Rafaela Zorzanelli | UERJ - Universidade do Estado do Rio de Janeiro / Rio de Janeiro State University (original) (raw)
Books by Rafaela Zorzanelli
Papers by Rafaela Zorzanelli
History of Pharmacy and Pharmaceuticals, 2024
Ilha-Revista de Antropologia
P or ocasião de sua aula magna de comemoração de 40 anos de carreira na Universidade de Amsterdam... more P or ocasião de sua aula magna de comemoração de 40 anos de carreira na Universidade de Amsterdam (VAN DER GEEST, 2015), o Professor Emeritus de Antropologia Médica Sjaak van der Geest, convidado desta entrevista do projeto Drug Trajectories (ZORZANELLI, 2020), enfatizou quanto as experiências de cotidiano marcaram seus trabalhos de campo, em contraste com uma presumida preferência da Antropologia pelo exótico ou pelo dramático. O interesse pelo usual e cotidiano significaria tomar como digno de investigação aquilo que tomamos como já dado, que é fonte de segurança, que soa como inquestionável ou como dimensão tácita de nosso cotidiano. E justamente por isso, a vida diária em seus atos, gestos, crenças comuns mereceriam os olhos argutos da Antropologia, que sob o tecido do cotidiano poderia encontrar o incomum, o estranho, o bizarro, o incompreensível. No seio de seu interesse pelo cotidiano, destacam-se suas pesquisas de campo realizadas em Camarões e em Gana sobre temas como relações íntimas e controle de natalidade, higiene e defecação, letras de músicas populares, significados de envelhecimento, conceitos de sujeira e perspectivas sobre a privacidade. Entre os assuntos do dia a dia, um deles ganha bastante destaque em sua obra: uso e distribuição dos medicamentos. E é importante escutar com cuidado o que parece nos indicar o autor com isso: que o uso e distribuição de medicamentos é algo ordinário, que se insere no cotidiano das pessoas, e que seus sentidos e usos ficam, por vezes, quase invisíveis, tácitos. Durante toda a década de 1980 e em seus duradouros trabalhos de campo sobre o tema nas décadas seguintes, van der Geest investigou o uso e a distribuição de medicamentos em Camarões, considerando isso um passo importante de desexotismo, "[...] porque o foco recaia sobre 'nossos' medicamentos e não sobre as fitoterapias, os talismãs e as curas espirituais. Me interessava em especial o uso ocultado e a venda informal-muitas vezes ilegal-desses medicamentos em lojas pequenas e nas feiras" (VAN DER GEEST, 2015, p. 84-85). Daí se desdobram os primeiros passos de suas contribuições fundamentais ao campo da antropologia dos medicamentos. van der Geest e Susan Reynolds Whyte Rafaela Zorzanelli Entrevista com Sjaak van der Geest 238 ILHA-REVISTA DE ANTROPOLOGIA
Ilha- Revista de Antropologia, 2023
Este trabalho está licenciado sob CC BY-NC-SA 4.0.
Hisotyr of Pharmacy and Pharmaceuticals, 2022
History of Pharmacy and Pharmaceuticals, 2022
Source: History of Pharmacy and Pharmaceuticals,, 2021
T his is the third interview in the journal's new "Conversations" section. Drawn from my broader ... more T his is the third interview in the journal's new "Conversations" section. Drawn from my broader project Interviews with Researchers from the Anthropology, History, and Sociology of Pharmaceuticals: Mapping Out the Area, 1 the following discussion features Professor Toine Pieters. From his early years of lab work in the Netherlands, to his move into social sciences and history, Pieters followed a path that stretched from studying molecules to analyzing their historicization. In the course of our discussion, he adopted a didactic approach, while not losing any analytical profundity, and he addressed several topics that will certainly interest drugs studies scholars. The conversation covers such subjects as the forgotten pasts of certain pharmaceuticals; the social appeal and promises embedded in "wonder drugs"; the agency of therapeutic drugs; the coconstruction of drugs, diseases, and their handlers; the social interaction between doctors and patients; and the role of promise, hope, faith, and fashion in medicine and, particularly, in pharmaceuticals. Pieters, who has written broadly about the history of pharmacy, medicines, and diseases, pervasively argues that a rational understanding of substances cannot fully account for their agency and cyclical trajectory. Put another way, rafaela zorzanelli
PHARMACY IN HISTORY Volume 62, Numbers 3 & 4 (2020), 2020
Revista LatinoAmericana de Psicopatologia Fundamental, 2020
Physis: Revista de Saúde Coletiva, 2020
Esta entrevista é uma das primeiras a ser publicada no escopo do projeto Interviews with research... more Esta entrevista é uma das primeiras a ser publicada no escopo do projeto Interviews with researchers from the Anthropology and Sociology of Pharmaceuticals: mapping out the area, 1 realizado em parceria com a Universidade de Utrecht, Holanda, sob minha coordenação. O campo amplo e diversificado do estudo dos medicamentos ganhou, sobretudo a partir da década de 1980, grande impulso e inspiração das ciências humanas e sociais, tais como a antropologia, a economia, a sociologia, a história social das ciências e da tecnologia, a psicologia, dentre outros. Independentemente da abordagem de seus pesquisadores e das contribuições que trouxeram e trazem, o florescimento de trabalhos qualitativos sobre o tema fez com