26/05 - Seu Corpo Está Gritando. Você Ainda Aguenta? Somatização, sofrimento psíquico.

追加: 2026-06-03

[00:00:00]Hello, you are at an official BRAPS event.

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[00:00:50]Continuous training, without missing a beat along the way.

[00:01:02]The microphone is turned off.

[00:01:04]My microphone is muted.

[00:01:08]Hi everyone, good evening. How are you all doing? Can you see me clearly?

[00:01:13]Can you hear me?

[00:01:18]Hello, Natalia. Hey guys. Write here in the chat if you can see me, if you can hear me, so we can continue with another lecture by Ms. Braps, where we will talk about: "Your body is screaming, can you still take it?". Today we're going to be talking about, well, let me read the title properly because I only read half of it, right? So let's recap. Good evening everyone.

[00:01:42]Welcome everyone to another lecture by Ms. Braps. For those who don't know me, I'm Juliana. I am a psychologist and I am the coordinator of Dona Braps. And I believe you can see that there's someone else on the broadcast with me. Hello, Maria Clara, hello Bi. Hello, Natalia.

[00:02:01]Perfect. You all noticed that I have someone here on the broadcast, right?

[00:02:05]So it is. This is Rafa. Rafa, would you like to start by introducing yourself?

[00:02:10]Good evening, everyone. My name is Rafael, I am a seventh-semester psychology student and a teaching assistant here at BRAPS. Right? A huge fan who attends all the lectures, everything. In addition to being a student and monitor at BRAPS, I am also part of a research and outreach group focused on topics related to mental health and culture.

[00:02:33]Oh, see? Rafa, thank you.

[00:02:37]Rafa will be here with you today. I 'll be backstage. For those who didn't know on Saturday, right? Hey, Dona Braps, for those who don't know yet, Dona Braps has several opportunities for monitors. If you need anything, you can let us know in the group. I'm going to open the WhatsApp group. We also have openings for speakers. Yes.

[00:02:59]So, if you are a psychologist with an active professional registration (CRP), let me know so I can give you all the information. So, today, folks, we 're here with another talk from Ms. Braps, which is: "Your body is screaming, can you still take it?"

[00:03:16]Somatization, psychological suffering, and the clinical error of treating symptoms without listening to the underlying conflict.

[00:03:23]During your undergraduate studies, have you heard about somatization? How has it been for us to talk about somatization? Have you heard, Rafa?

[00:03:37]Ah, maybe I heard "no" used in that sense. That's why this is a good topic, right, for us to explore the subject matter based on the technical terminology, because it broadens the discussion, makes it more robust, more complete.

[00:03:53]Yes. Can you believe that the first time I heard that term wasn't from a psychologist, but from a general practitioner?

[00:04:02]I believe.

[00:04:04]Well, folks, I was accompanying someone, I was referring to someone, I was accompanying someone at the hospital, and it was even a little way back there, right? And then the doctor said, "What's wrong with you?"

[00:04:19]That's it. Exactly. Natalia mentioned it here, there's that article about psychosomatics that's related, right? The first time I heard about somatization was when I was accompanying someone to the hospital, and the doctor said, "What you have is somatization."

[00:04:38]Us, right? He said, "Look, if you're experiencing a situation, you know, you heard, right?

[00:04:45]Wow, here, look, he talked a lot about hospital settings. And then this doctor, you know, examined this person, this person was covered in purple spots all over their body. And then this person ended up being, you know, treated, you know, taken in at the emergency room. The doctor said, 'You know you have somatization?'

[00:05:05]And then I remember the person saying, he said, 'Look, you're going to go there, you're going to take some medication now, you're going to lie down there for a while, and then we'll call you here so we can talk.' So I was accompanying this person at the hospital, and then it was a kind of unfolding, you know? This person was there, and it's good that the professional who was treating them, a general practitioner, it's good that the general practitioner had the insight to understand the situation and understand that the issue that the person I was accompanying was experiencing wasn't physical, right? Having said that, before we start talking about our lecture, uh, I wanted to talk about rules of..." Certification, right? I want to apologize again for Saturday, at the Game of Thrones congress, because Aunt Ju was left in the dark. I'm undergoing a new treatment and I'm still experiencing side effects, but it's much less than that day. That said, Rafa will be joining you on the broadcast today, okay? And Rafa will be connecting you from the chat along with our speaker today who's backstage, okay? We had a small technical problem to start, but we're here now. That said, let's talk about certification.

[00:06:28]So, BRAPS has two types of access: regular access and special access.

[00:06:33]Juliana, what's the difference and what are the benefits of one over the other?

[00:06:39]I'll show you here, I think it's important that we share the screen here for you. Hold on, I think it's better to show you than to tell you.

[00:06:56]Let's go.

[00:06:57]Braps has two types of access.

[00:07:00]How will you know which access best suits you? We'll go down... Down here.

[00:07:07]Oops, wrong screen. Hold on. I found it.

[00:07:15]Hold on, everyone. I promise I'll be quick, but I like to show you the screen so you can also get to know Dona Braps' website. I want to show you something.

[00:07:27]So, let's go. Dona Braps will always have two types of access: regular access and special access. And what are the differences? The differences are several benefits. So, let's go. Here is our registration page, www.braps.com.br/260520.

[00:07:48]The registration for this event we 're having right now.

[00:07:53]Here's an overview of the event, what we'll be talking about. Here's the speaker, Daavon, a psychologist.

[00:08:00]Here's his personal presentation.

[00:08:03]These are all the topics that will be covered at the event, and here's who this event is for, obviously. So, psychologists, psychology students, professionals in related fields, and anyone interested in mental health, okay? So let's go. BRAPS offers two types of access: social access and special access. Social access grants you access to our event, participation in the chat, access to a WhatsApp group, and a certificate of participation.

[00:08:37]However, when you scroll down our website a bit ( which sometimes confuses you), we also state here: So, thinking about democratizing access, social access grants access to the entire broadcast, up to two certified hours, and a certificate within 15 business days, but does not include access to slides, supplementary materials, or an exclusive booklet. It 's important to note the verification word that is given before, during, or after our presentation.

[00:09:12]Pay close attention to this verification word, which will confirm your presence. Juliana, why up to 2 certified hours? Because we understand that some speakers may go over our scheduled time. Today we are starting late because we had technical problems. This means the presentation... It will possibly run a little longer.

[00:09:37]So we'll add those extra minutes. That is, the lecture will start at 8:30 PM, so if it ends at 9:40 PM, it will be 1:10 AM. That's why we say up to 2 hours of certification, okay?

[00:09:53]Why do you need to be in the access group? It's through this WhatsApp access group – just click here – that you will be directed to the social access group.

[00:10:05]A few hours after the lecture ends, we will send you the certification form.

[00:10:12]Social access, fill it out very carefully, check your email and enter the verification word correctly. Sometimes you enter the verification word incorrectly and don't receive certification, okay?

[00:10:26]So be careful when filling out the social access form, okay, Juliana? And the special access, what's the difference? For a small fee, you have full access to the event, participate live in the chat, receive a full 5- hour certification, have an exclusive WhatsApp group for special access, access to the slides, supplementary materials, so it's a small The price is R$90, which is much cheaper than any snack we eat here, at least here in Rio de Janeiro, okay?

[00:10:58]And you continue helping Dona BRPS to maintain it. So, there's special access; you don't need to write down the verification word, you receive the participation certificate within 7 days. You have 7 days to fill out the special access certification form. I, Juliana, don't recommend it because we end up forgetting. Reopening the form will cause a problem.

[00:11:21]So, special access, receive the form, go there, fill it out, relax, waiting to receive the supplementary material. For social access, how many days do you have to fill out the form?

[00:11:36]So, until tomorrow at 7:59 PM, those with social access need to fill out the certification form, correctly marking the verification word on the form, okay? If you have any questions regarding the certification, let me know here, okay? Rafa? I'll be backstage, okay? And now, I'd like to call you to the stage. Rafa, do you want to say something?

