The spread of delivery apps has significantly transformed food consumption, especially fast food. Although they represent ease of access, variety and agility, they are also associated with physical (e.g., poor nutrition and obesity) and mental (e.g., social isolation and anxiety) health risks. This research aimed to test the predictive value ofinternal and external variables in impulsive food purchases via apps. Two hundred and twenty consumers (62.5% women), with an average of 33 years of age (SD = 9.98), responded to personality measures (big five) and habits, in addition to scenarios withsituational and social influence variables. (notifications with promotion).Results showed that consumers, especially women, often buy impulsively to reduce negative emotions, even when they do not have enough money. Neuroticism was a predictor of taking advantage of the "opportunity" for promotions, but conscientiousness was apredictor of resistance to notifications, even after controlling for the effect ofneuroticism. e discuss how marketing strategies can not only be illusory (e.g., "freedelivery", with this cost already included in the price) but also generate a lack of controlin consumption, perpetuating the anxiety that gives rise to impulsive buying.Furthermore, we discuss how resistance and consumer rights strategies can be developed when the purchase becomes harmful, in addition to the potential benefits ofvolitional personality change.

Prohibitionist policies negatively impact several communities and territories, through marginalization,

human rights violations and genocide, especially in Latin America and Brazil. Such policies are

considered a continuation of the colonial project in the Americas. The ban amplifies social, racial and

gender inequalities, contributing to a crisis in care. The present work aimed to carry out an ethnographic

study that aims to understand how community practices of anti-prohibitionist care take place based on the

narrative of anti-prohibitionist activists who participate in the groups Tulipas do Cerrado, Coletivo

Aroeira and Rede Nacional Feminista Antiproibicionista (RENFA). An interpretative qualitative research

was carried out, in which data was collected through Focus Groups and Semi-Structured Interviews. Such

data were analyzed using Thematic Analysis. The results highlight the importance of bonds, autonomy

and network in anti-prohibitionist care, highlighting the relevance of supportive bonds and valuing

autonomy to enrich relationships. The perspective of networked care challenges individualism, integrating

human beings, non-humans and elements of nature. Furthermore, overcoming stigma and violence

requires the practice of listening, while the inclusion of the environment in community care reveals the

decolonizing potential of anti-prohibitionist care.

Anxiety is the body's natural response to situations perceived as challenging, dangerous or

stressful. When it exceeds normal limits and becomes persistent, this response can evolve to a pathological

level. An anxiety disorder is a complex and multifaceted phenomenon, being an object of interest in

several areas, including psychology, neuroscience and psychiatry. This dissertation includes two studies,

presented in article format, one being a review and the second an empirical research, with a quasi-

experimental design. The first article aimed to identify evidence that the use of guided imagery, as a non-

pharmacological intervention, contributes to reducing anxiety levels in adults. A systematic review was

carried out, guided by PRISMA parameters, searching for peer-reviewed articles, published between 2018

and 2022, in the SciELO, SCOPUS and PsycINFO databases. 740 studies were found and, after screening

and applying eligibility and exclusion criteria, 12 articles were selected. Regarding the design, eight

studies were randomized controlled and four did not apply the randomization criteria. The 12 studies

indicated a statistically significant reduction in participants' anxiety levels after intervention using guided

imagery. The studies indicated that the technique can be used in different contexts, with varied

populations and comorbidities, being favorable as a complementary non-pharmacological technique. It is

concluded that intervention with guided imagination, whether in a hospital or non-hospital context,

constitutes an efficient way of reducing anxiety levels, according to the results of the studies in this

systematic review. The second article aimed to evaluate the effects of guided imagery intervention on the

perceived level of anxiety in adults, in the psychological clinic, with a quasi-experimental design. Four

adults participated and underwent eight weekly guided imagination sessions. Three comparison measures

were carried out (pre-test, post-test and follow-up after one month), using the Beck Anxiety Inventory

(BAI), the anxiety subscale of the Hospital Anxiety and Depression Scale (HADS-A) and the Mini

International Neuropsychiatric Interview - MINI. Participants' reports were recorded throughout the

sessions and at follow-up, and categorized. Based on non-parametric analysis (Friedman's ANOVA), the

results showed that the mean HADS-A rank scores in the pre-test were significantly higher than in the

post-test (p=0.024). The value rose a little in the follow-up, but still remained lower than in the pre-test,

however the difference was not statistically significant. There was no statistically significant difference in the BAI, although the average ranks reduced in the post-test and follow-up. Analyzing the cases individually, the results indicated that the participants benefited, in varying ways, from the guided imagination technique, with two of them benefiting differently. Diverging from the research analyzed in the systematic review, the intervention study was carried out in the context of the psychological clinic, with limitations regarding the number of participants, absence of a control group and follow-up time. It is concluded that the technique contributed to reducing anxiety, proving to be an additional treatment resource in cases of disorder.

The aim of this work is to identify aspects relating to individual discursive

configurations that express the experience of care and paternity from a gender perspective.

Based on these configurations, indicators are developed that reveal aspects of paternal care in

this individual dimension that is constituted from practices and models of social and historical

understanding of what family, paternity, roles and care are. Paulo Freire, Edgar Morin and

Fernando Rey recognize the importance of subjectivity as a structuring element in scientific and

pedagogical production. As such, an epistemological revision is proposed for the human

sciences in relation to the Cartesian paradigm towards a complex socio-historical paradigm. It is

also based on the understanding that subjectivity is constituted through daily processes and

experiences. In order to understand adoptive single parenthood and the dimension of care, the

analysis is based on the performativity and heteronormativity pointed out by Judith Butler, as

well as the sociological analysis of Pierre Bourdieu's field and habitus and symbolic violence.

The research is based on a qualitative analysis using Bardin's content analysis. Semi-structured

interviews and a sociodemographic questionnaire were carried out.

Considering that psychological forensic assessment is a relatively recent professional practice, as

well as the insufficient number of national investigations covering the professional performance of psychologists in the judicial context in cases of violence against children and adolescents, the present investigation appears to be opportune for scientific development in area of legal psychology and victimology. The first chapter consists of a scoping review of the literature, analyzing an empirical study that investigated the performance of psychological forensic assessment in cases of suspected sexual abuse in custody disputes. Therefore, it was concluded that there is no consensus among professionals regarding the choice of evaluation methods and procedures, with the adoption of their own methods, often without scientific basis, as well as divergent understanding of important concepts and themes. The second chapter is composed of an empirical study, aiming to map the professional performance of expert psychologists forensic assessment in the judicial context in cases of violence against children and adolescents through a questionnaire constructed by the author. The sample consisted of 58 psychologists, of both sexes, aged between 25 and 67 years old (M= 45.9, SD= 9.9). The results demonstrated that there is no consensus among professionals regarding all aspects that were investigated, just as the evaluation strategies are diverse. The results reinforce the need for investment in research and training in the forensic assessment and forensic field as a whole, in order to help professionals produce consistent and objective evidence, through ethical, neutral and impartial action.

Based on Charles Peirce’s notion of habit, this thesis aims to understand the relationship between Milton Erickson’s hypnotherapy and the reconfigurations of chronic pain experiences. The study considers the singular and ephemeral character of the hypnotic experience in investigating the subjective processes involved. This is a theoretical study that seeks to elucidate the dynamics of organization and reorganization of processes related to subjective and vital dispositions from the experiences of the subject. To this end, Milton Erickson’s hypnotherapeutic cases of chronic pain were studied, and three illustrative cases with their procedures and interventions detailed in the scientific literature were chosen. These cases were analyzed clinically and semiotically, focusing on hypnotic communication and reorganizations of chronic pain habits. The discussion of the cases demonstrates the articulation of hypnotic communication with the singular clinical context of the subject and the process of the ‘clinic of showing’, in which the diverse expressions of the therapist acquire a character of iconicity, with considerable subliminal content in the experience of the subject.

In recent years, epidemiological data has shown a significant increase in the incidence of chronic pain, such as Fibromyalgia Syndrome. According to the 2019 Global Burden of Disease, musculoskeletal diseases cause the most years of disability in the world, followed by mental disorders, and affect around 30 per cent of the world's population. In Brazil, although epidemiological studies on chronic pain are scarce, the estimated average incidence is around 35.5%. As a result of the myriad of challenges posed by the pandemic, there are indications that the aforementioned conditions have increased, which requires diversified care actions that are in tune with health safety protocols. In this sense, this study aims to contribute to the production of knowledge in this field by proposing qualitative research, based on a case study, anchored in Qualitative Epistemology, the Constructive-Interpretive Method and the Theory of Subjectivity from a Cultural-Historical perspective, with the main objective of understanding the processes of subjectivation in the symbolic body, in a woman with fibromyalgia, generated from the experience of synchronous online haṭha yoga practices in the context of the COVID-19 pandemic.

The change in the demographic and epidemiological profile of the Brazilian

population is marked by the increase in the prevalence of chronic non-communicable diseases (NCDs) and the increase in longevity. This scenario produces new demands that require new forms of care, including palliative care. This scenario reinforces the importance of qualifying and expanding the care offered by health professionals, especially those who work in Primary Health Care (PHC), the gateway to the Unified Health System (SUS). Currently, palliative care focuses on specialized hospital care, reinforcing the need to implement Palliative Care, in Primary Care, from the moment of diagnosis of a disease that threatens the continuity of life, contributing to the promotion of the quality of life of patients. patients, their families and caregivers. OBJECTIVE: The research aims to identify the main challenges of Palliative Care for Primary Health Care, from the perspective of professionals and researchers on the topic. METHOD: This is a qualitative study, of a cross-sectional and analytical nature, developed in two stages. In the first stage, an integrative literature review was carried out to understand the scientific production on Palliative Care in PHC. Peer-reviewed articles were considered, published between 2012 and 2022, in Portuguese, English and Spanish, in the following databases: Periodicals of the Coordination for the Improvement of Higher Education Personnel (CAPES), including the Latin American Literature database and the Caribbean in Health Sciences (LILACS), Virtual Health Library (VHL) Health and Scientific Electronic Library Online (SciELO); and the Public/Publisher (PubMed) tool that allows access to the United States National Library of Medicine (MEDLINE). The integrative review was structured to answer the following question: What has been published about palliative care in primary care? In the second stage, structured interviews were carried out, seeking to include health professionals, who work with social movements, in the assistance or management of health systems and services and in the field of research, related to the theme of palliative care. This stage focused on identifying barriers and facilities for offering palliative care in Primary Health Care, seeking to contribute to expanding and qualifying access to this care. After the interviews, the narratives were analyzed using the Collective Subject Discourse method. RESULTS: As a result, it was possible to identify the need for greater understanding of Palliative Care, by teams and society in general. Although we have achieved important advances, such as CIT Resolution 41/2018, Palliative Care in PHC occurs at a very incipient level in Brazil. It is necessary to implement a Public Palliative Care Policy, with guaranteed funding and which includes different axes such as the continued training of professionals, including technical knowledge, interpersonal relationships, communication skills, offering technical and emotional support to professionals, as well as guaranteeing the availability of painkillers, such as opioids, supplies and structure for home care, in the territory where people live, with special attention to rural regions and those far from large centers.