que o estudo das substâncias (sejam as chamadas prescritas ou proscritas) incluísse não somente os mecanismos de ação farmacológica, per se, mas a teia de sentidos na qual seus usos particulares se inserem, as concepções de saúde e doença vigentes nos contextos sócio-histórico analisados, os valores de consumo, de uso e de troca que possuem, set e setting (ZINBERG, 1984; VAN DER GEEST; WHYTE, 1989; VAN DER GEEST; WHYTE; HARDON, 1996; VAN DER GEEST, 2008; COHEN et al., 2001). Desse modo, medicamentos tornaram-se objetos privilegiados para elucidar relações entre corpo, sociedade e cultura, porque permitem refletir tanto sobre questões macroscópicas, como políticas de saúde e sistemas de segurança social, quanto sobre visões de mundo e concepções de risco, bem-estar, mente/corpo, sofrimento (i)legítimo, vulnerabilidade, prevenção e terapêutica.
Psychosis, 2020
The emergence of Covid-19 disrupted most aspects of life, creating a high degree of uncertainty a... more The emergence of Covid-19 disrupted most aspects of life, creating a high degree of uncertainty and unpredictability about the future. Knowledge from a place of lived experience offers insights and strategies to better understand how to live, grow and thrive through the difficulties that people who experience mental health challenges, other disabling health conditions, people of color, and people from lower socio-economic backgrounds have overcome. We report on a programmatic effort to investigate how lessons learned through lived experience could be useful to persons who are dealing with a destabilizing situation like this pandemic for the first time, especially mental health providers. Three listening sessions over Zoom were conducted to gather information, views and personal accounts related to the current pandemic. Twenty four people with experience of mental health challenges and people living with disabilities, of various ethnic and racial backgrounds, participated in the sessions. We suggest that the recovery framework can be helpful to address the current crisis; we challenge traditional notions of normality; and finally, we recommend that providers and systems of care adopt a framework that addresses health inequities and human rights.
Pharmacy in History, 2020
and, especially, Donna Haraway. By the time I got there in 1990, there were feminist theorists wo... more and, especially, Donna Haraway. By the time I got there in 1990, there were feminist theorists working on topics related to political theory, social history, and-what I would call-the cultural studies of science, medicine, and technology. And so, from the outset, my work on drugs and drug policy was shaped by this kind of approach-an amalgam of feminist theory, social history, political and social theory, and cultural studies. It was a time when people were interested in the merging of cultural studies with political economy, out of which came political discourse analysis or critical discourse analysis. That approach was, at the bottom , very materialist. Discourse analysis was not an analysis of ideology so much as it was an analysis of the integration between culture and political economy. We were all in a sense structuralists/posts-structuralists. We were very interested in making sense of the technology that was at the center of our work. In my case, it has always been drugs. At first,
Pharmacy in History, 2020
47 it is my pleasure to inaugurate the new "Conversations" section with my interview with Profess... more 47 it is my pleasure to inaugurate the new "Conversations" section with my interview with Professor Nancy Campbell. 1 It is drawn from my broader project, Interviews with Researchers from the Anthropology, History, and Sociology of Pharmaceuticals: Mapping Out the Area. This project began in 2019 during my year as a visiting fellow at Utrecht University in the Neth-erlands and encompasses a series of interviews intended to sketch a partial overview of the research programs of humanities scholars in the field of drug studies. Interview subjects have ranged from the field's founders to newer generations of authors discussing their specific contributions. The project aims to be useful for both junior researchers and for experts in the field as a guide to authors, core literatures, theoretical frameworks, methodological approaches, bibliographic resources, and current information. Since the 1980s, the broad and diverse study of pharmaceuticals has gained notable impetus and inspiration from the social sciences and the humanities, including such disciplines as anthropology, economics, sociology, history, psychology, and social studies of science and technology. Regardless of methodology, this blossoming of qualitative analysis has expanded the field of drug studies. Scholars have moved beyond understanding the mechanisms of pharmacological action to include the web of meanings surrounding particular uses of prescription drugs, prevailing understandings of health and disease in different socio-historical contexts, and the values of drug consumption, use, and exchange. Since drugs do not produce universal biological effects, such concepts as addiction, efficacy, side-effects, (non) compliance, misuse, and rational use cannot be detached from the "set" and the "setting" of the drug experience. Pharmaceuticals are thus a particularly fitting object of study to elucidate the relationships between body, society, and culture. Such studies can prompt reflections about macroscopic issues like national or international health policies and social security systems, as well as investigations about conceptions of risk, wellbeing, mind/body balance, (il)legitimate suffering, vulnerability, prevention, and treatment in specific social environments. The "Drug Trajectories" interviews will eventually be available on several different platforms , including printed extracts in scholarly journals and edited videos available on the project website. 