[00:12:01]No, no, everything's fine. Just waiting to start.

[00:12:04]Perfect. Guys, if you have any questions, just let me know, I'll be here, okay? No, no, in the studio. So you 'll only see me again at the end, agreed? And keep an eye on Rafa, because who's going to give the verification word?

[00:12:22]Me. Me myself. Verification word is my job.

[00:12:26]Exactly.

[00:12:28]Davidon. Ready?

[00:12:34]Okay, guys. I'm leaving and see you in a bit.

[00:12:41]Hello, who's there? Can you hear me well? Rafa, can you hear me, Rafa? Hi. Can you hear me? Okay.

[00:12:51]I can hear you well too. Also okay. Great. If people are listening to me, that's what counts for me today.

[00:13:00]Good night. Good night. Good night. Good night to those who are watching us. Today we have a very important topic to talk about.

[00:13:10]Today we're going to start a very interesting moment in this lecture. I'm not going to introduce myself, not now. I want whoever is there to start looking at the slide I brought and follow along. With me.

[00:13:33]Up to a certain point, everything can be color.

[00:13:39]The world becomes gray, increasingly gray, until it's an emptiness with a shell, without essence.

[00:13:51]Without essence.

[00:13:54]Our enemy is not the problem.

[00:13:58]The problem is not the problem, nor what you make of it. The problem is how long or how much of a problem exists within you.

[00:14:12]Welcome to another moment with BRAPS. I'm Davidon, a psychologist specializing in neuropsychology, working as a public servant in a tiny town in the interior of Minas Gerais. I don't know what I'm looking for in my life, considering the world outside awaits me.

[00:14:30]But today I'm here to bring you a very important topic. This is the lecture "Your body is screaming, can you still endure somatization, psychic suffering, and the clinical error of treating symptoms without listening to the conflict?"

[00:14:49]To those who are following along, have a good time. Enjoy it a lot, because what I'm going to bring here is a topic that perhaps many ignore and perhaps many want to know much more about, but at the moment they haven't yet been able to understand this term, which is... Somatization and psychological suffering.

[00:15:17]Therefore... And I've already left my Instagram here for you, PS Davidson.

[00:15:23]And we're going to start our dialogue in a light and relaxed way, with a question that is extremely cruel for most people.

[00:15:37]Follow this reading, it will please you. The first question I ask you, professionals, students, and whoever is following along: How many patients have you seen get sick without being able to stop?

[00:16:00]Psychology professionals, how many patients have you seen get sick without being able to stop?

[00:16:08]Students, how many people have you seen in the process of getting sick without being able to stop?

[00:16:19]How many people have you seen get sick without being able to stop? You see that the spiral is an endless spiral.

[00:16:32]Why is this topic so important?

[00:16:34]Because we are going to talk about the expression of the human brain according to what it goes through, in a way that is much more focused on what would be a biological neuropsychology. I was debating this topic with one of my professors the other day, because she invited me to give a lecture at IBAC, which is the Brazilian Institute of Behavior Analysis. She's finishing her specialization in neuropsychology, and I finished mine almost two years ago.

[00:17:07]And I'm someone who's much more focused on the characteristics of neuropsychological emissions, on how to take that existing biology and transform it into a construct.

[00:17:20]And when we talk about somatism, somatization, we're increasingly talking about contemporary psychology and its understandings.

[00:17:32]Let's understand a little about what it means to become ill without being able to stop.

[00:17:38]Human beings are prone to the influence of the world. As Burros Friedic Skinner said, the environment shapes man, man shapes the environment. It's a fact, and this fact is undeniable.

[00:17:55]We are all influenced by the environment, and we also influence the environment.

[00:18:03]But what happens when we are much more influenced by the environment than we actually influence it? Perhaps we begin to surrender to the environment.

[00:18:14]We end up surrendering to this environment, and this environment will do whatever it wants with us.

[00:18:23]We're not just talking about illness related to workload or addiction, but any form in which... The environment is a barrier to you.

[00:18:39]It's about who you are, what you do, what you feel.

[00:18:46]A colleague of mine, who has since passed away, used to say that if the brain system functions so perfectly, why doesn't it help us recover from our pain? But this pain, not physiological pain, but somatic pain. Another colleague of mine replied: "Because somatic pain isn't pain, it's a painful feeling."

[00:19:16]We transform the construct of somatization into a neurobiophysiological sensation, translated by the way we experience it.

[00:19:28]In other words, let's conclude that the body responds.

[00:19:34]Our body has a way of talking to us about our suffering.

[00:19:41]Those who suffer feel it.

[00:19:44]The women who are here, I mean, those who are mothers, the process of pregnancy is not easy.

[00:19:55]The most diverse people who are here.

[00:19:59]Let's talk about the loss of a loved one.

[00:20:02]It's painful.

[00:20:05]But look, I'm not just talking about pain, I'm talking about existence.

[00:20:12]And remember what we saw at the beginning.

[00:20:16]The problem isn't the problem, nor what you make of it, That's actually a maxim of cognitive theory, but rather the time the problem persists.

[00:20:30]Our organism modifies its functioning to continue operating under persistent threat, stress, or overload.

[00:20:42]Look at persistence here. What do I want to show you? Let's think, today you were at work, studying, and you're feeling like you have to study more, that you have to work more. You start doing that, but in the brain, the action of intensity is different from the action of time.

[00:21:10]That's why I'm going to, let's play a game. Let's play a game with you here. Rafa, participate with me.

[00:21:18]You're going to take your two little fingers. These two here. Stretch them out, Rafa, I want to see. And you're going to do this: you're going to loop one finger around the other and you're going to pull with a lot of force in both directions and see how much force you can exert for a period of 30 seconds. You have to use as much force as you can. I'll start with you and you're going to count those 30 seconds. With me. Put your fingers together. Let's pull. 1 2 3 4 5 6 7 8 9 More force. 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 There, you can let go.

[00:22:38]Did it hurt, Rafa? It hurt, it hurt. Strange.

[00:22:46]Uncomfortable. It's strange. It's uncomfortable. My arm hurts, my fingers hurt. It's uncomfortable. You even want to let go of your arms with weight, you know? We fail.

[00:22:55]Natalia even commented that she failed at 20. That's okay, Natalia. I also wanted to fail.

[00:23:03]What we have to understand is that look here, we have this, this is intensity. You can do this for a certain period of time, but what counts is the time, not the intensity here. Why? Because we may be going through, for For example, consider a job that is extremely grueling, but we want to deliver something within a specific timeframe that is exhausting. However, what ends up happening? We can't.

[00:23:31]Because time limits us.

[00:23:34]You might have a relative you're estranged from, and this relative doesn't even like to look at your house, but they frequented your house, your environment, for a long time.

[00:23:48]I tell you, if you can tolerate this relative for a long time, you're doing very well, you're doing very well. But time dictates the rules. Time ends up dictating the rules. So I need to understand this with you.

[00:24:06]Intensity counts in effort, but I guarantee you that if I asked for 30 more seconds now, there would be people who wouldn't do it.

[00:24:15]At this moment, we have the option to choose. And when we're constantly overloaded, we can't stop. That's why I asked this question. How many times have you seen a patient who couldn't stop and you wanted to help, but you couldn't stop?

[00:24:31]When we go through a... A bad environment, when we go through a bad situation, what matters isn't the bad situation itself, but its persistence. Because our brain works with three constants in its cognitive base.

[00:24:46]The first is alertness.

[00:24:50]Alertness happens as soon as you have a stressor available in your environment. For example, the sun. The sun is an example. Here in my city, I experience the sun all day long. My city's name is "Sun City."

[00:25:05]It's very small, but it's considered the "Sun City."