The creation of protective social groups can be one of the ways to confront and prevent countless

situations of lack of protection and violence, and can contribute to strengthening emotional and social bonds,

in the family and community context. Thus, this research has the general objective of developing a group

intervention methodology for the prevention of violence and unsafe relationships and the promotion of safe

emotional bonds for children, adolescents and their families within the scope of social assistance. To this

end, the research had as its locus basic and medium complexity protection units of the Unified Social

Assistance System (SUAS) of the Federal District. Qualitative and participatory methodological designs

were proposed for field research, using interviews and intervention research. Thus, in a first stage, we sought

to identify experiences of relational protection and lack of protection and important aspects for action in the

field of social security based on the literature and the perception of 10 SUAS professionals. In a second and

third stage, we developed and analyzed group interventions focused on promoting protective relationships

and safe emotional bonds: three online groups with a total of 39 participants, during different phases of the

pandemic context caused by Covid-19; and an in-person group, with a multifamily focus, with the

participation of children, adolescents and their families, totaling 38 participants. We carried out reflective

thematic analyzes of the data from each stage and constructed six groups of results: the first focused on

interviews with professionals; the second, the process of co-creating group interventions; the third, the

analysis of online groups; the fourth, the analysis of the socio-digital inclusion process in online groups; the

fifth, the analysis of the face-to-face group; and the sixth, the evaluation of the methodology and the

participation of families in all groups In general, the research results point to the need for care and ongoing

training of professionals who work in the field of actions focusing on the application of protective bonds.

Furthermore, the importance of social technologies is highlighted to guarantee listening to the plural

narratives of experiences of relational lack of protection, which present themselves in an intersectional way,

expressed in the suffering faced with daily micro and macro violence, discrimination and separation,

especially in life. of children, young people and black women, burdened by domestic work and unpaid care.

In the groups, it was possible to verify that, in the relational processes, access, rights, reflections and

recognition are provided, in which it is possible to expand the social protection of families and individuals,

build social security strategies and strengthen bonds.

Imprisonment as a form of punishment has been used rampantly in Brazil. The
Brazilian prison contingent has grown abruptly in the last 50 years. Today, the country has
the third largest incarcerated population in the world. The present study focuses on analyzing
the reasons that make Brazil appear on the list of countries with the highest rates of violence
and incarceration. In addition, it was intended to verify the subjective factors that lead women
to commit crimes and to assess the meaning of the criminal act for them. A diversified
methodology was chosen, which includes a research of quantitative data in a prison in the
Federal District, an ethnographic study, document analysis and open interviews, carried out
with women in a situation of imprisonment. The investigation was developed having, as a
theoretical reference for analysis, Gender Studies and other intersectionalities (in the case of
the concepts of social vulnerability and racism). In the same way that there are specific ways
of subjectivation, mediated for women by the amorous and maternal dispositifs, there are also
directions for crime influenced by the different dispositifs of subjectivation of men and
women. To achieve the objectives of this research, the thesis will be divided into three axes.
The first refers to an institutional diagnosis, based on qualitative research, with questionnaires
applied to women recently imprisoned in a female penitentiary. At this stage, factors related
to self-identification, physical and mental health of the inmates, criminal experience, family,
support network, work and social assistance rights were observed. The second axis concerns
the interviews that have been carried out with women incarcerated in the same penitentiary
and framed in four different crimes: crimes against life (homicide or attempted), crimes
against property (robbery or theft), drug trafficking and crimes against sexual dignity (rape or
sexual harassment). After the interview and the transcription of the material, a content
analysis will be carried out, which aims to list the recurring themes in the reports of the
inmates in order to establish categories of analysis. Finally, in the third axis, the objective is
to think about how Gender Studies can influence the creation of interventional methodologies
within the prison context. For this, the experience of implementing the program to assist
transsexual people within the prison in question is used in order to exemplify the potential for
intervention that Gender Studies and other intersectionalities provide in order to promote the
process of change for people who committed crimes. The present research is justified by the
large number of people incarcerated in Brazil, in addition to the incipience of studies on the
subject in the scientific literature.

This thesis explored the concept of Nachträglichkeit in Freudian psychoanalytic theory. For
this purpose, we derived from two fundamental psychoanalytic concepts: trauma and
phantasy. Our main goal was to explain that Freud’s Nachträglichkeit concept offers a
critical role in understanding other concepts. Furthermore, this work attempts to express the
relevance of the concept in question for the psychoanalytic clinical practice. Therefore, the
work is divided into three chapters. In the first one, the idea of trauma is introduced from
Freud’s work. In this regard, we navigate from the first theory of trauma to the second,
addressing the concept of helplessness and anxiety. The second chapter was dedicated to
discussing the concept of phantasy: from conscious phantasy to unconscious, and primal
phantasies. In the last section of this chapter, a discussion was proposed about the structure
process of phantasy and the structure process in analysis. For both of the concepts
considered, an effort was made to indicate the connection with the Nachträglichkeit.
Ultimately, the last chapter of the dissertation was committed to deliberate three fragments
of clinical cases. All the cases access a common theme: the intra-familiar violence and its
consequences for the following generation. This thesis concludes the concept of
Nachträglichkeit in Freud’s approach was omnipresent. Despite the lack of widespread
attention and focus, the concept lies in the foundation of every theory analysis. Likewise,
this understanding is critical for the psychoanalytic clinical theory advances.

This dissertative essay is divided into three parts to deal with different perspectives on racial issues throughout the history of the field. The first is related to the presence of the Black as a repository of the undesirable within the category of the modern human, highlighting the ethnocentric phenomenon as a defensive act in relation to the Black cultural form. In the second moment, I work this defensive relationship along with the ideological pair of the Black, the White, in order to evidence the dependence between the two significants in the racial discourse. Finally, from clinical practice, I show some markers of racial conflict in the analytical pair, indicating a proposal to work with racial suffering based on reflections on trauma and countertransference.

This project proposed to investigate strategies to promote children's mental health based on play, art and childhood culture. The specific objectives of this work were: to map mental health promotion indicators through play and cultural experiences; investigate the impacts of the COVID-19 pandemic on the mental health of children; and map the expanded public care network for children and adolescents in the territory. To achieve these objectives, two focus groups were carried out in a public playroom located on the outskirts of the Federal District, one group with the institution's children and another with the professional team. The study was cross-sectional and had a qualitative approach and the dissertation was organized in the format of articles. The first article, of a theoretical-conceptual nature, deals with the promotion of children's mental health, presenting the relationship of this field with playing and cultural experiences. The article proposes the construction of a praxis that is based on a political and ethical project in which the dimensions of diversity and plurality are respected, in the same way, that the need for play and cultural experiences for the child and youth population is recognized. The second article analyzes the results found in the focus group carried out with five children who frequent the public playroom. The results, analyzed according to thematic analysis, point to indicators of mental health promotion expressed in the children's speeches about playing as a source of health, learning and a laboratory of affections. In addition, the results brought about the impacts of the health crisis on playing, on corporality, on development and on the health of children in this territory. The last article addresses the focus group carried out with eleven public playroom professionals. The collected data were analyzed according to thematic analysis and the results point to playing as a language for children and a tool for dialogue and strengthening bonds, as well as the learning dimension present in playing and the political intention of educators when proposing playful activities and pranks. Regarding the impacts of the pandemic on children's mental health, the results demonstrate the worsening of cases of psychic illness and an increase in the condition of vulnerability of children and adolescents. There was a lack of public equipment aimed at mental health care for children and adolescents in the territory and, given the results found, it is urgent to charge and demand from the public authorities the construction of services that develop specific actions in mental health, such as the CAPSi. Another proposal that emerged from the research results was the construction of devices aimed at strengthening the culture of playing and childhood as part of the expanded public care network for children and adolescents. We conclude that it is necessary to form a network of shared and collaborative action that creates emancipatory practices through play, art and culture to be a vector of resistance and subjective and social transformation.

One of the impediments to girls' access to the university is the lack of recognition of opportunities. This work sought to analyze the challenges to access higher education faced by public school students of Brasília-DF that are participants of the "Meninas Velozes" project, specifically during the Covid-19 pandemic. The project encourages teenagers to enroll in courses in technology, rarely accessed by women. We sought to understand the challenges faced by these girls in getting to university; to identify the influence of the "Meninas Velozes" project and the impact of the pandemic on their scholarly routine; and to analyze the contributions of the Photodialogue device, an adaptation of the Photolanguage device for remote activities, as a space for experiences exchanging reflection, and support network for the project members. Online and face-to-face workshops were conducted using the Photodialogue device as mediating object for group discussions. The themes of gender, pandemic and professional choice were discussed. The speech space made it possible to exchange the challenges experienced by the girls during the pandemic, such as social isolation, difficulties in adapting to remote teaching, and conflicts regarding professional choices. It was observed that the social ties created during the workshops were of great importance in terms of emotional support during the pandemic. Using the Photodialogue device in the discussions was appropriate for working on the suggested themes. 

