."A violência é, em primeiro lugar, os outros". Alain Teyresite INTRODUÇÃO "Existe um meio de libertar os homens da maldição da guerra?", Einstein surpreende Freud na famosa troca de correspondência entre os dois gênios. A resposta é rápida: "em princípio, os conflitos de interesse entre os homens são solucionados mediante o uso da força". Explica Freud que a evolução tecnológica e intelectual pode e, muitas vezes, está a serviço de estimular o poder pelas armas ou pelo conhecimento. O objetivo seguiria sendo o mesmo, aniquilar o outro. O respeito ao inimigo vem da necessidade de utilizar a vítima para seus propósitos, bastando mantê-la subjugada e atemorizada. Essas são reflexões que seguem atuais, escritas sob a égide da Segunda Guerra Mundial. Partindo do "filicídio institucionalizado" representado pelos conflitos mundiais, conclui-se que as aflições dos grandes mestres sobre as tendências autodestrutivas da humanidade resistem, apesar dos reiterados esforços da sociedade em explicá-las e evitá-las.Partindo da experiência em estudar e acompanhar vítimas e perpetradores de violên-cia, na experiência diária como psiquiatras forenses, membros do judiciário, médicos que atendem a realidade dos ambulatórios e dos centros de triagem, estudiosos de urbanismo e outros determinantes sociais, os autores agruparam suas experiências e conhecimentos para refletir e propor alternativas para lidar com um dos ângulos mais cruéis do crime, aquele que atinge os mais fracos por limitações físicas, emocionais ou sociais. Foi realizada pesquisa bibliográfica recente, ampla e atual, buscando contemplar os diferentes vértices do tema. O enfoque multidisciplinar é, já, uma das propostas. O problema da violência intrafamiliar e do-
(média = 0,97; intervalo de 0,60 a 0,99). Conclusão: A confiabilidade entre os avaliadores da versão brasileira da escala HCR-20 Assessing Risk for Violence foi similar aos resultados de estudos em outros países.
ReferencesIntimate partner violence (IPV), also known as domestic violence, is defined by the World Health Organization 1 as ''any behavior within an intimate relationship that causes physical, psychological, or sexual harm to those in the relationship.'' While IPV may be perpetrated by women against men or in homosexual relations of both sexes, most cases (85%) consist of men victimizing women. This produces a worldwide problem with serious implications for women's health and well-being. 2,3 Special populations of women are at increased risk of IPV, including pregnant women (especially in unplanned pregnancies), those living in low-income settings, rural women, and older, indigenous, military, and immigrant women. Within this context, a study on the prevalence of IPV among Japanese women noted that all those victimized before pregnancy continued to suffer violence during pregnancy. 4 A prospective cohort study conducted by Silva et al. in Recife, state of Pernambuco, Brazil, found a high incidence of IPV in the postpartum period (9.3%), with predominance of psychological violence. 5Lévesque & Chamberland investigated IPV in the perinatal period in young women and warned about the difficulty these women experience in identifying themselves as victims and categorizing the acts of their partners as domestic violence. The fear of family separation and the victims' desire to protect their children contribute to the complexity of violence experienced during maternity. 6 In addition to the sequelae experienced by non-pregnant women victimized by conjugal violence, IPV can have additional negative effects when perpetrated against pregnant women, increasing the risk of inappropriate antenatal care, poor weight gain, anemia, infections, bleeding, maternal depression, and suicidal ideation and suicide attempts.We illustrate the aspects listed above with the case of a young couple from the Southern region of Brazil. The husband was an unemployed man with a criminal record who kept his wife (5 months along a planned pregnancy) under false imprisonment while causing her grievous bodily harm. A complaint to police was made by neighbors who noticed the false imprisonment. Although there was a previous history of domestic violence, the victim and the perpetrator minimized the aggressive acts to the police, judge, and forensic psychiatrists who evaluated the case. The victim did not report any concerns about the baby's health or physical integrity during any of the psychiatric interviews. Surprisingly, both the wife and the husband attributed the responsibility of the facts to the victim, including in a handwritten letter by the wife, directed to the judge in the case, blaming herself for having received such treatment from her husband. Forensic psychiatric evaluation of the offender identified controlling behavior and narcissistic personality traits. He was considered fully capable of understanding the nature of his offense and of controlling his actions voluntarily.This report demonstrates the pathological family dynamics c...
<p>Resumo</p><p>Nas sociedades contemporâneas, a união entre as pessoas ocorre, de forma mais frequente, a partir das escolhas afetivas. No Brasil da última década, observou-se o aumento de 20% nas dissoluções de uniões conjugais. Alguns cônjuges não conseguem superar as dificuldades que emergem quando do término da relação, passando os filhos a serem alvo da conduta dos pais, configurando, em alguns casos, a Síndrome da Alienação Parental, observada em certos litígios que chegam às Varas de Família. O presente artigo enfoca o papel do psiquiatra forense frente às demandas oriundas das separações conjugais, à Síndrome de Alienação Parental e às legislações relacionadas a esta síndrome, em especial à lei brasileira nº 12.318, de 26 de agosto de 2010.</p><p>Palavras chave: Criança; Divórcio; Avaliação; Psiquiatria forense (DeCS).</p><br /><p>Summary</p><p>In modern societies, people decide to marry, more frequently, based on affective choices. In Brazil, during the last decade, there was a 20% increase in marital unions dissolutions. Some spouses fail to overcome the problems and difficulties that arise at the end of a relationship, with their children being the ones affected by their parents’ actions and behavior, thus giving place, in some cases, to the Parental Alienation Syndrome, which is observed in certain disputes that reach Family Courts. This article focuses on the Forensic Psychiatry role regarding the claims and demands that arise from marital dissolution, the Parental Alienation Syndrome and the legislation related to this syndrome, in particular the Brazilian Law 12.318, issued on August 26<sup>th</sup>, 2010.</p><p>Keywords: Child; Custody; Divorce; Forensic Psychiatry (MeSH).</p>
O fanatismO cOmO sObrevivência psíquica durante a pandemia da cOvid-19
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