[00:25:09]And look how interesting, the "Sun City" ends up being a very important city for me.

[00:25:19]I believe, you see, I don't see a problem with the sun because I like it, but if I expose myself to the sun for a certain period of time, at some point my head will hurt. I mean, I like the sun. Why don't I expose myself to it?

[00:25:34]Because time ends up being the constant that dominates the environment. My city is full of sun. Perhaps most people who come from Rio, for example, let's consider our dear Isabela, vi She might come here and not want to because it's too hot. She wouldn't want to stay here for more than two days.

[00:25:55]Just like other people who live in warmer environments than my city will say they prefer the heat of their city. Why? Because that environment is adapted to them. But the longer you persist in the discomfort, in the difficulty, the worse it gets. Let's understand the following. So, this first stage of the alert happens when we are in the sun. Our body tries to adapt to stay within that environment.

[00:26:23]That's the alert.

[00:26:25]The more time passes, the more chances I have of reaching the suppression phase.

[00:26:34]What is suppression? We suppress the symptom, it starts to appear, but we maintain it. However, at that moment, we are starting to slow down, we are starting to lower the level of resistance.

[00:26:47]We start to lower this level of resistance and the level of resistance keeps decreasing, decreasing, decreasing until we enter the somatic process.

[00:26:58]The somatic process is when your body no longer has the resistance to stay within that process and it starts to make you leave it.

[00:27:08]As there is a The basic neurotransmitter that we all know is called cortisol.

[00:27:15]This basic neurotransmitter has some carbon chains very similar to another one called norepinephrine. In fact, in its norepinephrine form, it's very similar to some of cortisol's bases.

[00:27:30]Norepinephrine, which is the urge to leave, the energy, is combined with cortisol. And then comes stress. You get stressed and want to get out of that place.

[00:27:40]There are many places we can't easily leave.

[00:27:44]Considering the situation, for example, I do n't know if people will think I'm crazy. I have four jobs. This morning I was at one, this afternoon I was at another. Just now I was at the clinic and I came here. Look how complex it is. Many people will come to me and say, "Will you be able to handle it?" I say, "And I can handle it because this is my environment." But at another time I worked in a place where I almost burned out.

[00:28:10]Because my body entered a symptomatic rhythm, or as we also call it, somatization. I started to somatize, I started to suffer there. Hypervigilance becomes the norm. I'm always paying attention to what's going on, and my brain never shuts off.

[00:28:30]Muscle tension becomes basal. So, at some point you even feel your throat muscle tightening, you say it's anxiety, I say it's somatization.

[00:28:41]Your intestinal peristaltic muscles begin to become unbalanced, and you start to experience diarrhea or nausea. And what about the heart? Tac tac.

[00:28:52]Like a horse galloping in a track race.

[00:28:56]Why? Because you're already somatizing. Your body is getting into a rhythm. At that moment, suffering takes over.

[00:29:06]Some things also change, like sleep patterns.

[00:29:11]Your sleepiness, you lie down in your little bed, you wake up.

[00:29:17]Why? Because you can't fall asleep. You are in a state of hypervigilance.

[00:29:21]You are in the resistant phase. In the tough phase, everyone can handle it. But as suffering increases, the constant alert begins to appear productive. And then you keep working harder and harder and harder to be able to use that energy from the resistance phase, because you're resistant here, see? But the problem doesn't start here.

[00:29:48]The problem starts later, when we end up understanding that we only endure it.

[00:29:57]Because even in intense suffering, the organism maintains its functionality.

[00:30:02]Some people endure the resistance for years, and those who endure are the ones who will suffer the most.

[00:30:12]Well, patients continue working, they continue caring for others, they maintain their routines, practically preserving them, but it seems like everything is normal, but it's not, it's not. He is masking the physiology, he is masking the exhausting process he is going through. The central idea is that functioning does not exclude suffering.

[00:30:37]Write this phrase down. You might have a patient who works in an excruciatingly difficult way. Actually, just now my psychologist messaged me: "Psychologists, go to therapy.

[00:30:49]Psychology students, please go to therapy, to handle four jobs, I need to. So, even if you only have one, please go to therapy.

[00:31:01]This is your dad's recommendation.

[00:31:03]Functioning doesn't exclude suffering.

[00:31:05]When you become functional within a dysfunctional environment, you'll try to show that you remain functional, but at some point you'll be dragged into dysfunctionality.

[00:31:16]And at some point, from enduring so much, you'll collapse.

[00:31:20]When the load exceeds the adaptive capacity, the resistance capacity, physiological dysregulation begins to occur. Remember my sister, the famous norepinephrine? Along with cortisol? What will start to happen? Anxiety attacks, which we call anxiety crises. The technical name is panic attack.

[00:31:46]We start to suffer because our body is unbalanced. Our norepinephrine just wants us to get out, and cortisol starts to take over everything, deregulating all physiology, starting to fragment..." You, you start to fall apart, it keeps breaking, breaking until you become a stick, you continue to exist, but it doesn't function, the pains start to appear, somatic pain, the conditional pain of the psychophysiological condition, which is transmitted through a standard psychological situation and persists in the face of a stressful environment.

[00:32:32]The body doesn't speak, and when it is speaking, we pretend to be deaf and continue.

[00:32:41]We've done this a lot. Fatigue takes over. We just want to sleep.

[00:32:47]Who doesn't?

[00:32:50]I, for example, would very much like to be sleeping and I'm not.

[00:32:55]Gastrointestinal symptoms start to appear, nervous gastritis, and everything increases. Free radicals, wrinkles start to appear when we 're young. Look at mine.

[00:33:12]Everything starts to become deregulated. Insomnia starts to take over the days, and it's days awake, days sleepless, your autonomic system starts to become deregulated.

[00:33:25]In some cases, burnout, in some cases, uh, great difficulties adapting to other environments, irritability, depressive processes. And then... Collapse, a strong point, collapse rarely starts suddenly. It doesn't start like that. When we take a patient's history, we consider the initial symptom.

[00:33:49]We classify it as gradual, sudden.

[00:33:54]And many times, cases of gradual somatization begin after 3, 6 months, 1 year, 2, 3, 5 years, and it just keeps growing, growing, growing, and taking over our environment. Let's understand this: a symptom is also biological behavior.

[00:34:16]Biology tells us something.

[00:34:20]We always focus on understanding the contexts of the human being, but when we encounter the neurobiophysiological basis, we have to pay attention to this, because it's behavior.

[00:34:37]It's behavior. I can see it, I can perceive it, I can measure it. You tried and saw that it's complicated.

[00:34:47]So, the behavior you showed me demonstrates the difficulties we go through. Maybe we could have rested, eaten well, been calm today, maybe we could have endured a minute here. But I'm already tired from today. My day was full. Rafa's day... Perhaps it's Ester's day, Natalia's day, everyone who's following us here too.

[00:35:08]At this moment, the body asks for peace, and Davidon brings criticism.

[00:35:15]Davidon is cruel, very cruel. Symptoms are also biological behavior. But there's a problem: many therapists make mistakes, many psychologists make mistakes.

[00:35:27]And here, psychotherapy is with a psychologist; with me, it's on this basis that I work.

[00:35:34]What is our classic clinical error?

[00:35:35]Silencing the symptom without resolving the suffering.

[00:35:39]Mason, how am I going to resolve someone's suffering? I have to show them.

[00:35:45]I can't perhaps solve it. I can't hold my baby in my arms.

[00:35:51]But perhaps if I can show the world, the somatization, perhaps I can help at least a little. I don't want that much, I want a little. That's why we have to understand that we are not going to silence symptoms.

[00:36:08]Ladies and gentlemen, psychologists, psychology students, everyone who is observing here, if you work with silencing symptoms, you are working wrong.

[00:36:24]The suffering goes much further.

[00:36:27]So, don't make mistakes on a simple basis. Like this.