Binge eating disorder is characterized by recurrent episodes of eating large amounts of
food, coupled with a feeling of loss of control over eating. The objective of this research
was to investigate the implications of binge eating on professional, social and family
functioning of women with this diagnosis, followed by a multidisciplinary team in a
specialized service. This is a qualitative, exploratory and descriptive study. Ten women
between 18 and 50 years old participated in the study. A semi-structured interview script,
the Sheehan Disability Scale and a sociodemographic questionnaire were used as
instruments. Data was analyzed and organized into nine sections: Sample
characterization; History of dietary change; Impairment in professional functioning;
Impaired social functioning; Impaired family functioning; Experience in the covid-19
pandemic; Strategies used to deal with the disorder, Sensations associated with
compulsive eating and Functional impairment. The results showed that overweight and
obesity are characteristics present in the history of dietary changes, in addition to medical
and psychiatric comorbidities. Binge eating interferes negatively in the lives of the
participants, with impairments in social, family and professional functioning, in that
order. Social isolation resulted in worsening symptoms in the pandemic. The participants
use mental and behavioral strategies to deal with the symptoms. In the characterization
of compulsive eating there are three moments - before, during and after - anxiety, despair,
hunger and anger define the before. The during was associated with pleasure, comfort and
satisfaction. The after refers to regret, sadness, guilt, frustration and the desire to die.
Future studies need to advance in identifying factors for a more effective intervention
with these women.

The big five model is currently dominant in personality psychology,
showing that openness to experience, conscientiousness, extraversion,
agreeableness, and neuroticism are quite stable. When small changes
occur, they are generally attributed to the life-cycle itself (e.g.,
marriage, motherhood, old age), while large ones are attributed to
extreme events (e,g., accident, neurosurgery, psychopathology). In the
last decade, however, a robust body of work has shown that intentional
(volitional) personality change is not only possible within certain
limits, but also achievable in the short term. Considering the almost
non-existence of data in Brazil, this research aimed to quantitatively
identify intentions of personality change and how people estimate how
significant others expect them to change. Plans people conceive if
they were to implement the indicated changes were also qualitatively
investigated. Participants (n = 414) answered instruments of
intentions and expectations of change based on 20 reduced markers for
the big five, along witth open questions for the plans. Repeated
measures ANOVAs showed, regardless of gender, that reducing
neuroticism (e.g., anxiety), increasing openness (e.g., creativity),
and increasing conscientiousness (e.g., dedication) were the biggest
change goals. Although reducing neuroticism was also the biggest
change in the perception of significant others’ expectations, it
distinctly included the increase of agreeableness (e.g., kindness) and
extroversion (e.g., communication). Younger people systematically
reported more change goals than older people. Content analyses also
revealed that change plans are frequently vague and hard to
operationalize, like developing social skills, implementing new
routines and not caring about people's opinions, while some involve
seeking professional help. These results are discussed in light of the
recent literature on volitional change and of the cultural
characteristics of Brazilians. Also, its role as a preliminary, but
fundamental step for research on the development of effective
strategies for changing personality traits in clinical psychology, is
discussed.

The burnout can be understood in three components, namely emotional exhaustion, depersonalization and low personal accomplishment. In addition, it was incorporated into the model of job resources and demands (JD-R), where the importance of personal resources in preventing and reducing burnout is highlighted. Personality factors are considered as personal resources, but little has been evidenced about how cognition can act as a personal resource and present a protective effect in the development of burnout. The aim of this study was to evaluate the interaction between personality and intelligence in predicting burnout in a sample of Brazilian military personnel. The study included 200 military personnel, mostly male and from the southeastern region of the country. From the moderation analyses, it was found that intelligence had a moderating effect both in the relationship between neuroticism and emotional exhaustion, and in the relationship between extroversion and depersonalization. So, intelligence is understood as a protective personal resource against burnout symptoms, inferring that more intelligent individuals will be better able to deal with their work demands and accumulate other resources and, thus, experience less stress and burnout.

The present work proposes to discuss the close relationship between socio-political
suffering, racial issues and the place of psychic and social transmission of filiation and
parenthood. The psychoanalytic method and bibliographic research were used to
approach the theme. The investigative character of extra walls psychoanalysis makes it
possible to think about culture from the complexity of its movements. It is essentialto
investigate and problematize the issues related to the dimension of socio-political
phenomena, since their effects are felt in the production of subjectivities in the social
bonds. Thus, this study aimed to analyze how the process of construction of black
parenthood is crossed by sufferings related to racism in the social bonds, bringing
effects to the subjectivation of new generations. For this, the work was divided into two
chapters. The first chapter explores the construction of racial malaise and its impacts on
parenthood, encompassing the historical construction of racism and the family model
forged in colonial domination. The second chapter analyzes, from the theoretical
framework of Laplanche, the transmission processes, especially addressing the
fundamental anthropological situation and the assignation of skin color, emphasizing
the importance of intersubjectivity for the first identifications. It is concluded that the
malaise that racism imposes crosses parental relationships, making it difficult for the
black person to build a narcissistic image that takes his body as an object of love.
Finally, it emphasizes the potential for openness of parenthood, which would enable the
construction of new social codes of appreciation of the black body.

Abstract

Adolescence and motherhood while serving a socio-educational measure of internment still
do not find significant space in the literature and discussions on the agenda of the socioe-
educational system. Access to these young people permeates the socio-educational system,
institutional, family and affective relational issues, therefore, the sensitivity of the theme
requires and equally, sensitive, careful and respectful listening. And with the aim of giving a
“voice and chance” to adolescents deprived of liberty, the general objective of this research
was to investigate the affetive bond between adolescent mothers and their children in the
context of compliance with a socio-educational measure in deprivation of liberty. Specific
objectives: to understand the meaning of being a mother from the perspective of adolescents
deprived of liberty; to investigate how the exercise of the maternal role and mothering occurs
during the fulfillment of the socio-educational measure of juvenile correctional detention.
Information was collected using a multimethod methodology, including ethnography,
documentary research and interviews with four teenagers. Initially, the etnography was
carried out in a pandemic period between the months of October and December 2021.
Afterwards, a documentary research was carried out in all other documents received or
produced in the unit about adolescent mothers in compliance with a juvenile correctional
detention measure. Finally, in Jannuary 2022, interviews were conducted with three recent
graduates from the UIFG and an interview with a pregnant teenager in the inpatient unit. The
findings were analyzed from the theory of González Rey (2005) and organized into zones of
meaning, being divided between result 1, which concerns the ethnography carried out it the
socio-educational unit of female detention in the Federal District, and result 2, dealing with it
from the interviews carried out with the adolescents participating in this research. The zones
of meaning tha emerged from result 1 are: the environment for complying with the
internment measure; the observed activities; the experience of an intimate partnership
relationship, and motherhood. The meaning zones of result 2 were: compliance with the
socio-educational measure of juvenile correctional detention, subjectivity, suffering, family
relationships, motherhood and the intimate partner. The discussion of the results showed
fragile and/or non-existent family ties between the adolescents and their families; the
suffering inflicted by the socioe-educational measure, aggravated in the case of adolescent
mothers by distancing themselves from their children, especially during the pandemic; the
challenges of motherhood and building an affective bond at a distance; relationships with
intimate partners involved in illegality, marked by age disparity and feelings of abandonment;
the specificities of the socioe-educational unit, such as routine, food, physical structure,
access to health and education mediated by the socio-educatinal. This research concluded tha
compliance with a socioe-educational measure of juvenile correctional detention in the case
of adolescent mothers mande their suffering poingnant in the face of distancing from their
children, and the distancing and even lack of a support network to take responsibility for the
care of the child during compliance with the socio-educational measure. At the same time, the
fulfillment period brought some of the adolescents closer to their families. Motherhood
proved to be important and significant int fulfilling the socio-educational measure for the
adolescents, as it gave the a sense of the future, perspectives and the desire to complet the

measure well in order to be reunit with their children again. This study opens up a range of
reflections for future reserach, such as the relevance of the family and the support network in
fulfilling the MSE of juvenile correctional detention, the experience of sexuality of
adolescents within the unit and the impact of the mother’s distance on her children. As a
limit, the acute period of the pandemic in which the research was carried ot is highlighted,
due to the many limitations of access to the institution and the adolescents. The context of
sanitary urgency accentuated the condition of guardianship by the juvenile justice that the
adolescents present, placing the research and the researcher in a situation of unpredictability,
and at the whim of untimely decisions.

The present study aims to present a reflection on the suffering of the caregivers of a
person in severe mental distress, taking into account gender. In order to better
understand this, theories of severe mental distress, gender and systemic family theory
were consulted, the main references being studies on family systems in the psychosis
clinic. Methodologically, a case review was conducted, using a closed case of the GIPSI
group and analyzing the writings according to the theories and theoretical studies used
in the study. In short, it can be observed in the dysfunctional family cycle - where we
have a sick system and the impact on the illness of its members. In addition to observing
the difference in this disease and requirements by gender, emphasizing the form of
generated externalization of suffering, as greater care and preparation is required to
identify especially the suffering of men. On the other hand, the challenges posed by the
work are related to the case study methodology itself, since we do not have control over
the variables and the social difficulty in the face of gender studies, where it is difficult
to focus on the suffering of men and their representations.

