Processo de alta e prevenção à recaída: um relato de caso em clínica psicológica

The present paper presents a report of a case assisted in the practice of a clinical psychology internship of Cognitive-Behavioral Therapy in the Outpatient Center for Studies and Research in Trauma and Stress (CSRTS) of the Pontifícia Universidade Católica do Rio Grande do Sul. The aim of this article is to describe the termination process with a patient assisted by the service mentioned. The purpose of the study is to show the development and progress of the treatment approach used in promoting a better understanding of the termination. For this, the methodology chosen was a theoretical review, where issues such as termination, relapse prevention and cognitive-behavioral therapy were discussed. Through vignettes of the case report, were exemplified the theories and practices involved in the process described.O presente trabalho apresenta o relato de uma experiência de atendimento durante a prática de estágio em psicologia clínica na abordagem da Terapia Cognitivo-Comportamental, no ambulatório do Núcleo de Estudos e Pesquisa em Trauma e Estresse (NEPTE) da Pontifícia Universidade Católica do Rio Grande do Sul no ano de dois mil e quatorze. O objetivo deste artigo é descrever o processo de alta com uma paciente atendida pelo serviço, com a apresentação da devida fundamentação teórico que o embasou. A finalidade do estudo é exibir o desenvolvimento e progresso do tratamento, promovendo uma melhor compreensão sobre a prática da etapa de alta na abordagem que fora utilizada. Para isso, foi feita uma revisão teórica, onde foram discutidas temáticas relevantes como Terapia Cognitivo-Comportamental, a remissão de sintomatologia e o processo de alta, bem como prevenção à recaída. Por meio de relatos de atendimento, foram exemplificadas e fundamentadas teoricamente e as práticas envolvidas no processo descrito

Challenges and technology in the cognitive psychotherapy of childhood ADHD: one-year follow-up of monozygotic twins

The authors describe the follow-up of monozigotic twins treated with cognitive therapy for attention deficit hyperactivity disorder.A escolha do caso deve-se a quatro principais motivos: (1) a alta complexidade do caso dificulta o diagnóstico, a abordagem psicofarmacológica e psicoterápica; (2) as dificuldades logísticas comuns aos profissionais e pacientes do Sistema Único de Saúde (SUS), como dificuldades econômicas e assistenciais, que dificultam o tratamento; (3) a importância da combinação tecnológica de diferentes modelos de terapias cognitivas na abordagem do TDAH, fundamental para alguns casos; (4) e a importância da viabilização proporcionada pelo Programa de Residência quando permite a busca por auxílio externo, em termos de supervisão, o que potencializa a capacitação do residente

Servicio educativo especializado a la Mateus :

Este estudo aborda as práticas pedagógicas da educação especial. Como sustentar um agir pedagógico atento às singularidades? Apresentamos uma pesquisa que parte da experiência docente em uma escola privada. Optamos pela construção do caso como método e a escrita epistolar como forma. Propomos três operadores para um agir pedagógico inclusivo - o deslocamento da técnica prescritiva em direção ao aluno como sujeito, a posição implicada do professor do AEE na cena educativa e a escuta como dispositivo étiico, político e pedagógico - os quais permitem acolher o inusitado na cena pedagógica e construir uma experiência atenta à alteridade.This studyaddresses the pedagogical practices of special education. How to sustain a pedagogical action attentive to singularities? We present a research that starts from the teaching experiencein a private school. We opted for the construction of the case study asa method, and the epistolary writing as the form. We propose three operators for an inclusive pedagogical action–the displacement of the prescriptive technique towards the student as a subject, the implicatedposition of theAEE teacher in the educational field andlistening as an ethical, political,and pedagogical instrument–which allow us to welcome the unusual in the pedagogical scene and build an experience attentive to otherness.Este estudio aborda las práticas pedagógicas de la educación especial. ¿Cómo sostener unaacción pedagógica atenta a las singularidades? Presentamos una investigación que parte de laexperiencia docente en un colegioprivado. Optamos por la construcción del caso como método y la escritura epistolar como forma. Proponemos tresacciones que constituyen una pedagogía inclusiva-el desplazamiento de la técnica prescriptiva hacia el estudiante como sujeto, la posición implícita del docente de la AEE en el escenario educativo y la escucha como dispositivo ético, político y pedagógico -que permiten acoger lo insólito en el escenario pedagógico y construir una experiencia atenta a la alteridad

Association Between Recent Cannabis Consumption and Withdrawal-Related Symptoms During Early Abstinence Among Females With Smoked Cocaine Use Disorder

