Compulsive Disorder (OCD) is characterized by the experience of ruminative thoughts... more The Obsessive-Compulsive Disorder (OCD) is characterized by the experience of ruminative thoughts and/or the compulsive performance of rituals, with interference in activities. Objective to understand psychologically reports from outpatients in psychiatric treatment, diagnosed with OCD, in the search of developmentof strategies aiming egossintonia. Samplingand Method intentional sampling of nine outpatients from psychiatric service, enclosed by theoretical saturation. Clinical-qualitative outline, with semi-directed interviews withopen-ended questions. Fluctuating readings in search of units of meaning forthe categorization of the data. Resultsand Discussion five categories have emerged: (1) Control: the outpatient, in order to avoid anxiety, developsthe strategy of control, with a detailed planning of activities. (2) Socialisolation: diminishment of the social interaction due to the embarrassment ofperforming rituals in public. (3) Face-off: performance of activities in spite of rituals. (4) Rationalization: elaboration of forged explanations which dissemble obsessive ideations or rituals in order to attenuate psychic distressand social difficulties. (5) Dependence: search of involvement of other personsin the rituals, causing them to be less exhausting. Conclusion as the OCD impacts the outpatients’ quality of life, adaptation strategies are sought so as to minimize the discomfort. The awareness of such fact by health care providers enables greater empathy, leading to better adherence to treatments. Keywords: obsessive compulsive disorder; ego-syntonic behavior; qualitative research.

Interface - Comunicação, Saúde, Educação

This qualitative research aimed to understand the experiences of a fourth-year medical class duri... more This qualitative research aimed to understand the experiences of a fourth-year medical class during two clinical simulation scenarios of type 2 diabetes management in Primary Care. Ten simulated students were interviewed. The results describe the symbolic conception of diabetes and its treatment as anguish, damage, condemnation and an unpleasant sentence that affects the appropriation and performance of the medical role by students. Considering Medical Psychology, we suggest that such subjective factors should be addressed in teaching-learning in addition to commonly cognitive aspects mentioned in the medical education literature in order for students to develop the work profile to cope with diabetes in Primary Care. Clinical simulation facilitates the subjective approach through its group support component to promote reflection, insights and self-awareness.

Orientador: Claudinei José Gomes CamposDissertação (mestrado) - Universidade Estadual de Campinas... more Orientador: Claudinei José Gomes CamposDissertação (mestrado) - Universidade Estadual de Campinas, Faculdade de EnfermagemResumo: Este trabalho trata da espiritualidade no cenário de cuidados em psiquiatria. Definida pela área como uma necessidade humana elementar e que exerce profunda função interior na vida das pessoas e ligada à promoção do bem-estar, do estabelecimento de conexões transcendentais com o sagrado, com o ser profundo (eu interior), e com a vida comum e cotidiana, esta função modula a experiência de significação simbólica do propósito e dos eventos da vida. Para os cuidados de enfermagem, a abordagem desta necessidade atende as qualificações de uma clínica que pretende ser holística, segundo as tendências adotadas nas diretrizes do cuidado. Nosso objetivo é expor a conceituação atual no campo de saúde mental e psiquiatria sobre o manejo das necessidades espirituais dos pacientes; e analisar os significados atribuídos pelos profissionais de enfermagem em enfermaria ps...

This Integrative Review aims to explore the Brazilian scientific production of psychiatric nursin... more This Integrative Review aims to explore the Brazilian scientific production of psychiatric nursing about psychosocial rehabilitation from 1992 to 2014. The analysis of the surveyed articles results in five thematic categories: nursing and Psychiatric Reform, tools and strategies that provide psychosocial rehabilitation, family background in psychosocial rehabilitation, Psychosocial Care Centers and other spaces as facilitators of psychosocial rehabilitation and mental health in primary care. According to our conclusions greater investment in the nurses’ professional training is necessary in order to fulfill the demands of care to the people with mental illness presented by the Psychiatric Reform, which has been slowly consolidating with inclusion strategies that seem appropriate, but still insufficient.

The objective of this article is to discuss emotional experiences of women who had fetal loss aft... more The objective of this article is to discuss emotional experiences of women who had fetal loss after twenty weeks of pregnancy, collected in field research. We used the clinical-qualitative method. The construction of the subject sample was intentional and closed by the information saturation criterion. We used the semistructured interview technique of open-ended questions with five women. Data treatment included: transcription of the interviews, free-floating readings and categorization in topics through content analysis. From qualitative analysis, four categories emerged: 1) "I received the news of the loss ..."; 2) "My son was born dead ..."; 3) "Why me?"; 4) "I feel so ...". It is identified the need to ensure that mothers and families to enter the perinatal grief process that will reflect on minimizing psychological damage. It should be prioritized a support by the health team involved, that considers the woman since the moment which is given to death news.

OBJECTIVE:To understand fourth-year medical students’ experiences in a Performance-Based Educatio... more OBJECTIVE:To understand fourth-year medical students’ experiences in a Performance-Based Education theatrical intervention in the clinical management of Type 2 Diabetes Mellitus 2 (T2DM) in Primary Care.METHODOLOGY:Qualitative design in which 10 students were interviewed after intervention of the following two T2DM management scenarios: 1) the diagnosis and initiation of the therapeutic plan; 2) initiation of insulin therapy. The symbolic meanings that the students attributed to the experience are described and discussed following the Balint Medical Psychology framework and literature on T2DM in undergraduate studies in medicine. RESULTS:We present two categories: 1) Concerning the symbolic meanings of T2DM and its management and; 2) Regarding the role of the performer towards the person with T2DM, their colleagues and the T2DM clinic. CONCLUSION:Subjective factors in teaching T2DM management that need to be addressed are: anxieties and negative ideas about the treatment and difficu...