Becoming a mother for the first time directly calls into question the entire attachment
history prior to conception, thecapacity for mentalization, as well as the experiences surrounding
the body. The transition to motherhood often represents a psychological crisis, demanding
significant involvement of both the mental apparatus and the body. Addressing motherhood
therefore requires an understanding of how the body and psyche are engaged during the
pregnancy-postpartum period. As part of an exploratory investigation, a multimethod and
longitudinal evaluation was conducted with ten primiparous women,aged between twenty-five
and forty-five years, without previous psychiatric or physical diagnoses. The research employed
a single-group design, with data obtained longitudinally at two time points: the last trimester of
pregnancy and the first trimester after birth. The following research instruments were used in the
investigation: Socio-Demographic Questionnaire; Rorschach Inkblot Test (Paris School);
Relationship Scale Questionnaire (RSQ); Adult Attachment Interview (AAI); and the Postpartum
Reevaluation Questionnaire. The instruments were analyzed according to their specific
interpretative models, and the Rorschach was analyzed following the Paris School, with an
emphasis on the analysis of psychic dimensions, particularly indicators related to self-
representation, body representation, and mentalization. The analysis of the results was initially
carried out through a cross-evaluation of the RSQ, AAI, Postpartum Reevaluation Questionnaire,
and Rorschach, considering the evaluation of women during pregnancy and postpartum.
Subsequently, the Rorschach protocols related to the gestational period were exploratorily
analyzed by comparing them with normative data. Then, a longitudinal analysis of the Rorschach
protocols was conducted, comparing the results from pregnancy and postpartum. Finally, a case
study was presented, prioritizing a detailed, qualitative, and longitudinal analysis with integration
of the information collected from the various research instruments. The results indicated that
motherhood can cause significant changes in attachment styles and self-representation, even in a
population without risk factors. The childbirth process appears to play an important role in
women's self-perception and the establishment of the bond with the newborn. After childbirth,
many women adopted more insecure attachment strategies and had a negative self-perception,
while their perception of others generally improved. Fragility in bodily envelopes and
psychological overload were observed, resulting in difficulties in mentalization. Furthermore, the
results point to intense reorganizations and possible psychic vulnerability of mothers during the
gestational and postpartum phases, reinforcing the idea that these moments weaken women's
internal boundaries and modify their usual defense mechanisms. However, the heterogeneity
within the group is emphasized, as different women showed unequal mental resources, with
some exhibiting better coping strategies than others. These findings highlight the importance of
providing appropriate support and attention to women during the transition period to
motherhood, especially during childbirth and postpartum, and throughout their journey of
becoming mothers.

This work was created from the questioning about the possibility of support that the
practice of meditation can offer to health professionals so called psychotherapists.
Current studies and research have been pointed out the benefits that meditation offers to
practitioners. These surveys demonstrate how meditation can benefit the physical and
psychological health of practitioners as well as skills in developing emotional
intelligence, empathy, concentration, among others. Semi-structured research was
carried out with five psychotherapists using the gestalt approach and the
phenomenological qualitative research method was used to understand the experiences
of these professionals. This work also has an alliance with Gestalt therapy as a
psychological approach and a basic paradigm for the dialogue between psychology and
meditation practices. The research results indicate that benefits such as the development
of greater presence in the field, the feeling of emotional availability for assistance, care
for the other in not projecting personal content. These are some of the elements
presented by the participants. It is demonstrated, therefore, how meditation can help to
support these professionals.

Gender differences in bystander intervention probability in dating violence situations and levels
of empathy among young adults were investigated. This was quantitative research with a
correlational design. The sample consisted of 250 participants, including both men and women
aged 18 to 30 years. The Sociodemographic Questionnaire, ESPECTA-VN, and EMRI were utilized.
Data collection was conducted online. Descriptive analyses and correlations were performed.
The probability of intervention in sexual violence (p=0.013) and psychological violence (p=0.013)
was significant, with both men and women equally prone to barriers in these situations. There
was no significant difference for physical violence (p=0.530). Empathic Concern and Personal
Distress showed significant differences, with women tending to be more concerned about others
and experiencing more anxiety in emotionally tense situations related to others' misfortunes.
Negative significant differences were identified between Personal Distress and the probability of
intervention in physical violence (p<0.001) and psychological violence (p<0.05); higher levels of
Personal Distress indicated a lower likelihood of intervening in these situations. No significant
differences were found in Empathic Concern (p>0.05) and Perspective Taking (p>0.05) across the
three types of violence, nor between the probability of intervention in sexual violence and
empathy. In summary, Empathic Concern and Perspective Taking did not increase the likelihood
of intervention in situations of physical, sexual, or psychological violence, while Personal Distress
reduced the probability of intervention in physical and psychological violence situations.
Empathy may have a negative effect on the likelihood of intervention. Further studies are needed
to elucidate these relationships, particularly with representative samples of different genders,
races, and sexual orientations.

Covid-19 is a disease caused by Sars-CoV-2, which originated in China in 2019 and became into a pandemic in 2020. Despite the adoption of sanitary measures and vaccination campaigns, Brazil faced a high mortality rate. As a result, numerous individuals had to grapple with sudden losses. Grief reactions can occur in different ways, with symptomatology considered normal and expected, or complicated, when it occurs in a prolonged and non-adaptive way. Given the intricate nature of death and grief within the pandemic context, this study aimed to examine how families in Brazil navigated bereavement process after losing a relative, spouse, or partner to Covid-19 during their hospitalization. Inclusion criteria for the study were being over the age of 18 and self-identifying as a relative, spouse, or partner of a patient who passed away during hospitalization due to Covid-19. Exclusion criterion was an ongoing grief process from a death that occurred up to 12 months prior for other reasons. The Texas Inventory Revised of Grief (TRIG), an instrument employed to evaluate grief and discern complicated grief, was utilized alongside a specially designed questionnaire. This questionnaire focused on hospitalization, farewell rituals, grief, and other pertinent aspects of Covid-19 and comprised 26 questions, of which 24 were closed-ended and two were open-ended. Data was gathered through an online form, post the signing of an Informed Consent Form. Out of 397 respondents, the majority were females (n = 261), held higher education degrees (n = 334), and identified with the evangelical religion (n = 301), with an average age of 31. It was discerned that the experience of grief varied among family members. According to TRIG, most participants (n = 286) did not manifest symptoms of complicated grief. This observation was particularly common among those who were physically distanced from the deceased. For those exhibiting signs of complicated grief, both the degree of kinship and the closeness to the deceased were linked to greater challenges in processing the loss. Moreover, individuals with typical grief patterns predominantly had no history of mental health issues, in contrast to those displaying symptoms associated with complicated grief. Additionally, variables most correlated with complicated grief included the use of psychotropic drugs post-loss, dissatisfaction with healthcare team communication, frequency of receiving such communications, and the inability to conduct farewell rituals in line with the deceased's wishes. These findings highlighted that the bereaved's relationship with the departed, their prior mental health history, and the changes introduced by the pandemic were all interconnected with challenges faced during the grieving process. It was also observed that psychological support was deemed crucial by family members, although not consistently available. Concerning the qualitative data analysis, predominant findings revolved around feelings evoked by participating in the study such as the perception of relief and contribution; the implications of mourning for the mental and physical health of family members; and the effect of the lack of a farewell ritual, underlining the pandemic's profound influence on the grieving process. This research aims to bolster efforts in addressing grief in future scenarios, especially in hospital settings. The goal is to preempt its intensification by focusing on the highlighted aspects and promoting avenues to mental health services during a family member's hospitalization and after their passing.

Analyzing the mental health production processes of activists requires a socio-historical

recovery of social mobilizations in Brazil and Latin America, as well as the understanding of what

“mental health” is. The starting point is a critical perspective that rejects the classical understanding of

suffering as an illness, fragmenting subjects and, consequently, justifying violence. Mental health is

understood as an individual and collective manifestation of historical problems that elaborates and

implements its existence in the network of social relations. The solution or what they call “cure” consists

not only in the experience of concrete society, but in the rupture with the prevailing system in which

beings produce themselves - including, in terms of mental health -, that is, in de-alienation and radical

transformation of social relationships, so that suffering and these relationships are more humanized, as

humanized beings. If subjects who actively engage in social movements that aim to transform society are

crossed by multiple social determinations that result in alienating relationships and that, therefore,

generate suffering, it is also worth questioning what are the possibilities for producing life in this context.

Therefore, this research, which has an exploratory character, with a qualitative approach, used the focus

group technique and thematic content analysis to understand the experience of activists from three

political organizations in the Federal District regarding mental health. The results are presented and

discussed according to four axes of categories, including 1) The meanings of militancy; 2) Militancy and

youth; 3) Particularities of the DF; and 4) Mental health in and from activism, exploring the challenges

and potential

In the face of fake news, which is intentionally manipulated and circulates rapidly, contemporary life has encountered a challenge of Homeric proportions. Prompted by this issue, the following problematic has come upon the researcher: how does Freudian metapsychology, and the Freudian-Lacanian field, help us read/theorize about the fake news phenomenon and the disinformation campaigns and their power relations? We hypothesize that disinformation campaigns, via dissemination of fake news, constitute political attempts to influence collective fantasies in order to sustain ideological speeches that align with the desires and beliefs of those who disseminate them. Thus, the leading objective of our study was to analyze the mechanisms of Disinformation Campaigns and their fake news, connecting them to the perspective of fantasy, the formation of masses, and power relations in contemporaneity, based on the Freudian metapsychology and the Freudian-Lacanian field. However, we also had to engage beyond psychoanalysis with the concept of psychopolitics in order to help us understand the power dynamics involved in the production and dissemination of fake news. Taking psychoanalysis as an investigative method of inconsistent phenomena present in the culture, we confirmed our research hypothesis. We then advanced by correlating that, through current technological mechanisms, the psychopower focuses on the realm of collective fantasy, as it is the psychic reality that directly influences a series of other phenomena, such as ideology, illusions, and the formation of political masses.

Infection with the human immunodeficiency virus (HIV) is considered a chronic condition, and with universal access to antiretroviral therapy (ART) in Brazil, the greatest threat to the health of people living with HIV (PLHIV) is the worsening of the disease and the development of viral resistance. Adherence is considered a decisive factor in therapeutic response and one of the main challenges in the care of PLHIV. In the case of women with HIV, adherence can be strongly hindered due to prejudice and silencing resulting from a society marked by sexism, which complicates the exercise of female autonomy over their own bodies and, consequently, their self-care regarding HIV. This dissertation consists of two studies, with the first being a systematic literature review aiming to analyze associations between stigma experienced by women and adherence to antiretroviral treatment through empirical articles peer-reviewed and published from 2018 to 2023, in the Scopus, Scientific Electronic Library Online (SciELO), and PsycInfo databases. A total of 179 articles were identified, of which 35 met the eligibility criteria. The results showed that HIV-related stigma has various impacts on the lives of seropositive women, affecting mental health, quality of life, and consequently, adherence to antiretroviral treatment. Counseling, health education practices, and the professional-patient bond are aspects that minimize the negative effects of stigma on treatment adherence. The second, the main study, aimed to identify predictors of adherence to antiretroviral treatment regarding mental health, illness perception, and stigma in women living with HIV in the Federal District. It is a cross-sectional, quantitative study with online data collection, involving 108 HIV-positive women receiving care in public health services in the Federal District. Sociodemographic and medical-clinical questionnaires were used, along with the Adherence to Antiretroviral Treatment Assessment Questionnaire (CEAT-VIH), Hospital Anxiety and Depression Scale (HADS), Brief Illness Perception Questionnaire, and HIV-related Self-stigma Scale. The average age was 45 years, the majority self-identified as brown and black, with income below 2 minimum wages, in a relationship, and residing in the Federal District. A large proportion (83.3%) had undetectable viral load. After preliminary and bivariate analyses, adherence levels were significantly associated with the family income variable (U=1011.0; p=0.01). In Spearman correlation analysis, there were significant, negative, and weak correlations between adherence, distress, self-stigma, and illness perception. In multiple regression analysis (forward method), distress was the variable that most strongly impacted adherence levels, explaining 20.8% of the variance in adherence, followed by illness perception, which explained 4.9%. Family income and self-stigma variables did not enter the final model. In summary, the presence of distress and the threatening perception of seropositivity predict poorer adherence levels, according to the results of this study. The research contributed to understanding the challenges and barriers faced by women living with HIV and emphasized the urgency of developing psychological intervention strategies that consider gender specificities, mental health, and acceptance of the diagnosis.