[00:36:32]Don't work on silencing symptoms, work on understanding suffering. What is our contemporary world like today? A 6x1 work schedule.

[00:36:44]A grueling work environment that feels like it's tearing your guts out, a potentially dysfunctional family, and an environment that destroys everyone.

[00:36:59]We cannot silence symptoms.

[00:37:03]The more the symptom is silenced, the more the suffering is exposed.

[00:37:11]In my city today, we have a waiting list of over 2,000 people for psychotherapy. There are no psychologists in my city. I was one of the few, and they took me off the job. Today, the city hall has employees on 5x2 schedules suffering from somatization every week.

[00:37:38]We are not alone. There are 4x3 shifts suffering, there are 6x1 shifts suffering, there are 7x0 shifts.

[00:37:46]I was on 12x2 shifts suffering too. I only understood this much later, but I had time to understand that suffering was my environment and that this environment was my suffering.

[00:38:03]I managed to get out of it, but perhaps it's not about getting out, but about understanding.

[00:38:08]The environment is the environment. What we need is not to try. Silencing the symptom. Many people say that psychologists who don't care about understanding the individual only silence the symptom. That's why I'm telling you, don't do that.

[00:38:28]Let's be conscious.

[00:38:30]Let's understand the following. Do you see what's written there?

[00:38:35]You're going to read what's written while singing.

[00:38:40]I want to see if you can't remember what song this is.

[00:38:50]Rafa remembered the song, right, Rafa?

[00:38:55]Who here, following along, can remember the song being sung here?

[00:39:01]It's a very beautiful song in my head. I love this song. I think this song is one of the most sensational songs that exist.

[00:39:11]But it's not the only one that can explain the human condition. It's about blood and dust, the destiny of a single being, lost in thought about my horse.

[00:39:25]Could it be that we are also covered in blood and dust, urinating alone, lost in thought about our temple horses?

[00:39:37]Elise Regina sang this song too.

[00:39:41]There are many other songs that can explain this. Including those who like to listen to music will remember a very interesting song. which also explains a lot about how life happens. This song isn't on this slide. Maria Rita, encounters and farewells. Sending news from the world beyond. Says who stays.

[00:40:04]This song talks about a person who's been at the train station their whole life.

[00:40:13]When will they get tired of seeing people coming and going?

[00:40:19]It's somatization, it's also the feeling.

[00:40:23]There's another song I'd like to suggest, this one's in English. The name of this song is Tribulation Nation. I'll even put it here in the chat for the guys.

[00:40:33]Tribulation Nation is a really cool little rock song by a band called Cadavar. Cadavar. This song explains how we function in this hectic world. That's why the name is Tribulation Nation.

[00:40:51]It's a song that I'll even share a very short excerpt of with you. Very, very short indeed. Translated.

[00:40:58]I'm not going to sing it in English, please. Uh, listen carefully.

[00:41:02]Uh, deep frustration, a new sensation in a place where there is no meaning and no time. Disconnected, but not aggressive. Chaos in Fury within my signals.

[00:41:16]Take the name of this song later and listen to it. It's a really cool song. I like its vibe. It's a clean song that I like. But for those who also like Brazilian music, listen to "Romaria" at least three times. I'm a country girl from Pirapora. Our Lady of Aparecida, illuminate the dark and deep train of my life.

[00:41:39]Suffering becomes physiology.

[00:41:42]Suffering is not a single issue; it's a physiological issue.

[00:41:51]When it appears within the symptomatology, it becomes hypervigilance, chronic fatigue, sensory sensitization. Perhaps the person who is in physiological overload due to somatization lies in bed and cannot fall asleep because they feel irritated by the touch of the mattress. Muscle tensions become persistent, sleep disturbances, everything becomes increasingly difficult. This hypervigilance is you trying to look here, at this slide, at me, without closing your eyes for 2 minutes.

[00:42:36]It's seeing that your body can't handle it.

[00:42:39]We ignore it when it comes to mixed feelings, but when We talk about the physiological sensation, of opening our eyes and having them wide open, because we can't manage it. But what about the psychological symptom? Where did it go? Why do we ignore it so much? Because we have to cope. Do we really have to cope?

[00:43:07]Neurobiology says that the amygdala, our sensory part that regulates cognitive processes, becomes overactivated.

[00:43:18]It becomes unbalanced.

[00:43:22]It becomes unbalanced.

[00:43:24]So, the amygdala ends up suffering a lot, causing us to release many more neurotransmitters, such as cortisol, norepinephrine, and noradrenaline, making our body much more dysregulated.

[00:43:42]The amygdala handles cognitive processes, so memory, oh, uh, disappeared. Somatization causes memory lapses to happen like never before. And many people who are being diagnosed with AHD may be being diagnosed with burnout. And I say this as an evaluator. I'm not talking about the necessity of the diagnosis.

[00:44:04]I'm talking about specific conditions.

[00:44:08]Could it be that many of these people are also experiencing burnout? When physiological suffering occurs, the hypothalamic-pituitary-adrenal axis becomes unbalanced. The hypothalamus is here, the adrenal glands are in the kidneys, and the pituitary gland is here. So this hypothalamic-pituitary-adrenal axis also becomes disorganized.

[00:44:35]Our parasympathetic axis begins to fail. Our sympathetic axis becomes overactivated.

[00:44:45]What is the sympathetic axis? It's the contraction, the effort, the part of our PNS, our peripheral nervous system, that becomes unbalanced.

[00:45:02]Our heart beats too fast. Sometimes we have cardiac crises, our neck starts to tighten, we get stomach aches, and we experience abdominal pressure.

[00:45:15]All of this is related. And your body loses its physiological flexibility.

[00:45:21]Sometimes you're here, having a good time, trying to enjoy life, and you start somatizing, your body starts to warn you, you ignore it, it says: "You're not going to listen to me, so fine, I'll mess you up."

[00:45:35]How many, many, many times have we been messed up by our own bodies?

[00:45:43]At some point, somewhere we were, um, we ate something wrong and got sick. Or we're at a party, in a cool place, and we have a migraine. And when does this become habitual? And when does this become somatic? And when your body is screaming and you're enduring it, the whole system is failing. While the system that controls us fails, our internal system also fails. And that's why we have to understand the human being; they become social.

[00:46:20]The system is out there, and we are in here. The human being becomes social, the human being becomes biological; they are a mix.

[00:46:31]And the human being cannot wait.

[00:46:37]The human being cannot wait.

[00:46:40]Who is this human being of ours? Who is in our vision?

[00:46:48]We ask ourselves this question every day, drawing from our own experiences. As I told you, before I was actually a trained psychologist, I... I worked in a pharmacy, which I'd say is an extremely treacherous place to work, unfortunately.

[00:47:09]My work schedule there was 12x2, meaning I worked 12 days and had two days off.

[00:47:15]That's even technically illegal, but it's a job. Sometimes we think we have nothing to complain about. I moved to a bigger city, graduated there, and I was treated like a hick.

[00:47:32]People even looked at me like, "Oh, he's from the interior of Minas Gerais, he doesn't even know how to say good morning, he says, 'Hey, honey, are you okay?'"

[00:47:41]People create stigma. And then you buy into the stigma and go for it, with force.

[00:47:48]I worked for 3 years, suffering every day. I started somatizing, I started getting sick more often. I've had a back problem for about 13 years now, and I started having more flare-ups, I started having more insomnia, my immune system weakened, all of that. And I just endured it, just endured it, just endured it. There came a point where, in fact, look, don't criticize me for what I did.

[00:48:23]But I only left my job because the university called me, not because the university hadn't called me; I was already studying there. When I went to study, I was already working.

[00:48:39]But what ended up happening? I started both at the same time. I stayed there for 3 years and I knew my boss wouldn't even authorize me to do my mandatory internships. I knew that. He wasn't going to authorize it. And I had to leave the pharmacy because of that. The first thing I did was file a lawsuit against the pharmacy, and I won.

