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      Development of a Brief Psychotherapy modality entitled RIME in a hospital setting using alchemical images Translated title: O desenvolvimento, em ambiente hospitalar, de uma modalidade de Psicoterapia Breve intitulada RIME, através da mobilização de imagens alquímicas

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          Abstract

          Abstract This article refers to the development of a Brief Psychotherapy modality in a hospital setting through the use of alchemical images. This Intervention, entitled RIME (Relaxamento, Imagens Mentais, Espiritualidade) (RIME Intervention ‒ Relaxation, Mental Images, Spirituality), has been developed for 17 years. This article presents the fourth and last stage of this process, which refers to the application of RIME in women undergoing treatment for breast cancer with the possibility of a cure. The main theoretical frameworks used were Analytical Psychology and Near Death Experiences. This is a comparative exploratory and descriptive research that uses the quantitative and qualitative approaches. The main focus of this article is to present the qualitative results. Qualitative data were collected using recorded semi-structured interviews and graphical representations, prior to the 1st and after the 3rd RIME sessions. In summary, the results obtained showed that the RIME Intervention promoted empowerment for libido strengthening, as a constructive force, in women with breast cancer with the possibility of a cure.

          Translated abstract

          Resumo Este artigo refere-se ao desenvolvimento de uma modalidade de Psicoterapia Breve para ambiente hospitalar, através da mobilização de imagens alquímicas, chamada Intervenção RIME (Relaxamento, Imagens Mentais, Espiritualidade), que vem sendo desenvolvida há 17 anos. Apresenta-se, assim, a última etapa do processo, a quarta fase, representada pela implementação da RIME em mulheres com câncer de mama, em tratamento, com possibilidades de cura. Os principais marcos teóricos utilizados foram: a Psicologia Analítica e as Experiências de Quase Morte. O método utilizado foi o exploratório comparativo, descritivo, com abordagem quantitativa-qualitativa. O foco principal deste artigo é apresentar os resultados qualitativos, cujos instrumentos utilizados para a coleta de dados foram entrevistas semi-estruturadas gravadas e representações gráficas, antes da primeira e após a terceira sessão da RIME. Os resultados mostraram, em resumo, que a RIME promove o fortalecimento da libido, como uma força construtiva, em mulheres com câncer de mama, com possibilidade de cura.

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          Most cited references34

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          Manual da versão em português das Escalas Beck

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            Near-death experience in survivors of cardiac arrest: a prospective study in the Netherlands.

            Some people report a near-death experience (NDE) after a life-threatening crisis. We aimed to establish the cause of this experience and assess factors that affected its frequency, depth, and content. In a prospective study, we included 344 consecutive cardiac patients who were successfully resuscitated after cardiac arrest in ten Dutch hospitals. We compared demographic, medical, pharmacological, and psychological data between patients who reported NDE and patients who did not (controls) after resuscitation. In a longitudinal study of life changes after NDE, we compared the groups 2 and 8 years later. 62 patients (18%) reported NDE, of whom 41 (12%) described a core experience. Occurrence of the experience was not associated with duration of cardiac arrest or unconsciousness, medication, or fear of death before cardiac arrest. Frequency of NDE was affected by how we defined NDE, the prospective nature of the research in older cardiac patients, age, surviving cardiac arrest in first myocardial infarction, more than one cardiopulmonary resuscitation (CPR) during stay in hospital, previous NDE, and memory problems after prolonged CPR. Depth of the experience was affected by sex, surviving CPR outside hospital, and fear before cardiac arrest. Significantly more patients who had an NDE, especially a deep experience, died within 30 days of CPR (p<0.0001). The process of transformation after NDE took several years, and differed from those of patients who survived cardiac arrest without NDE. We do not know why so few cardiac patients report NDE after CPR, although age plays a part. With a purely physiological explanation such as cerebral anoxia for the experience, most patients who have been clinically dead should report one.
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              Psychological and social aspects of breast cancer.

              P Ganz (2008)
              Breast cancer treatments today are likely to cause less physical deformity from surgery than a half-century ago, but are more complex and extend over a longer period of time. Women today are often well informed about the details of their cancer diagnosis and prognosis, and are increasingly involved in shared decision-making regarding treatment. Although serious depression is not seen in the majority of breast cancer patients and survivors, many will experience treatment-related distress, fear of recurrence, changes in body image and sexuality, as well as physical toxicities that result from adjuvant therapy. This paper discusses the importance of identifying the psychological and social concerns of breast cancer patients in the medical setting, and assisting them in obtaining appropriate psychosocial services.
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                Author and article information

                Contributors
                Role: ND
                Role: ND
                Role: ND
                Role: ND
                Role: ND
                Role: ND
                Journal
                epc
                Estudos de Psicologia (Campinas)
                Estud. psicol. (Campinas)
                PUC-Campinas (Campinas, SP, Brazil )
                0103-166X
                December 2017
                : 34
                : 4
                : 534-547
                Affiliations
                [3] São Paulo SP orgnameInstituto do Câncer do Estado de São Paulo Otávio Frias de Oliveira Brasil
                [5] São Paulo São Paulo orgnameUniversidade de São Paulo Brazil
                [2] São Paulo São Paulo orgnameUniversidade de São Paulo orgdiv1Faculdade de Medicina orgdiv2Hospital das Clínicas Brazil
                [1] Campinas São Paulo orgnameUniversidade Paulista Brazil
                [4] Campinas São Paulo orgnameUniversidade Estadual de Campinas orgdiv1Faculdade de Ciências Médicas orgdiv2Departamento de Psicologia Médica e Psiquiatria Brazil
                Article
                S0103-166X2017000400534
                10.1590/1982-02752017000400009
                1c368043-7a04-4d0a-b427-01eac486a7ff

                This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

                History
                : 06 October 2015
                : 12 September 2016
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 34, Pages: 14
                Product

                SciELO Brazil


                Quality of life,Spirituality,Imagens (Psicoterapia),Medicina psicossomática,Psicoterapia breve,Qualidade de vida,Espiritualidade,Imagery (Psychotherapy),Psychosomatic medicine,Psychotherapy, brief

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