2 Portuguese and English book compilations of the full-length interviews are also forthcoming. After interview extracts are published, the edited video versions will be released online at "Drug Trajectories." Professor Campbell's video interview is now available, 3 and visitors can also view trailers of the video interviews with other scholars. I hope readers of this * Associate Professor at
Revista Latino-Americana de Psicopatologia Fundamental, 2020
In this article, we address some conceptual issues that are logically prior to the constitution o... more In this article, we address some conceptual issues that are logically prior to the constitution of any psychopathology. We explore ontological and epistemological aspects of subjective experience, rejecting both Cartesianism and behaviorism, and favoring the Wittgensteinian notion of criterial support instead. Then, we discuss the disanalogy between knowledge of other minds and our knowledge of anything else. Based on the arguments by Eilan's that the "communication claim" should replace the "observation claim," we defend that there is a kind of knowledge that is irreducibly founded on intersubjectivity (that is, knowledge of persons is knowledge for two) and point out to implications it may have for psychopathology.
frontiers in psychiatry, 2020
Objective: Adolescent depression is a heterogeneous disorder, with a wide variety of symptoms and... more Objective: Adolescent depression is a heterogeneous disorder, with a wide variety of symptoms and inconsistent treatment response, and is not completely understood. A dysregulated stress system is a consistent finding, however, and exhaustion is a consistent trait in adolescent patients. The aim of this paper is to critically assess current hypotheses in adolescent depression research and reframe causes and treatment approaches. Methods: A mixed-method approach involved a review based on publications from PubMed, Embase and PsycInfo, and two exemplary adolescent cases. Results: Both cases show a spiral of stress and exhaustion, but with a different profile of symptoms and coping mechanisms. Reframing both cases from the perspective of coping behavior, searching for the sources of experienced stress and exhaustion, showed coping similarities. This proved essential in the successful personalized treatment and recovery process. In combination with recent evidence, both cases support the functional reframing of depression as the outcome of a stress-and exhaustion-related spiralling mechanism. Conclusions: We propose to open up a symptom-based, mood-centered view to a model in which adolescent depression is framed as a consecutive failure of stress coping mechanisms and chronic exhaustion. Addressing exhaustion and coping primarily as a treatment strategy in adolescents and young adults might work in synergy with existing treatments and improve overall outcomes. This perspective warrants further investigation.
Frontiers of Psychiatry, 2020
Objective: Adolescent depression is a heterogeneous disorder, with a wide variety of symptoms and... more Objective: Adolescent depression is a heterogeneous disorder, with a wide variety of symptoms and inconsistent treatment response, and is not completely understood. A dysregulated stress system is a consistent finding, however, and exhaustion is a consistent trait in adolescent patients. The aim of this paper is to critically assess current hypotheses in adolescent depression research and reframe causes and treatment approaches. Methods: A mixed-method approach involved a review based on publications from PubMed, Embase and PsycInfo, and two exemplary adolescent cases. Results: Both cases show a spiral of stress and exhaustion, but with a different profile of symptoms and coping mechanisms. Reframing both cases from the perspective of coping behavior, searching for the sources of experienced stress and exhaustion, showed coping similarities. This proved essential in the successful personalized treatment and recovery process. In combination with recent evidence, both cases support the functional reframing of depression as the outcome of a stress-and exhaustion-related spiralling mechanism. Conclusions: We propose to open up a symptom-based, mood-centered view to a model in which adolescent depression is framed as a consecutive failure of stress coping mechanisms and chronic exhaustion. Addressing exhaustion and coping primarily as a treatment strategy in adolescents and young adults might work in synergy with existing treatments and improve overall outcomes. This perspective warrants further investigation.