[00:49:01]But what I want to show you is that perhaps I've been too busy. I left the pharmacy in 2022.

[00:49:10]In 2022 I had my third COVID-19 infection, and in 2023 I had my third. During the first COVID episode, I was barely allowed to take time off.

[00:49:19]That place didn't value suffering.

[00:49:23]He just wanted performance, and performance that would please.

[00:49:28]I had my third COVID infection outside of the pharmacy and I was so grateful I didn't go.

[00:49:36]Thank you.

[00:49:38]But that's not what I want to show you. I left the pharmacy in 2022 and in 2023 I did my internships. Furthermore, in 2022 I had mandatory internships and in 2023 I graduated.

[00:49:51]During my early childhood internship, I got a job at a neurodevelopmental clinic working with neurodiverse individuals.

[00:50:01]A place that could have been total chaos for me and everyone else who went in there, but it was the place where I felt most respected, cared for, loved, and understood, even more so because I am also a neurodiverse person.

[00:50:21]So I was in an environment that I felt was mine, that environment was mine.

[00:50:26]So, because that environment was mine, it woke me up.

[00:50:30]And I started to take care of myself, I started therapy, which was something I took too long to start. It was worth it. I spent a year in that clinic, and today I tell you, I think I redeemed myself in that place.

[00:50:46]Human beings can't wait, I waited too long. So I'm sharing my life experience so that you can also take it as a lesson.

[00:50:56]Don't let the waiting cause you to physically manifest symptoms. You start screaming and holding on and enduring.

[00:51:08]Patients learn to function when tired.

[00:51:13]Smiling, dissociating, normalizing breakdowns. There are so many people collapsing in the world, and it's cruel to see it.

[00:51:26]If we could, we would take them all and put them in a protected little box, because caring is a matter of psychology.

[00:51:39]But we don't know if this care would actually be effective, because the clinic still prioritizes my patient's productivity.

[00:51:51]We do that too, we make mistakes too, because sometimes we just want to return a minimally functional person to the world.

[00:52:03]Where is psychology?

[00:52:05]Psychology makes mistakes, but it's not always wrong; it's only right sometimes. But sometimes we don't know which path to take, because we think that person needs that thing, and at the same time there's suffering inside them.

[00:52:23]What is this beautiful word?

[00:52:26]Somatization, biopsychology.

[00:52:29]What a beautiful name! It is as cruel as it is cruel and beautiful.

[00:52:38]Why is it that it is both cruel and beautiful?

[00:52:42]Because we have to understand that biopsychophysiological somatization comes from roots in neuropsychophysiology.

[00:52:51]We're at the biological basis of behavior. Look, I apologize to anyone who doesn't like the subject, but biological principles explain a lot.

[00:53:01]Headaches, gastritis, heart attacks, dizziness, diffuse pains, and no medical investigation happens and finds anything. It's a fact, I'm telling you, but at least 35% of that fact is research. Research suggests that approximately 35% of people admitted to hospitals and emergency rooms may be exhibiting somatic symptoms.

[00:53:36]How many times have I heard here in San Francisco, "So-and-so had an anxiety attack and ended up in the hospital." Here in my city, since there are no psychologists, you go to the hospital, get an IV drip, a sedative, and then go back home.

[00:53:48]Completely ignoring the symptom is painful, it 's wrong, it 's flawed, extremely flawed. When the brain expresses emotional pain, the body expresses it in the way you are seeing. It's headache, it's gastritis, it's tachycardia, it's back pain, it's dizziness, it's nausea, it's diarrhea.

[00:54:14]All of this becomes apparent.

[00:54:17]All of this becomes apparent. When I worked at that pharmacy, I developed some of those skills and managed to recover, but it took me a long time. So you imagine, the person comes to your office, you see them today, and you think that person will be cured next month, next week. Is it really going to happen? She won't go, I guarantee you, she won't. She's not going.

[00:54:50]Sometimes this symptom looks like a physical symptom. Most people who present with somatic symptoms, especially tachycardia, think they are having a heart attack, investigate, suffer, seek medical help, see a general practitioner, a specialist, and don't find an answer.

[00:55:11]In reality, it's the world destroying her little by little.

[00:55:16]It's the tingling sensation starting.

[00:55:18]It's that feeling that you're having a heart attack or stroke, too. My head hurts, I'm having a stroke. My spine hurts, I'm dying of paresis.

[00:55:33]And what ends up happening when I go through all these professionals?

[00:55:38]All of these professionals.

[00:55:40]I'm going to find out that the condition is psychological, or rather, psychosomatic.

[00:55:46]And they are in serious condition because they had to spend money they don't have, and also time they don't have to care for them. And remember what I said at the beginning? It's the time during which the problem persists within you.

[00:56:06]Here we are talking about the critique regarding how C works and how time works.

[00:56:14]Time is cruel to those who are experiencing psychosomatic symptoms.

[00:56:20]In fact, one of the most evident conditions of somatization today has become fibromyalgia, or as some other professionals also call it, psychosomatic myalgia. What a beautiful name!

[00:56:35]Fibromyalgia is a neuropathic condition characterized by the amplification of pain related to a somatic symptom. A headache turns into a terrible migraine. A pain in the foot starts to feel like the foot is going to break.

[00:56:53]Your nails and hair hurt because your neurophysiological system is unstable, because your psychophysiology is out of balance.

[00:57:09]If you can, one day, go to an emergency room and see what's going on inside.

[00:57:16]Last year I was hospitalized because I couldn't walk, I had lost my mobility.

[00:57:23]And I ended up seeing a person there who was only there because they had a very severe attack and vomited at work.

[00:57:31]It was somatic, not physiological, it was somatic.

[00:57:37]Perhaps we forget too often about somatic issues. And where did somatism go? in the hands of doctors who make a person spend over R$1,000 just to understand a psychological problem. But look, guys, they don't send it to us. Doctors usually don't care if a psychologist exists. He wants to show that the problem is somatic, but he doesn't explain what that means. It's up to us to explain later that the person has already gone through years and years of trials.

[00:58:10]It's cruel again. It's cruel.

[00:58:13]We are not mistreating our patient, but we have to be mindful of this. How much do those outside the organization, the other professionals, fail to understand what psychosummation is? It's up to you, the observers here, to understand this topic better than anyone else, because you might make a huge difference in the lives of many people later on.

[00:58:42]I speak today and I am very grateful to the entire celestial universe that helped me bring people back from somatization.

[00:58:52]The diagnosis is made by exclusion. So if you spend all that time after a lot of medical exams, you don't need to.

[00:58:59]But that's what they want there. The biomedical model, which claims that the biopsychosocial model doesn't exist, is often the case when the problem is primarily biomedical; it's quick: I give medication, problem solved.

[00:59:13]Treatment, psychotherapy.

[00:59:17]Psychotherapy. But the doctor doesn't recommend psychotherapy, or rather, he might recommend it.

[00:59:25]But you know what happens? which arrives in the hands of CRP 0473875. I am forwarding it for conduct evaluation. He won't even explain to me what happened to the person.

[00:59:39]It's an emptying of the human being.

[00:59:43]The symptom is only getting worse.

[00:59:47]And we're never going to have a positive outlook at this point. It is difficult.

[00:59:53]In fact, many people who develop somatization remember that after the resistance stage comes the decline. After the decline stage, the depressive process begins.

[01:00:05]People fall into depression, into constant thirst, and the symptoms keep getting worse, worse, worse every day. That's sad.

[01:00:17]And don't forget, if the treatment is psychotherapy, be good professionals as well.

[01:00:22]Understanding psychosomatic symptoms and how to intervene is also extremely important, very important. It's one of the... exactly, sir/madam Braps. They become depressed because they are unable to produce.

