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Background: Body image is a multidimensional concept that involves the mental image of the human body and the feeling of being oneself throughout existence.Treatment for breast cancer causes several bodily changes that affect women's body image.Aims: This meta-synthesis aims to synthesise and interpret primary qualitative studies on the experience of body image in women undergoing treatment for breast cancer.Methods: A qualitative meta-synthesis was conducted employing systematic searches in six databases (PubMed, CINAHL, SCOPUS, Web of Science, PsycINFO, and LILACS). Data analysis was performed according to thematic synthesis.Results: Forty studies were included. Five descriptive themes were identified: (1) actively saying goodbye to body image; (2) the rupture of body image; (3) the sacrifice of body image in exchange for life; (4) body image as a vehicle for social expression; and(5) resignation of the alterated body image. These themes were understood through one analytical theme: Half-woman: body image of the woman with breast cancer. Conclusion:The experience of body image in the context of breast cancer is a dynamic phenomenon, which involves dismissal, rupture, and resignation and occurs mediated by interpersonal contact.

This study sought to synthesize and reinterpret findings from primary qualitative studies on the experience of health professionals in caring for people with anorexia nervosa and bulimia nervosa. We conducted a systematic review of the literature with the SPIDER search strategy assessing six databases. A meta-synthesis was performed with data from qualitative studies. Two independent reviewers screened and assessed the articles, extracted data from the articles and elaborated thematic synthesis. Nineteen articles met the inclusion/exclusion criteria. The meta-synthesis revealed three descriptive themes: Going outside the comfort zone: hard relational experiences of health professionals in providing care for people with anorexia nervosa and bulimia nervosa; Reflecting on treatment: relevance of discussion, communication, and flexibility in health professionals’ work with anorexia nervosa and bulimia nervosa; and Dealing with ambivalences: experiences of health professionals with family members of people with anorexia nervosa and bulimia nervosa. We elaborated two analytical themes: Making work with eating disorders palatable: malleability necessary for health professionals in bonding with people with anorexia and bulimia nervosa and their families; and Leaving the professional comfort zone: transition from multi to interdisciplinary. Thus, mental health professionals who work with people diagnosed with anorexia and bulimia nervosa cope with hard emotional experiences that makes them feel out of their comfort zone, requiring flexibility to benefit a good therapeutic alliance, but there are still difficulties in promoting interdisciplinarity.

Masculinity is a construct associated with cisgender men; however, transgender men also perform masculinities. This study aimed to synthesize, analyze, and reinterpret the findings of primary qualitative studies about transgender men’s experience of masculinity. The research question developed through the SPIDER strategy was: What is the qualitative evidence of masculinity performed by transgender men? Eighteen studies involving over 200 transgender men between the ages of 19 and 65 were selected. Three descriptive themes emerged: “Bodily performance of masculinity,” “Social performances of masculinity,” and “Sexualities.” Analytical themes were generated: “The appearance of masculinity” and “Far beyond appearance”. The results point to complementary experiences of masculinity: concerning physical appearance and body modifications; and the practices contesting the hegemonic masculinity standard. The experience of masculinities is outlined by body changes, culminating in the passability and social recognition of the transgender man.

