INTRODUCTION: The journey through assisted human reproduction (AHR) goes beyond biomedical challenges, involving emotional and relational dimensions that require qualified psychological care. This study investigates the contributions of psychology in the context of AHR, addressing, from the perspective of professionals in the field, the challenges and expectations experienced by individuals who seek this type of treatment. This study is justified by the importance of research that addresses assisted human reproduction in its subjective complexity, including the emotional and relational aspects involved, which are often overshadowed by the predominant focus on biomedical techniques. OBJECTIVE: To understand how psychological support contributes to the containment of psychological distress, the mediation of conflicts, and the re-signification of parental desire. METHOD: This is a qualitative, exploratory study conducted through semi-structured interviews with five psychologists working in the field. Content analysis yielded five analytical categories, which highlight how the diagnosis of infertility elicits symbolic grief, identity ruptures, and marital tensions. RESULTS: The results reveal that psychological intervention supports individuals' emotional processing and strengthens bonds, despite the limited presence of psychology in public health policies. CONCLUSIONS: It is concluded that listening should be a structuring element of multidisciplinary care, enhancing the humanization of reproductive processes.

INTRODUCTION: Transition care is an ethical, economical strategy focused on comprehensive healthcare, especially during transfers between care settings. OBJECTIVE: This study aimed to identify the understanding of a multidisciplinary team regarding transition care in the process of discharging elderly patients from a geriatric hospital in Salvador, Bahia. METHOD: This is a qualitative, field-based, exploratory, and descriptive study. Fourteen health professionals were interviewed using a structured questionnaire and semi-structured interview. The analysis was conducted based on Bardin's content analysis technique. RESULTS AND DISCUSSION: Participants demonstrated partial understanding of transition care, with an emphasis on continuity of care at the time of hospital discharge. Structural, communication, and training difficulties were pointed out, in addition to the absence of integrated care plans. The role of psychology was highlighted as a differentiating factor, especially in skilled listening, supporting the psychosocial adaptation of the elderly person, and mediating with the team and family members. Lack of knowledge about the Care Transitions Measure scale as an assessment tool was identified. Most participants expressed interest in receiving training on the topic. CONCLUSION: There is a need to improve care transition practices in the dehospitalization of older adults, with a focus on continuing education for teams and greater coordination with the healthcare network. Psychology stands out as a mediator in the development of contextualized care plans, contributing to comprehensive care for older adults.

ABSTRACT | INTRODUCTION: Excessive screen use in early childhood has been associated with developmental impairments, which calls for context-specific evidence regarding children with ASD. OBJECTIVE: This study aims to understand, from the perspective of healthcare professionals at a private clinic, the impacts of excessive screen use on the development of children diagnosed with ASD. METHOD: This is a qualitative, exploratory study conducted with nine professionals from psychology, speech therapy, occupational therapy, and physiotherapy. Data were collected through an online questionnaire (including sociodemographic data; open and closed questions on the research topic using a Likert scale) and analyzed using Categorical Content Analysis. RESULTS: Three main themes emerged: (1) characteristics of ASD and support needs; (2) benefits versus harms of screen use; (3) (lack of) attention and family care. Participants reported harms associated with excessive screen use in visual contact, language/communication, social interaction, emotional regulation, as well as sensory overload and motor effects (sedentarism/posture). They acknowledged potential benefits when screen use is mediated and guided (e.g., Augmentative and Alternative Communication). They highlighted screen dependency in some children and the importance of continuous parental guidance. CONCLUSION: According to the team’s perception, excessive screen use may exacerbate core difficulties of ASD, reinforcing the need for adult mediation, interdisciplinary plans, and clear guidelines for families. It is recommended to integrate clinical management and health education with evidence-based parental guidance to reduce risks and improve the quality of digital technology use in communication and information.

