Perceptions reported by residents in psychiatry on oral health problems in their patients with severe mental disorders: a qualitative study at a Brazilian university specialized psychiatric service
Introduction There is a greater prevalence of oral problems in patients suffering from severe mental illness than in the general population. The psychiatrist use to be, naturally, a health professional with great clinical influence over these patients. Do young psychiatrists in training include ora...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Cambridge University Press
2022-06-01
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| Series: | European Psychiatry |
| Subjects: | |
| Online Access: | https://www.cambridge.org/core/product/identifier/S0924933822021976/type/journal_article |
| _version_ | 1797616335309504512 |
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| author | L. Guerra E. Turato R. Bastos B. Gondinho F. Silva J. Cavalcante |
| author_facet | L. Guerra E. Turato R. Bastos B. Gondinho F. Silva J. Cavalcante |
| author_sort | L. Guerra |
| collection | DOAJ |
| description |
Introduction
There is a greater prevalence of oral problems in patients suffering from severe mental illness than in the general population. The psychiatrist use to be, naturally, a health professional with great clinical influence over these patients. Do young psychiatrists in training include oral evaluations on their patients? How does this doctor perceive oral health care in the context of follow-up of people with chronic mental disorders?
Objectives
To interpret the meanings of the practice or not, regarding oral health guidelines, as reported by residents in psychiatry working in care and follow-up services to patients with severe disorders at a public university.
Methods
Clinical-qualitative design. Semi-directed interviews with open-ended questions in-depth carried out with six participants. Sample closed by saturation information criterion. Residents see their patients at the General Hospital of the State University of Campinas. Interview material, audio-recorded and transcribed in full, was treated by Clinical-Qualitative Content Analysis, using concepts of theoretical framework from Medical Psychology. Interviewer was a female professor of dentistry.
Results
From the discussion, two categories of analysis were selected for this presentation. (1) medical practice obeys the natural logic of construction of paradigmatic areas: historically, dentistry has created a care model with independence from medicine; (2) dentist is not called to participate in “collusion of anonymity”. This is an expression construct by the psychoanalyst Balint to describe the taking of relevant clinical decisions, without no professional assume the responsibility for these.
Conclusions
These meanings may guide changes in professional conduct as well as in the curriculum of medical training programs.
Disclosure
No significant relationships.
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| first_indexed | 2024-03-11T07:39:35Z |
| format | Article |
| id | doaj.art-e9e5bf117f0846cea0cb3f612603d905 |
| institution | Directory Open Access Journal |
| issn | 0924-9338 1778-3585 |
| language | English |
| last_indexed | 2024-03-11T07:39:35Z |
| publishDate | 2022-06-01 |
| publisher | Cambridge University Press |
| record_format | Article |
| series | European Psychiatry |
| spelling | doaj.art-e9e5bf117f0846cea0cb3f612603d9052023-11-17T05:08:50ZengCambridge University PressEuropean Psychiatry0924-93381778-35852022-06-0165S848S84810.1192/j.eurpsy.2022.2197Perceptions reported by residents in psychiatry on oral health problems in their patients with severe mental disorders: a qualitative study at a Brazilian university specialized psychiatric serviceL. Guerra0E. Turato1R. Bastos2B. Gondinho3F. Silva4J. Cavalcante5State University of Campinas, Laboratory Of Clinical-qualitative Research, Campinas, BrazilState University of Campinas, Laboratory Of Clinical-qualitative Research, Campinas, BrazilState University of Campinas, Laboratory Of Clinical-qualitative Research, Campinas, BrazilState University of Campinas, Laboratory Of Clinical-qualitative Research, Campinas, BrazilState University of Campinas, Laboratory Of Clinical-qualitative Research, Campinas, BrazilState University of Campinas, Laboratory Of Clinical-qualitative Research, Campinas, Brazil Introduction There is a greater prevalence of oral problems in patients suffering from severe mental illness than in the general population. The psychiatrist use to be, naturally, a health professional with great clinical influence over these patients. Do young psychiatrists in training include oral evaluations on their patients? How does this doctor perceive oral health care in the context of follow-up of people with chronic mental disorders? Objectives To interpret the meanings of the practice or not, regarding oral health guidelines, as reported by residents in psychiatry working in care and follow-up services to patients with severe disorders at a public university. Methods Clinical-qualitative design. Semi-directed interviews with open-ended questions in-depth carried out with six participants. Sample closed by saturation information criterion. Residents see their patients at the General Hospital of the State University of Campinas. Interview material, audio-recorded and transcribed in full, was treated by Clinical-Qualitative Content Analysis, using concepts of theoretical framework from Medical Psychology. Interviewer was a female professor of dentistry. Results From the discussion, two categories of analysis were selected for this presentation. (1) medical practice obeys the natural logic of construction of paradigmatic areas: historically, dentistry has created a care model with independence from medicine; (2) dentist is not called to participate in “collusion of anonymity”. This is an expression construct by the psychoanalyst Balint to describe the taking of relevant clinical decisions, without no professional assume the responsibility for these. Conclusions These meanings may guide changes in professional conduct as well as in the curriculum of medical training programs. Disclosure No significant relationships. https://www.cambridge.org/core/product/identifier/S0924933822021976/type/journal_articletraining in psychiatrysevere mental disorderoral healthQualitative research |
| spellingShingle | L. Guerra E. Turato R. Bastos B. Gondinho F. Silva J. Cavalcante Perceptions reported by residents in psychiatry on oral health problems in their patients with severe mental disorders: a qualitative study at a Brazilian university specialized psychiatric service European Psychiatry training in psychiatry severe mental disorder oral health Qualitative research |
| title | Perceptions reported by residents in psychiatry on oral health problems in their patients with severe mental disorders: a qualitative study at a Brazilian university specialized psychiatric service |
| title_full | Perceptions reported by residents in psychiatry on oral health problems in their patients with severe mental disorders: a qualitative study at a Brazilian university specialized psychiatric service |
| title_fullStr | Perceptions reported by residents in psychiatry on oral health problems in their patients with severe mental disorders: a qualitative study at a Brazilian university specialized psychiatric service |
| title_full_unstemmed | Perceptions reported by residents in psychiatry on oral health problems in their patients with severe mental disorders: a qualitative study at a Brazilian university specialized psychiatric service |
| title_short | Perceptions reported by residents in psychiatry on oral health problems in their patients with severe mental disorders: a qualitative study at a Brazilian university specialized psychiatric service |
| title_sort | perceptions reported by residents in psychiatry on oral health problems in their patients with severe mental disorders a qualitative study at a brazilian university specialized psychiatric service |
| topic | training in psychiatry severe mental disorder oral health Qualitative research |
| url | https://www.cambridge.org/core/product/identifier/S0924933822021976/type/journal_article |
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