SEXUAL EXPRESSION OF PEOPLE WITH MENTAL DISORDER: REPRESENTATIONS OF MENTAL HEALTH PROFESSIONALS

Main Article Content

marina souza Jaqueline Guimarães Almeida Barbosa Maria Imaculada de Fátima Freitas

Abstract

Among the obstacles to the promotion of sexual health in the field of mental health difficulties are the professionals to deal with the issue of sexuality. This creates barriers and prevents the expression of the needs and concerns of people with mental disorders. The objective was to study representations of mental health professionals about the modes of expression of sexuality of people with mental disorder. The study is qualitative, based on notions of Social Representations and conducted through focus groups with 54 professionals of public mental health in Minas Gerais, Brazil, in 2011, after approval by the Ethics Committee of UFMG. The central question that guided the discussion groups was: "Talk about           the sexuality of people with mental disorders." The interpretation of the discussion was based on the Structural Analysis of Narrative. The results showed representations of denial of the sexuality of people with mental disorder, with reproaches towards expressed manifestations such as masturbation, homosexuality and sexual intercourse between persons with mental disorders, considered "unusual." However, they believe that these modes of management of sexual life are currents and from the "the madness itself" and should generally be repressed and on which it prefers silence and detachment. The results indicate the need for training, with new approaches, considering human rights and principles of comprehensiveness as mental health care.

Article Details

How to Cite
SOUZA, marina; BARBOSA, Jaqueline Guimarães Almeida; FREITAS, Maria Imaculada de Fátima. SEXUAL EXPRESSION OF PEOPLE WITH MENTAL DISORDER: REPRESENTATIONS OF MENTAL HEALTH PROFESSIONALS. Medical Research Archives, [S.l.], v. 4, n. 1, june 2016. ISSN 2375-1924. Available at: <https://esmed.org/MRA/mra/article/view/495>. Date accessed: 20 apr. 2024.
Section
Research Articles

References

1- Rein DB, Anderson LA, IRWIN KLD. Mental health disorders and sexually transmitted diseases in a privately insured population. Am J Manag Care. 2004; 10(12):917-24.

2-Pence BW. The impact of mental health and traumatic life experiences on antiretroviral treatment outcomes for people living with HIV/AIDS. J Antimicrob Chemother. 2009; 63(4):636-40.

3-Guimarães, MDC, Campos LN, Melo APS, Carmo RA, Machado CJ, Acúrcio FA. Prevalence of HIV, syphilis, hepatitis B and C among adults with mental illness: a multicenter study in Brazil. Rev. Bras. Psiquiatr. 2009; 31(1):43-7.

4-Pinto DS. et al. Sexuality, vulnerability to HIV, and mental health: an ethnographic study of psychiatric institutions. Cad. Saúde Pública 2007; 23: 2224-2233.

5- Giami A. Permanência das representações do gênero em sexologia: as inovações científicas e médica comprometida pelos estereótipos de gênero. Rev. Saúde Coletiva. 2007; 17(2):301-20.

6-Barbosa JAG, Guimarães MDC, Freitas MIF. Sexualidade e vulneralibidade social em face das infecções sexualmente transmissíveis em pessoas com transtornos mentais. Rev Med Minas Gerais, 2014; 23(4):455-461

7-Wainberg ML, McKinnon K, Elkington KS, Mattos P, Mann C, Pinto D, Otto-Salaj L, Cournos, F. HIV risk behaviors among outpatients with Severe Mental Illness in Rio de Janeiro, Brazil. World Psychiatry 2008; 7(3): 166-172.

8- Melo APS, Acúrcio FA, Cherghiglia ML, Veloso CCG, Guimarães, MDC. Avaliação de serviços de saúde mental: assistência e prevenção às doenças sexualmente transmissíveis no contexto do projeto PESSOAS. Rev Med Minas Gerais; 2007; 7(4):s240-248.

9- Rydon SE. The attitudes, knowledge and skills needed in mental health nurses: the 9perspective of users of mental health services. Int J Ment Health Nurs. 2005; 14(2):78-87.

10- Grella CE. et al. Influence of gender, sexual orientation, and need on treatment utilization for substance use and mental disorders: findings from the California Quality of Life Survey. BMC Psychiatry. 2009; 9(52):123-9.

11- Quinn C, Browne G. Sexuality of people living with a mental illness: a collaborative challenge for mental health nurses. Int J Ment Health Nurs, 2009; 18(3);195-203.

12- Miranda FAN, Furegato ARF. Percepções da sexualidade do doente mental pelo enfermeiro. Rev Latino-am Enfermagem. 2002; 10(2):207-13.

13- Brito PF, Oliveira CC. A sexualidade negada do doente mental: percepções da sexualidade do portador de doença mental por profissionais de saúde. Ciência e cognição, 2009; 14(1):246-254.

14- Giami A. Introduction à la réédition de l’ange et la bête. In: Giami A; Humbert C; Laval D. L’ange et la bête : représentations de la sexualité des handicapés mentaux chez les parents et les éducateurs. 2ème ed. Paris: Ed. de CTNERHI. 2010. p. 9-20. .

15-Miranda FAN, Furegato ARF, Azevedo DM. Práticas discursivas e o silenciamento do doente mental: sexualidade negada? Esc Anna Nery Rev Enferm. 2008; 12(1):136-42.

16-Souza MCMR, Freitas MIF. Representações de Profissionais da Atenção Primária sobre Risco Ocupacional de Infecção pelo HIV. Revista Latino-Americana de Enfermagem. 2010; 18(3):748-54.

17- Souza MCMR, Freitas MIF. Aconselhamento em HIV/AIDS: representações dos profissionais que atuam na atenção primária à saúde. REME. Revista Mineira de Enfermagem. 2012; 16(1):18-24.

18- Mattar LD. Legal recognition of sexual rights: a comparative analysis with reproductive rights. Sur, Rev. Int. Direitos Human. 2008 ;5(8) :60-83


19- Giami A, Veil C. Enfermeiras frente a aids: representações e condutas, permanências e mudamças. Canoas: Ulbra; 1997.

20- Moscovici S. Representações Sociais: Investigações em psicologia social. Petrópolis: Vozes; 2004.

21- Démazière D, Dubar C. Analyser les entretiens biographiques, l’exemple de récits d’insertion. Paris: Nathan; 1997.

22- Antunes MC, Peres CA, Paiva V, Stall R, Hearst N. Diferenças na prevenção da Aids entre homens e mulheres jovens de escolas públicas em São Paulo. Rev. Saúde Pública. 2002; 36(4):88-95.

23- Camargo BV, Botelho LJ. Aids, sexualidade e atitudes de adolescentes sobre proteção contra o HIV. Rev. Saúde Pública. 2007; 41(1):61-8.

24- Gozzo TO, Fustinoni SM, Barbieri M, Roher WM, Freitas, IA. Sexualidade feminina: Compreendendo seu significado. Rev. Latino-Am. Enf. 2000; 8(3):84-90.

25-Brasileiro M, Freitas MIF. Representações sociais sobre aids de pessoas acima de 50 anos de idade, infectadas pelo HIV. Rev Latino-am Enfermagem. 2006; 14(5):789-95.