INTRODUCTION: Access to healthcare services in Brazil is a right guaranteed to all. However, rural populations face numerous challenges in accessing these services, including long distances, limited coverage by health teams, and economic constraints. It is necessary to develop strategies that help expand healthcare access for these communities. With this aim, a Unidade Básica de Saúde – UBS (Primary Health Unit ) in the Brazilian capital implemented Support Points in each micro-area of its assigned territory. This study aimed to understand the perceptions of users and healthcare workers of this UBS regarding the creation of this strategy. METHOD: This was a descriptive, qualitative study conducted through interviews and field notes with nine female users and six healthcare workers from the territory. RESULTS: Fifteen individuals participated in the study: nine users and six healthcare workers. The users had low educational levels and household incomes of up to two minimum wages. The main difficulties reported were related to geographic and technical dimensions, followed by political, symbolic, and economic aspects. The healthcare workers highlighted similar barriers, in addition to structural limitations. As strengths, both groups emphasized territorial proximity and the increased agility in care provided by the Support Points. CONCLUSION: The Support Points strategy shows great potential for addressing the healthcare needs of rural populations. However, it should not be considered the only approach to overcoming access barriers, as access to services still requires complementary and tailored strategies, such as home visits.

INTRODUCTION: Psychological on-call services represent a form of care that breaks with traditional psychotherapeutic models by prioritizing immediate listening and the humanized reception of individuals in psychological distress. This practice, increasingly present in Higher Education Institutions (HEIs), has proven to be an important mental health care strategy. OBJECTIVE: This study aimed to understand the experience of users of the psychological on-call service offered by the Laboratory for Studies in Psychotherapy, Phenomenology, and Society (LAPFES), linked to the School-Clinic of the Federal University of Ceará. METHOD: This is a qualitative, exploratory study in which semi-structured interviews were conducted with users of the service. The data were analyzed using the empirical phenomenological method. RESULTS: The analysis revealed three central categories: (1) the on-call service as a place of singular and accessible care; (2) crisis as a trigger for the re-signification of existence; and (3) the articulation of the service with the Psychosocial Care Network (RAPS). DISCUSSION: The findings indicate that the psychological on-call service is a powerful practice for the immediate reception of emergency demands, promoting qualified listening and facilitating access to the care network. However, the lack of formal recognition of this service in public policies limits its full integration into the RAPS. CONCLUSION: It is concluded that psychological on-call services carried out in HEIs play a relevant role in promoting mental health care and strengthening the psychosocial care network. It is recommended that these services be officially included as devices of the RAPS, expanding their potential for action in the public sphere.

INTRODUCTION: People in mental distress often face difficulties in accessing the right to work, which leads to the need for support to achieve their work inclusion. OBJECTIVE: Reflecting on the potentialities of social and work inclusion for people with mental suffering, from a group of productive enterprises consolidated in solidarity economy, in a space that works “outside” the health care system. METHOD: This is an account of an experience lived in the Community Integration for Mental Health civil association Una Movida de Locos, in La Plata, Province of Buenos Aires, Argentina. The documentary narrative was produced from the position of a psychologist in a residency program in health, throughout the month of October 2023. The analysis of the material was guided by the Institutional Analytical perspective. RESULTS: Elements of affectation that were designed during the internship are presented, organized into three analyzers: I’m a worker!, which deals with the disconnection of the patient sign from the health service, to defend the position of these people from the place of workers; right to desire and inconsistencies, which highlights the revitalizing experience of these workers when they imprint their own time on productive activities; and care as an ideological-political position, which analyzes the support function among those who assist in work-related endeavors. FINAL CONSIDERATIONS: It was considered that Movida de Locos is configured as a device that enables new and, perhaps, unprecedented subjectivations for the public with which it works, in tune with the logic of a super-expanded psychosocial performance.

INTRODUCTION: Transmasculine identity consists of a gender expression that differs from the social expectations assigned based on biological sex. Individuals born with a vagina identify as men and wish to be recognized as such. However, society imposes the performance of femininity upon them from birth, which leads to prejudice and suffering. OBJECTIVE: This article aims to investigate how the masculine gender performance of a trans man is expressed and experienced in relation to the socially recognized heteronormative standard. METHOD: This is a case study whose participant was an adult trans man residing in the state of São Paulo, with whom we conducted a semi-structured interview. The data were analyzed based on Bardin's Content Analysis framework, drawing primarily on Judith Butler's concept of performativity and other writings from Queer Theory. RESULTS AND DISCUSSION: Four categories/themes emerged from the analysis: the participant’s childhood already transgressing dominant gender conceptions; adolescence and the lack of identification with socially imposed femininity; prejudice experienced within the trans community; and the participant’s current way of living and emerging possibilities. CONCLUSION: The findings suggest an ambivalence in gender performance resulting from social pressure; however, the interviewee has been reclaiming his existence and seeking spaces that do not challenge his identity.