BACKGROUND The effects of cannabis on clinical outcomes of treatment services for other drug use disorders remains unclear. The primary aim of the current study was to investigate the effects of recent cannabis consumption on the severity of cocaine withdrawal and depressive symptoms during a 3-week inpatient treatment program for women with cocaine use disorder. The second goal of this study was to test the effect of recent alcohol or tobacco use on the aforementioned outcomes. METHODS This was a longitudinal study with 2 assessment time points: at enrollment and upon discharge from a medically managed intensive inpatient unit. The sample was composed of 214 early abstinence females with cocaine use disorder. Cocaine withdrawal and depressive symptoms were measured using the Cocaine Selective Severity Assessment (CSSA) and the Beck Depressive Inventory (BDI-II). Recent substance use was evaluated using the Addiction Severity Index (ASI-6). RESULTS Patients with cocaine use disorder and with frequent recent cannabis use reported higher severity of cocaine withdrawal and depressive symptoms after 3 weeks of inpatient treatment. Neither recent alcohol nor tobacco use was associated with increased CSSA or BDI outcomes, suggesting these substances play a minor role compared to recent cannabis use in affecting withdrawal-related symptoms. CONCLUSIONS The assessment of recent cannabis use may help identify patients in need of additional treatment to manage severe cocaine withdrawal symptoms and depressive symptoms during early abstinence

Adequação do teste de germinação para sementes de arroz tratadas com diferentes fungicidas e inseticidas / Adequacy of the germination test for rice seeds treated with different fungicides and insecticides

O arroz (Oryza sativa família Poaceae) é uma gramínea anual, classificada no grupo de plantas C-3, adaptada a ambientes aquáticos. É uma importante cultura agrícola, sendo o Rio Grande do sul o maior produtor do Brasil. Diante disso, é importante utilizar sementes de alta qualidade visando maximizar o potencial produtivo. O tratamento químico é uma técnica largamente utilizada pelos produtores de sementes, porém, para a realização do teste de germinac?a?o, este e?, contudo, padronizado para sementes na?o tratadas. Portanto, o objetivo desse trabalho foi verificar o desempenho de sementes de arroz tratadas com diferentes fungicidas e inseticidas, avaliando seus reflexos quanto ao armazenamento e utilização de diferentes substratos. As sementes de arroz foram tratadas em ma?quina especi?fica, e os produtos químicos utilizados conforme recomendac?o?es do fabricante. As sementes tratadas foram semeadas nos substratos descritos pela RAS (papel e areia) e nos substratos alternativos (vermiculita entre papel e areia entre papel) e ainda foram testados dois períodos de avaliação (0 e 30 dias). O delineamento experimental utilizado foi inteiramente casualizado, em esquema fatorial. As varia?veis analisadas foram primeira contagem da germinação, germinação, pla?ntulas anormais e sementes mortas. Com os resultados encontrados verificou-se que os substratos indicados pelas Regras de análise de sementes são eficazes para germinação de sementes de arroz; a areia e vermiculita entre papel são adequações metodológicas que se mostram adequadas ao teste germinação em sementes de arroz tratadas; o inseticida Tiametoxam não acarretou resultados negativos para primeira contagem e para porcentagem de germinac?a?o; o armazenamento das sementes tratadas por 30 dias de certa forma fez com que as sementes expressassem melhor desempenho no teste de primeira contagem da germinação, mostrando um acréscimo na porcentagem de germinação

Terrestrial behavior in titi monkeys (Callicebus, Cheracebus, and Plecturocebus) : potential correlates, patterns, and differences between genera

For arboreal primates, ground use may increase dispersal opportunities, tolerance to habitat change, access to ground-based resources, and resilience to human disturbances, and so has conservation implications. We collated published and unpublished data from 86 studies across 65 localities to assess titi monkey (Callicebinae) terrestriality. We examined whether the frequency of terrestrial activity correlated with study duration (a proxy for sampling effort), rainfall level (a proxy for food availability seasonality), and forest height (a proxy for vertical niche dimension). Terrestrial activity was recorded frequently for Callicebus and Plecturocebus spp., but rarely for Cheracebus spp. Terrestrial resting, anti-predator behavior, geophagy, and playing frequencies in Callicebus and Plecturocebus spp., but feeding and moving differed. Callicebus spp. often ate or searched for new leaves terrestrially. Plecturocebus spp. descended primarily to ingest terrestrial invertebrates and soil. Study duration correlated positively and rainfall level negatively with terrestrial activity. Though differences in sampling effort and methods limited comparisons and interpretation, overall, titi monkeys commonly engaged in a variety of terrestrial activities. Terrestrial behavior in Callicebus and Plecturocebus capacities may bolster resistance to habitat fragmentation. However, it is uncertain if the low frequency of terrestriality recorded for Cheracebus spp. is a genus-specific trait associated with a more basal phylogenetic position, or because studies of this genus occurred in pristine habitats. Observations of terrestrial behavior increased with increasing sampling effort and decreasing food availability. Overall, we found a high frequency of terrestrial behavior in titi monkeys, unlike that observed in other pitheciids