This descriptive, ecological study of clonazepam consumption in Rio de Janeiro State (RJ) estimat... more This descriptive, ecological study of clonazepam consumption in Rio de Janeiro State (RJ) estimated use prevalence from 2009 to 2013 using data from the National Controlled Product Management System operated by Brazil's health surveillance agency, Anvisa. Consumption was measured by total population and by population over 18 years old, using the standardised Daily Defined Doses of 8 mg (anticonvulsant) and 1 mg (sedative-hypnotic). The municipalities of the Rio de Janeiro Metropolitan Region were grouped by Human Development Index (HDI) and GINI index , subjected to cluster analysis and ranked by clonazepam consumption. From 2009 to 2013, consumption in the state rose from 0.35 to 1.97 DDD/1000 population, but the figures are higher for individuals over 18 years of age. A DDD of 1 mg instead of 8mg returns consumption in 2013 of 21 DDD/1000 population over 18 years of age. Consumption in 2013 was highest-3.38 and 4.52 DDD, respectively-in Rio de Janeiro and Niterói, which have the highest HDIs. This suggests that up to 2% of the adult population uses clonazepam, possibly as a sedative-hypnotic. This broad use and use outside therapeutic indications deserves attention, given clonazepam's potential for abuse and adverse reactions.
Philosophy, Psychiatry, & Psychology, Volume 26, Number 2, June 2019, pp. 165-167 Brazilian Phylosophy of Psychiatry, 2019
History of Pharmacy and Pharmaceuticals, 2024
Ilha-Revista de Antropologia
P or ocasião de sua aula magna de comemoração de 40 anos de carreira na Universidade de Amsterdam... more P or ocasião de sua aula magna de comemoração de 40 anos de carreira na Universidade de Amsterdam (VAN DER GEEST, 2015), o Professor Emeritus de Antropologia Médica Sjaak van der Geest, convidado desta entrevista do projeto Drug Trajectories (ZORZANELLI, 2020), enfatizou quanto as experiências de cotidiano marcaram seus trabalhos de campo, em contraste com uma presumida preferência da Antropologia pelo exótico ou pelo dramático. O interesse pelo usual e cotidiano significaria tomar como digno de investigação aquilo que tomamos como já dado, que é fonte de segurança, que soa como inquestionável ou como dimensão tácita de nosso cotidiano. E justamente por isso, a vida diária em seus atos, gestos, crenças comuns mereceriam os olhos argutos da Antropologia, que sob o tecido do cotidiano poderia encontrar o incomum, o estranho, o bizarro, o incompreensível. No seio de seu interesse pelo cotidiano, destacam-se suas pesquisas de campo realizadas em Camarões e em Gana sobre temas como relações íntimas e controle de natalidade, higiene e defecação, letras de músicas populares, significados de envelhecimento, conceitos de sujeira e perspectivas sobre a privacidade. Entre os assuntos do dia a dia, um deles ganha bastante destaque em sua obra: uso e distribuição dos medicamentos. E é importante escutar com cuidado o que parece nos indicar o autor com isso: que o uso e distribuição de medicamentos é algo ordinário, que se insere no cotidiano das pessoas, e que seus sentidos e usos ficam, por vezes, quase invisíveis, tácitos. Durante toda a década de 1980 e em seus duradouros trabalhos de campo sobre o tema nas décadas seguintes, van der Geest investigou o uso e a distribuição de medicamentos em Camarões, considerando isso um passo importante de desexotismo, "[...] porque o foco recaia sobre 'nossos' medicamentos e não sobre as fitoterapias, os talismãs e as curas espirituais. Me interessava em especial o uso ocultado e a venda informal-muitas vezes ilegal-desses medicamentos em lojas pequenas e nas feiras" (VAN DER GEEST, 2015, p. 84-85). Daí se desdobram os primeiros passos de suas contribuições fundamentais ao campo da antropologia dos medicamentos. van der Geest e Susan Reynolds Whyte Rafaela Zorzanelli Entrevista com Sjaak van der Geest 238 ILHA-REVISTA DE ANTROPOLOGIA
Ilha- Revista de Antropologia, 2023
Este trabalho está licenciado sob CC BY-NC-SA 4.0.
