Background: Chronic Pain (CP) has serious medical and social consequences, and leads to economic burden that threatens the sustainability of healthcare services. Thus, optimized management of pain tools to support CP patients in adjusting to their condition and improving quality of life is timely. Although Acceptance and Commitment Therapy (ACT) is considered an evidence-based psychological approach for CP, evidence for the efficacy of online-delivered ACT for CP is still scarce. At the same time, studies suggest that self-compassion mediates the change (...) in disability and psychopathological symptoms in ACT interventions for CP, although self-compassion is not a specific target in ACT. Thus, an explicit focus on self-compassion might increase the efficacy of ACT interventions for CP, although this hypothesis has not been tested. This study aims to develop an eHealth ACT and compassion-based self-management intervention for CP, the iACTwithPain, and to compare its efficacy in improving health outcomes to a similar ACT-only intervention and a waiting list group. Methods: The eHealth platform that will host the interventions will be developed using a flat design identity and will be interactive. The iACTwithPain intervention will comprise 8 weekly self-management sessions, and will be developed taking into consideration the psychological flexibility model applied to CP, with the addition of explicit compassion-based components. To analyse whether the iACTwithPain intervention will present superiority in improving CP’s impact and related health markers over the two other conditions, this study will follow a RCT design with three arms. CP patients will be recruited through direct contact with patient associations and healthcare services and a national press release in Portugal. Outcome measurement will be conducted at baseline, post-intervention and at 3- and 6-months follow-ups. The interventions’ acceptability will also be assessed. Discussion: The iACTwithPain intervention is expected to improve CP patients’ psychosocial functioning, quality of life, and empowerment, by promoting adaptive disease management and regulation of pain-related internal experiences. Results will contribute to a better understanding on the pertinence of adding compassion elements to ACT for CP and to reach an optimized intervention for CP. (shrink)

This photo-essay, entitled 'Our Stories: Cartography of a Conflict', is born from the fieldwork carried out in the scope of the research 'Past, Present and Future in the Voice of Women and Girls Affected by the Conflict in Cabo Delgado: A Feminist Analysis', as a way of naming and disseminating the diversity of voices of displaced women, and broadening the visibility of their stories, which have very often been reduced to statistics. The aim of this article is to share their (...) perceptions and demands, their stories and journeys in search of security and possible horizons for their re-existence. This photo-essay shows that women displaced and affected by the conflict need to be named, singularised in their aspirations, needs and struggles. Their life stories are the reason for this work. It is their pain and resilience, their desires, their invisible and visible powers, their strategies for rebuilding their lives, families and communities that we want to make known. Their voices need to be heard, read, understood and placed at the centre of all governmental and civil society interventions for reconstruction, humanitarian response and peacebuilding in Cabo Delgado. Each woman participating in this photo-essay has chosen to share her story and her face, and has decided how to be photographed and represented, with the desire that somehow their trajectories become sources of direct knowledge to guide the paths to Peace in the province. They want to be known and recognised in their dignity, in their determination and perseverance, as well as in their deepest needs. The story of each woman shared in this article is a local and national reference to build a nonviolent future in Mozambique. (shrink)

Shafer-Landau, Russ. Ethical Theory: An Anthology. Second Edition. London, Wiley-Blackwell, 2013.

BackgroundThis pilot study aims to test the usability of the iACTwithPain platform, an online ACT-based intervention for people with chronic pain, to obtain information on which intervention and usability aspects need improvement and on expected retention rates.MethodsSeventy-three Portuguese women with chronic pain were invited to complete the first three sessions of the iACTwithPain intervention assess their quality, usefulness and the platform’s usability. Twenty-one accepted the invitation. Additionally, eight healthcare professionals working with chronic medical conditions assessed the platform and the intervention (...) from a practitioner’s point of view.ResultsThis study presented a considerable attrition rate (71.43%) among chronic pain participants, with six completers. There were no significant differences in demographic or clinical variables between dropouts and completers except for completed education (participants who dropped out presented less education than completers). Reasons for dropout were related to difficult personal events occurring during the time of the intervention, lack of time, or having forgotten. There seemed to be an overall satisfaction with both the intervention, its contents and form of presentation of information, and the platform, concerning its design, appearance, and usability. Real image videos were preferred over animations or audio by chronic pain participants. Healthcare professionals emphasized the appealing and dynamic aspects of the animation format.ConclusionThis study informs the ongoing improvement of the iACTwithPain platform and provides valuable information on aspects researchers should consider while developing online psychological interventions for chronic pain. Further implications are discussed. (shrink)