Objective: to understand mothers' bereavement experiences regarding the loss of their newborn... more Objective: to understand mothers' bereavement experiences regarding the loss of their newborn child in the Neonatal Intensive Care Unit of a Brazilian university hospital. Methods: the study was designed by the clinical-qualitative method to understand the meaning of the emerging relationships of health scenarios. Sample consisted of six mothers. The sufficiency of the sample was verified through the saturation of the data. The data collection instrument was a semistructured interview with script of open questions, the collected material was recorded and transcribed in full. Thematic analysis was performed by two independent authors. Results: feelings and perceptions of the grieving process gave rise to three categories: 1. Guilt and fantasy of bereavement related to the death and grief for their children; 2. Relationships and ambiguities - the relationship between internal concerns and perception of external relations; 3. Fear, disbelief, abandonment and loneliness - questions ...

Revista brasileira de enfermagem, 2018

Gather the concepts, theories and interventions about spirituality, its nature and functions in m... more Gather the concepts, theories and interventions about spirituality, its nature and functions in mental health and psychiatric nursing. A literature review proceeded on February 2016. It has integrated 214 studies published until December 2015 by crossing Spirituality and Psychiatric Nursing mesh terms in databases. Conceptualization about spirituality and religion, their complexity in nursing research, education, and clinical approach; their functions to human being correlated to the purpose of life, transcendental connections, and support in mental health; the professional boundaries in address to spirituality in mental health scenery, and a descriptive literature recommendations and a instruments catalog. Spirituality in nursing mental health and psychiatry remains a theoretical problem, and has a clinical mischaracterized approach; recently publications try to promote a human and holistic trend in the practice, as a challenge to lead the current circumstances to valid nursing bases.

SMAD. Revista Eletrônica Saúde Mental Álcool e Drogas (Edição em Português), 2016

Esta Revisão Integrativa objetiva explorar a produção científica nacional de enfermagem psiquiátr... more Esta Revisão Integrativa objetiva explorar a produção científica nacional de enfermagem psiquiátrica sobre a reabilitação psicossocial no período de 1992 a 2014. A análise dos artigos levantados, resulta cinco categorias temáticas: enfermagem e a Reforma Psiquiátrica, ferramentas e estratégias que possibilitam a reabilitação psicossocial, o contexto familiar na reabilitação psicossocial, CAPS e outros espaços como facilitadores da reabilitação psicossocial e saúde mental na atenção básica. Nossas conclusões consideram a necessidade de um investimento maior na capacitação profissional do enfermeiro para compatibilizar com as demandas de cuidados aos doentes mentais apresentadas pela Reforma Psiquiátrica, que vem se consolidando paulatinamente com estratégias de inclusão que parecem adequadas, porém ainda insuficientes.

The objective of this article is to discuss emotional experiences of women who had fetal loss aft... more The objective of this article is to discuss emotional experiences of women who had fetal loss after twenty weeks of pregnancy, collected in field research. We used the clinical-qualitative method. The construction of the subject sample was intentional and closed by the information saturation criterion. We used the semistructured interview technique of open-ended questions with five women. Data treatment included: transcription of the interviews, free-floating readings and categorization in topics through content analysis. From qualitative analysis, four categories emerged: 1) "I received the news of the loss ..."; 2) "My son was born dead ..."; 3) "Why me?"; 4) "I feel so ...". It is identified the need to ensure that mothers and families to enter the perinatal grief process that will reflect on minimizing psychological damage. It should be prioritized a support by the health team involved, that considers the woman since the moment which is gi...

Estudos Interdisciplinares em Psicologia, 2014

Resumo O objetivo deste artigo é discutir vivências emocionais de mulheres que tiveram perda feta... more Resumo O objetivo deste artigo é discutir vivências emocionais de mulheres que tiveram perda fetal após vinte semanas de gravidez, coletadas em pesquisa de campo. Utilizou-se o método clínico-qualitativo. A amostra de sujeitos foi intencional e fechada pelo critério de saturação de informações. Utilizou-se a técnica de entrevista semidirigida de questões abertas com cinco mulheres. O tratamento de dados incluiu: transcrição das entrevistas, leituras flutuantes e categorização em tópicos através de análise de conteúdo. Da análise qualitativa dos dados emergiram quatro categorias: 1) "Recebi a notícia da perda..."; 2) "Meu filho nasceu morto..."; 3) "Por que comigo?"; 4) "Eu me sinto assim...". Identificou-se a necessidade de assegurar que as mães e familiares ingressem no processo de elaboração do luto perinatal que refletirá na minimização de prejuízos psicológicos. Deve ser priorizado um suporte por parte da equipe de saúde envolvida, que considere a mulher desde o momento em que é dada a notícia do óbito. Palavras-chave: óbito perinatal; luto; maternidade; pesquisa qualitativa.

Revista brasileira de enfermagem

To analyze the meanings attributed by nursing professionals in psychiatry to spirituality and its... more To analyze the meanings attributed by nursing professionals in psychiatry to spirituality and its relationship with care. Clinical-qualitative, with appreciation of symbolic meanings. We interviewed 18 individuals for a semi-structured script of open questions and the data were analyzed in the light of psychoanalytic hermeneutics. The discussion was undertaken with the overlap of understanding of the sacred symbol, psychological and the meaning of life. Different spiritualities are interposed by personal restlessness and the experience of transience. Spirituality aids in social functions, personal balance and commitment to endure the anguish of transience. Among professionals, it has been shown as an ethical-combative attitude to evil forms, but there is a restriction in dealing with patients' spirituality. The meanings pointed to the limits of human reason, resembling caregivers and patients in subjective conditions by which they avoid spirituality in psychiatry. It is suggeste...