Hisotyr of Pharmacy and Pharmaceuticals, 2022
History of Pharmacy and Pharmaceuticals, 2022
Source: History of Pharmacy and Pharmaceuticals,, 2021
T his is the third interview in the journal's new "Conversations" section. Drawn from my broader ... more T his is the third interview in the journal's new "Conversations" section. Drawn from my broader project Interviews with Researchers from the Anthropology, History, and Sociology of Pharmaceuticals: Mapping Out the Area, 1 the following discussion features Professor Toine Pieters. From his early years of lab work in the Netherlands, to his move into social sciences and history, Pieters followed a path that stretched from studying molecules to analyzing their historicization. In the course of our discussion, he adopted a didactic approach, while not losing any analytical profundity, and he addressed several topics that will certainly interest drugs studies scholars. The conversation covers such subjects as the forgotten pasts of certain pharmaceuticals; the social appeal and promises embedded in "wonder drugs"; the agency of therapeutic drugs; the coconstruction of drugs, diseases, and their handlers; the social interaction between doctors and patients; and the role of promise, hope, faith, and fashion in medicine and, particularly, in pharmaceuticals. Pieters, who has written broadly about the history of pharmacy, medicines, and diseases, pervasively argues that a rational understanding of substances cannot fully account for their agency and cyclical trajectory. Put another way, rafaela zorzanelli
PHARMACY IN HISTORY Volume 62, Numbers 3 & 4 (2020), 2020
Revista LatinoAmericana de Psicopatologia Fundamental, 2020
Physis: Revista de Saúde Coletiva, 2020
Esta entrevista é uma das primeiras a ser publicada no escopo do projeto Interviews with research... more Esta entrevista é uma das primeiras a ser publicada no escopo do projeto Interviews with researchers from the Anthropology and Sociology of Pharmaceuticals: mapping out the area, 1 realizado em parceria com a Universidade de Utrecht, Holanda, sob minha coordenação. O campo amplo e diversificado do estudo dos medicamentos ganhou, sobretudo a partir da década de 1980, grande impulso e inspiração das ciências humanas e sociais, tais como a antropologia, a economia, a sociologia, a história social das ciências e da tecnologia, a psicologia, dentre outros. Independentemente da abordagem de seus pesquisadores e das contribuições que trouxeram e trazem, o florescimento de trabalhos qualitativos sobre o tema fez com que o estudo das substâncias (sejam as chamadas prescritas ou proscritas) incluísse não somente os mecanismos de ação farmacológica, per se, mas a teia de sentidos na qual seus usos particulares se inserem, as concepções de saúde e doença vigentes nos contextos sócio-histórico analisados, os valores de consumo, de uso e de troca que possuem, set e setting (ZINBERG, 1984; VAN DER GEEST; WHYTE, 1989; VAN DER GEEST; WHYTE; HARDON, 1996; VAN DER GEEST, 2008; COHEN et al., 2001). Desse modo, medicamentos tornaram-se objetos privilegiados para elucidar relações entre corpo, sociedade e cultura, porque permitem refletir tanto sobre questões macroscópicas, como políticas de saúde e sistemas de segurança social, quanto sobre visões de mundo e concepções de risco, bem-estar, mente/corpo, sofrimento (i)legítimo, vulnerabilidade, prevenção e terapêutica.
Psychosis, 2020
The emergence of Covid-19 disrupted most aspects of life, creating a high degree of uncertainty a... more The emergence of Covid-19 disrupted most aspects of life, creating a high degree of uncertainty and unpredictability about the future. Knowledge from a place of lived experience offers insights and strategies to better understand how to live, grow and thrive through the difficulties that people who experience mental health challenges, other disabling health conditions, people of color, and people from lower socio-economic backgrounds have overcome. We report on a programmatic effort to investigate how lessons learned through lived experience could be useful to persons who are dealing with a destabilizing situation like this pandemic for the first time, especially mental health providers. Three listening sessions over Zoom were conducted to gather information, views and personal accounts related to the current pandemic. Twenty four people with experience of mental health challenges and people living with disabilities, of various ethnic and racial backgrounds, participated in the sessions. We suggest that the recovery framework can be helpful to address the current crisis; we challenge traditional notions of normality; and finally, we recommend that providers and systems of care adopt a framework that addresses health inequities and human rights.
