A produção social dos transtornos de ansiedade: reflexões a partir da Psicologia HistóricoCultural
Autor(a) principal: | |
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Data de Publicação: | 2022 |
Tipo de documento: | Dissertação |
Idioma: | por |
Título da fonte: | Repositório Institucional da UFMS |
Texto Completo: | https://repositorio.ufms.br/handle/123456789/4663 |
Resumo: | According to recent data from the World Health Organization (WHO), anxiety disorders are among the most commom in the world population, reaching about 264 million people. In relation to Brazil, the country is referred to as ‘the most anxious in the world’. In view of this, science, especially medical-psychiatric and psychological, has been dedicated to researching the ‘pathological anxiety’, according to the proposition of its signs and symptoms, the definition of classification criteria, increasing diversification into subtypes of disorders, the prevalence in certain groups and the statistical correlations with risk factors, thus configuring a predominantly descriptive and presenteeist approach – which contributes to the ontologization of the disease and the secondaryization of the centrality of people and the processes of the social totality in which their lives are implicated. With this, the appearance of the phenomenon is taken as its essence, pari passu to the veiling of its most radical determinations. Based on this work, then, based on the assumptions of Historical-Cultural Psychology and the Theory of Social Determination of the Health-Disease Process, we intend to problematize the hegemonic conceptions, and their possible consequences, regarding anxiety, specified in subtypes of disorder. Therefore, we built a chronological-comparative panorama between the first and the last edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM) – considered one of the main compendia of world psychiatry – and the changes that have taken place in the capitalist mode of production since 1950, the date of the first version of the book. We denote, therefore, that the crises of the system, especially the one that occurred in the 1970s, they intensify the mechanisms of exploitation and subordinate workers to the most strenuous workloads, increasing their illness and feeding back the need to broaden the diagnostic spectrum to encompass more individuals in types/subtypes of anxiety disorders. Then, we carried out a bibliographic review, aiming to extract, from the most current scientific productions, what has been postulated about the etiology of anxiety and its disorders. From this task, we inferred the massive linkage of the research to the assumptions of the DSM: from empirical investigations, the association of variables with symptoms stands out, focusing on intervention proposals in the pharmacological and behavioral field, despite allowing certain relief from suffering. Indepth discussions about the etiology of anxiety, taking into account psychosocial profiles and conditions, are scarce, as are theoretical formulations and/or hypothetical models that guide new studies, aimed at investigating the more general determinations of suffering. In turn, a genetic-causal approach is neglected, which delves into the unveiling of the links of this psychophysical process (as a synthesis of multiple determinations), always singular, with the social totality and particular mediations. In view of the above, in the third chapter of this dissertation, we discuss the indispensability of studies that reveal the radical determinations, causality, extension and intensification of anxious states in the population, with emphasis on the particularities by groups, taking as principles the individual-society dialectic and the social as: source: health-disease processes, including psychological distress, within the scope of the psychophysical unit; of personality development; and also the constraints experienced as pressures on the activity-consciousness-personality system. We will thus advance in the construction of a praxis that overcomes the biomedical hegemony in the countryside, so functional to capitalist social reproduction. |
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2022-04-07T14:06:33Z2022-04-07T14:06:33Z2022https://repositorio.ufms.br/handle/123456789/4663According to recent data from the World Health Organization (WHO), anxiety disorders are among the most commom in the world population, reaching about 264 million people. In relation to Brazil, the country is referred to as ‘the most anxious in the world’. In view of this, science, especially medical-psychiatric and psychological, has been dedicated to researching the ‘pathological anxiety’, according to the proposition of its signs and symptoms, the definition of classification criteria, increasing diversification into subtypes of disorders, the prevalence in certain groups and the statistical correlations with risk factors, thus configuring a predominantly descriptive and presenteeist approach – which contributes to the ontologization of the disease and the secondaryization of the centrality of people and the processes of the social totality in which their lives are implicated. With this, the appearance of the phenomenon is taken as its essence, pari passu to the veiling of its most radical determinations. Based on this work, then, based on the assumptions of Historical-Cultural Psychology and the Theory of Social Determination of the Health-Disease Process, we intend to problematize the hegemonic conceptions, and their possible consequences, regarding anxiety, specified in subtypes of disorder. Therefore, we built a chronological-comparative panorama between the first and the last edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM) – considered one of the main compendia of world psychiatry – and the changes that have taken place in the capitalist mode of production since 1950, the date of the first version of the book. We denote, therefore, that the crises of the system, especially the one that occurred in the 