scholarly journals Saúde mental no trabalho: um convite ao dialógico

2010 ◽  
Vol 16 (1) ◽  
pp. 91-94
Author(s):  
Elina Eunice M. PIETRANI

The purpose of this article is to reflect on aspects that guide the work world today, more specifically on the high competitiveness between enterprises, affecting the internal environment of the organization, causing disturbances in behavior and mental health workers. These disorders that can range from a simple lack of motivation to depressive disorders, which affect the various spheres of their existence. By prioritizing technology and relationships geared solely to the achievement of performance goals, always unattainable, the companies put aside the worker, while human being. It is necessary to rethink these issues in light of the dialogical relationship and the alternation of the relationship I-Thou and I-it, championed by Martin Buber, in order to promote a more harmonious coexistence and balanced in that context.

2009 ◽  
Vol 24 (S1) ◽  
pp. 1-1
Author(s):  
A.-M. Ulman ◽  
N. Zajde-Nathan

In today's world of globalization and immigration, mental health workers are required to adapt their practice and develop new skills in order to treat immigrant populations. Ethnopsychiatry is a field created by Georges Devereux at the beginning of the 20th century. Devereux's unique psychoanalytic approach resides in reference to the relationship existing between psychic troubles and social norms in a given cultural context. During his multiple stays predominantly among North American Mohave Indians, Devereux structured knowledge and created concepts including anxiety observer counter-transference, schizophrenia as an “ethnic disorder”, the ethnic personality etc. Since the early 80's, the French psychologist and psychoanalyst Tobie Nathan, Devereux's student and follower, further developed his master's theories. He conceptualized a methodology with implementation in the French immigrant population. He thus shaped contemporary Ethnopsychiatry, as currently practiced in the Georges Devereux center, (Paris 8 University) in France and in many other clinics internationally. The ethnopsychiatric setting conceived by Tobie Nathan imparts a crucial and authentic role to cultural diversity. Tobie Nathan proposes to study with equal respect and seriousness theories and practices related to unhappiness and disease, irrespective of culture or civilization. Ethnopsychiatric setting helps to overcome the deleterious consequences of the split existing between the two cultural referents (host and origin) in which our patients live. During the presentation, principles of Ethnopsychiatric practice will be introduced accompanied by a case report of an Ethiopian patient from the Beer-Yaacov Mental Health Center Ethnopsychiatric clinic for illustrative purposes.


2010 ◽  
Vol 80 (1) ◽  
pp. 120-125 ◽  
Author(s):  
Hester M. van de Bovenkamp ◽  
Margo J. Trappenburg

1999 ◽  
Author(s):  
S. Geurts ◽  
W. Schaufeli ◽  
J De Jonge

2004 ◽  
Author(s):  
Karen W. Saakvitne ◽  
◽  
B. Hudnall Stamm ◽  
Laura Barbanel

Author(s):  
Sofia Pappa ◽  
Joshua Barnett ◽  
Ines Berges ◽  
Nikolaos Sakkas

The burden of the COVID-19 pandemic on health systems and the physical and mental health of healthcare workers (HCWs) has been substantial. This cross-sectional study aims to assess the effects of COVID-19 on the psychological wellbeing of mental health workers who provide care to a vulnerable patient population that have been particularly affected during this crisis. A total of 387 HCWs from across a large urban mental health service completed a self-administered questionnaire consisting of socio-demographic, lifestyle and work-based information and validated psychometric scales. Depression and anxiety were measured using the Patient Health Questionnaire (PHQ-9) and the Generalized Anxiety Disorder Scale (GAD-7), respectively; sleep problems with the Athens Insomnia Scale (AIS); burnout with the Maslach Burnout Inventory (MBI); and resilience with the Resilience Scale-14 (RS-14). Multivariable logistic regression analysis was performed to determine potential mediating factors. Prevalence of burnout was notable, with 52% recording moderate/severe in Emotional Exhaustion, 19.5% moderate/severe in Depersonalisation, and 55.5% low/moderate Personal Accomplishment. Over half of all respondents (52%) experienced sleep problems; the presence of depressive symptoms was a significant predictor of insomnia. An increase in potentially harmful lifestyle changes, such as smoking, alcohol consumption and overeating was also observed. However, high Resilience was reported by 70% of the samples and the importance of this is highlighted. Female gender was associated with increased levels of depression and emotional exhaustion while those with a history of mental health conditions were most at risk of affective symptoms, insomnia, and burnout. Overall, our study revealed considerable levels of psychological distress and maladaptive coping strategies but also resilience and satisfaction with organizational support provided. Findings can inform tailored interventions in order to mitigate vulnerability and prevent long-term psychological sequelae.


BMJ Open ◽  
2020 ◽  
Vol 10 (12) ◽  
pp. e042052
Author(s):  
Jean-Baptiste Woods ◽  
Geva Greenfield ◽  
Azeem Majeed ◽  
Benedict Hayhoe

ObjectivesMental health disorders contribute significantly to the global burden of disease and lead to extensive strain on health systems. The integration of mental health workers into primary care has been proposed as one possible solution, but evidence of clinical and cost effectiveness of this approach is unclear. We reviewed the clinical and cost effectiveness of mental health workers colocated within primary care practices.DesignSystematic literature review.Data sourcesWe searched the Medline, Embase, PsycINFO, Healthcare Management Information Consortium (HMIC) and Global Health databases.Eligibility criteriaAll quantitative studies published before July 2019 were eligible for the review; participants of any age and gender were included. Studies did not need to report a certain outcome measure or comparator in order to be eligible.Data extraction and synthesisData were extracted using a standardised table; however, pooled analysis proved unfeasible. Studies were assessed for risk of bias using the Risk Of Bias In Non-randomised Studies - of Interventions (ROBINS-I) tool and the Cochrane collaboration’s tool for assessing risk of bias in randomised trials.ResultsFifteen studies from four countries were included. Mental health worker integration was associated with mental health benefits to varied populations, including minority groups and those with comorbid chronic diseases. Furthermore, the interventions were correlated with high patient satisfaction and increases in specialist mental health referrals among minority populations. However, there was insufficient evidence to suggest clinical outcomes were significantly different from usual general practitioner care.ConclusionsWhile there appear to be some benefits associated with mental health worker integration in primary care practices, we found insufficient evidence to conclude that an onsite primary care mental health worker is significantly more clinically or cost effective when compared with usual general practitioner care. There should therefore be an increased emphasis on generating new evidence from clinical trials to better understand the benefits and effectiveness of mental health workers colocated within primary care practices.


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