Objective: To verify the association between religiosity and the pattern of alcohol and tobacco consumption among the population assisted by primary health care services. Methods: A cross-sectional study was conducted with 363 individuals over 18 years of age. The variable of exposure, religiosity, was evaluated according to the Duke University Religion Index. The outcome, alcohol and tobacco consumption, was evaluated through the Alcohol, Smoking and Substance Involvement Screening Test (ASSIST) questionnaire. The association between exposure and outcome was verified based on a multivariate logistic regression analysis. Results: There was a high prevalence of alcohol and tobacco consumption among most vulnerable groups. Organizational and intrinsic religiosity were protective factors in relation to moderate and high alcohol and tobacco consumption. Conclusion: The higher the score for organizational and intrinsic religiosity, the lower the consumption of alcohol and tobacco.
ResumoObjetivo: Verificar a associação entre a religiosidade e o padrão de consumo de álcool e tabaco em população atendida na Atenção Primária à Saúde. Métodos: Estudo transversal realizado com 363 indivíduos, maiores de 18 anos. A variável de exposição, religiosidade, foi avaliada segundo o Índice de Religiosidade da Universidade de Duke. O desfecho, consumo de álcool e tabaco, foi avaliado pelo questionário Alcohol, Smoking and Substance Involvement Screening Test (ASSIST). Verificou-se a associação entre exposição e desfecho, com base na análise de regressão logística multivariada. Resultados: Foi alta a prevalência no consumo de álcool e tabaco nos grupos mais vulneráveis. As religiosidades organizacional e intrínseca mostraram-se fator de proteção em relação ao consumo moderado/ alto de álcool e tabaco. Conclusão: Quanto maior o escore para a religiosidade organizacional e intrínseca, menor o consumo para essas substâncias.
Difficulties encountered in clinical work with psychoses require psychoanalytical approaches different from those used for treating neurosis. The authors use a clinical case of a paranoiac patient to highlight the role played by writing, drawing, and painting in the psychoanalytical treatment of psychosis. They also discuss the role of the reader-analyst in this patient's transferential process, which led to the emergence of a new subjectivity.
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