Pharmacy in History, 2020
and, especially, Donna Haraway. By the time I got there in 1990, there were feminist theorists wo... more and, especially, Donna Haraway. By the time I got there in 1990, there were feminist theorists working on topics related to political theory, social history, and-what I would call-the cultural studies of science, medicine, and technology. And so, from the outset, my work on drugs and drug policy was shaped by this kind of approach-an amalgam of feminist theory, social history, political and social theory, and cultural studies. It was a time when people were interested in the merging of cultural studies with political economy, out of which came political discourse analysis or critical discourse analysis. That approach was, at the bottom , very materialist. Discourse analysis was not an analysis of ideology so much as it was an analysis of the integration between culture and political economy. We were all in a sense structuralists/posts-structuralists. We were very interested in making sense of the technology that was at the center of our work. In my case, it has always been drugs. At first,
Pharmacy in History, 2020
47 it is my pleasure to inaugurate the new "Conversations" section with my interview with Profess... more 47 it is my pleasure to inaugurate the new "Conversations" section with my interview with Professor Nancy Campbell. 1 It is drawn from my broader project, Interviews with Researchers from the Anthropology, History, and Sociology of Pharmaceuticals: Mapping Out the Area. This project began in 2019 during my year as a visiting fellow at Utrecht University in the Neth-erlands and encompasses a series of interviews intended to sketch a partial overview of the research programs of humanities scholars in the field of drug studies. Interview subjects have ranged from the field's founders to newer generations of authors discussing their specific contributions. The project aims to be useful for both junior researchers and for experts in the field as a guide to authors, core literatures, theoretical frameworks, methodological approaches, bibliographic resources, and current information. Since the 1980s, the broad and diverse study of pharmaceuticals has gained notable impetus and inspiration from the social sciences and the humanities, including such disciplines as anthropology, economics, sociology, history, psychology, and social studies of science and technology. Regardless of methodology, this blossoming of qualitative analysis has expanded the field of drug studies. Scholars have moved beyond understanding the mechanisms of pharmacological action to include the web of meanings surrounding particular uses of prescription drugs, prevailing understandings of health and disease in different socio-historical contexts, and the values of drug consumption, use, and exchange. Since drugs do not produce universal biological effects, such concepts as addiction, efficacy, side-effects, (non) compliance, misuse, and rational use cannot be detached from the "set" and the "setting" of the drug experience. Pharmaceuticals are thus a particularly fitting object of study to elucidate the relationships between body, society, and culture. Such studies can prompt reflections about macroscopic issues like national or international health policies and social security systems, as well as investigations about conceptions of risk, wellbeing, mind/body balance, (il)legitimate suffering, vulnerability, prevention, and treatment in specific social environments. The "Drug Trajectories" interviews will eventually be available on several different platforms , including printed extracts in scholarly journals and edited videos available on the project website. 2 Portuguese and English book compilations of the full-length interviews are also forthcoming. After interview extracts are published, the edited video versions will be released online at "Drug Trajectories." Professor Campbell's video interview is now available, 3 and visitors can also view trailers of the video interviews with other scholars. I hope readers of this * Associate Professor at
Revista Latino-Americana de Psicopatologia Fundamental, 2020
In this article, we address some conceptual issues that are logically prior to the constitution o... more In this article, we address some conceptual issues that are logically prior to the constitution of any psychopathology. We explore ontological and epistemological aspects of subjective experience, rejecting both Cartesianism and behaviorism, and favoring the Wittgensteinian notion of criterial support instead. Then, we discuss the disanalogy between knowledge of other minds and our knowledge of anything else. Based on the arguments by Eilan's that the "communication claim" should replace the "observation claim," we defend that there is a kind of knowledge that is irreducibly founded on intersubjectivity (that is, knowledge of persons is knowledge for two) and point out to implications it may have for psychopathology.
frontiers in psychiatry, 2020
Objective: Adolescent depression is a heterogeneous disorder, with a wide variety of symptoms and... more Objective: Adolescent depression is a heterogeneous disorder, with a wide variety of symptoms and inconsistent treatment response, and is not completely understood. A dysregulated stress system is a consistent finding, however, and exhaustion is a consistent trait in adolescent patients. The aim of this paper is to critically assess current hypotheses in adolescent depression research and reframe causes and treatment approaches. Methods: A mixed-method approach involved a review based on publications from PubMed, Embase and PsycInfo, and two exemplary adolescent cases. Results: Both cases show a spiral of stress and exhaustion, but with a different profile of symptoms and coping mechanisms. Reframing both cases from the perspective of coping behavior, searching for the sources of experienced stress and exhaustion, showed coping similarities. This proved essential in the successful personalized treatment and recovery process. In combination with recent evidence, both cases support the functional reframing of depression as the outcome of a stress-and exhaustion-related spiralling mechanism. Conclusions: We propose to open up a symptom-based, mood-centered view to a model in which adolescent depression is framed as a consecutive failure of stress coping mechanisms and chronic exhaustion. Addressing exhaustion and coping primarily as a treatment strategy in adolescents and young adults might work in synergy with existing treatments and improve overall outcomes. This perspective warrants further investigation.
Frontiers of Psychiatry, 2020
Objective: Adolescent depression is a heterogeneous disorder, with a wide variety of symptoms and... more Objective: Adolescent depression is a heterogeneous disorder, with a wide variety of symptoms and inconsistent treatment response, and is not completely understood. A dysregulated stress system is a consistent finding, however, and exhaustion is a consistent trait in adolescent patients. The aim of this paper is to critically assess current hypotheses in adolescent depression research and reframe causes and treatment approaches. Methods: A mixed-method approach involved a review based on publications from PubMed, Embase and PsycInfo, and two exemplary adolescent cases. Results: Both cases show a spiral of stress and exhaustion, but with a different profile of symptoms and coping mechanisms. Reframing both cases from the perspective of coping behavior, searching for the sources of experienced stress and exhaustion, showed coping similarities. This proved essential in the successful personalized treatment and recovery process. In combination with recent evidence, both cases support the functional reframing of depression as the outcome of a stress-and exhaustion-related spiralling mechanism. Conclusions: We propose to open up a symptom-based, mood-centered view to a model in which adolescent depression is framed as a consecutive failure of stress coping mechanisms and chronic exhaustion. Addressing exhaustion and coping primarily as a treatment strategy in adolescents and young adults might work in synergy with existing treatments and improve overall outcomes. This perspective warrants further investigation.
