Top PDF BIOETHICS AND FORENSIC PSYCHIATRY

BIOETHICS AND FORENSIC PSYCHIATRY

BIOETHICS AND FORENSIC PSYCHIATRY

representations conditioned human evolution, the information received from the brain being UDWKHUUHSUHVHQWHGWKDQUHÁHFWHG)RU$1HFXODX [6] representations are higher and comprehensive forms of social consciousness through which man builds up the reality of an event, interprets it and, as a tool of perception and orientation in daily life situations, elaborates appropriate answers. Therefore, representations involve presence of mind, having the capacity to settle FRQIOLFWV DQG WR RUJDQL]H DQ DQVZHU WR environmental circumstances. They have a SUHVFULSWLYHUROH LQÁXHQFHEHKDYLRU DQGFRQWURO behavioral attitudes, their major part being played mostly during crises of the man- environment relationship. Representation joins together the external and the external answer of behavior, and thus the individual may integrate it into his own system of values, giving VLJQLÀFDQFHWRKLVEHKDYLRUDODFWLRQV+DYLQJDOO these in view, representation shows its complex function of reality awareness, of social communication, of behavioral guiding (by ÀOWHULQJ UHDOLW\ DQG E\ DQWLFLSDWLQJ LW E\ determining the type of behavioral action), of an a posteriori behavior judgment and a heuristic function of behavioral progress. Indeed, representations are incorporated into mental schemes, and into adapted or deviant behavioral patterns.
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Trends Psychiatry Psychother.  vol.37 número1

Trends Psychiatry Psychother. vol.37 número1

His areas of special interest, research, and scientiic production were primarily forensic psychiatry, bioethics, and medical ethics. He received a Master of Science degree in Medicine from UFRGS in 1996. His doctorate degree in Medicine was obtained in 2002, also in Medical Sciences from UFRGS. His doctoral dissertation was in the ield of forensic psychiatry, related to the perception of coercion in psychiatric and nonpsychiatric (medical and surgical) inpatients.

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Brazilian Journal of Forensic Sciences, Medical Law and Bioethics

Brazilian Journal of Forensic Sciences, Medical Law and Bioethics

Houve maior prevalência de exames toxicológicos positivos entre os tatuados em comparação aos não tatuados, sendo a cocaína a droga mais encontrada entre todos os necropsiados no IML-B[r]

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Hist. cienc. saudeManguinhos  vol.15 número2

Hist. cienc. saudeManguinhos vol.15 número2

The emergence and consolidation of Portuguese style biopolitics seemed to have found its course. And what about the degenerationist language that had so well served the maximalist pretensions of psychiatry in its forensic extensions? One could say that it had already found itself being dismantled (a process that, in spite of everything, was seen to be a very long one in the Portuguese case), and, in this sense, Sobral Cid appears unavoidable. He is a transitional figure. In some ways, he continues to be a tributary of the degenerationist language. At the same time, he seems to reject it vehemently. Thus, for example, in 1913 Cid published in Movimento Médico, a “fortnightly magazine of medicine and surgery” headquartered in Coimbra, a study entitled “The frontiers of madness”. In this work, which is an exegesis concerning a detailed forensic opinion about a case of “litigant paranoia”, the author, at the start of his text, seeks, on the one hand, to distance himself from the common sense readings on madness – the “madman of legend”, whose sufferings would be revealed “by the disorderliness of his acts, by his delirious activity and by disintegration of the personality” (Cid, 1913, p.65, 66) –, while, on the other hand, he equally tried to distance himself from the most cultured and vulgar concepts of madness among the enlightened bourgeoisie of his time, ones precisely based on the degenerationist model”. On this point, Cid reflects on what, at the time, were called “superior degenerates”, figures of literary or artistic genius that marked their existence by an extreme arrogance with regard to aesthetic conventions and rules and social norms”:
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The Disclosed DSM-5: What impact will it have on Forensic Psychiatry?