The present work proposes to identify the impacts on mental health services in the face of the new reality imposed by the Covid-19 pandemic, putting into discussion how psychoanalytic listening, present in health services, was able to accommodate the clinical demands presented and how this experience took place. To collect the data, qualitative field diary research methods were used based on participation in activities in mental health services and semi-structured interviews with professionals who work in a mental health care network, using the thematic analysis method for data analysis. The research comes to fruition with the production of two manuscripts, the first entitled “Repercussion of the Pandemic on Mental Health Services”, which aims to identify how the impacts of the pandemic on mental health services occurred, and is divided into two categories of analysis , in which one will analyze the impact of the pandemic in relation to the worsening of clinical mental health conditions based on three themes: (a) the symptoms presented; (b) the worsening and crises of existing clinical conditions and (c) evasion of CAPS due to symptoms, and the other seeks to analyze the impact of the pandemic on the creation of clinical devices, with two themes: (a) activities developed: care outpatient creation of new clinical devices; (b) the effects on the treatment of users and the performance of professionals. The second research manuscript, entitled “psychoanalytic listening in times of pandemic: An explanatory study of mental health services in Brazil and France”, aims to investigate the pandemic experience in France and Brazil from a reading of psychoanalysis, as countries took different positions in the face of the pandemic, as a category of analysis, the virus is presented as a metaphor, since it is not only the reality of covid -19, but it was possible to observe the impact of social vulnerabilities that appear in a clearer during this period. In this way, it was possible to conclude that there was a worsening of clinical conditions already monitored by mental health institutions before the pandemic, as well as the appearance of symptoms linked to anxiety and depression. It is also concluded that the possibility of creating clinical devices in order to comply with social isolation requirements, there is continuity of the clinic in the services differently from usual. Finally, the importance of government speeches in catastrophic periods is concluded, in order to give continence to the population and consequently be a people to appease anxieties at that time.

Among people with disabilities are deaf people who carry a struggle, a language, a culture and a way of interacting with the world. These people have the right to access information and services like any other human being. However, when faced with linguistic and cultural barriers, this audience is disadvantaged. Psychology as an area of health, a basic individual right, should be accessible to deaf people. However, this is not what happens, especially with regard to psychological assessment. Psychological assessment is important to provide information about individuals or groups and assist in decision-making in different contexts. Considering that evaluation is required in different contexts and some of them are mandatory, we do not have sufficient instruments to cover the demand for an evaluation process suitable for the public. This research is divided into two studies. The first aimed to understand how the psychological assessment of deaf people has been carried out in the country using a narrative review of the literature, through a search in the Publish or Parish tool. From the first study, questions can be raised such as the lack of accessibility for the public in psychological assessment and that this presents a major gap, requiring research and adaptations of instruments that consider the particularities of these people. One of the attempts to overcome the lack of accessibility involves translating the instrument at the time of application, a practice considered inappropriate by some studies found, and the adaptation or construction of psychological instruments. The second aimed to present the process of adapting the Personality Factor Battery to Brazilian Sign Language with the intention that, based on continued studies, in the future there will be an adequate measure to evaluate the public's personality, taking into account their linguistic and cultural particularities. 21 people with different roles participated in the study according to the stage of the adaptation process adopted (Borsa et al., 2012). The analyzes occurred qualitatively and quantitatively, generating an instrument with evidence of content validity. The possibility of offering an adequate measure for the population, considering the cultural and linguistic nuances of the public so that they have the autonomy to respond about themselves, was the focus of the research. From the adaptation process, it is expected that future research will accumulate evidence of validity, as well as standardization for the instrument, aiming to reduce the existing measurement gap for this audience.

Parenting implies taking on a caring role for another who is born helpless, and in this relationship, psychic

interplay and social intersections come into play. Therefore, public policies focused on childhood within the

scope of Brazilian public health invest in the training of professionals in the theme of parenting aimed at

vulnerable populations of pregnant women and postpartum women. This work discusses the contributions

of psychoanalysis and psychodynamics of work in a public health policy, in the context of training in the

theme of parenting. The speeches of health professionals were analyzed, who reacted to the themes of inter

and intrafamily violence, social exclusion, idealization, and ambivalences regarding parenthood. Four dif-

ferent workshops were held with eight training groups of health professionals, divided into 32 meetings,

and, based on field diary records, discourse analysis method was carried out in two manuscripts. The first

manuscript, entitled: I. The impacts of violence at work in the field of parenting: challenges for public health,

discussed the challenges of perinatal health work in the face of social intersections in contexts of vulnera-

bility, under the triad of categories "gender," "race," and "class." Consequently, it analyzed the place of

conscious and unconscious psychic transmission and the reproduction of violence between generations, as

well as extramarital violence marked by precarious living conditions. The second manuscript, entitled: II.

The meaning of work in the field of parenting, analyzed the encounter with stories of filiation and ambiva-

lences regarding parenting, highlighting reflections on the meaning of this work, provided by educational

training. The meaning of work revealed itself in the shift from solely biologistic to the dimension of subjec-

tive involvement. The training contributed to promoting, among health professionals, a position of listening

and social and political commitment in their public health care.

Motherhood is still understood in an idealized way so that a protective attitude toward their children is always imposed on the mother. It is important to consider the unconscious processes related to motherhood and the aspects of gender, race, and social class, considering that all these aspects influence the motherhood process and support different ways of exercising this attribution, bearing in mind that depending on maternal experiences different paths can be traced along this way. As an exploratory investigation, a multi-methodological research with a single case study was used. The research took place at Casa de Passagem in Ceilândia-DF. Casa de Passagem is linked to Special Social Protection of High Complexity, in the organizational structure of the State Secretariat for Social Development of the Federal District – SEDES/DF. The study included the participation of nine mothers, between thirty and forty-four years old, all in situations of social vulnerability and domestic violence. The following research instruments were used in the investigation: Sociodemographic Questionnaire; the Risk Assessment Guide for Femicide (MPDFT), the Relationship Scale Questionnaire (RSQ), the Adult Attachment Interview (AAI), and a semi-structured interview created by the researcher. The analysis of the results was carried out through the analysis of risk factors as formulated by the Risk Assessment Guide for Femicide (MPDFT); through interpretative analysis of the AAI and cross-evaluation of AAI information regarding women's relationships with their caregivers and the predominant RSQ attachment style. Finally, an analysis of excerpts from the semi-structured interviews was carried out, which aimed to analyze excerpts representing the maternal ideal, and the experiences of these women as mothers and daughters. The Risk Guide pointed out that six (6) women were at risk for femicide and two of them still maintained a relationship with the perpetrator of violence. Regarding the attachment styles found, we observed a predominance of the avoidant attachment style. In fact, we have 3 women in the group with fearful/disorganized attachment and 6 with avoidant attachment (6 participants). None of the women showed secure attachment. Through AAI interviews, life stories permeated by abandonment, neglect, helplessness, domestic violence and social vulnerabilities were observed. It is also noted that the exercise of the role of motherhood can represent, especially for these women, a way of repairing their own life stories, and that the rupture of coexistence with their children generates intense psychological suffering. It is necessary to formulate public care policies so that women are offered opportunities to develop their capabilities linked to the maternal role and that these are sustained with support and encouragement from the State.

Fetishist expressions of sexuality have been historically associated with psychopathology, and they currently persist as pathological constructs in the most recent editions of diagnostic manuals. Based on this scenario, we aimed to understand the perception of 8 clinical psychotherapists, all Brazilian psychologists, concerning the BDSM/Fetishist Community and their demands. The convenience sample was selected through dissemination on social media and the snowball method, and as a data collection instrument we used an individual semi-structured interview, oriented by the phenomenological method. The data analysis was also realized oriented by the same method, using the steps established by Amadeo Giorgi: 1) Establish a sense of the whole, 2) Discrimination of meaning units, 3) Transformation of meaning units into expressions of psychological character, 4) Determination of a general structure of psychological meanings. The results showed a general structure of experience with the following essential psychological components: 1) Emotional expressions and reactions before the first contacts, in which reactions of strangeness, tranquility, interest and belonging were identified, 2) Current perceptions of BDSM/Fetish, in which prevailed a de-pathologization perception, 3) Curiosity: independent search, in which some participants described a curiosity experience that led them towards an informal and independent training on the subject. Beyond the essential components, the results also showed discussions concerning themes such as 1) Professional training, where the participants described scarce academical contact with the theme, and problematizations were made about undergraduate programs, teaching staff and the teaching of classes; 2) The role of media representations, where the participants described contact with representations of the great media and the Community itself, and discussions were made about the representativity of these medias; 3) Clinical demands, where the participants described the main clinical demands received, that were articulated with the existing literature; and 4) Clinical management, where the participants described management, attitudes and techniques in the clinical field that indicated possibilities of mental health care that move away from the logic of pathologization. We realized that the psychotherapists sample was mostly different from the pathologizing attitude found in the literature review, mainly due to the curiosity experience, and that they presented clinical de-pathologizing practices that demonstrated new possibilities of accompanying and welcoming the BDSM/Fetishist Community.

