Contextos Clínicos

Development and evidence based on test content for the Locus of Control Scale (ELOCUS)

Leila Maria Ferreira Couto — 2022-12-12

Locus of control is understood as the perception of how an individual establishes control over their actions in search of a satisfactory outcome, and it is divided into internal and external. However, the construct has a vast tradition in psychological research and presents several scales, of which gaps can be pointed out, such as instability in the number of factors in the construct. In this sense, we developed the Locus of Control Scale (ELOCUS), which assesses generalized expectations of control in adults. The objective was to present validity evidence based on the content of the constructed items. For the item’s elaboration, we carried out a theoretical review on the subject, which originated the ELOCUS with 82 items, divided into two factors and nine facets, four of which represent the internal locus of control and five of the external. The items were first evaluated by judges with experience in instrument construction (80.5% absolute agreement for clarity and 61.0% for coherence and Gwet AC1 of 0.881 for clarity and 0.736 for coherence) and, subsequently, in a pilot study with a sample of representatives of the target audience for semantic adjustments. After analysis, the finalized instrument had 69 items and indicated satisfactory evidence regarding the content of the items.

Personal transformation in clinical supervision

Luciano Barbosa de Queiroz — 2022-12-12

The relationship between supervisor and supervisee may be understood as a means to enhance the supervision techniques, as the instrument of supervision itself and as a context that shapes the person of the therapist. The literature on supervision mentions but hardly explores this third aspect. The objective of this study was to investigate the personal impacts of supervision. Ten supervisors and ten supervisees were interviewed. Data collection and analysis were guided by the tenets of grounded theory. The results show that supervision effects supervisors and supervisees similarly. Regardless of the didactic goals and the treatment model adopted, both supervisee and supervisor learn about themselves, gain interpersonal efficiency, and deal better with their own difficult feelings. For supervisors, supervising is a path of personal fulfillment, being a source of incentive and joy.

The transmission of the meanings attributed to marriage between different family generations

Junia Denise Alves-Silva — 2022-12-12

This multiple case study aimed to understand how the meanings attributed to marriage are transmitted between three family generations. Six women belonging to three generations of two families, aged between 28 and 90 years, all married, participated. Face-to-face, individual interviews were conducted. Genograms were constructed with the participation of members of the three generations. The interviews were submitted to thematic-reflexive analysis and the genograms interpreted from the family systemic referential. All the participants are among the oldest children in their families of origin, three of them being the first-born. For them, especially, the responsibility of caring for the younger siblings remained, as if they had a parental task over them. The results highlighted the family influence on the conjugal bond and the transmission of family inheritance. The mechanisms for the transmission of the meanings of marriage were the learning of behaviors linked to femininity, sharing of daily experiences, family traditions and relational patterns reinforced in the family and socially. Expectations prior to marriage and the baggage of the families of origin were evidenced in social roles and conflict resolution. Transgenerational and gender issues were highlighted in order to understand the transmission of contents as a way to maintain the family legacy.

Intergenerationality of child attachment and reflexes in conjugality and parenting

Ana Paula Sesti Becker — 2022-12-12

This article aimed to describe the conceptions about intergenerational patterns of attachment in the conjugal and parental relationship of the members of the couple. 10 participants were interviewed, comprising five hetero-affective couples who had at least one child between zero and six years old. The interviews were analyzed using thematic categorical analysis, with the aid of the Atlas-ti software. It was found that attachment patterns are transmitted intergenerationally from the family of origin for generations to come, recursively influencing conjugality and parenting. Women showed more patterns of discontinuities than men, especially in the current parental relationship. In turn, men stressed the reference of their own parents' marriage and the values of marital commitment they received, motivating them to repeat such patterns in their adult love relationship. Such results provide reflections for the promotion of quality in family relationships.

Being in the neonatal ICU: perceptions of the parents about the experience of hospitalization and psychological care received in the unit

Amanda Chaves Rocha — 2022-12-12

This study aimed to investigate the perception of parents (mother and father) of premature babies admitted to a neonatal intensive care unit about the hospitalization and psychological assistance received in the unit. The sample consisted of 12 parents, data were collected through semi-structured interviews, and analyzed through the content analysis technique. The data collection period comprised the months of January to May 2021. While the suffering that marks hospitalization of the baby was evidenced through reports of fear and anguish, especially in the initial moments of hospitalization, were also described feelings of relief and happiness emerged from the awareness that the patient was receiving the necessary care available in the unit. The clinical improvement of the patient and the positive perception about the care offered by the health team contributed to the emotional stability of the parents during the hospitalization. The psychological assistance received was described as a promoter of support and reception and proved relevant in helping to cope with the situation experienced.

From mother to patient: the experience of motherhood in the context of cancer

Flávia Santos da Silva — 2022-12-12

The diagnosis of cancer causes a crisis for the patient and his family. This impact is exacerbated when the patients are mothers, as the treatment affects the experience of motherhood. This study aimed to describe the experiences of women in relation to motherhood in the context of hospitalization for cancer. This is a qualitative, exploratory-descriptive and cross-sectional study, in which six women with children aged 3 to 9 years were interviewed. The results showed changes in motherhood after this diagnosis. Being a mother emerged as a central aspect of the participants' lives, with children being considered the greatest motivation for coping with the disease. Mothers demonstrated to be strongly bonded to their children and perceived good social support. It highlighted the difficulty of fulfilling the tasks of motherhood during treatment and the need of health professionals to assist patients in fulfilling these tasks, as far as possible in this context.