[01:00:41]When you start to decline, your productivity also drops. So you're going to try to force it, you start to increase the fall. Exponential decay doesn't begin linearly; it starts to fall exponentially all at once. It starts off easy, I try to push myself up again and I fall once more. I end up being myself, right? And this is within a system that is not meant to be.

[01:01:14]But there is a very clinical danger that is our own. Not everything is organic.

[01:01:22]We have to understand. As a behavior analyst, I can very often be treated like a dog trainer because I follow the basic principles of behavior analysis. But I know who my inner human being is, and not everything is psychological.

[01:01:41]Well, folks, not everything is organic and not everything is psychological. It might be organic, it might not be organic.

[01:01:48]Psychological.

[01:01:50]But let's understand this. The social aspect, the social environment—because human beings are social beings—is there, but it's the human being who is suffering. Forget about the social aspect immediately when psychosomatic symptoms begin. We need to address the symptom first without erasing the suffering, because that might be the dividing line between the functioning and non-functioning of the human being.

[01:02:28]Social criticism is worthwhile. But at the same time, understanding that the social aspect is important, but at that moment my patient is much more necessary. Almost all of this is integrated. Biopsychophysiology, biological bases of behavior, social psychology, behavior analysis, humanism—it's all connected, is n't it? There's either theory A or B that will explain the best way to function when psychosomatization is present, but it's the professional who understands the issue and understands that the other person is suffering.

[01:03:13]And besides, don't forget, psychologists, you can go through this too.

[01:03:19]You could go through this too.

[01:03:22]Don't think that maybe you'll get there in the future, soon after you graduate. I will be attending to 50 people. Go, go. I guarantee you that in two weeks you will be suffering. Don't do that.

[01:03:37]Know that you are also a human being.

[01:03:40]You are not Superman.

[01:03:42]We need to understand much more about this human being than about the being itself.

[01:03:47]Clinical errors are common. Sometimes you only treat the physiology and forget the functional history.

[01:03:56]Sometimes you only treat diarrhea to say, "Look, let's breathe more, let's understand where this symptom is coming from." No, no, no, no, no, no, do n't do that. I want you to consider everything within this system. It's not about being anxious about everything, like doctors do. Doctors have turned our profession into a ward full of F41s.

[01:04:21]And what about the reality of the individual and the world in which they live? And what about your job and your economic situation?

[01:04:29]Our engine block is F41. Now look, he works with anxiety. We don't have a degree in psychology. We work with anxiety.

[01:04:37]Did we forget the rest? Maybe not. Maybe not. We go there and try to intervene with that person in every way possible.

[01:04:47]But I'm invalidating suffering in this way. Another professional is invalidating your statement; don't invalidate yourself, don't invalidate yourself. We are F41 block.

[01:04:58]So, let's work with the subject, let's understand what kind of subject we have?

[01:05:04]I might need a psychiatrist to help with the processes, but it won't be the psychiatrist who will listen to my patient. It is me. And I need to be aware of neurobiology, psychology, understand the biological basis, understand how neurons work, understand synapses. All of this is necessary.

[01:05:26]To understand the social context, to understand the world in which a person lives, their economic and financial condition, the world where they are.

[01:05:34]Do not delete. And that's why I'm bringing you this exercise. An exercise. I'll see if it's on the next slide that's in our exercise.

[01:05:45]It's him.

[01:05:47]Pay attention, okay? You guys are going to analyze this with me, okay? Hey, look at that. A 32-year-old woman presented to the emergency room after a 4-month medical history showing no significant abnormalities.

[01:06:05]He says he can't stop. You're there as a hospital psychologist following this case. So, what are you guys going to talk about? There's no significant change; he's 32 years old and has visited the hospital 11 times in 4 months.

[01:06:22]Take a look, and if anyone can, please answer me in the comments before I move on. Analyze the situation and see what the problem is that's happening here, because she's going, she keeps going. What is the real problem? Try to solve it here.

[01:06:40]Woman, 32 years old, 11 visits to the emergency room in 4 months, doctorate, no relevant changes. He says he can't stop.

[01:06:50]Come on, chat users, try to solve this problem. I'll leave this activity for you to do today. A teacher was coming today, right, Rafa?

[01:07:01]I want to see what you all think about this situation. I've encountered similar situations before when I worked in the hospital setting. That was interesting.

[01:07:12]And I remember that in my thesis I talked about the suffering of psychologists in the face of the suffering of their patients.

[01:07:22]So you also suffer from psychological issues. But how are you going to help this young lady here? I gave her a name. I want to see what your response will be.

[01:07:32]I want to see if you're paying attention to what Davidon is saying. Maybe you just want to sleep, want to rest today, right? I also want to rest soon.

[01:07:44]While you guys are trying to solve this, we'll keep moving forward.

[01:07:48]The person's history, it is functional.

[01:07:50]She has a context: the environment she lives in, the money she has in her pocket, her job, her friendships, her family— everything has contingencies, everything has limits.

[01:08:05]I can think of it this way: my contingency is, Davidon, I work four jobs. I can't stop the "no"s right now, but I can stabilize myself within them. If I had a little more time ahead of me, I'm sure I'd already be hospitalized again.

[01:08:24]I need to understand how I function.

[01:08:26]And just like we have to understand, sometimes this young lady here, she's got this idea that I can't stop because she's avoiding the situation. She can't stop because the world might fall apart.

[01:08:41]Folks, unfortunately the world isn't going to end.

[01:08:46]We are somatized, we are. But we have to understand that perhaps our survival story is much more than that. That's why I want you to keep this fifth reflection in mind.

[01:09:02]Right now.

[01:09:04]Exactly. Now, how much have you suffered at some point in your lives?

[01:09:15]How much have you suffered?

[01:09:20]How much has your body already screamed, and you still can't take it anymore?

[01:09:26]There is a physiological cost to all of this. People who experience more somatization tend to develop frontotemporal dementia.

[01:09:37]People who have experienced a lot of somatization tend to have a higher number of free radicals that can lead to cancer.

[01:09:47]talking about a case that happened like this. Today I was giving a lecture at a school and I was remembering, along with the supervisor, her sister who used to be a supervisor and principal at the school, and she just worked. She stopped living, even with her children. Basically, she had an extremely aggressive cancer, which was even given the name " workplace cancer."

[01:10:14]She suffered from free radical attacks, barely slept, didn't sleep properly, and had many daily worries. Inside the house, all he talked about was work.

[01:10:28]He suffered, he lived, he loved, he died.

[01:10:34]The physiological cost is one for the history books.

[01:10:36]Just as time is our biggest problem within the problem, so too is our history time. So, do we really want to carry our history of problems, our time of problems, into the future? Do you remember the song?

[01:10:56]It's blood and dust, the fate of a single act, I'm lost in thought about my hair.

[01:11:08]Sometimes we are simply going through processes of suffering and we don't realize it. I hope I was able to express the topic I wanted to address here today clearly, because I want you to be aware of the human being you are caring for every day. Perhaps this human being is not a social sensualist.

[01:11:32]Perhaps this human being is explaining much more about neurobiology than we're expecting.

[01:11:39]And you're just holding on tight?

[01:11:45]Repeat the question. And you're just holding on tight? Are you just holding on tight?

[01:11:55]The end or not?

[01:11:59]This is my contribution to you for today. I hope I have been clear enough on the topic I addressed. I think it's very important for us to understand everything that human beings are immersed in, and not just one context or another. I will never be absent from my human self, because my human self is me.

[01:12:22]I want you to take this moment with you. I want you to understand this human being who is here talking to you and this human being who is listening to me. Your body is screaming. You're still here, Rafa, you can come back.

[01:12:48]Sorry for the delay, I was trying to turn on my microphone. Yeah, I agree with Maria Clara in the comments. It was incredible, both the reflections for practice and the personal reflections as well, right?