The Disclosed DSM-5: What impact will it have on Forensic Psychiatry?

cia para o exercício da Psiquiatria Forense, abordando as questões relacionadas com a classificação e estruturação, com particular enfoque nas categorias de diagnóstico de espe[r]

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An internal history of the concept of “perversion”

An internal history of the concept of “perversion”

relates to a type of madness characterized only by “lesions of will,” “a state of perversion of inclinations, affections, passions, natural feelings”. When Georget examines, for example, the case of Léger, he identifies “an astonishing accidental moral perversion, a manifested mental alienation” (Georget, 1825, p. 11). Another founder of forensic psychiatry, Dr. Marc (1840), when responsible for the medical examination of Henriette Cornier, also notes that “there is a homicidal monomania, sometimes with aberration of the understanding, sometimes with perversion of affective faculties” and, according to him, the case of Cornier derives from this last perversion: “recognize at least that the will is perverted and subdued. Would such perversion be a normal or a natural state?” (p. 69-71). It is necessary to distinguish, according to Marc, this “perversion” from the criminals’ “moral perversity”. This same set of distinctions is also found in England or the United States: Prichard (1837, p. 16), for example, defines moral insanity as “the morbid perversion of the natural feelings, affections, inclinations [etc.]” and Isaac Ray (1839, p. 166) emphasizes: “A common feature of moral mania is a deep perversion of social affections”. Therefore, all the early authors who theorize these fundamental notions of forensic psychiatry which are “homicidal monomania,” “instinctive monomania,” and “moral insanity” coincide in using the concept of “perversion” to define a radical alteration of inclinations or affections, connected to a lesion of will.
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J. bras. psiquiatr.  vol.64 número1

J. bras. psiquiatr. vol.64 número1

Issues related to mental health in relation to court matters have increasingly required the participation of the psychologist. We present the use of forensic neuropsychological assess- ment in a case of retirement reversal. Incapacity was attested due to disability resulting from depression of a 35-year-old attorney, and the case was forwarded from the courts to the Forensic Psychiatry and Psychology Unit at the USP Clinical Hospital. A clinical interview and application of cognitive tests was conducted. Despite the depression, signiicant cognitive losses that would prevent return to his professional assignments were not detected. The neu- ropsychological assessment has been shown to be an important tool in the forensic context, as it assists with diagnostic value for clariication of functional aspects in the various psycho- pathological areas in terms of disabilities or potentialities.
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Brazilian Journal of Forensic Sciences, Medical Law and Bioethics

Brazilian Journal of Forensic Sciences, Medical Law and Bioethics

Abstract. Pulmonary thromboembolism (PTE) occurs when obstruction of the pulmonary artery or its branches occurs with clots generally formed in the deep venous network. The consequences of this obstruction are potentially serious, but with nonspecific or even absent symptoms, being difficult to diagnose clinically. PTE is an important cause of sudden death, besides being considered a major cause of hospital mortality. Considering its importance as a cause of death and its role in Forensic Medicine, this study had the aim to analyze the epidemiological profile of PTE deaths at necropsies performed at the Forensic Medicine Institute of Belo Horizonte (FMI-BH) in the period between 2008 and 2011. We analyzed 94 cases of PTE as cause of death in the period studied. The predominant characteristics of necropsies were male sex, age group of 40 years or older, brown skin color, single marital status, and occupationally active. In most cases the diagnosis was made by combining macro and microscopic examination of the heart and lungs. Most cases were not related to prior trauma. In cases of post-trauma PTE, the limbs were the main part of the body affected and the traffic accidents were the most prevalent trauma circumstance. As PTE is a situation of difficult clinical diagnosis and a high mortality rate, the number of related deaths is underestimated, emphasizing the importance of studies involving autopsies in order to better understand this disease.
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Brazilian Journal of Forensic Sciences, Medical Law and Bioethics

Brazilian Journal of Forensic Sciences, Medical Law and Bioethics

The present retrospective study analyzed deaths due to neck trauma for cases subjected to necropsy at the Forensic Medicine Institute of Belo Horizonte (Instituto Médico-Legal de Belo Horizonte - IML/BH) from January 2006 through December 2012. Located in the capital of the state of Minas Gerais, the IML/BH is a government agency affiliated with the Civil Police and is in charge of the medical investigation of violent deaths in the state capital and most counties in the metropolitan area of Belo Horizonte. In Brazil, a federal law requires a forensic necropsy in all cases of violent death. Belo Horizonte has the sixth largest population in Brazil and includes 2,502,557 inhabitants according to 2015 estimates 7 . The metropolitan area of Belo
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Brazilian Journal of Forensic Sciences, Medical Law and Bioethics

