O PAPEL DO MÉDICO DE FAMÍLIA PERANTE TOXICODEPENDENTES E SEUS FILHOS
João Rodrigues & Paula Carriço
Abstract: The treatment and recuperation of patients with drug dependence, and the accompaniment of their children, present great difficulties due to the complexity of the etiopatogenic factors involved. All point toward the presence of a HIGH RISK GROUP, at the biological, social and psychological levels, as well as toward the existence of "SICK" FAMILIES. The therapeutic imperatives do not always meet with the most adequate response in the classical doctor-patient relationship, making a differentiated therapeutic action in a multi-disciplinary team almost always necessary. Yet, the participation of the family doctor in an integrated and community-oriented program against drug dependence is possible, desirable and useful. A multi-dimensional model in which there is close colaboration and articulation between the family doctor and the CATs, or others, should be privileged. In this perspective, preventive support, fundamental to the patients, their children and their families, could be achieved through special programs in which the CATs (and not the Health Centers) become the coordinators of a strategy of support involving the family doctors,pediatricians, child psychiatrists, psychologists, obstretic and neonatal services, and other social support services, under the geographic area of influence of each CAT.
COMORBILIDADE DE DOENÇAS ORGÂNICAS E PSÍQUICAS
Siegfried Weyerer1 & Raul Guimarães Lopes2
Abstract: The Authors study the comorbidity in field studies, relating diverse organic illnesses with also psychic illnesses. It was expressed the raised risk of comorbidity in the aged people (relative risk = 4,75) and also considered the case of the Diabetes type II and hypertension.
Key Words: Comorbidity. Clinical field studies. Aged people. Diabetes. Hypertension.
1 Investigador no Zentralinstitut für Seelische Gesundheit (Instituto Central de Saúde Mental) de Mannheim, Alemanha.
2 Bolseiro no Instituto Central de Saúde Mental de Mannheim, Alemanha. Professor de Medicina.
PSIQUIATRIA E SIDA
Cláudio Laureano & J.Matos Cabeças
Abstract: More and more, psychiatrists are called upon to evaluate patients with psyquiatric disorders related to HIV infection and AIDS. The authors approach some of the particular psychological and psychiatric aspects of individuals infected by the HIV virus and describe the main neuropsychiatric sindromes which they usually present. They also discuss the orientation and pharmacological and psychotherapeutic plans most adequate for these problems.
PERTURBAÇÃO DE SOMATIZAÇÃO
Cláudio Laureano
Abstract: The authors introduce the concepts of Somatization, Somatoform Disorders and the historical evolution of the diagnostic category of Somatization Disorder. They caracterize the epidemology, etiology, clinical aspects, diagnosis and differential diagnosis of Somatization Disorder. They point out (ou "they list") some of the support and treatment guidelines for theses patients, especially those concerning psychotherapeutic tecniques. They conclude that an adequate intervention could lower health-care costs and improve the quality of life of these patients.
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