[01:13:01]Well, and to talk a little bit about the case, it's very important that we, in this place of psychology, study, routine, work, really think a lot about future patients, about being able to handle everything, but I particularly liked the way you bring this hook to us as well, that it's not only the other person who suffers, but the one who cares for the suffering also suffers and will suffer all the time.

[01:13:30]And if you don't take care of it, you'll suffer even more than the suffering you're already causing.

[01:13:36]This is very important.

[01:13:37]This is a reality, because we have the most anxious country in the world, one of the most depressed, we can't forget that, but we also have many, many, many, and today we are the country with the largest number of psychologists, both active and inactive, in the world. But we also consider that, statistically speaking, if we are the most anxious country in the world, how many psychologists are in the same condition?

[01:14:05]Several. And truth. It's also about deconstructing the idea that psychologists don't feel anything, that psychologists don't go through anything, that they have no problems. The amount of suffering I endure is countless; I've had a back problem for 13 years of my life. My patients rely on me extensively. I'm going to tell you something I did very wrong. I left the hospital in Ó, I'll never forget that day. It was November 27th of last year. I stayed there for four days screaming louder than a wild woman.

[01:14:41]And so I spent that time in the hospital. It was very painful. Seriously, I was in a wheelchair, I couldn't walk, I just screamed.

[01:14:49]And on the day I left the hospital, I still went to work, I was on leave and I went to the clinic. I even sent a photo.

[01:14:57]If I don't show you the photo, it's because I don't have it here. But I sent a picture from the clinic; I was feeling really, really, really, really, really, really bad. And I was there. I said, " Why am I doing this?

[01:15:12]What do I want to take away from it?

[01:15:20]It's very important to never forget, in reality, right? I'm not going to say that I have n't been enduring things for a long time, there are many situations.

[01:15:30]For a week now I've been sleeping 4 hours a night because it's the end of the semester, right? But we'll survive. And look, we'll survive, I'll survive. You see how things are already happening? But it's in these contexts that we can never stop talking about these things, because the worrying thing is when we do these things and don't question ourselves, right?

[01:15:56]Why am I doing this? What can I do to prevent this from happening again?

[01:16:01]Yes.

[01:16:03]And this ends up being an issue that greatly affects how we want to develop. I tell you that because I really wanted to show off at the beginning, not to show off my work, but to reach a point I wanted to, I pushed myself too hard and I suffered the consequences of that.

[01:16:27]Last year, well, not the year before last, the year before last, year Two years ago, I was giving 16 in-person lectures in one month, in places that had two back-to-back. I'd be in one place, then I'd have to move to another. It was one in the morning, then around 7 or 8 o'clock, and I still had to do that, and I still had work, the clinic, everything, all at the same time. I thought, I ca n't handle it. And there I was last year doing the same thing, working in the morning, at the clinic in the afternoon, teaching at the university at night. It was brutal. It was during that period that I ended up being hospitalized.

[01:17:09]Maybe it wasn't worth it. I want to show that my experience counts in this case.

[01:17:16]Yes.

[01:17:19]Natalia brought up a question. Yeah, yeah, I was thinking while I was listening to you talk, it's so simplistic for us to say, "let the plates fall," when that person never had permission to let the plates fall.

[01:17:36]Every time they thought about the plate, you know, "no, you have to handle it," right? So, it's very simplistic to go to someone and say : "No, but you need to stop." " You have to stop." Considering we 're only seeing a thousandth of her entire constitution as a subject, right?

[01:18:00]We don't know about housing, food, we don't know her constitution, how much it was reinforced there, how much she grew up seeing that she had to take care of everything or that he had to take care of everything. So, this person will never, it's very difficult for them to stop. It's not impossible. It 's not impossible. But, Rafa, can you read the question?

[01:18:28]Yes.

[01:18:29]Natalia asked: "Did you bring this psychosomatic perspective into oncology?" " How could I have a clinical perspective on this so as not to be confused?"

[01:18:41]When we talk about oncology, we evaluate two forms. There's prophylactic oncology and short-term oncology, which is the oncology we're dealing with in the most serious treatments or in the final stages, right? These are treatments when the person hasn't gone into remission. When we talk about psychosomatics, we have to remember that we understand that the person may be suffering, and this suffering can lead to the condition that ends up being cancer or other issues. But how do we differentiate them? Again, it's with time, with the prevalence of the symptom. Sometimes people are in the oncological process and they don't realize it. They don't realize that it led to that, or rather, was a major factor in the creation or birth of that condition. So, how could we have a clinical perspective on this so as not to be confused? It's when we pay attention to... What are the constants or variables in which this person lives?

[01:20:03]I, for example, mention the case of this teacher because she actually began a process that we call generalization of behaviors. She began to transform her world into her work and her work into her world. When she entered the oncological process, she continues to be monitored. I know this, but how can we have this perspective without being confused? It's by looking at the incidence and participation of these variables in this process. It's like thinking in the following way: I've had the case of a person who had a torsion of one of the loops of the intestine due to fibrillation— no, fibrination— of the intestinal muscle. And this fibrination happened due to psychosomatization. It was such a critical condition that the person had constant diarrhea. In the end, it wasn't just something anymore. It had become something biological, where it was permanently present in the body, and she had to have surgery. The symptom increases the possibility that something purely biological is happening, so that we can differentiate.

[01:21:25]There are several constants. We're going to evaluate that. I can say that this person had a predisposition to having this fibrination that caused the intestinal torsion, but a lot of psychosomatic symptoms also played a role, which was also the case with the person I was following.

[01:21:54]She was under investigation because her white blood cell count was very high—not just very high, but extremely high—and they were even investigating it. At the time, I was in my early twenties, I mean, it was 20 years ago, and I had purple spots all over my body, you know? I couldn't eat. And then the doctor said, "Look, you're going to have to see a psychologist because your issue is all emotional, right?" And so, when she started interventions, she went to a psychologist, and then she started medication.

[01:22:45]And after a while, she weaned herself off the medication; she was a different person, a different individual.

[01:22:51]So it was a very complicated process.

[01:22:58]Yes. So this whole process happens in this way, it ends up unfolding across all the variables, it's not just one thing. The demand ends up being very mixed as well, which leads us to these concerns about confusion regarding the diagnosis, understanding that the condition might be somatizing. And another thing, we can also consider somatization within the oncological process, because it can happen, since the person is undergoing treatment, they are on the threshold of "I'm saved or I'm lost."

[01:23:34]The more this problem persists—and the problem isn't the oncological condition itself, but the persistence of the "Am I well or am I unwell? Am I well or am I unwell? Am I well or am I unwell?"— this even accelerates the oncological process itself, sometimes negatively, because the incidence of somatization can cause a disorganization of the processes of apoptosis— neuronal apoptosis, no, cellular apoptosis, which is the destruction of the cell—it can end up increasing cell creation and reducing aose.

[01:24:18]Increasing the tumor. That's it, Rafa, do you have any final thoughts?

[01:24:31]I think I've already sorted out my final thoughts, Davidon, I really enjoyed the lecture, it was very good, with very cool points and personal reflections as well.

[01:24:42]And that's it. I really enjoyed it. Hey guys, just grab the Instagram. Don't forget. Look at the Instagram, look at the Instagram. Instagram. I want Instagram. Don't forget.

[01:24:53]I'm already following.

[01:24:54]Before, I was going to ask you a question, actually.

[01:24:58]Exactly. I want Instagram. I also post some short videos there about some topics, you know, Davidon? I wanted to thank you immensely for your presence, your incredible sharing. I was even talking backstage here that Davidson was lost in one of Dona Bravsk's groups. Yes, we have more than 300, right? It's a pleasure here, Davidon. Uh, I was even talking a little while ago in the coordinators' group, I found out if you're coming back this week, when you can, do you have a lecture this week or next week? I have one more lecture which is Well, actually, two, one about neuroscience and the other, wait, I'll get it here, it's one about neuroscience and the other, which is the one I'm most interested in because time is passing and I haven't been able to do it. I was going to do it last week, but I couldn't, which is the topic that I came up with with Isadora so we could bring it up, which is neuroscience in psychological assessment, which is the area I specialize in. Is there a day, a time when we can see you again? We're trying to figure it out. I think it will be, let me see here, because we had already agreed on the date. Uh, it will be on Friday the 30th, the 29th, at 6:30 PM.