ATLANTIC-PRIMATES: a dataset of communities and occurrences of primates in the Atlantic Forests of South America

Primates play an important role in ecosystem functioning and offer critical insights into human evolution, biology, behavior, and emerging infectious diseases. There are 26 primate species in the Atlantic Forests of South America, 19 of them endemic. We compiled a dataset of 5,472 georeferenced locations of 26 native and 1 introduced primate species, as hybrids in the genera Callithrix and Alouatta. The dataset includes 700 primate communities, 8,121 single species occurrences and 714 estimates of primate population sizes, covering most natural forest types of the tropical and subtropical Atlantic Forest of Brazil, Paraguay and Argentina and some other biomes. On average, primate communities of the Atlantic Forest harbor 2 ± 1 species (range = 1–6). However, about 40% of primate communities contain only one species. Alouatta guariba (N = 2,188 records) and Sapajus nigritus (N = 1,127) were the species with the most records. Callicebus barbarabrownae (N = 35), Leontopithecus caissara (N = 38), and Sapajus libidinosus (N = 41) were the species with the least records. Recorded primate densities varied from 0.004 individuals/km 2 (Alouatta guariba at Fragmento do Bugre, Paraná, Brazil) to 400 individuals/km 2 (Alouatta caraya in Santiago, Rio Grande do Sul, Brazil). Our dataset reflects disparity between the numerous primate census conducted in the Atlantic Forest, in contrast to the scarcity of estimates of population sizes and densities. With these data, researchers can develop different macroecological and regional level studies, focusing on communities, populations, species co-occurrence and distribution patterns. Moreover, the data can also be used to assess the consequences of fragmentation, defaunation, and disease outbreaks on different ecological processes, such as trophic cascades, species invasion or extinction, and community dynamics. There are no copyright restrictions. Please cite this Data Paper when the data are used in publications. We also request that researchers and teachers inform us of how they are using the data. © 2018 by the The Authors. Ecology © 2018 The Ecological Society of Americ

Desafios e tecnologia na psicoterapia cognitiva do TDAH na infância: seguimento de um ano de caso de gêmeos monozigóticos Challenges and technology in the cognitive psychotherapy of childhood ADHD: one-year follow-up of monozygotic twins

A escolha do caso deve-se a quatro principais motivos: (1) a alta complexidade do caso dificulta o diagnóstico, a abordagem psicofarmacológica e psicoterápica; (2) as dificuldades logísticas comuns aos profissionais e pacientes do Sistema Único de Saúde (SUS), como dificuldades econômicas e assistenciais, que dificultam o tratamento; (3) a importância da combinação tecnológica de diferentes modelos de terapias cognitivas na abordagem do TDAH, fundamental para alguns casos; (4) e a importância da viabilização proporcionada pelo Programa de Residência quando permite a busca por auxílio externo, em termos de supervisão, o que potencializa a capacitação do residente.<br>The authors describe the follow-up of monozigotic twins treated with cognitive therapy for attention deficit hyperactivity disorder

Playback responses of socially monogamous black-fronted titi monkeys to simulated solitary and paired intruders

Many birds and primates use loud vocalizations to mediate agonistic interactions with conspecifics, either as solos by males or females, or as coordinated duets. The extensive variation in duet complexity, the contribution of each sex, and the context in which duets are produced suggest that duets may serve several functions, including territory and mate defense. Titi monkeys (Callicebus spp.) are believed to defend their home range via solo loud calls or coordinated duets. Yet there are remarkably few experimental studies assessing the function of these calls. Observations of interactions between wild established groups and solitary individuals are rare and, therefore, controlled experiments are required to simulate such situations and evaluate the mate and joint territorial defense hypotheses. We conducted playback experiments with three free-ranging groups of habituated black-fronted titi monkeys (Callicebus nigrifrons) to test these hypotheses. We found that titi monkeys responded to the three conspecific playback treatments (duets, female solos, and male solos) and did not respond to the heterospecific control treatment. The monkeys did not show sex-specific responses to solos (N=12 trials). Partners started to duet together in 79% of their responses to playback-simulated rivals (N=14 calls in response to playback). Males started to approach the loudspeaker before females regardless of the type of stimulus. The strength of the response of mated pairs to all three conspecific treatments was similar. Overall, our results are consistent with the idea that black-fronted titi monkeys use their loud calls in intergroup communication as a mechanism of joint territorial defense. © 2015 Wiley Periodicals, Inc