This descriptive, ecological study of clonazepam consumption in Rio de Janeiro State (RJ) estimat... more This descriptive, ecological study of clonazepam consumption in Rio de Janeiro State (RJ) estimated use prevalence from 2009 to 2013 using data from the National Controlled Product Management System operated by Brazil's health surveillance agency, Anvisa. Consumption was measured by total population and by population over 18 years old, using the standardised Daily Defined Doses of 8 mg (anticonvulsant) and 1 mg (sedative-hypnotic). The municipalities of the Rio de Janeiro Metropolitan Region were grouped by Human Development Index (HDI) and GINI index , subjected to cluster analysis and ranked by clonazepam consumption. From 2009 to 2013, consumption in the state rose from 0.35 to 1.97 DDD/1000 population, but the figures are higher for individuals over 18 years of age. A DDD of 1 mg instead of 8mg returns consumption in 2013 of 21 DDD/1000 population over 18 years of age. Consumption in 2013 was highest-3.38 and 4.52 DDD, respectively-in Rio de Janeiro and Niterói, which have the highest HDIs. This suggests that up to 2% of the adult population uses clonazepam, possibly as a sedative-hypnotic. This broad use and use outside therapeutic indications deserves attention, given clonazepam's potential for abuse and adverse reactions.
Philosophy, Psychiatry, & Psychology, Volume 26, Number 2, June 2019, pp. 165-167 Brazilian Phylosophy of Psychiatry, 2019
Psicología, Conocimiento y Sociedad 8(2) 194-213, (noviembre 2018–abril 2019) T, 2019
Este artigo visa situar o conceito de medicalização na obra de Michel Foucault para pensar sua ut... more Este artigo visa situar o conceito de medicalização na obra de Michel Foucault para pensar sua utilidade teórica na análise deste fenômeno. Partimos da hipótese
de que a medicalização envolve dois sentidos para o autor: um relacionado
à medicina como prática social que
passa do Estado à população; e outro relacionado ao fenômeno da medicalização indefinida, ou seja, da impossibilidade
de se produzirem práticas corporais fora
do alcance da medicina. Em seguida, trataremos da medicalização inserida no campo do biopoder contemporâneo, que tem uma nova configuração a partir da emergência da noção de risco e das novas biotecnologias. Por fim, apresentaremos
a posição do filósofo frente aos seus contemporâneos, a fim de situá-lo historicamente e mostrar como sua teoria se aproxima e se distancia do debate em torno da medicalização nos anos de 1970.
Sem temor de cometer exageros, ouvir a trajetória profissional de Suely Rozenfeld é ter um testem... more Sem temor de cometer exageros, ouvir a trajetória profissional de Suely Rozenfeld é ter um testemunho vivo da história das regulações dos medicamentos no Brasil. Tendo dedicado sua vida profissional a pensar "o lado B" dos medicamentos, tanto em seus trabalhos de farmacovigilância quanto em suas pesquisas -ou seja, os efeitos colaterais, o equilíbrio instável entre benefício e custo para o organismo, os riscos potenciais do uso crônico -ela traz à cena um ponto cego da relação que temos com os remédios, qual seja, a relação de quem crê no medicamento como um talismã, e não como produto envolvido em múltiplas redes de interesse (indústria farmacêutica, patentes, interesses corporativos profissionais, dentre outros).
Hormonal Theory - a rebelious glossary, 2024
In Stanghelini, Giovani; Broome, Matthew; Fernandez, Anthony Vincent; Fusar-Poli, Paolo; Raballo, Andrea & Rosort, René. The Oxford Handbook of Phenomenological Psychopatology, 2019
ORTEGA, F. J. G.; ZORZANELLI, RAFAELA TEIXEIRA ; GONÇALVES, VALÉRIA PORTUGAL . Academic and Profe... more ORTEGA, F. J. G.; ZORZANELLI, RAFAELA TEIXEIRA ; GONÇALVES, VALÉRIA PORTUGAL . Academic and Professional Tensions and Debates around ADHD in Brazil.In: Meredith R. Bergey; Angela M. Filipe; Peter Conrad; Ilina Singh. (Org.). Global Perspectives on ADHD: Social Dimensions of Diagnosis and Treatment in Sixteen Countries. 1ed.Baltimore: Johns Hopkins University Press, 2017, v. , p. 306-329.
