Este artigo apresenta a reflexão sobre uma experiência de atendimento em grupo na porta de um serviço de Saúde Mental Coletiva de um município do Estado de São Paulo com 30 mil habitantes. Com a análise de dados referentes ao atendimento inicial desta instituição denominado "Pronto Atendimento" (PA), em especial as filas de espera em psiquiatria e em psicoterapia, considerou-se que o PA pode operar como um analisador, uma vez que é nesse atendimento que os usuários que procuram ajuda na instituição apresentam suas queixas e os seus pedidos de ajuda. É também a partir desse atendimento que a instituição, por meio de seus profissionais, oferece as possibilidades terapêuticas. A análise efetuada permitiu apontar que esse atendimento pode constituir ações que reforçam o paradigma psiquiátrico dominante ou ações que podem contribuir na construção do modelo psicossocial, partindo de mudanças da própria representação social da instituição, do sofrimento psíquico e dos recursos terapêuticos de cura.
Palavras-Chave: saúde mental, atenção primária, profissionais.ABSTRACT This paper presents a reflection on an experience learned from the primary health care provided by the staff of a public mental health service of a county
The recently discovered massive and stockwork sulphide mineralization of Semblana-Rosa Magra and Monte Branco, situated ESE of the Neves–Corvo volcanogenic massive sulphide (VMS) deposit in the Iberian Pyrite Belt (IPB) is presented. Geological setting and tectonic model is discussed based on proxies such as palynostratigraphy and U–Pb zircon geochronology. The mineralization is found within the IPB Volcano-Sedimentary Complex (VSC) Lower sequence, which includes felsic volcanic rocks (rhyolites) with U–Pb ages in zircons of 359.6 ± 1.6 Ma, and black shales of the Neves Formation of late Strunian age. Massive sulphides are enveloped by these shales, implying that felsic volcanism, mineralization and shale sedimentation are essentially coeval. This circumstance is considered highly prospective, as it represents an important exploration vector to target VMS mineralization across the IPB, in areas where the Lower VSC sequence is present. The Upper VSC sequence, with siliciclastic and volcanogenic sedimentary rocks of middle–late Visean age, shows no massive mineralization but a late Tournaisian (350.9 ± 2.3 Ma) volcanism with disseminated sulphides was also identified. Nevertheless, stratigraphic palynological gaps were found within the Strunian and in the Tournaisian sediments, between the Lower and Upper VSC sequences, reflecting probable erosion and uplift mechanisms linked with extensional tectonics. The Semblana and Monte Branco deposits and the Rosa Magra stockwork are enclosed by tectonic sheets that dismembered the VSC sequence in a fold-and-thrust tectonic complex, characteristic of the NE Neves–Corvo region. The methodologies used allow a geological comparison between Neves–Corvo and other IPB mine regions such as Lousal–Caveira, Herrerias, Tharsis and Aznalcollar.
an ongoing study. The main limitations of this study were the small sample size and the absence of follow up assessment. Overall, the results suggest that the modified program had a positive impact in decreasing the psychopathological and psychosomatic symptoms of patients with BPD, and it led to an improvement of everyday problem-solving strategies as well as self-concept. Therefore, the present program could be viewed as an alternative therapy for outpatients with BPD in an hospital setting and can also be seen as the result of the first step towards a better investment in BPD study and specialized treatment in Portugal.
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