Background: Mental State Examination (MSE) is compared with physical examination as a reliable method of objective data investigation. There is a growing concern with psychiatric clinics, nosology, and the reliability of diagnostic... more
Background: Mental State Examination (MSE) is compared with physical examination as a reliable method of objective data investigation. There is a growing concern with psychiatric clinics, nosology, and the reliability of diagnostic interview methods as a source of valid diagnostic strategy. Efforts to achieve an international diagnosis protocol have been unsuccessful or polemical. This paper focuses on psychopathology, MSE, and mental function development within Brazilian psychiatry over the last few decades. Methods: Searches, interviews, and narrative reviews were done to look for systematic ways in which to conduct MSE, mental functions, symptom clusters, orientations about data observation and records. Brazilian psychopathology textbooks were examined, if they provided access to consolidated knowledge on psychopathology examination. Results: Sixteen textbooks were selected from a 49 year span. Descriptive psychopathology with phenomenological orientation was the primary trend in...
Research Interests:
Background: Mental State Examination (MSE) is compared with physical examination as a reliable method of objective data investigation. There is a growing concern with psychiatric clinics, nosology, and the reliability of diagnostic... more
Background: Mental State Examination (MSE) is compared with physical examination as a reliable method of objective data investigation. There is a growing concern with psychiatric clinics, nosology, and the reliability of diagnostic interview methods as a source of valid diagnostic strategy. Efforts to achieve an international diagnosis protocol have been unsuccessful or polemical. This paper focuses on psychopathology, MSE, and mental function development within Brazilian psychiatry over the last few decades. Methods: Searches, interviews, and narrative reviews were done to look for systematic ways in which to conduct MSE, mental functions, symptom clusters, orientations about data observation and records. Brazilian psychopathology textbooks were examined, if they provided access to consolidated knowledge on psychopathology examination. Results: Sixteen textbooks were selected from a 49 year span. Descriptive psychopathology with phenomenological orientation was the primary trend in...
Research Interests:
Research Interests:
A lacuna de cuidados em Saúde Mental (SM) é um problema mundial. A Atenção Primária à Saúde (APS) é a base para estruturação da rede assistencial integral que o solucione. Sua integração com a Psiquiatria é parte deste desafio. Partindo... more
A lacuna de cuidados em Saúde Mental (SM) é um problema mundial. A Atenção Primária à Saúde (APS) é a base para estruturação da rede assistencial integral que o solucione. Sua integração com a Psiquiatria é parte deste desafio. Partindo da pergunta norteadora "Como vem sendo desenvolvida a inserção da APS no cuidado em Saúde Mental através da integração com a Psiquiatria pelo Matriciamento?", este artigo analisa a participação da Psiquiatria na organização da assistência em saúde mental centrada na APS, dentro de um modelo integral de cuidado em saúde. Foi utilizada metodologia qualitativa baseada na problematização da integração do Psiquiatra com as equipes da Estratégia de Saúde da Família no processo de matriciamento, sistematizam-se as experiências e conhecimento desenvolvidos pelos autores nos projetos do Laboratório Interdisciplinar de Pesquisa em APS da Universidade do Estado do Rio de Janeiro. A partir dos referenciais conceituais dos Cuidados Colaborativos, Apoio Matricial, Matriciamento e Cuidado Integral, e da caracterização das demandas clínicas de SM mais frequentes na APS, discutem-se as repercussões destes na estruturação do cuidado em SM, na formação médica e na transformação da Psiquiatria. Conclui-se que a APS é um novo campo de atuação da Psiquiatria trazendo desafios importantes para a formação e a assistência em SM.
Research Interests: Psychiatry, Mental Health, Primary Health Care, Global Mental Health, Saúde Mental, and 10 moreCommon Mental Disorders, Atenção Primária a Saúde, Apoio Institucional e Matricial, Collaborative mental health care, Psychosocial Interventions, Psicologia e saúde mental, Therapeutic Interventions, Núcleo De Apoio a Saúde Da Família, Apoio Matricial em saúde mental, and Estratégia de Saúde da Família
The gap in Mental Health Care is a worldwide problem. Primary Health Care (PHC) is the framework basis for providing integrated care. Integrating Psychiatry into PHC is fundamental to solve this problem. Based on the issue of how... more
The gap in Mental Health Care is a worldwide problem. Primary Health Care (PHC) is the framework basis for providing integrated care. Integrating Psychiatry into PHC is fundamental to solve this problem. Based on the issue of how integration of PHC into Mental Health Care is being developed with matrix support from psychiatrists, this paper investigates the role of Psychiatry in the organization of PHC, within a health comprehensive model approach. Problem-based analysis was used to systematize the knowledge and experiences gained by the authors during the execution of several research projects developed at the Laboratory of Interdisciplinary Research in Primary Health Care (LIPAPS) of Rio de Janeiro State University. Conceptual references such as Comprehensive Care, Collaborative Care and the Brazilian Model of Matrix Support Teams, as well as the most frequent Mental Health demands in PHC are reviewed, while discussing their influence on mental health care, medical education and changes imposed on Psychiatry. In conclusion, PHC may be considered as a new scenario for Psychiatry that raises important challenges related to mental health education and services.