Thepurpose of the present work is to analyze the impacts of the psychological trauma of sexual abuse in childhood, and its repercussions on the functions of the Skin-Ego in adult women and the management of the clinical situation. The research problem was constructed from fragments of a clinical case that enabled reflections on the clinic of sexual psychic trauma and on the work of the analyst's internal framework. Considering clinical thinking and research in Psychoanalysis that is based as a theory and method of investigation in the clinic, the elaboration of this study is supported by the interpretative discussion that intends to encourage reflection on the proposed hypothesis. Thus, the hypothesis is that sexual abuse experienced in childhood produces an assault on the functions of the skin-Ego and that the management of the analyst's internal framework makes it possible to reorganize the patient's skin-Ego functions in the trauma clinic. Although the focus of Psychoanalysis is focused on individual subjects, on the unique history of each person, based on their single childhood history, trauma is not an event in itself, but the way in which this event affects the psyche. and about someone's body and how it is processed by it, resulting in somatopsychic illnesses. Therefore, it started from considerations about the concept of trauma in Psychoanalysis, especially in the contributions of the Ferenczian principle, which understands that the trauma of childhood sexual abuse paralyzes a part of the psyche, causing it to respond to the demands of psychic illness in a passive way. Furthermore, as issues of the body are at the genesis of psychic life, the importance of the body in Psychoanalysis and the contributions of Didier Anzieu in the elaboration of the concept of the skin-Ego were considered. We evidence that psychic trauma constitutes or causes the subject to look or appear “naked” (as if without skin – without protective barriers) intrapsychically and intersubjectively, since sexual abuse results in the disorganization of internal and external psychic functions of the subject, as highlighted in the clinical vignettes of a case of an adult woman who suffered sexual abuse in childhood. Finally, we relate the repercussion of the impacts of psychic and sexual trauma in assault on the functions of the skin-Ego in subjects affected by the trauma. Psychoanalytic work makes it possible, through the management of transference and countertransference, to reorganize the functions of the skin-Ego, through perlaboration and translaboration. It is concluded that this way of analytical work in the trauma clinic provides a structure for containing the sensations, emotions and thoughts of the analysand.

This dissertation thematizes the permanence of black and peripheral students in the public university. It is

understood that the presence of these and these new actors in the field of higher education has expanded

every day, due to the historical struggles of black and social movements that reverberated in federal

policies and also in the scope of universities, despite violence such as racism. The relevance of Law

12.711 of 2012 is verified, which establishes the obligation of all universities and public institutes to

reserve 50% of the vacancies for students from public schools, with low per capita income and who meet

the criteria of race for black, indigenous students and people with disabilities. In the face of this great

victory, the question arises as to what policies and actions favor the permanence of these students. The method of reviewing the articles was used, which had as descriptors black students, university and permanence, preceded by the presentation of the Decree that institutes the National Student Assistance Program and the legislation related to this measure, recently published and approved within the scope of the University of Brasília – UnB. The analysis was carried out from the search for articulation of the factors that are necessary for the permanence of black and peripheral students in the university, within an intersectional perspective that aims to understand the institutional dynamics and challenges of these people for the completion of their courses and healthy presence in the university beyond the material permanence, which is essential. Some results from the articulation with the escrevivência coined by Conceição Evaristo point to the need, therefore, for field research to arrive at the singularity and particularity of the phenomenon and to listen directly to these students who experience the reality of the university and are the target of these care policies. So that they are also participants and protagonists in this construction, validation of the actions that have been important in this process, and also to propose new areas in which there may be gaps in action on the part of the university

Based on the premise of indissolubility between form and content (Adorno, 2003/1954), I make this writing an essay of criticism of the scientific hegemonic self, a tear in cisheteropatriarchal and colonial production. I bring in bodies of texts and images the relevance of localized knowledge (Haraway, 1995/1987). The research takes place from my experience with abjection (Butler, 2009) in the photographic work of Diane Arbus, the unfolding of this experience being a writing tensioned by the contributions of feminism on the text “The Uncanny” by Freud (1919/2019) ; thus, uncanny and abject meet in Arbus's photos. With this, the central question of the research is: how can abjection provoke new readings of psychoanalysis, especially on the freudian notion of uncanny? Diane Arbus (1923-1971) was an american photographer who portrayed the social extremes of her time, from aristocrats and famous people to marginalized people, dissidents, located at social extremes, called freaks by her. The photographer made use of the tensioning of social norms, giving new frameworks both to dissident and marginalized bodies, as well as ironizing the supposed humans that fit into familiar norms. The poetics of the Arbus effect takes place in the widening of the margins and in the profusion of ambiguities, produced by meticulous photographic techniques through which she photographed the moment of gap between intention and effect, spontaneity and pose of her freaks. Finally, I propose that the uncanny – now traversed by the precariousness that the abject makes explicit – becomes constituted by abandonment, and no longer by castration; relocating the concept of the uncanny through photographs, feminisms and decolonial theories, in order to stress Freud's patriarchal and colonial roots, I restore the helplessness that constitutes him. The experience with Arbus makes the abject strange by framing it in the photographs, as it also makes strange what was once familiar. The abject portrayed as strange makes a margin for the norm, constituting it from the outside by expulsion and, at the same time, destabilizing it in us, the reader.

Amputation surgeries refer to the removal total or partial of an organ, greater objective of saving the
patient's life and, subsequently, saving the limb and its function, aiming at the patient's rehabilitation.
Amputation surgeries can cause adverse impacts to the functionality and quality of life of the patient. The
literature distinguishes the causes of amputations from chronic diseases or trauma. Among the causes of
traumatic amputation, the following stand out: car accidents, accidents with firearms or knives, physical
violence and falls from great heights. The experience of an amputation brings with it physical and
psychological changes, such as anguish, anger, uncertainty about the future. Despite the references in the
literature to these symptoms, the number of studies carried out on the psychological implications in the
life course of amputees is still low, especially in the case of traumatic amputations. Considering the
information gap, a systematic literature review was carried out, comprising publications between the years
2000 and 2021, with the descriptors “traumatic amputation”, “psychological trauma” and crisis
intervention”, combined two by two, and their equivalents in English. Of the total of 133 possible articles,
only 16 that mentioned psychological aspects and traumatic amputations were screened: indicating, again,
the low academic production on the subject. A longitudinal study was carried out with traumatic amputees
to evaluate the effects of early psychological intervention (up to 72 hours after amputation) and follow-up
(up to 12 months) of patients treated at a general hospital in the Federal District. This was an
interventional, non-random, qualitative, and descriptive study, based on the Cognitive-Behavioral Therapy
approach. The collection took place between August/2020 and August/2021. The patients underwent early
psychological intervention, being approached by a psychologist within a maximum period of 72 hours
after the amputation. After discharge, patients were invited to undergo five psychological follow-up
sessions, with an average interval of 15 days. Instruments were applied to assess satisfaction with life,
presence of depressive and anxious symptoms, level of impact of the adverse event and use of coping
strategies (Barthel Index, HADS, IES-R, Brief Cope Scale, SWLS, self-report). The Instruments were
applied in the first psychological follow-up session; being reapplied at the end of the five psychological
follow-up sessions; after six and 12 months after amputation. Three patients were followed up; who,
throughout the study, showed improvement in depressive and anxious symptoms; improvement in
functional dependence; reduction of the level of impact of the stressful event; increase in life satisfaction
score. The data indicate the importance of psychological care to the traumatic amputee patient. The main
limitation of the study is due to the small number of participants. It is suggested the technical training of
professionals who work with amputee patients to identify signs that indicate the need for referral and
psychological follow-up. It is also suggested to strengthen the flow and counterflow of references within
the Health Care System so that the rehabilitation process takes place in an integral way. For patients and
family members, psychoeducation is suggested to ensure better adherence to treatment.

This is a metatheoretical work based on Complex Thinking that presents a new conception of
method for clinical psychology, as a self-generative process that occurs in the singularrelationship between
the subjects involved in the therapeutic process. In this perspective, the method is not just a set of
proceduralized or reified techniques that are applied on an industrial scale to individual subjects, but a set
of principles and processes that, articulated together, generate a new source of intelligibility about the
therapeutic process. I name this method peripateticism, expanding the notions historically linked to this term
by philosophy and psychology, presenting an overview of theterm and proposing a new conceptual
possibility for it. To do so, I employ a theoretical-conceptual research strategy, conducting a constructive-
interpretive analysis of these principles and processes involved in this method, following an unstructured
bibliographic research procedure that uses the research diary as an instrument for recording the journey,
which according to this theoretical perspective is singular and inseparable from the researcher's experiences.
As a result of this work, there is an important re-reading of theoretical categories and transversal processes
that are underexplored in clinical psychology, as well as the proposition that the method and techniques in
clinical psychology are emergent from the therapeutic relationship between subjects in this space, promoting
a possible interpretation of how such processes occur.

The prevalence of overweight shows increasing rates and, in Brazil, it affects more than
half of the adult population. Despite the multifactorial aspect involved in the etiology of
obesity and its relationship with the contemporary lifestyle, the individual causes for
overweight are still overvalued, which leads to the stigmatization of patients who suffer
from this condition, generating more harmful consequences for their health than obesity
itself. The obesity stigma is present in different contexts, including in the healthcare
settings, which impairs the care provided with even greater damage to the health of this
population. This thesis had the general objective of developing and evaluating an
intervention to reduce the obesity stigma with health professionals, based on the
Intervention Mapping Approach and is organized into four manuscripts. The first
presents a systematic review of interventions aimed at reducing weight-related bias,
identifying the main strategies to be used in future interventions. The second manuscript
presents an integrative review of the literature on the subject and the results of
interviews with specialists and managers in the health area, which resulted in the
creation of the logical model of the problem and the logical model of change (Steps 1
and 2 of the Mapping Approach of Intervention). The third manuscript describes the
development of the intervention to reduce the obesity stigma aimed at health
professionals (Steps 3 and 4 of the Intervention Mapping Approach) and has as its final
product the intervention protocol, which consisted of a training course for health
professionals called psychological consequences of obesity, with a total workload of 20
hours. Finally, Manuscript 4 explains how the intervention was implemented in two
health centers of the Health Department of the Federal District and shows the evaluation
of its results. At Center 1 (C1) the course was offered remotely and at Center 2 (C2) in
face-to-face format. The evaluation of the results of the intervention proposal was
carried out through focus groups (qualitative analysis) and the Anti-Obesity Attitudes
Scale (quantitative analysis). The results showed that, in both centers, professionals
were already aware of the problem of obesity stigma at baseline, but even so, they had
stigmatized perceptions and attitudes related to overweight patients. In the end, the
intervention developed and implemented proved to be effective in increasing the
awareness of professionals about the consequences of fatphobia for the health of
individuals with obesity, as well as in reducing stigmatizing attitudes and instigating the
development of broader approaches in the treatment of obesity. In addition, the
intervention has the potential for dissemination to other contexts, including in the
process of professional training of students in the health area, given its systematic
development. We suggest replicating the course in other SES-DF units and that medium
and long-term actions be instituted in the two centers where the intervention was
developed to maintain its beneficial effects.