INTRODUCTION: Hemodialysis is the renal replacement therapy method most used by people with chronic kidney disease (CKD). This therapy and the disease itself cause several repercussions in the individual's life, which include changes in family dynamics, nutritional restrictions, physical limitations, absence from work and social life. Implications that greatly impact the emotional sphere of these patients, influencing quality of life, leading to reduced adherence to treatment, and often being an important predictor of shorter survival. The objective of this study was to investigate the subjective experiences of hemodialysis treatment in patients with CKD, in a nephrology service at a general hospital in Salvador, Bahia, Brazil. METHODS: Qualitative study, of an exploratory-descriptive nature, aiming to access the processes through which the people involved construct meanings. 12 patients with CKD undergoing hemodialysis treatment were selected through convenience sampling. To collect and analyze the data, a semi-structured interview (analyzed according to Bardin's content analysis method) and the Drawing-Story with Theme Procedure (analyzed in light of Jungian analytical psychology) were used. RESULTS: The classification was based on the repetition of themes and led to the configuration of four categories: impact of diagnosis and initiation of treatment; functional dependence, limits and quality of life; treatment as a necessary condition for surviving/living; and psycho-emotional repercussions and coping resources. CONCLUSION: The coexistence of patients with CKD was marked by episodes of indignation, fear, worthlessness and the configuration of psychological rearrangements and consequent acceptance of the clinical condition, mainly through the perception of treatment as an essential resource for maintaining life. Thus, hemodialysis treatment demands an adaptation process that challenges patients' emotional responses to the chronicity of kidney disease.

INTRODUCTION: The COVID-19 pandemic triggered a significant demand for mental health care, reflecting the negative impacts of the crisis on both the general population and healthcare workers. Addressing these challenges required internal resources from professionals, both physically and emotionally. OBJECTIVE: To analyze the consequences of the pandemic on the work and personal lives of frontline nursing staff, and to investigate the coping mechanisms they employed. METHODOLOGY: Descriptive study using a qualitative approach. Twelve professionals who worked on the frontline during the pandemic and currently work at a teaching hospital were interviewed. Data collection involved semi-structured interviews using a questionnaire developed by the authors. Data analysis was conducted using Bardin's Content Analysis method. RESULTS AND CONCLUSIONS: The pandemic caused significant disruptions in the lives of healthcare professionals, leading to various health issues. Coping strategies were identified, including resilience, gratitude for learning experiences, and redefining the suffering endured. Despite developing symptoms of stress, workers managed to transform destructive effects into learning opportunities and acquisition of new skills, despite the lack of governmental and institutional support.

ABSTRACT | INTRODUCTION: The COVID-19 pandemic has revealed preexisting health disparities. In Brazil, Black women have higher rates of COVID-19-related morbidity and mortality compared to White women. OBJECTIVE: To analyze COVID-19 infection and mortality among Brazilian women of reproductive age by race/skin color. METHOD: This is a population-based, descriptive, exploratory, and documentary cross-sectional study with a quantitative approach. Data from January 2020 to May 2024, collected from the OOBr, were used. The study population included women of reproductive age hospitalized with COVID-19 in Brazil. The variables analyzed were age, race/skin color, region and area of residence, education level, ICU admission, need for respiratory support, and death from COVID-19. Descriptive and bivariate analyses were performed using SPSS v.21 software. RESULTS: The data revealed significant disparities in the clinical course of COVID-19 by race/skin color. Black women had a higher prevalence of hospitalizations, ventilator support, and ICU admissions, while Indigenous women had a lower prevalence. The Southeast region and urban areas recorded the highest number of cases. CONCLUSION: Race/skin color significantly influenced COVID-19-related outcomes in women of reproductive age in Brazil. The identified racial inequalities highlight the need for targeted interventions and public health policies to mitigate these disparities, considering the historical, political, economic, and social issues that contribute to these differences in future public health emergencies.