Normal 0 21 false false false MicrosoftInternetExplorer4 /* Style Definitions */ table.MsoNormalTable {mso-style-name:"Tabela normal"; mso-tstyle-rowband-size:0; mso-tstyle-colband-size:0; mso-style-noshow:yes; mso-style-parent:""; mso-padding-alt:0cm 5.4pt 0cm 5.4pt; mso-para-margin:0cm; mso-para-margin-bottom:.0001pt; mso-pagination:widow-orphan; font-size:10.0pt; font-family:"Times New Roman"; mso-ansi-language:#0400; mso-fareast-language:#0400; mso-bidi-language:#0400;} O presente artigo aborda dois tópicos específicos em ética: o problema dos conflitos morais em filosofia e a questáo da consistência em teorias morais. A relaçáo entre conflitos morais e consistência moral estabelecida neste trabalho foi realizada graças à natureza de alguns tipos de conflitos morais, a saber: os (...) insolúveis ou genuínos - que seráo explicados ao longo do trabalho. Conflitos desse tipo sáo capazes de causar inconsistências nas normas de certos sistemas morais, como por exemplo, os preponderantemente racionalistas. Partindo desse problema, os autores que se dispõe a trabalhar este tema demonstram opiniões divididas: alguns optam por defender a genuinidade dos conflitos morais insolúveis e consideram as eventuais inconsistências na teoria moral como secundárias, enquanto outros optam por salvaguardar a lógica do pensamento e das teorias morais, negando os conflitos morais insolúveis. Este artigo busca esboçar tal “divisáo” entre os autores, ao explorar brevemente as argumentações de ambas as partes. Por fim, fica demonstrado que uma discussáo sobre consistência e conflitos morais precisa considerar tanto a esfera metaética quanto a esfera normativa da ética. (shrink)

A ética de John Dewey tem sido revistada por diversos autores como fonte fecunda e relativamente inexplorada de seu pensamento. Dentre as características mais marcantes de seus escritos está o destaque dado à imaginação, como faculdade essencial à deliberação moral. O filósofo caracteriza a imaginação moral como a capacidade de se projetar na condição de outro e de desenhar cursos de ação possíveis diante de um impasse. A imaginação é indissociável da experiência democrática, cujas marcas são a convivência com o (...) diferente e a incompletude. O lugar da imaginação na educação adquire um contorno que extrapola a estratégia didática, tornando-se imprescindível na formação integral do homem. (shrink)

Parmenides’ argument in the Way of Truth and Plato’s theory of Forms are usually seen as mighty metaphysical constructions. But what if they are motivated by the semantic complexity of the Greek verb ‘be’? This is the approach followed throughout this paper, mostly dealing with the debate on the emergence of a separate existential reading of ‘einai,’ and the problems arising from the use of the Latin verb ‘existere’ to translate it. The analysis of some sophistic puzzles provides examples of (...) this fused reading of the verb. They suggest that Plato’s philosophical program was intended as a correction of current sophistic views on reality and discourse, both through his theory of Forms, and the analysis of being and not being, carried out in the Sophist. (shrink)

Durante a “febre brasileira”, parte do processo imigratório polonês para o Brasil, na última década do século XIX, diversos intelectuais poloneses acompanharam o deslocamento, instalação e adaptação dos patrícios nos estados do sul. Os intelectuais provindos a serviço de uma sociedade científica chamada Grupo de Lwów, localizado na parte austríaca da Polônia partilhada, vinham com ideais de analisar a presença dos poloneses já instalados e acompanhar a trajetória dos novos emigrantes. Ao produzirem textos, deixaram suas impressões sobre o Brasil e (...) seus habitantes, as quais analisamos com base nas representações da “cultura do imperialismo”, vigente no contexto do continente Europeu. (shrink)

O artigo é resultado do trabalho de conclusão de curso em psicologia e busca compreender como se dá o processo de criação artístico, qual sua função e o que expressa o artista através de sua obra. Apresenta um referencial teórico que aborda psicologia e sua inter-relação com a Arte, além das importa..