This research arises from psychoanalytic clinical practices and has the general objective of
analyzing the relationship between neoliberal economic policies and the management of psychic suffering
and malaise. As specific objectives, it proposes to understand the transformation of classical liberalism
into neoliberal policies, to discuss the management of the relationship with the other and its conflicts,
from a neoliberal psychological economy, to examine the capitalist discourse as administration of
jouissance, in its relationship with the ideal of performance in neoliberalism and analyze the production of
suffering about the idealization of freedom promoted by such psychological economy. For this purpose,
the methodology of bibliographic review of sociopolitical theories is used, mainly in David Harvey and in
Dardot and Laval, regarding the neoliberal government, as well as in theoretical references of
Psychoanalysis, such as Freud and Lacan, to think about the malaise in culture and the constitution of the
psychoanalytical subject from the relationship with the Other. In addition, contemporary authors such as
Dunker, Safatle and Byung Chul Han are used to think about the psychoanalytic articulation with 

sociopolitical theories regarding neoliberalism. It also uses a methodology of psychoanalytical writing and
clinical narratives to illustrate the suffering of contemporary subjects. In this sense, the first chapter deals
with the constitution of the subject from the relationship with the Other, as well as the composition of the
subject/culture relationship from the barred subject, castration and malaise. In the second chapter,
sociopolitical theories are presented regarding the transformation of classical liberalism into neoliberal
policies and also its ideals, such as the subject enterprise and a new management of discontent, relating the
ideal of performance and freedom to forms of enjoyment. In the third chapter, discussions are developed
about the capitalist discourse, the relationship with the other in contemporary times and the production of
psychic suffering, which sometimes appear as enjoyment of performance, sometimes as processes of
desymbolization. Finally, in a fourth chapter, some clinical narratives of contemporary subjects in relation
to such suffering are presented, thinking of the psychoanalytic clinic as the privileged place for the
elaboration of conflicts.

The thesis in question is a paradigmatic research in psychoanalysis, derived from film scenes which sought
to analyze the subversion of the logic which precludes the self advent, towards another, which values this
event. The empirical reference consists in part of the opus documentary film of the filmmaker Agnès Varda.
In her work, this cinematographic style is of interest to our research question, given that her language moves
away from the classic resources of film narrative, aimed at a contemplative spectator. The dynamic raises
some questions: How does the filmmaker make to self address? What led you to build an summoner space?
Does know-how-to Vardadian help us think about the clinic? The artist moves away from the place of the
subject supposed to know and constructs a work supportive of the assumption of the speaking subject. Her
style of building bonds invites us to think about the place occupied by the filmmaker in her work. Our
hypothesis is that she occupies the position of the saint (as a psychoanalytic construct), shifting the
spectator's position from a contemplative “What will I see?” to an affirmative: “What I hear!”. We begin
the work with the methodological chapter “The Artistic Opus”, in which we present the six documentaries
worked on. From this opus, we chose thirty-six scenes and thirty-three photographs as empirical material, 

divided into two sections. The first will guide the discussion of the filmmaker's montage drive, with its main
interest being the reflection on the way in which the filmmaker apprehends the artistic object, one of the
two singularities implied in the saint's position. The second section is used as support for the analysis of the
subjectivity of whom are involved in the act. For this discussion, we chose tragic elements from her work.
We understand that analyzing the crossing of specular relations brings us closer to what is demanded of the
spectator in the game proposed by the filmmaker, that of displacement from the contemplative place to the
affirmative place of desire. The second chapter, “Inspiration, Creation, Sharing”, consists of theoretical
support. The main themes are making self addressing in her work, highlighting, in the third part of the
invocation, the movement between listening and responding. We also highlight the way in which Varda
occupies a position of hope in the subject yet to come, working artistically the silence and taking the voice
as an object of desire. In this work, we perceive the making silence as a desirous position close to
psychoanalytic aesthetics. In the third chapter, “The Saint Who Banks Rejects and the Hero Who Banks
Desire”, we analyze, based on the material from the first section, the Vardadian drive montage. The reading
of the tragic, contained in the material of the second section, is carried out from two characters: Mona, a
heroic figure in the film Sans toit, ni loi (1985) and François, the man with the boots in The Collector and I
(2000) and Two years later (2002), a character who does not overcome the between-two-deaths. In the
analysis of these characters we find where the good said of the saint meets with the good feats of the hero.
It is through the hero who supports desire that Varda consolidates herself as a saint who supports rejects.
Finally, we question whether Varda, in the position of the saint, using the space of silence for the knotting
between two singularities at play in this position, also, does not produce dissolving effects of this knot,
leading us to reflect on the position of the saint as an alternative for the analyst to work on the dissolution
of the subject supposed to know.

The pandemic caused by the new coronavirus unraveled a challenging scenario for palliative caring. COVID-19 is caused by the sars-cov-2 virus, recognized in 2019, responsible for more than 6 million deaths up to the first semester of 2022. In addition to the demanded care by the family members during the clinic condition of the infection, it’s important to consider the need of assistance in the grieving period of the patients whose sickening is fatal. In response to the sanitary emergency, a program of group intervention (Vínculos e Reflexões) was developed in the University of Brasília to offer support to the COVID-19 grieving family members, composed of six online meetings. Semi-structured interviews were conducted with five professionals who took part in the trainment for leading and diffusion of the aforementioned group. The perception of the impact caused by the group intervention and by the trainment and access to permanent education over the professional acting of the workers were evaluated. The interviews were submitted to content analysis, where the following categories were identified: professional performance during the pandemic, perception on the impact of the trainment, perception on the impact of the group and perception on  palliative caring. Each themed content category was divided in related subcategories. Two  integrative revisions of the literature were done, combining the following descriptors: palliative care; pandemic or COVID19 or COVID-19; grief; where 219 articles were found, with the analysis of 24 of those studies being included. Additionally, a second review was done combining the descriptors: palliative care; pandemic or COVID19 or COVID-19; hospital assistance; where 174 articles were found, with the analysis of 10 of those studies being included. The results of this study point to the impact that interventions can have on the grieving process during the pandemic and the necessity of considering palliative caring in the line of care.

This work was developed inspired by experiences of clinical listening to adolescents who were impelled to seek solutions in the face of anguish experienced in this time, where everything that was consistent during childhood undergoes changes, such as bodily changes, separation from the parental figure, meeting with the real of sexuality. Through the loss of childhood symbolic references, some young people find through substance use a way out, albeit temporary, to deal with the discomfort involved in this phase of life. In order to discuss this subject, we covered a brief theoretical path from the constitution of the subject to the beginning of adolescence. Then, when approaching substance use, we present the concepts of phallic signifier, phallic jouissance and superego. Finally, with the idea of illustrating the theory, without the intention of generalizing and proving it, we present clinical and cinematographic vignettes, trying to visualize the adolescent impasse and how substance use can fulfill the function of alleviating adolescent anguish.

The theme of this research involved the personal transformations in motherhood for women. This topic was studied in the field of women's mental health, in the light of Gestalt-therapy. As a research problem, there were the changes in the woman's life, body and mind when she became a mother, involving the personal understanding of complex issues necessary for monitoring and reception. In this sense, the primary objective was to analyze the perceptions of changes in the way of being in the world of women with children up to three years old. As secondary objectives, it was established: (a) to identify how mothers qualify their experiences, feelings, sensations and the presence of a support network in situations involving motherhood, such as pregnancy, childbirth, puerperium, lactation and changes in their daily lives; (b) propose specific mental health prevention actions for mothers with young children; (c) discuss these changes in the way of being in the world of women mothers having Gestalt-therapy as a theoretical basis. The research had as a methodological option the qualitative analysis carried out from individual semi-structured interviews with the participants. The data were analyzed focusing on the identification of self-recognition as a subject taken, in this research, as the basis of the mental health of women who are mothers. As a result, the work reaffirmed the importance of developing productive forms of promotion and prevention of mental health problems in maternity, especially related to women with small children. These complex issues involved the experience of being a mother and being a woman, quality of life, maintenance of her recognition as a subject separate from her child, understanding that existence as a mother is not its entirety, and care for its other parts is necessary, especially maintaining your healthy SELF and essence.

When launching themselves into the productive world, women circumvent a place that was designed by and for men, even when the professions are “feminine”.
What would it be like, then, to launch themselves as workers at places demarcated and explicitly built for male performances? The present dissertation bases itself on investigating how experiences of female workers in the Brazilian Army are, given that virility remains as a backdrop for workers in these intitutions. In order to answer these questions, this work anchors itself in the approach of Psychodynamics of Women's Work proposed by Antloga et al (2020), which advocates gender as a crucial factor in the analysis of work, the experiences of female workers and the backgrounds of their jobs. The main objectives identified were: 1.To verify, through a bibliometric review, the main characteristics of the scientific productions that proposed to study gender in the military context in the last 10 years; 2. To decribe female performance in the Brazilian Armed Forces relating gender issues as a stand out in this workspace; 3. To analyse the work context of military women in the Brazilian Army in terms of work organization, working conditions and socio-professional relationships. As a result, the research reaffirmed the position of previous studies on gender discrimination suffered by women who dare to act in the military field and also identified defense strategies used female military in order to manage the suffering arising from work.

