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      Enfrentando a mastectomia: análise dos relatos de mulheres mastectomizadas sobre questões ligadas à sexualidade Translated title: Facing mastectomy: analysis of the discourse of mastectomized women about questions of sexuality

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          Abstract

          Este trabalho se propôs a investigar como seis mulheres mastectomizadas, com idades de 37 a 55 anos, e com tempo de cirurgia de 1 ano e meio a 8 anos, percebiam a sua sexualidade. Para exame dos relatos foi aplicada a técnica de análise de conteúdo, em que foram identificadas as seguintes categorias: informação sobre a doença, reação ao diagnóstico, relação médico-paciente, eu e o meu corpo, eu e o olhar do outro, percepção de si mesma e relacionamentos amorosos.A análise dessas categorias demonstrou que, após a mastectomia, as mulheres apresentaram algumas limitações e dificuldades em lidar com situações que envolviam a exposição do próprio corpo. No entanto, apesar dos temores, algumas mulheres produziram diversos modos de (re)significarem e expressarem a sua sexualidade de uma forma potencializadora para suas relações cotidianas.

          Translated abstract

          This research intended to analyze the self-perception of sexuality of six 37 to 55 year old women who had been submitted to radical mastectomy one and a half to eight years before. For this analysis, the author chose the technique of content analysis, according to which the following categories were identified: information about the disease, reaction to the diagnosis, relationship doctor-patient, my body and I, somebody else's look and I, looking at herself and love affairs. The analysis of these categories showed that after the mastectomy the women developed some limitation and difficulty in handling certain situations, which involved the exposition of their body. Despite their fears, however, some women generated new ways to understand and express their sexuality, giving new impulse to their daily relationships.

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          Stress, Appraisal, and Coping

          <p><b>The reissue of a classic work, now with a foreword by Daniel Goleman!</b><p>Here is a monumental work that continues in the tradition pioneered by co-author Richard Lazarus in his classic book <i>Psychological Stress and the Coping Process</i>. Dr. Lazarus and his collaborator, Dr. Susan Folkman, present here a detailed theory of psychological stress, building on the concepts of cognitive appraisal and coping which have become major themes of theory and investigation.</p> <p>As an integrative theoretical analysis, this volume pulls together two decades of research and thought on issues in behavioral medicine, emotion, stress management, treatment, and life span development. A selective review of the most pertinent literature is included in each chapter. The total reference listing for the book extends to 60 pages.</p> <p>This work is necessarily multidisciplinary, reflecting the many dimensions of stress-related problems and their situation within a complex social context. While the emphasis is on psychological aspects of stress, the book is oriented towards professionals in various disciplines, as well as advanced students and educated laypersons. The intended audience ranges from psychiatrists, clinical psychologists, nurses, and social workers to sociologists, anthropologists, medical researchers, and physiologists.</p>
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            O desafio do conhecimento

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              How coping mediates the effect of optimism on distress: a study of women with early stage breast cancer.

              At diagnosis, 59 breast cancer patients reported on their overall optimism about life; 1 day presurgery, 10 days postsurgery, and at 3-, 6-, and 12-month follow-ups, they reported their recent coping responses and distress levels. Optimism related inversely to distress at each point, even controlling for prior distress. Acceptance, positive reframing, and use of religion were the most common coping reactions; denial and behavioral disengagement were the least common reactions. Acceptance and the use of humor prospectively predicted lower distress; denial and disengagement predicted more distress. Path analyses suggested that several coping reactions played mediating roles in the effect of optimism on distress. Discussion centers on the role of various coping reactions in the process of adjustment, the mechanisms by which dispositional optimism versus pessimism appears to operate, third variable issues, and applied implications.
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                Author and article information

                Contributors
                Role: ND
                Role: ND
                Journal
                epsic
                Estudos de Psicologia (Natal)
                Estud. psicol. (Natal)
                PPgPsi-UFRN (Natal )
                1413-294X
                April 2003
                : 8
                : 1
                : 155-163
                Affiliations
                [1 ] Universidade Federal do Espírito Santo Brazil
                Article
                S1413-294X2003000100017
                10.1590/S1413-294X2003000100017
                8ed10bfb-2043-4d13-8823-72e860414c0f

                http://creativecommons.org/licenses/by/4.0/

                History

                Sexuality,mastectomy,disease coping,breast cancer,sexualidade,mastectomia,enfrentamento da doença,câncer de mama

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