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I PROCESSI DI ESTERNALIZZAZIONE. OPPORTUNITà E VINCOLI GIURIDICI.
No full textVOLUME A CURA DI RAFFAELE DE LUCA TAMAJ
I PROCESSI DI ESTERNALIZZAZIONE. OPPORTUNITà E VINCOLI GIURIDICI
No full textVOLUME A CURA DI RAFFAELE DE LUCA TAMAJ
La nuova retorica di Giovanni Battista De Luca e il disciplinamento dello stato moderno
No full textInternational audience1. De Luca giurista e cardinale: la carriera di un riformatore. – 2. Dal Theatrum al Dottor volgare: lo studio del diritto. – 3. Dallo Stile legale al disciplinamento dello stato moderno. Appendice: Giovanni Battista De Luca, Discorso se sia bene di segnare i ladri nella fronte, fatto per il governo di Roma
Giovanni Battista De Luca
No full textVoce biografica sul card. Giovanni Battista De Luca, come giurista-scrittor
HEALTHCARE AND CULTURE: SUBJECTIVITY IN THE HEALTHCARE CONTEXTS.
No full textThe book deals with current issues, pertinent every healthcare relationship. Changes in medicine as well as some constant aspects over time arise within a cultural ground and generate new questions and issues that are not only purely medical, but also bioethical, social, political, economic and psychological of course.
On the one hand, changes in medicine generate new questions for society, on the other hand, the society poses new questions to the medicine, new challenges, and in some cases they can conflict with consolidated models and practices. Never the progress of Western medicine and its therapeutic practices have been as significant as in the last decades but the increase of specific competence and effectiveness of medical treatments are not linearly translated into an increase of consensus, dialogue and alliance between medicine and society. How does psychology take on a position of interlocutor towards medicine and its transformations? How does Cultural Psychology, Health Psychology, Clinical Psychology confront themselves with the processes of meaning making generated by medicine?
The interest of the book is aimed to grasp the construction of processes of cultural, relational and subjective meaning in the dialogical encounter between medicine and society, between doctor and patient. The book intends to focus in particular on two specific plans: on the one hand, to present a reflection and analysis on contemporary medicine and its on‐going transformations of the healthcare relationship; on the other hand, to present and discuss experiences of intervention and possible models of intervention addressed to healthcare and doctor‐patient relationships during its crucial steps (consultation, formulation and communication of diagnosis, therapy, conclusion). The book’s purposes are aimed to discuss crucial and current issues on the borders between medicine and psychology: consensus and sharing, decision‐making and autonomy, subjectivity and narration, emotions and affectivity, medical semeiotics and cultural semiotics, training of physicians, and epistemological, theoretical and methodological issues.
CONTENTS
Series Editor’s Preface: Caring for Health Care: Cultural Processes in Medicine, Jaan Valsiner. Introduction: The Meaning Making Processes of Healthcare Relationship in the Current Scenario, Maria Francesca Freda and Raffaele De Luca Picione. PART I: HEALTHCARE RELATIONSHIP AS ARENA OF MEANING. FROM CULTURAL ISSUE TO SUBJECTIVE CONSTRUCTION OF ILLNESS. Medicine as a Complex Set of Cultural Systems of Meanings, Raffaele De Luca Picione. The Border Into Wonderland: When Words Between Doctor and Patient Is Not Enough, Jensine Nedergaard. Autonomy: A Concept at the Crossroads of Medicine and Psychology, Giovanni Guerra. The Role of the Meaning‐Making Process in the Management of Hereditary Angioedema, Livia Savarese, Maria Bova, Raffaella Falco, Maria Domenica Guarino, Gerarda Siani, Paolo Valerio, and Maria Francesca Freda. PART II: HEALTHCARE RELATIONSHIP AS ARENA OF TRANSFORMATION: FROM COMMUNICATION TO DIALOGUE. Psychological Scaffolding in the Healthcare Relationship: A Methodological Proposal, Maria Francesca Freda, Raffaele De Luca Picione, and Francesca Dicè. Breaking Bad News: Theory and Practice for Healthcare Professionals’ Training, Giulia Lamiani, Daniela Leone, Elaine C. Meyer, and Elena Vegni. Psychologists and Family Physicians in an Experience of Collaborative Care in Italy: An Effort Towards Integration and Against Stigma, Luigi Solano, Barbara Cordella, Michela Di Trani, Rosa Ferri, and Alessia Renzi. Clinical Psychology in Hospital Setting, Renzo Carli, Rosa Maria Paniccia, Silvia Policelli, and Andrea Caputo. PART III: MENTAL HEALTHCARE AS PARADIGMATIC ARENA TO UNDERSTAND THE COMPLEXITY OF HUMAN RELATION. From Psychopathology to Service. A New View of the Clinical Psychology Intervention, Sergio Salvatore, Claudia Venuleo, Valeria Pace, Marianna Puglisi, Mari Tandoi, Annalisa Venezia, Rossano Grassi, and Gianna Mangeli. Recovery, Paternalism and Narrative Understanding in Mental Healthcare, Tim Thornton. “Why Do You Then Not Shit?” Diagnosis and the Semiotic Sphere, Yair Neuman. PART IV: PREGNANCY AND MOTHERHOOD: A CHALLENGING ARENA FOR DIALOGUE BETWEEN MEDICINE AND PSYCHOLOGY. Birth Experience as Socially and Culturally Regulated Event, Kristiina Uriko. The Generative Function of a Healthcare System: Linking Meanings Between Chronic Illness and Motherhood, Giorgia Margherita, Maria Carlino, and Francesca Tessitore.Doctor‐Patient Relationship in Face of Grief/Mourning: The Case of Gestational Losses, Vivian Volkmer Pontes and Ana Cecília Bastos.Conclusion: Healthcare Relationship: An Open Space Dialogue in Search of Its Own Forms, Maria Francesca Freda and Raffaele De Luca Picione. About the Authors