O imaginário coletivo como conduta humana consiste num complexo ideo-afetivo constituído a partir da intersubjetividade e tem por fundamentos afetivos os campos de sentido afetivoemocional. A meia-idade feminina é um momento do desenvolvimento com acentuadas alterações corporais e reestruturações psíquicas o que, diante do câncer de mama, pode ser ainda mais desafiador. Este estudo teve por objetivo conhecer o imaginário coletivo de mulheres de meia-idade com câncer de mama ao longo do tratamento quimioterápico. É uma pesquisa qualitativa, primária, empírica, longitudinal, de abordagem psicanalítica winnicottiana e sob a perspectiva da mulher acometida. Ao rever a literatura, foi realizada uma metassíntese que apontou a experiência de incompletude feminina decorrente dos vários tratamentos. Inexistiam estudos do imaginário coletivo de mulheres de meia-idade acometidas pelo câncer de mama numa perspectiva longitudinal. Participaram cinco mulheres com câncer de mama primário entre 48 e 60 anos que estavam prestes a iniciar o tratamento quimioterápico vinculado à rede pública de saúde, selecionadas numa instituição hospitalar especializada no cuidado oncológico, localizada no interior do estado de São Paulo. Foram realizados três encontros individuais e presenciais com cada participante, distribuídos ao longo do tratamento quimioterápico: antes do início, aproximadamente à metade dos ciclos e ao final do tratamento. Nesses momentos do tratamento foram utilizadas as técnicas da entrevista aberta com questão disparadora e do Procedimento do Desenho-Estória com Tema como mediador dialógico. Foram realizadas anotações em diário de campo após cada encontro e um formulário para caracterização sociodemográfica foi preenchido uma única vez. Protocolos éticos exigidos pela legislação vigente foram observados, o responsável pela instituição firmou um Termo de Aceitação da pesquisa e as participantes firmaram o Termo de Consentimento Livre e Esclarecido. Os encontros foram audiogravados e transcritos literalmente e na íntegra. Todo o conjunto do material, incluindo pistas não-verbais, foi analisado segundo o método interpretativo psicanalítico, que consistiu em três etapas: tomar contato esboçando sentidos preliminares; captar temas dominantes e nomear os campos de sentido afetivo-emocional. A análise resultou em cinco campos: Há risco/arrisco: desejando diariamente a vida; Se eu morrer, ela vai sofrer; Quero ser avó; (Re)conhecendo o corpo que Eu habito; Alguém e só. Os campos contemplaram as bases afetivas e emocionais: medo da iminência da morte, sentimentos de tristeza e de abandono diante da ausência de um ambiente acolhedor, o desejo de viver, de conhecer e permanecer em contato com netos, sentimento de culpa por causar sofrimento aos filhos e a reelaboração da experiência corporal. Emergiram imaginários sobre: o câncer, a quimioterapia, o corpo e a família, todos vinculados às experiências de sofrimento e também formados defensivamente. As novas situações afetivas de aceitação e de acolhimento no curso do tratamento aux...

The COVID-19 pandemic has led to a public health crisis, with increases in the number of deaths. As a result, the number of bereaved people has increased significantly. In addition, the measures adopted to control the spread of virus have triggered changes in the subjective and collective bereavement experiences. This systematic literature review aims to summarize and reinterpret the results of qualitative studies on the experience of losing family members during the pandemic by a thematic synthesis. The searches were performed in the Web of Science, Scopus, PubMed/MEDLINE, CINAHL, PsycINFO, and LILACS databases. Among 602 articles identified, 14 were included. Evidence was assessed using the Critical Appraisal Skills Programme tool. Two descriptive themes related to the objective were elaborated in addition to one analytical theme, namely: “Pandemic grief: lonely and unresolved”. These themes proved to be interrelated and indicate that experiences of loss in this context were negatively impacted by the imperatives of physical distance, restriction of hospital visits, technology-mediated communication, and prohibition or restriction of funerals. These changes resulted in experiences marked by feelings of loneliness and helplessness, which should be considered when planning intervention strategies that favor communication between family members with the afflicted loved one and with the health care team, enabling welcoming and creating alternatives for farewell rituals. The findings may support further research to test intervention protocols, especially to guide public policies and promote psychological support to bereaved family members after their loss.

Objectives: To synthesize and reinterpret findings from primary qualitative studies on the emotional experience of health care professionals working with mental health and mental health professionals providing care for people with suicidal behavior. Methods: We conducted a systematic review of the literature with the SPIDER structured search strategy in six databases (PubMed, Web of Science, Scopus, PsycINFO, CINAHL, and LILACS). A meta-synthesis was performed with data from qualitative studies published between 2005 and 2021. Two independent reviewers screened and assessed the articles. They evaluated methodological quality of included articles, extracted data, and performed the thematic synthesis. Results: Of 852 articles, 21 met the inclusion/exclusion criteria and were synthesized. The meta-synthesis revealed three descriptive themes: coping with adverse experiences; coming across fortunate experiences; professional-personal implications. Based on these descriptive themes, we elaborated the analytical theme: bittersweet experiences of personal and professional transformation. Conclusions: Mental health professionals working with people manifesting suicidal behaviors must cope with complex emotional experiences that involve controversial and ambivalent feelings. Such feelings have repercussions that may transform personal and professional life. The present results are useful for the development and implementation of interventions that promote better overall mental health outcomes for healthcare providers. Registration number: PROSPERO CRD42021257237.

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