1970s, they intensify the mechanisms of exploitation and subordinate workers to the most strenuous workloads, increasing their illness and feeding back the need to broaden the diagnostic spectrum to encompass more individuals in types/subtypes of anxiety disorders. Then, we carried out a bibliographic review, aiming to extract, from the most current scientific productions, what has been postulated about the etiology of anxiety and its disorders. From this task, we inferred the massive linkage of the research to the assumptions of the DSM: from empirical investigations, the association of variables with symptoms stands out, focusing on intervention proposals in the pharmacological and behavioral field, despite allowing certain relief from suffering. Indepth discussions about the etiology of anxiety, taking into account psychosocial profiles and conditions, are scarce, as are theoretical formulations and/or hypothetical models that guide new studies, aimed at investigating the more general determinations of suffering. In turn, a genetic-causal approach is neglected, which delves into the unveiling of the links of this psychophysical process (as a synthesis of multiple determinations), always singular, with the social totality and particular mediations. In view of the above, in the third chapter of this dissertation, we discuss the indispensability of studies that reveal the radical determinations, causality, extension and intensification of anxious states in the population, with emphasis on the particularities by groups, taking as principles the individual-society dialectic and the social as: source: health-disease processes, including psychological distress, within the scope of the psychophysical unit; of personality development; and also the constraints experienced as pressures on the activity-consciousness-personality system. We will thus advance in the construction of a praxis that overcomes the biomedical hegemony in the countryside, so functional to capitalist social reproduction.Conforme recentes dados da Organização Mundial de Saúde (OMS), os transtornos de ansiedade despontam entre os mais recorrentes na população mundial, atingindo cerca de 264 milhões de pessoas. Em relação ao Brasil, o país é referido como ‘o mais ansioso do mundo’. À vista disso, a ciência, especialmente médico-psiquiátrica e psicológica, tem se dedicado a pesquisar a ‘ansiedade patológica’ conforme a proposição de seus sinais e sintomas, a definição de critérios classificatórios, a crescente diversificação em subtipos de transtornos, a prevalência em determinados grupos e as correlações estatísticas com fatores de risco, configurando-se, assim, uma abordagem predominantemente descritiva e presenteísta – o que contribui para a ontologização da doença e a secundarização da centralidade das pessoas e dos processos da totalidade social em que suas vidas estão implicadas. Com isso, a aparência do fenômeno é tomada como sua essência, pari passu ao velamento de suas determinações mais radicais. A partir deste trabalho, então, fundado nos pressupostos da Psicologia Histórico-Cultural e da Teoria da Determinação Social do Processo Saúde-Doença, tencionamos problematizar as concepções hegemônicas, e seus possíveis desdobramentos, a respeito da ansiedade, especificada em subtipos de transtorno. Para tanto, construímos um panorama cronológicocomparativo entre a primeira e a última edição do Manual Diagnóstico e Estatístico de Transtornos Mentais (DSM) – considerado um dos principais compêndios da Psiquiatria mundial – e as mudanças ocorridas no modo de produção capitalista desde 1950, data da primeira versão da obra. Denotamos, assim, que as crises do sistema, com destaque à ocorrida na década de 1970, acirram os mecanismos de exploração e subordinam os trabalhadores às mais extenuantes cargas de trabalho, aumentando seu adoecimento e retroalimentando a necessidade de alargamento dos espectros diagnósticos para que abarquem mais indivíduos em tipos/subtipos de transtornos de ansiedade. Em seguida, efetuamos uma revisão bibliográfica, objetivando extrair, das mais atuais produções científicas, o que tem sido postulado a respeito da etiologia da ansiedade e seus transtornos. Depreendemos, desde essa tarefa, a massiva vinculação das pesquisas aos pressupostos do DSM: a partir de investigações empíricas, destaca-se a associação de variáveis aos sintomas, concentrando-se as propostas de intervenção nos campos farmacológico e comportamental, a despeito de possibilitarem certa atenuação do sofrimento. Discussões aprofundadas a respeito da etiologia dos quadros de ansiedade, levandose em conta perfis e condições psicossociais, são escassas, assim como formulações teóricas e/ou modelos hipotéticos que orientem novos estudos, dirigidos a investigar as determinações mais gerais do sofrimento. Negligencia-se, por seu turno, uma abordagem genético-causal, que se aprofunde no desvelamento dos nexos desse processo psicofísico (como síntese de múltiplas determinações), sempre singular, com a totalidade social e as mediações particulares. Ante ao exposto, no terceiro capítulo desta dissertação, discorremos a respeito da imprescindibilidade de estudos que desvelem as determinações radicais, a causalidade, a extensão e a intensificação dos estados ansiosos na população, com ênfase nas particularidades por grupos, tomando-se como princípios a dialética indivíduo-sociedade e o social como fonte: dos processos saúdedoença, incluindo o sofrimento psíquico, no âmbito da unidade psicofísica; do desenvolvimento da personalidade; e, também, dos constrangimentos vivenciados como pressões ao sistema atividade-consciência-personalidade. Avançaremos, assim, na construção de uma práxis que supere a hegemonia biomédica no campo, tão funcional à reprodução social capitalista.Fundação Universidade Federal de Mato Grosso do SulUFMSBrasilTranstorno de Ansiedade. Sofrimento Psíquico. Psicologia Histórico-CulturalA produção social dos transtornos de ansiedade: reflexões a partir da Psicologia HistóricoCulturalinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesisRenata BellenzaniJOSÉ ALBERTO LECHUGA DE ANDRADE FILHOinfo:eu-repo/semantics/openAccessporreponame:Repositório Institucional da UFMSinstname:Universidade Federal de Mato Grosso do Sul (UFMS)instacron:UFMSTHUMBNAILANDRADE FILHO, J. A. L. A produção social dos transtornos de ansiedade= reflexões a partir da psicologia Histórico-Cultural. 161f. PPGPsico, FACH, UFMS, 2022..pdf.jpgANDRADE FILHO, J. A. L. A produção social dos transtornos de ansiedade= reflexões a partir da psicologia Histórico-Cultural. 161f. 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dc.title.pt_BR.fl_str_mv |