The present thesis sought to carry out an investigation on the topic of violence against indigenous women in the context of health granted to these populations through SESAI. In this work, in addition to the interviews and data obtained, the field diary records of the researcher who worked as a psychologist for nine years in this place were used. Thus, five articles were written, the first of which was a systematic literature review of productions in the field of psychology on mental health and indigenous peoples, between the years 2014-2020. The results showed a shortage of production in this area, as well as the need to better qualify the epistemologies used in the proposed discussions. The topic of violence against indigenous women proved to be almost non-existent. The second article sought to carry out a survey and analysis of data on violence against indigenous women between 2007 and 2017, available in the Viva/SINAN and SIASI systems of the Ministry of Health. There was evidenced an important mismatch of information between the systems and a significant number of cases of violence against indigenous women, accounting for 60.51% of the total number of cases of violence reported in this population. The third article proposed to characterize the profile of psychology professionals working at SESAI/MS through a semi-structured questionnaire. Most of the participants, although they perceive domestic violence against indigenous women as one of the most frequent problems in the village communities, do not feel confident to act on this situations, either because of their fragility in their training, or because of the lack of internal institutional support and network in those cases. In the last two articles, field immersions were carried out in an indigenous territory in the interior of northeastern Brazil. It is a about a resurfaced ethnic group in which the author proposed to assist groups of women and follow up on cases of violence. The fourth article is an analysis of multiple cases, in which 4 stories of prototypical violence against women in the community were selected. In the last article, a case study was carried out on the rape story of a young indigenous woman with a severe mental disorder, whose right of access to legal abortion was not being guaranteed. In the end, conclusion it is considered that the present work sought to portray the trajectory and performance of Brazilian psychology in the context of indigenous health, through the focus of violence against women. Here, we sought seeked to rethink the production of psychological knowledge and practices from a decolonial perspective and from a community feminism.

Taking the epistemology of sexuality in psychoanalysis as a theme and area of investigation, this thesis aims to study the constitution and epistemic legitimation of Freudian formulations of sexuality: notions and conceptual set. Thus, a historical-conceptual methodology was chosen that considers both the evolution and reformulation of notions and concepts within Freud's work, as well as the author's way of thinking, his epistemic orientations and their relationship with some social determinants, problematic period and influences. From the investigation of specific works by Freud on sexuality, its notions, its conceptual set (Trieb; support; libido; bisexuality; female sexuality) and also those of other scholars of epistemology and psychoanalytic theory, we tried to describe and discuss Freudian conceptions, seeking to relate them to the scientific and/or philosophical orientations that legitimize them from an epistemic point of view. The investigation was divided into three moments: the first seeks to describe and discuss Freud's formulations of sexuality from the first pre-psychoanalytic works to the sketch of the dream-desire theory; the second part of the formulation of the theory of infantile sexuality to the systematic theories of Trieb; the third from the outline of female sexuality, locating the origins, development, problems and limits. The study showed that Freud, throughout his work, conceives sexuality: 1. associated with an etiological conception of trauma that seeks to explain the foundations of neuroses, at first as a theory of seduction; in a second moment, as fantasy theory; 2. from a monistic epistemological perspective and a naturalist ontology, which take the natural sciences as the only scientific model; 3. guided by classical physical-chemical principles and concepts – such as those of Newtonian physics – and biological – mainly Darwinian ones; 4. as a conflicting and/or convergent link between the perverse-polymorphic dimension and the reproductive function; 5. as a theoretical-conceptual component of Trieb's systematic theories, being associated and legitimized by knowledge, mainly, from biological science; 6. in its feminine specificity, that is, as female sexuality, at first, from a perspective of sexual monism of the libido, treated as unique and masculine, legitimized by the phallic-castrated model and defined by the equation between active and masculine, passive and feminine; in a second moment from a libidinal monism, reflecting the complexity and limits of the problem of this equation. The study showed that Freud's naturalism, understood as naturalism open to the natural phenomenon, is crucial for the understanding and investigation of sexuality and for its theoretical-conceptual evolution. We tried to show that the study of Freudian naturalism in a perspective that considers its ontological dimension – ontological conservatism, ontology of the sexual being, ontological dualism – and epistemological – epistemological monism; epistemology of naturalistic inspiration; methodological passage – it is necessary to apprehend the author's epistemic way of thinking, without which a theory of sexuality in psychoanalysis would not be possible.

Suicide is a serious public health problem, being the fourth leading cause of mortality
among young people aged 15 to 29 years in the world. However, research in this field is
still incipient in Brazil, which indicates the need to develop prevention programs
scientifically based on the national context. The objective of this thesis was to develop
the core components of intervention for the preventing suicide among university students
from a needs assessment based on evidence from the literature and the local context. This
thesis is a quantitative-qualitative study based on the Intervention Mapping approach.
The main questions that guided the research were: what do the systematic literature
reviews report on predictors of efficacy, effectiveness, and cost-effectiveness of programs
for suicide prevention of university students? What are the risk and protective factors for
the suicide of university students? What are the barriers, facilitators, and social actors
involved in the help-seeking behavior of university students? What elements can support
the successful implementation of an intervention for the suicide prevention of university
students? What should be the goals, expected outcomes, and core components of an
empirical evidence-based suicide prevention intervention? The research was developed
through six studies carried out at a university in the North region of Brazil. Chapter 1
presents a scoping review of the findings of systematic reviews and meta-analyses
regarding the efficacy, effectiveness, and cost-effectiveness of suicide prevention
programs for university students. The results show that the programs have been
developed for 30 years worldwide. They are viable and potent for increasing knowledge
about suicide and its prevention, self-efficacy, short-term attitudes toward suicide, and
the behavior of seeking help and binding to treatment. These interventions are also
effective in reducing suicidal ideation and consummate suicide. In chapters 2, 3, 4, and 5,
evidence from the local context was examined through interviews with multiple actors
(students, course coordinators, administrative technicians, and health professionals),
whose results were analyzed via Content Analysis and simple descriptive statistics.
Chapter 2 investigated the risk factors for the suicide of university students. The most
frequent categories from the point of view of young people were mental disorders in
youth, income inequality and mental suffering, mental disorders in childhood or
adolescence, and difficulty in performing developmental tasks of the young adult.
Chapter 3 investigated the factors that protect university students from suicide. The most

frequent categories from the point of view of young people were social support,
psychological treatment, physical, artistic, and leisure activities and social engagement.
Chapter 4 analyzed the barriers, facilitators, and social actors involved in the professional
help-seeking behavior of university students. The findings suggested that the low
perceived need is the main barrier and mental health literacy is the main facilitator of the
behavior of seeking help. The social actors most involved in the help-seeking behavior
are friend/classmate, intimate partner, and teacher. Chapter 5 investigated which elements
can support the successful implementation of an intervention for the suicide prevention of
university students from the Context and Implementation of Complex Interventions
(CICI) model. The findings indicated care during various stages of the process and
attention to the safety of the place of care. The intervention suggestions with the highest
response percentage were improving the teacher-student relationship, offering thematic
groups and conversation groups, and conducting mental health campaigns. Chapter 6
described the development of the core components of intervention for suicide prevention.
Based on needs assessment results, the central intervention framework was designed for
university students, capable of favoring Autonomy, Social Support, (search for)
Professional Help, and Belonging, and was called Wings for Adulthood. The central
framework of the intervention was based on peer education and mentoring, combining the
four mentoring roles: psychological support, support for career choice, academic support,
and the provision of a model to be followed. The six studies support the thesis&#39;s main
argument, which demonstrates that suicide can be prevented in the school environment
through health education initiatives. In addition, studies showed that friends, the preferred
source of help, are also prevention agents capable of mobilizing both the behavior of
seeking professional help and the development of autonomy and belonging in peers.
Future studies should implement and test the effectiveness of this intervention. This thesis
is expected to encourage the development of new suicide prevention programs for
university students and young people.

This doctoral dissertation aims to understand the meanings that Black women living on the streets attribute to their experiences and life stories through body mapping, a creative and participatory qualitative research methodology. As such, considering the subjectivity of Black women living on the streets is fundamental, with the intention of understanding the intersections of race, gender, class and sexuality, among others, that traverse each of their life histories. The study’s theoretical foundation is anchored in the epistemological frameworks of clinical and social psychology, from both an intersectional and decolonial perspective, based in Black feminism and anti-racist discussions. This framing also contributes to the very purpose of writing as a consideration of the body as a political site, and Black corporeality as the relationship that encompasses ancestry, orality, language, memory, affect, aesthetics, and politics. Sometimes, the body is the only home for Black women living on the streets, and the way racism operates crosses the symbolic dimension that can directly affect these Black bodies, producing psychological and emotional effects of various kinds. Therefore, the work begins by situating the paths that led the author to this research project. Following this, there is a critical contextualization of the gaze directed toward Black women living at the intersection of these markers that originate from the colonial and slaveholding periods but which are updated in contemporary times. From there, we enter into the discussion of Black women living on the streets and their ways of subjectifying their existence through narratives and their own bodies. This project’s methodological framework is based on critical qualitative research, reflexivity, and the researcher’s own subjectivity, all foundational to how fieldwork was conducted. The first part of the field consisted of going on ethnographic incursions to the streets with the intention of getting closer to homeless women and forming a bond.
Subsequently, the body maps were applied individually and in a private space. Two body maps were applied and entirety analyzed. The first being from Solange, a Black woman, about 40 years old, who has a young daughter. The second body map is of Luna, 36, a Black woman who lives with her partner. Both of them had their identity preserved and fictitious names were adopted during the study. Due to the coronavirus pandemic, several obstacles emerged, which led to an early interruption of fieldwork. All field visits were recorded in a field diary, which consisted of photographs, random notes, and video and audio recordings (previously authorized) to obtain robust material for data analysis, using a Reflective Thematic Analysis. The work also depends on the author’s notes, which reflect her own experience as a Black body also present in the research space. Finally, this dissertation demonstrates that Black women living on the streets present a density to their narratives that is rich and complex where they perceive themselves as the protagonists of their own story, feeling in their own bodies the powers and challenges that these social and intersectional markers demand of them daily.