Causas "fracas" e redes causais complexas em psiquiatria

Araújo, Luís Fernando S. C. de; Banzato, Cláudio E. M.

doi:10.1590/s1415-47142014000100002

Cited by 4 publications

(4 citation statements)

References 12 publications

(11 reference statements)

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“…A society confronted with an outbreak of an epidemic, a natural disaster, or a war can exert severe and multiple pressures on those making decisions critical to the life and health of society. Such "environmental influences," micro-and macro-causalities, and their impact on "the interaction between thought, affect and action" in the affected decision-makers (Bandura 1989, 3) have been examined and described mainly -but not exclusively -in social psychology, discourse psychology, organizational and professional psychology (e.g., de Araújo et al 2014;Castro de Araujo 2014;Berrios 2009;Philips et al 2004;Susser 1991;Mackie 1965;Mackie 1980;Cartwright 1979), in particular for clinical decision making contexts (e.g., Cioffi 2021;Borges et al 2020;Borkowska et al 2019;Patel et al 2018;Grady et al 2018;Milliken 2018;Epstein & Delgado 2010;Hamric et al 2006;O'Donnell et al 2008;Campbell et al 2018;Austin et al 2017;Wöhlke & Wiesemann 2016;Walston & Walston, 1982;Terris 1987).…”

Section: Theorising Moral Distressmentioning

confidence: 99%

Another Pandemic

Nowak

Barciszewska²,

Kriaučiūnienė³

et al. 2023

Ethica

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The SARS-CoV-2 pandemic has transgressed biomedical categories. According to Horton, it turned out to be a 'syndrome' that infected virtually all spheres of social life. The pandemic has created toxic social atmosphere highly unfavorable to clinical and clinic-ethical decision making. Constraints and pressures related to micro-, meso-, exo- and macro-environments framing doctors, nurses, and medical students in training were identified. These factors exacerbated moral distress (moral injury) amongst clinicians. In a joint Polish-Lithuanian project (IDUB 2020-2022) we examined predictors of moral distress in pandemic clinical contexts. A survey-based, real-time, correlational and comparative study was conducted in Poland and Lithuania after the first year of pandemic with N=227 participants. Unexpected differences on regular and pandemic-type moral distress levels were found between the two national samples. Polish participants showed significantly higher moral distress levels than their Lithuanian counterparts. The following article discusses these findings and recommends the reinforcement of resilient medical decision making.

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Section: Theorising Moral Distressmentioning

confidence: 99%

Another Pandemic

Nowak

Barciszewska²,

Kriaučiūnienė³

et al. 2023

Ethica

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“…The creator of this model was John L. Mackie (1974), an Oxford-based Australian philosopher, who, unlike Bradford Hill, also contemplated weak, dyssynergic, or unknown causal links. 10 This is an elegant construct, though it is little known in the medical-legal field.…”

Section: Theoretical Backgroundmentioning

confidence: 99%

Determination of causal associations in occupational medicine and the medico-legal context: references and standards

Almeida¹

2021

Rev Bras Med Trab

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Causality is a transdisciplinary topic with the medical-legal field representing one of its most exciting aspects. Since medicine and law have different roots and objectives, this article provides references to support occupational physicians and medico-legal experts in the difficult task of establishing occupational causation. In addition to the traditional Bradford Hill criteria and Schilling’s Classification, additional standards are provided to enhance critical assessment and contribute to the responsible use of the concept of causation in both the legal and medical-occupational fields.

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“…E1 A visão multicausal é algo que se encontra na literatura científica, uma vez que se entende a loucura como um fenômeno complexo, embora passível de explicação. Observa-se que essas falas buscam na lógica da causa e efeito seu modo de conceber a loucura, tal como se observa em estudos voltados para a lógica psiquiátrica (Araújo e Banzato, 2014) . Ainda que complexa, as diferentes concepções de loucura foram organizadas em um clássico estudo.…”

Section: Concepções E Causalidades: Entre O Concreto Da Teoria E O Abunclassified

A Loucura E Sua Verdade Em Questão: Discursos De Profissionais De Enfermagem Da Atenção Hospitalar

Moraes

Santos

Reis

et al. 2018

RPESM

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RESUMOTomou-se por objetivo analisar os discursos de profissionais de enfermagem de uma instituição hospitalar acerca da loucura e do cuidado de enfermagem voltado a pessoas com sofrimento mental. Trata-se de pesquisa de abordagem qualitativa, de caráter exploratório, tomando o Modo Psicossocial por arcabouço teórico sendo entrevistados 17 profissionais de Enfermagem da atenção hospitalar especializada em psiquiatria. Os dados foram analisados pela Análise de Conteúdo sendo usadas as técnicas de Análise Temática e Análise de Enunciação. Emergiram duas categorias: (1) Concepções e causalidades: entre o concreto da teoria e o abstrato da experiência; na qual discute-se o silenciamento da experiência diante da teoria que acaba por prevalecer quando se busca saber o que é a loucura. (2) A (in)visibilidade revisitada ou a exclusão como regra na qual a invisibilidade da loucura reaparece na forma da loucura falsa. A presença de discursos destoantes do preconizado pela política nacional de saúde mental incita à reflexão acerca da formação de profissionais de enfermagem no contexto atual, bem como da atenção em rede de base comunitária. ABSTRACT "Madness and its truth in question: Discourses of hospital nursing professionals"The objective of this study was to analyze the discourses of nursing professionals from a hospital about mental illness and nursing care for people with mental suffering. This is a qualitative, exploratory research, with the Psychosocial Mode by theoretical framework being interviewed 17 Nursing professionals of the psychiatric hospital. The data were analyzed by Content Analysis using the techniques of Thematic Analysis and Analysis of Enunciation. Two categories were extracted: (1) Conceptions and causalities: between the concrete of theory and the abstract of experience; which discusses the silencing of the experience before the theory that ends up prevailing when one seeks to know what mental illness. (2) Invisibility revisited or exclusion as a rule in which the invisibility of madness reappears in the form of false madness. The presence of speeches similar to those of the early days of mental health care encourages reflection on the care and training of nursing professionals in the current context as well as community-based network care KEYWORDS: Mental health; Psychiatric nursing; Nursing care; Mental disorders RESUMEN "La locura y su verdad en cuestión: Discursos de profesionales de enfermería del hospital" El objetivo de este artículo es analizar los discursos de profesionales de enfermería de una institución hospitalaria acerca de la locura y del cuidado de enfermería dirigido a personas con sufrimiento mental. Se trata de una investigación de abordaje cualitativo, de carácter exploratorio, tomando el Modo Psicosocial por marco teórico siendo entrevistados 17 profesionales de Enfermería de la atención hospitalaria especializada en psiquiatría. Los datos fueron analizados por el Análisis de Contenidos siendo utilizadas las técnicas de Análisis Temática y Análisis de Enunciación. Surgido do...

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Causas "fracas" e redes causais complexas em psiquiatria

Cited by 4 publications

References 12 publications

Another Pandemic

Another Pandemic

Determination of causal associations in occupational medicine and the medico-legal context: references and standards

A Loucura E Sua Verdade Em Questão: Discursos De Profissionais De Enfermagem Da Atenção Hospitalar

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