Relationship between the symptoms of Internet Gaming Disorder and difficulties in emotion regulation in online game players

Raissa Lara Barros Cordeiro — 2022-12-12

Internet Gaming Disorder (IGD) was included in the latest version of the Diagnostic and Statistical Manual of Mental Disorders. Among the diagnostic criteria are the act of gaming to avoid or alleviate negative mood and constant concern with games, which may be associated with emotional regulation. This study aimed to evaluate the relationship between IGD symptoms and emotional regulation difficulties in online game players. A total of 216 respondents participated in the research, who answered an online form composed of sociodemographic questions, the Difficulty in Emotional Regulation Scale and the Game Addiction Scale. The results point to a positive correlation between the two scales (ρ = 0,36). The literature points out that the amount of hours played, the motivation for gaming and the game’s genre can contribute to the maintenance of the symptoms of the disorder, but also aspects related to emotional regulation in the context of online games, especially multiplayer games. Differences were found between the scores and gender of the participants, in which the female group had greater difficulties in emotional regulation, while the male group showed more symptoms of IGD. More studies are needed to deepen the discussion of the topic, considering the growing concern about possible clinical implications.

Psychopedagogical intervention in Brazilian undergraduate students identified with giftedness

Katiane Janke Krainski — 2022-12-12

Despite the importance of attend the specific needs of students with High Abilities/Giftedness (HA/G), especially to ensure their full development and to promote the productivity of a country's human potential, actions aimed at identifying and monitoring in gifted Brazilian undergraduate students are still incipient. Therefore, this article describes a set of psychopedagogical procedures developed by the Programa de Evidenciamento Global de Altas Habilidades/Superdotação nas Universidades (PEGAHSUS) to promote the socio-emotional inclusion of these students. The actions go through the process of identification of giftedness, psychoeducational monitoring and psychopedagogical intervention. 1169 university students participated, between 2017-2019, in the identification process, 165 completed the psychological assessment and 105 were identified giftedness. With psychoeducational monitoring, the needs these students were verified. Three categories of psychopedagogical intervention were proposed, which served 56 university students from different courses: GATHERING for curriculum enrichment; GO-PEGAHSUS operating group with themes of self-perception, assertiveness, public speaking, frustration tolerance, resilience, anxiety, perfectionism and giftedness socio-emotional characteristics; Rodas de Conversa sobre Altas Habilidades/Superdotação. This study demonstrates the efficiency of a program in giftedness identifying and intervening, is supported in the need for formation and dissemination of inclusive practices in higher education that promote human and institutional development.

Suicide: the pain of bereaved survivors

Adriane Cristine Oss-Emer Soares Alpe — 2022-12-12

Suicide, an act of self-inflicted violence consciously desired and carried out by the subject with the intention of death, wich generates important repercussions in the family and social context. The present study aims to understand these reverberations in the bereaved survivors. Using a qualitative methodology, through semi-structured interviews, were sought to give voice to eleven people impacted by a suicide. All ethical precepts were upheld. The content analysis method proposed by Bardin (1977) structured the organization in two categories: “The Unnameable” and “The Guilt”. Analyzed based on studies about the understanding of mourning processes for those who are kept, supported by different theoretical approaches, with emphasis on the psychoanalytic orientations. As main results, stands out that among the result of the trauma of this loss, there is an absence of words, capable of naming the force of the unrepresentable operating in the psychic apparatus. Thus, as overwhelming feelings of guilt that imprison the bereaved in search of answers to possible motivations and their responsibility for the suicidal act. Therefore, stands out the importance of new studies, to support specialized care for bereaved survivors, as well as postvention strategies helping them to face the devastating pain of suicide and its repercussions.

Meanings of the suicidal act between sadness and hopelessness: contributions from studies with Brazilians

Jaiana Cristina Cândido Morais — 2022-12-12

Suicide is a global public health problem, characterized by taboos and stigmas, which, when uncovered, could support training, education and prevention actions. In response to this demand, the present study aimed to identify the meanings that Brazilians attribute to suicide. A national survey was carried out with 3,453 Brazilian adults, who answered a sociodemographic questionnaire and the Free Word Association Technique (TALP), with the inducing stimulus “suicide”. The results were organized into two classes: 1) “Between despair and helplessness: the reasons for suicide”, which addresses possible motivations for suicide; and 2) “Survivors: meanings of suicide for the network of affection”, which presents aspects related to grief and pain experienced by survivors. Differences in evocations also emerged depending on the region of the country and sexual orientation. It is concluded that suicide is still surrounded by social stigmas and isolated associations to psychopathological conditions of the subject who presents suicidal behavior. Furthermore, the loss of a loved one by suicide is marked by an experience of unrecognized and lonely grief. Therefore, the need for educational promotion, prevention and postvention actions on the causes and care interventions aimed at the subject with suicidal behavior and family members becomes essential.

Mindfulness, self-compassion and deafness: an integrative literature review

Valéria Maria Azevedo Guimarães — 2022-12-12

Mindfulness and self-compassion are current topics in the scientific area and have benefits evidenced by their practices. This article aimed to carry out na integrative literature review to understand how deaf or hard of hearing people are approached by the themes of mindfulness and self-compassion in scientific findings. The databases SciELO.org, PsycINFO (APA), Scopus (Elsevier), PUBMED, Web of Science, Directory of Open Access Journals (DOAJ) and Periodical CAPES were used to search for scientific studies on the topics February 2022. Additionally, inclusion and exclusion criteria were adopted for the choice of material and, after the selection and eligibility steps, following the PRISMA protocol, three studies were selected. The results indicated adjustments in the preparation and delivery of proposals in mindfulness and the effects of the intervention on the mental health of the deaf population. In addition, the research found did not address the topic of self-compassion. It is suggested that further research can discuss the issues in question with deaf or hard of hearing people.

Presentation

Denise Falcke — 2022-12-12