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Conflitos na Equipa de Saúde: Estratégias
de Interconsulta
José Roberto Muniz*
Summary: The medical
practice is, in our days, a large working setting of different kind
of profissionals. In Medicine itself we observe the development of
many specialitys and subspecialitys. The different profissionals try
to envolve together around the patient. But, this kind of
multidisciplinary work have serious dificulties.
In this paper the author study de conflit dinamics of a medical
health team. He presents the function mode of the medical team and
the main caracteristics of the Consultation Liaison working group.
Key-words: Consultation
Liaison Psychiatry; Health
Services; Medical Psychology
*Professor
e Coordenador da Disciplina de Psicologia Médica da Faculdade de Ciências
Médicas da UERJ.
Membro Titular da Associação Brasileira de Medicina
Psicossomática.
Membro da Sociedade Brasileira de Psicanálise do Rio de Janeiro.
Biografia do Delírio
Raul Guimarães Lopes
Summary: In the praxis of
the Consultation/Liaison Psychiatry delirium is very common
but also delusions are present. These are studyed from the
biographical point of view in their different dynamic forms (Gestalten)
to facilitate thein understanding and identification.
Key-words: Delusions;
Gestalten; biography
Psiquiatria CL e Perturbações Psíquicas
Associadas ao Puerpério: a Psicopatologia no Feminino
Serafim Carvalho*, Ilda Murta**, Manuel Pitorra
Monteiro***
Summary: After the
discussion of the introduction of CL psychiatry in the large field
of female reproductive function, the authors emphasize the
importance of early identification of postpartum disorders in the CL
psychiatric setting. They review the assessment and clinical
features of the four major types of postpartum psychiatric
conditions: postpartum blues, postpartum depression, postpartum
psychosis and postpartum anxiety disorders. In conclusion, the
detection of risk factors and early psychopathological symptoms
could be one of the most significant components of assessment.
The authors present a group of prevention solutions for postpartum
disorders as well as the objectives for the CL Psychiatry Workgroup
of Gynaecology and Obstetrics.
Key-words: Postpartum
disorders; CL psychiatry;
diagnostic; prevention
*Assistente Hospitalar Graduado de
Psiquiatria – Hospital do Conde Ferreira, Porto
**Assistente Hospitalar de Psiquiatria do Hospital Sobral Cid,
Coimbra
***Assistente Hospitalar de Obsrtetrícia na Maternidade Bissaya
Barreto, Coimbra
Hospitalização Parcial no
Departamento de Psiquiatria e Saúde Mental no Centro Hospitalar de
Vila Nova de Gaia
Proposta de criação de um
Centro de Dia
Orlando Von Doellinger*, Jorge Bouça**
Summary: The importance of
partial hospitalisation as an effective therapeutic approach in
psychiatric patients is known since the thirties. However its
definition is not quite clear, and sometimes leads to
underutilisation.
From the clarification and classification of the services included
in the partial hospitalisation definition, the authors propose a
structural renovation at the "Departamento de Psiquiatria e Saúde
Mental do Centro Hospitalar de Vila Nova de Gaia", that would
create a Partial Hospitalisation Service. This service would include
the "Hospital de Dia/Centro de Crise" (already
functioning), different group programs (already functioning, too,
but in a disperse form) and, finally, would create a Day Centre,
especially oriented to the psychotic patients.
Key-words: Partial
hospitalisation; Day hospital; Day treatment, Day centre
* Assistente Eventual do Dep.
de Psiq. do C. H. de V. N. de Gaia
** Assistente Graduado. Responsável pelo
Hospital de Dia/ Centro de Crise
A Psiquiatria C/L no Centro de Saúde
de Valongo*
Instalação, recursos e
áreas de intrevenção
Freitas, J.L. **, Rocha,
J.O.P.***
Summary: The Psychiatry and
Mental Health Unit in Valongo’s Health Centre (VHC) is a community
extension of the Conde Ferreira’s Hospital, Gondomar / Valongo
Service. This unit was idealized and prepared during the
construction of the new VHC.
Installed in an health centre and near the General Hospital, this
unit gathers the best conditions to be a reference C/L
service, both general hospital and family medicine settings.
The project started in October, 1997 at the time of the VHC
inauguration.
In this paper, the authors shows the material and human resources as
well as intervention areas.
They finish with some working numbers and meditate about the
advantages and difficulties of the unit implantation process.
Key-words: Consultation
Liaison Psychiatry; Communitary Psychiatry; Health Services
*Trabalho apresentado no I Congresso
Internacional de Psiquiatria C/L e Psicossomática; Porto, 4-8 de
Maio, 1999.
** Assistente Eventual de Psiquiatria, Hospital Conde de
Ferreira
***Assistente Graduado de Psiquiatria, Hospital Conde de Ferreira
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