Brazilian Journal of Forensic Sciences, Medical Law and Bioethics

Abstract. The ruptured abdominal aortic aneurysm (RAAA) is a clinical condition of extreme gravity, cursing with quick death, often before possible medical care. The actual prevalence in the general population is difficult to measure in consequence of the low number of autopsies in these cases and the limited information on death certificates. There is a forensic interest involving sudden and unexpected death caused by RAAA, particularly in ages under 40, because a criminal autopsy can exclude possible causes of non-natural deaths. In Belo Horizonte Forensic Medical Institute there were 40 cases of fatal RAAA autopsied from 2006 to 2011. The majority of these cases were males (75%), whites (45%), aged with more than 60 years (70%). Most of them presented with cardiac morphological changes (60%) and with signs of pulmonary edema (56.8%). Most cases received medical care prior to death (62.5%). In this sample, only four individuals (10%) were younger than 40 years.
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Brazilian Journal of Forensic Sciences, Medical Law and Bioethics

Brazilian Journal of Forensic Sciences, Medical Law and Bioethics

Abstract. External causes of death are unequally distributed among different populations. This study sought to verify if there is a difference in the deaths of external causes between doctors and lawyers, professions of the same socioeconomic group. A cross-sectional study of autopsy reports performed at IML-BH between 2006 and 2012 in physicians and lawyers was carried out. 107 necropsy reports were retrieved, 39 of which in physicians (36%) and 68 in lawyers (64%). In both groups there were predominance of males and individuals that lived alone. Most were over 49 years old. The main circumstances of the deaths in the two groups were traffic accidents, suicide and homicide, in this order of prevalence. As there was no statistical significance (p> 0.5) in most of the data analyzed and the power of the study was less than 80%, it was not possible with the data evaluated to affirm differences between the two occupations. Although this study does not have enough power to demonstrate an association between the circumstance of death and the profession, its relevance is in the description of the epidemiological profile of these professionals in relation to deaths due to external causes. Their knowledge can guide preventive actions and assists in relation to this cause of mortality, contributing to public health measures.
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Brazilian Journal of Forensic Sciences, Medical Law and Bioethics

Brazilian Journal of Forensic Sciences, Medical Law and Bioethics

Abstract. Sexual violence is present throughout the world, affects both sexes and occurs in all cultures and social classes. Women are the main victims of sexual abuse (SA), considered a major public health problem. In cases of SA, the medical examiner has the role of searching for objective medical evidence, in addition to participating in the integrated network of victim care. The objective of this research was to analyze the forensic reports of SA in a specific geographic context, to better understand the characteristics of the victims and the forensic findings. The forensic reports of SA victims who were 18 years of age or older examined in Ribeirão das Neves Institute of Forensic Medicine between 2015 and 2016 were analyzed. All of them were female, totaling 11.6 % of the 242 forensic reports of SA completed in the period. The average age was 28 years, vaginal intercourse was the most common practice and in half the cases the abuse was committed by strangers. Most had no genital lesions and none had anal lesions. There were extragenital lesions in half of the cases. In most reports the recent occurrence of vaginal intercourse could not be demonstrated. These data add epidemiological information for better understanding the profile of the SA adult victim, and may contribute to the establishment of possible intervention and prevention measures.
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Revista Bioética: qualidade & transparência

Revista Bioética: qualidade & transparência

Other libraries receive Revista Bioética in addition to the libraries cited and, together with the copies destined to professors and students, they total 9,500 recipients: the libraries of the Procuradoria Geral da República (Attorney General’s Office), the Supremo Tribunal Federal Federal (Supreme Court), the Ministério da Saúde (Ministry of Health), Procuradorias da República (Attorney General’s Offices) in 167 municipalities throughout the country, and 17 Procuradorias da República nos Estados (State Attorneys’ Offices) in the five Brazilian regions. The distribution of the printed version is intended to disseminate bioethics among students, professors and professionals, especially in the areas of health and law, contributing to their formation, stimulating continuous training and, finally, to promote reflection on bioethics and the adoption of practices compatible with human rights and principles of citizenship.
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Saude soc.  vol.23 número1

Saude soc. vol.23 número1

Historically, abuses committed in the field of bioethics against groups that had been socially re- jected based on differences defined as negative, were a driving force behind the appearance of bioethics aimed at controlling clinical research on human beings. Iconic examples of the negative implications of stigma in conducting scientific research, such as those practiced on the Jews by the Nazis, when atro- cities were committed, show that the prevalence of the principle of non stigmatization and non discri- mination with regards bioethics aimed at protecting research subjects. Another classic example of racism was a piece of research conducted in Tuskegee (Tho- mas and Quinn, 1991), in the United States between 1932 and 1972, when, in order to study the natural evolution of syphilis, a group of black men, the majo- rity of whom were illiterate, were denied treatment, even after medical treatment for the disease became available in the 1940s. These cases show to what extent stigma and discrimination cause humans to be devalued, to lose their dignity and cause human rights to be violated.
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Rev. Bras. Psiquiatr.  vol.26 número2 en a12v26n2f