A produção social dos transtornos de ansiedade: reflexões a partir da Psicologia HistóricoCultural |
title |
A produção social dos transtornos de ansiedade: reflexões a partir da Psicologia HistóricoCultural |
spellingShingle |
A produção social dos transtornos de ansiedade: reflexões a partir da Psicologia HistóricoCultural JOSÉ ALBERTO LECHUGA DE ANDRADE FILHO Transtorno de Ansiedade. Sofrimento Psíquico. Psicologia Histórico-Cultural |
title_short |
A produção social dos transtornos de ansiedade: reflexões a partir da Psicologia HistóricoCultural |
title_full |
A produção social dos transtornos de ansiedade: reflexões a partir da Psicologia HistóricoCultural |
title_fullStr |
A produção social dos transtornos de ansiedade: reflexões a partir da Psicologia HistóricoCultural |
title_full_unstemmed |
A produção social dos transtornos de ansiedade: reflexões a partir da Psicologia HistóricoCultural |
title_sort |
A produção social dos transtornos de ansiedade: reflexões a partir da Psicologia HistóricoCultural |
author |
JOSÉ ALBERTO LECHUGA DE ANDRADE FILHO |
author_facet |
JOSÉ ALBERTO LECHUGA DE ANDRADE FILHO |
author_role |
author |
dc.contributor.advisor1.fl_str_mv |
Renata Bellenzani |
dc.contributor.author.fl_str_mv |
JOSÉ ALBERTO LECHUGA DE ANDRADE FILHO |
contributor_str_mv |
Renata Bellenzani |
dc.subject.por.fl_str_mv |
Transtorno de Ansiedade. Sofrimento Psíquico. Psicologia Histórico-Cultural |
topic |
Transtorno de Ansiedade. Sofrimento Psíquico. Psicologia Histórico-Cultural |
description |
According to recent data from the World Health Organization (WHO), anxiety disorders are among the most commom in the world population, reaching about 264 million people. In relation to Brazil, the country is referred to as ‘the most anxious in the world’. In view of this, science, especially medical-psychiatric and psychological, has been dedicated to researching the ‘pathological anxiety’, according to the proposition of its signs and symptoms, the definition of classification criteria, increasing diversification into subtypes of disorders, the prevalence in certain groups and the statistical correlations with risk factors, thus configuring a predominantly descriptive and presenteeist approach – which contributes to the ontologization of the disease and the secondaryization of the centrality of people and the processes of the social totality in which their lives are implicated. With this, the appearance of the phenomenon is taken as its essence, pari passu to the veiling of its most radical determinations. Based on this work, then, based on the assumptions of Historical-Cultural Psychology and the Theory of Social Determination of the Health-Disease Process, we intend to problematize the hegemonic conceptions, and their possible consequences, regarding anxiety, specified in subtypes of disorder. Therefore, we built a chronological-comparative panorama between the first and the last edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM) – considered one of the main compendia of world psychiatry – and the changes that have taken place in the capitalist mode of production since 1950, the date of the first version of the book. We denote, therefore, that the crises of the system, especially the one that occurred in the 1970s, they intensify the mechanisms of exploitation and subordinate workers to the most strenuous workloads, increasing their illness and feeding back the need to broaden the diagnostic spectrum to encompass more individuals in types/subtypes of anxiety disorders. Then, we carried out a bibliographic review, aiming to extract, from the most current scientific productions, what has been postulated about the etiology of anxiety and its disorders. From this task, we inferred the massive linkage of the research to the assumptions of the DSM: from empirical investigations, the association of variables with symptoms stands out, focusing on intervention proposals in the pharmacological and behavioral field, despite allowing certain relief from suffering. Indepth discussions about the etiology of anxiety, taking into account psychosocial profiles and conditions, are scarce, as are theoretical formulations and/or hypothetical models that guide new studies, aimed at investigating the more general determinations of suffering. In turn, a genetic-causal approach is neglected, which delves into the unveiling of the links of this psychophysical process (as a synthesis of multiple determinations), always singular, with the social totality and particular mediations. In view of the above, in the third chapter of this dissertation, we discuss the indispensability of studies that reveal the radical determinations, causality, extension and intensification of anxious states in the population, with emphasis on the particularities by groups, taking as principles the individual-society dialectic and the social as: source: health-disease processes, including psychological distress, within the scope of the psychophysical unit; of personality development; and also the constraints experienced as pressures on the activity-consciousness-personality system. We will thus advance in the construction of a praxis that overcomes the biomedical hegemony in the countryside, so functional to capitalist social reproduction. |
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2022 |
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