Bibliográficas 987 Drugs for life é o novo livro do antropólogo Joseph Dumit, lançado em setembro... more Bibliográficas 987 Drugs for life é o novo livro do antropólogo Joseph Dumit, lançado em setembro de 2012 pela Duke university. Dumit, além de professor de antropologia, é diretor do Departamento de Science and Technology Studies na universidade da Califórnia, em Davis. o livro é o resultado de mais uma de suas várias incursões sobre os diferentes impactos culturais das biotecnologias em ascensão desde a segunda metade do século XX na vida cotidiana dos indivíduos. em obras anteriores, o autor já se dedicara às neuroimagens, às técnicas reprodutivas e, nesse estudo mais recente, o tema são os medicamentos. Grande parte desse trabalho de Dumit diz respeito, por um lado, a uma retomada da literatura recente que trata da intervenção medicamentosa sobre o risco precoce de desenvolver doenças, como por exemplo, Pharmaceutical reason, de andrew lakoff (2006), Prescribing by numbers, de Jeremy Green (2007) Medicating race, de anne Pollock (2012) e When experiments travel: clinical trials and the global search for human subjects (2009), de adriana Petryna. Por outro, ele se dedica a uma análise exaustiva da lógica dos ensaios clínicos randomizados duplo-cego e do tratamento do risco precoce na cultura americana, por meio de fontes
http://www.scielo.br/scielo.php?script=sci\_issuetoc&pid=0103-733120140004&lng=en&nrm=iso
Este volume temático da Physis retoma um tema caro à revista e já abordado em volumes anteriores,... more Este volume temático da Physis retoma um tema caro à revista e já abordado em volumes anteriores, que é o da saúde mental, em geral, e o da Psiquiatria, em particular. Esta edição, no entanto, foi pensada como mais uma das diversas formas de comemoração dos 40 anos do Programa de Pós-Graduação do Instituto de Medicina Social (IMS), tendo portanto, foco particular no passado e no presente da Psiquiatria. Esses diferentes "tempos" foram retomados, inicialmente, com a entrevista de Benilton Bezerra Jr a Jurandir Freire Costa. Estes nos oferecem não somente um debate frutífero e rico, mas a reconstrução de uma memória do instituto, já que ambos testemunharam e participaram ativamente nas formulações da Reforma Psiquiátrica no Brasil, que se confunde com a própria história do IMS.
Physis: Revista de Saúde Coletiva, 2013
Bibliográficas 987 Drugs for life é o novo livro do antropólogo Joseph Dumit, lançado em setembro... more Bibliográficas 987 Drugs for life é o novo livro do antropólogo Joseph Dumit, lançado em setembro de 2012 pela Duke university. Dumit, além de professor de antropologia, é diretor do Departamento de Science and Technology Studies na universidade da Califórnia, em Davis. o livro é o resultado de mais uma de suas várias incursões sobre os diferentes impactos culturais das biotecnologias em ascensão desde a segunda metade do século XX na vida cotidiana dos indivíduos. em obras anteriores, o autor já se dedicara às neuroimagens, às técnicas reprodutivas e, nesse estudo mais recente, o tema são os medicamentos. Grande parte desse trabalho de Dumit diz respeito, por um lado, a uma retomada da literatura recente que trata da intervenção medicamentosa sobre o risco precoce de desenvolver doenças, como por exemplo, Pharmaceutical reason, de andrew lakoff (2006), Prescribing by numbers, de Jeremy Green (2007) Medicating race, de anne Pollock (2012) e When experiments travel: clinical trials and the global search for human subjects (2009), de adriana Petryna. Por outro, ele se dedica a uma análise exaustiva da lógica dos ensaios clínicos randomizados duplo-cego e do tratamento do risco precoce na cultura americana, por meio de fontes
Forthcoming in the Oxford Handbook of Phenomenological Psychopathology
The Life-world of Hysteria explores the fundamental anthropological features of the hysterical pe... more The Life-world of Hysteria explores the fundamental anthropological features of the hysterical person. Two essential elements for the understanding of the hysterical persons are described: relational hypo-sufficiency and anthropological fragmentation. Relational hypo-sufficiency reveals the central characteristic of hysterical interpersonality, namely the subjugation of the I of the hysterical person to the other. Relational hypo-sufficiency is understood in terms of its temporality, spatiality, corporeality, and social identity. Anthropological fragmentation has puzzle corporeality as its main characteristic. In it, the body of the hysterical person is transformed into a passive stage of heteronomous life-projects. The chapter draws points of contrast with other disorders and sets out a dialectics of hysterical existence, presenting a fruitful face of this life-world.