Diferen�as motivacionais entre dialisados e transplantados renais Lume J, Moura M e Ver�ssimo R. Arquivos de Medicina. 1991; 4 (3): 243-8. Keywords: Dialysed patients; Transplanted patients; Self-concept; Motivation; Regression; Heterosexuality. Abstract: The intuitive perception that the renal transplanted patients imagine painful threats and prospects about the future, led the authors to perform a study, investigating their motivational dispositions and overcoming responses.
Material and methods: 3 samples of patients with over 3 years of dialysis were considered: 43 transplanted patients (TP), 26 dialysed patients (HD1), and 19 dialysed patients (HD2). For the samples TP and HD1, the clinical inventories of self-concept and resolution of problems by Vaz Serra were applied, and for TP and HD2, the Adjective Check List, by Gough and Heilbrun.
Results and conclusions: After the analysis of the results, the authors conclude that the transplanted patients are the ones who yield less to impulsivity and whose Ego projects with greater assertiveness. In the dialysed patients, impulses become stronger and there is lesser effectiveness, to which feelings of sadness and loss of self-esteem and identity associated. The transplanted patients still differ from the dialysed ones, as they show greater motivation and ambition regarding their own performance; they also differ in relational aspects, due to greater reserve (lesser solicitude) and lesser heterosexual assertiveness. Dependence and self depreciation also seem to continue in the post-transplantation, as something atavic, brought from the dialysis, and which persists for fear of losing the kidney and of returning to the machine. Due to their motivational dispositions, the transplanted patients are not quite placed as if they were between the dialysed patients and the normal healthy people, because they have their own identity and, when dealing with their losses and difficulties, they often react by regressive forms of behaviour which require adequate support.Reprints: Jorge Lume
S. Psiquiatria / H. S. Jo�o
Al Prof Hernani Monteiro
4200-319 Porto
Double-blind trial on the action of sultopride and propericiazine on pathological manifestations of aggressiveness. Palha AP, Ferreira L, Ver�ssimo R Acta Psiqui�trica Portuguesa. 1991; V37 (July/October): 76-80. Keywords: Aggressiveness. Abstract: The goal of our study was to test, in a double-blind trial, the treatment of the aggressivity with sultopride, with the assumption that this drug would not interfere in the patient's alertness. We describe the pharmacological and clinical profile of sultopride, specifying the motive that lead us to choose propericiazine as the reference product.
In this study two homogeneous groups of patients with manifestations of aggressivity were treated using a double-blind method. A significant decrease of the aggressive behavior occurred in both groups during the fourteen-day study period.
Therapeutic effects, although similar for both drugs, showed a slight superiority in favor of sultopride mainly due to a better tolerance; as a matter of the fact patients in that group reported fewer side effects than those in the propericiazine group.Reprints: A. Pacheco Palha
S. Psiquiatria / H. S. Jo�o
4200-319 Porto
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