Rev. Bras. Psiquiatr. vol.26 número2 en a12v26n2f

IMS, 65 years old, maidservant, Black, Catholic, some elementary school. In 2001, she had been complaining for one year about ge- neralized pruritus, which she attributed to the presence of little insects on her skin. She was referred by the dermatological ser- vice after the exclusion of physical causes of these complaints. She intensely undertook the cleaning of her home, fearing that her granddaughter and her son would be infested and she also avoi- ded touching them. The patient presented delusional, monothe- matic thought, related to the infestation by insects. Senso-percep- tion with signs of kinesthetic hallucinations. She had poor insight on her psychical disease. Without other psychopathological alte- rations or cognitive impairment. Normal neurological exam and brain tomography.
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ИССЛЕДОВАНИЕ КИСЛОТНЫХ И КАТАЛИТИЧЕСКИХ СВОЙСТВ ЦЕОЛИТОВ ТИПА MFI, МОДИФИЦИРОВАННЫХ ОКСИДОМ ЛАНТАНА, В ПРОЦЕССЕ ПОЛУЧЕНИЯ ВЫСОКООКТАНОВЫХ БЕНЗИНОВ

ИССЛЕДОВАНИЕ КИСЛОТНЫХ И КАТАЛИТИЧЕСКИХ СВОЙСТВ ЦЕОЛИТОВ ТИПА MFI, МОДИФИЦИРОВАННЫХ ОКСИДОМ ЛАНТАНА, В ПРОЦЕССЕ ПОЛУЧЕНИЯ ВЫСОКООКТАНОВЫХ БЕНЗИНОВ

Abstract In this longitudinal research presents the results of regression analysis of stress index, index activity of regulatory system of heart rate variability, total count of leukocytes in peripheral blood. By studying these indicators the level of tension of rОРЮХКЭorв sвsЭОЦs oП ЭСО sЭЮНОЧЭs’ ЛoНв СКs СвpoЭСОЭТМКХХв МКЮsОН КЧН prОНТМЭОН for three years of study at the university. The results of actually obtained and the theoretically calculated data of research have shown a higher degree of tension regulatory sвsЭОЦs oП sЭЮНОЧЭs’ orРКЧТsЦ аСo КrО ЧoЭ ТЧvoХvОН КМЭТvОХв ТЧ sporЭs, ТЧ МoЧЭrКsЭ Эo ЭСО sЭЮНОЧЭs аТЭС ТЧМrОКsОН pСвsТМКХ activity in the sphere of professional interests.
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Caminho do diálogo II: ampliando a experiência bioética para o ensino médio

Caminho do diálogo II: ampliando a experiência bioética para o ensino médio

Water is more than a natural resource, more than a food; it is life, which keeps us alive, and it is impossible to attribute a unique meaning or value to it. This substance will be part of the outcome of our civilization, and that is why it was chosen as a symbol of action for these teenagers who are going to build a distant future that they will not witness. The water molecule of the activity in question went through the circuit with the students, witnessed the interaction – the dynamics with the students lasted about 30 minutes in each station. After students and
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Rev. Bras. Psiquiatr.  vol.26 número1 en a16v26n1

Rev. Bras. Psiquiatr. vol.26 número1 en a16v26n1

mitigated or hindered by a pharmacological strategy such as blocking such HPA reported hyper-reactivity with ketoconazole (50-100 mg once a day). Four women, ranging from 20 to 42 years of age, have been presenting acute anguished/perplex/ terrified delusional episodes one or two times a year even when under supposedly effective psychopharmacological treatment (antidepressants, antipsychotics and mood stabilizers). Such treatments were not able to conveniently and entirely hinder those psychotic episodes in each occurrence.

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Bioethics in Chile: Present and future status

Bioethics in Chile: Present and future status

Also, the assigned role of the Chilean Medical Association in deciding mat- ters of medical misconduct has diminished, while that of the courts has grown; the n[r]

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Trends in Psychiatry and Psychotherapy

Trends in Psychiatry and Psychotherapy

of our new 6-item version. However, we argue that a shorter scale reduces application time and costs and should therefore help to address the current situation of under diagnosis, which is mainly observed in undeveloped countries where health services may not be structured. In other words, a shorter, reliable scale could be the difference between screening for PPD or not in some settings.

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