Introduction: The Meaning Making Processes of Healthcare Relationship in the Current Scenario
No full textMedicine, from a general and wide-ranging point of view, is a therapeutic
activity based on a system of knowledge and practice, locally and historically
connoted (Beneduce & Roudinesco, 2005; Federspil et al., 2008; Good,
1994; Kleinmann, 1998). It changes over time. On the one hand, we see
the transformation of medicine over its subjects, and on the other hand, we
see the transformations of medicine in the relationship between its agents
(doctors, patients, researchers, educational and research institutions, etc.).
Therefore, the evolution and transformation of medicine and its progress
do not pertain exclusively to the relationship it builds with its specific subjects
(think of the increasingly precise definition of diseases and research
for increasingly more effective and efficient therapeutic treatments); the
change of medicine over time also has a side we call relational, and it is built
through the methods of organizing relations amongst its participants. In
the valuable contributions of this book, attention focuses mainly on that
transformative side of medicine, given that the current cultural and social processes within Westernized societies raise questions with regard to medicine
and the ways it carries out its practices. The transformation of medical
practice within the current social and cultural landscapes of the Westernized
societies puts an emphasis on the issue of the medical relationship between
the doctor and the patient
Conclusion: Healthcare Relationship: An Open Space Dialogue in Search of Its Own Forms
No full textThere are many paths defined by the authors who have participated in this
book—all paths that lead towards the same sea. These waters are turbulent,
moved by continuous currents, tides, and undertows. This is the sea
of countless possibilities and endless forms that subjectivity can take on
in different contexts of disease and care. Through their descriptions, the
authors reflect on and discuss the importance of the construction of subjectivity
within the system of relationships of healthcare that makes possible
its emergence. Subjectivity is not just considered as an entity that a priori
characterizes a person, but as a singular and original process that develops
over time through the experiences with one’s own body, with others, and
with the world
Heart rate variability and target organ damage in hypertensive patients
No full textBackground:
We evaluated the association between linear standard Heart Rate Variability (HRV) measures and vascular, renal and cardiac target organ damage (TOD).
Methods:
A retrospective analysis was performed including 200 patients registered in the Regione Campania network (aged 62.4 ± 12, male 64%). HRV analysis was performed by 24-h holter ECG. Renal damage was assessed by estimated glomerular filtration rate (eGFR), vascular damage by carotid intima-media thickness (IMT), and cardiac damage by left ventricular mass index.
Results:
Significantly lower values of the ratio of low to high frequency power (LF/HF) were found in the patients with moderate or severe eGFR (p-value < 0.001). Similarly, depressed values of indexes of the overall autonomic modulation on heart were found in patients with plaque compared to those with a normal IMT (p-value <0.05). These associations remained significant after adjustment for other factors known to contribute to the development of target organ damage, such as age. Moreover, depressed LF/HF was found also in patients with left ventricular hypertrophy but this association was not significant after adjustment for other factors.
Conclusions:
Depressed HRV appeared to be associated with vascular and renal TOD, suggesting the involvement of autonomic imbalance in the TOD. However, as the mechanisms by which abnormal autonomic balance may lead to TOD, and, particularly, to renal organ damage are not clearly known, further prospective studies with longitudinal design are needed to determine the association between HRV and the development of TOD
I diritti sociali tra ordinamento comunitario e costituzione italiana, II (a cura di B. Caruso R. De Luca Tamajo)
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