[01:26:21]I know you'll be there on Saturday with Sonia too. Also on Friday and Saturday.

[01:26:28]Perfect.

[01:26:28]Friday, neuroscience in psychological assessment. And where's Sonia? Sonia here, which is also a related topic, it's close to the topic I'm going to talk about, which is Regarding CAPS.

[01:26:46]So, both topics there are interesting to me. Does the asylum still exist without walls?

[01:26:55]Uh, CAPS, Medication, diagnosis and exclusion in contemporary mental health, on the 30th at 9 am.

[01:27:06]Perfect. Then you can send me all the details so I can post it in the group. I will send it, obviously, at the end of the event, we'll forward the link to Davidon's Instagram, so just click, and you'll go straight to Davidon's Instagram, because here Aunt Ju doesn't work with air. Aunt Ju works with links to make life easier.

[01:27:28]Wonderful. That's why I like the school.

[01:27:32]And then let's go check out Davidon's work @pissdavidon with two S's and an N' at the end, but I'll send the link there. Actually, I won't. Support will send the link there. And Dailson, can you send me the dates of your lectures today so I can also post them in the group? I'll let you know. I'll send the banner or flyer for Friday's lecture now, there's still some left. It needs to be updated, but I already have the one from Saturday.

[01:28:02]It's perfect. Then you send it to me and I'll put it in the special access group.

[01:28:06]Agreed?

[01:28:08]Agreed.

[01:28:09]Final thoughts, Davidon.

[01:28:12]At the moment, I think I just want to thank those who watched here, who were with us. I'm a very good vibes guy to be able to talk about certain topics. Sometimes I even speak in a way that's a bit too emphatic, people say that, but one of the things I like to remember most is that human beings are vast, of all these vastnesses, and we are all vast.

[01:28:36]So, let's take care of our vastnesses too.

[01:28:42]Perfect, Deon. Thank you very, very much and see you soon, okay?

[01:28:49]Bye, bye.

[01:29:01]Okay, folks. Here we are. It's because you don't want to, right, Natalia? It's a delight to listen to, isn't it?

[01:29:11]Oh, I loved it, and so, backstage, I was even talking to Rafa that Davidon was in a group of monitors and then... Dona Braps has over 300 WhatsApp groups, right? And then one day I said, "Hey, Isadoro and Loran, right?" I said, " I'm going to check out the groups and see if there are any psychologists so we can invite them to be speakers." Davidson was lost in one of those groups. I said, "No, now's the time." Then I talked to him, he moved to the speakers' group, and it's been a very pleasant experience having him here at Dana Braps. It's the first time I've been backstage here, but it's been a delight to listen to him, right? Lately it's been a delight, has n't it, Rafa? So, folks, and I was answering, I also get lost in the groups.

[01:30:13]Yeah, me too, I'm like that too. Let's go, Dona Braps. I'm going to go over the certification rules again because a lot of people are arriving, I promise to be brief, okay? Dona Braps has There are two types of access: social access and special access.

[01:30:27]What are the differences between these accesses?

[01:30:29]Social access gives you full transmission and participation here in the YouTube chat so you can have all your questions answered. That's why it's important that you are present here during the broadcasts. And I understand that we study and work, and our lives are very busy, but whenever you can, even if you're not watching, come here to listen, to have your questions answered, to participate in our chat. It's very nice to be here in the broadcast and see you all having your questions answered. And then, during or after the lecture, a verification word is always given. And this verification word will testify that you were present, okay? The verification word for social access cannot be shared under any circumstances. Because we understand that many people work, that many people study, but there's time for everyone to watch the broadcast and guarantee their certification. So, value the time you're here, because if you don't start here in your undergraduate studies, when you go to the clinic... You'll create even more problems because you're so used to giving to others that you'll have difficulty receiving and even setting limits, right? For example, if a patient is late with a payment, right? So many other little things.

[01:31:51]So, value your time, we understand, value your time, come and acquire knowledge, because our degree is 5 years long, but there are so many aspects, so many things for us to learn that the degree has an extremely limited time.

[01:32:08]So, Dona Braps is indeed a training channel, a channel that will help you think beyond the walls of the higher education institution you are in. So, come, participate, there's time for everyone to watch, because those with social access will have until tomorrow at 7:59 PM to fill out the certification form, which will be sent to the social access WhatsApp group within a few hours after the event ends.

[01:32:36]Agreed? Fill out the form correctly.

[01:32:42]Yes, for sure.

[01:32:44]It's individual psychotherapy and supervision, right? Individual psychotherapy from us to us. Also, right? And our supervision. So, we continue studying, everyone. So, value your time, value the knowledge you are acquiring, okay? And it has to be a channel for you to pass on this knowledge. Call your friends from college, put it there, "Hey, there's going to be an event from Braps today, stop by!" You can get a certificate, you know? And count the hours of complementary activities. You're also helping your colleague. Because I'm telling you this, I joined Braps as a monitor and I couldn't afford to take a course, and to count the hours of complementary activities, a colleague sent me the link to a lecture by Braps, and I joined as a participant, became a monitor, then a coordinator, left during my master's degree, and now I'm back again as a coordinator, okay?

[01:33:41]That said, special access, right?

[01:33:44]Special access doesn't require, those with special access don't need to write down the verification word. There's an exclusive WhatsApp group, okay? You receive supplementary material for... In-depth study of the topic. I was just looking at the drive for supplementary material.

[01:34:02]Hold on, I'll go through everything for you.

[01:34:07]Oh, there are 11 supplementary materials. So, for R$90, you 'll also receive slides, supplementary material for in-depth study, and an exclusive booklet. The workload is higher precisely because you need to delve deeper. And those with special access don't need to write down the verification word, they receive the certificate within 7 days, they just need to fill out the form, okay? But special access doesn't require writing down the verification word. So, if you're interested, I think I even put it here, if you're interested in acquiring special access, I'll put it here in the chat www.braps.com.br/260520.

[01:35:03]Rafa, just one more minute, okay? I promise not to go on too long. So, let's go.

[01:35:08]Take advantage and check out Davidon's work, okay? @davisson with two S's and an N at the end, but we'll send the link to... Here's his Instagram so you can see his work, and I've also asked him to let me know when he'll be here again, okay? And I want to invite you to our next event, which will be held on June 2nd, next Tuesday at 8 PM. "If I don't control it, I fall apart." Anxiety, hypervigilance, and the clinical risk of validating control with stability.

[01:35:44]Actually, I was talking to A and CRA today. And CRA will be the psychologist who will be presenting this content. Is that all?

[01:35:56]No.

[01:35:57]I don't know if you know me. I, Juliana, am in the field of psychological and neuropsychological assessment.

[01:36:05]My internship during my undergraduate studies at SPA was entirely done in the psychological assessment team, and I also ended up doing many neuropsychological assessments during that time. So, if you're interested in understanding... oh, I forgot... If you're interested in understanding a little more about psychological assessment, about the tests, one of the instruments I use a lot in my assessments is the Fischer colored pyramids; it's a method.

[01:36:37]Projective. So, it's super interesting. So, if you're a psychology undergraduate, if you're a psychologist interested in at least learning about some projective instruments, come along because we're going to have a course on the pyramids, the Fister colored pyramids course. There will be five classes every Friday, starting on June 5th at 8 PM, and it will be a psychology course.

[01:37:07]So, it's an instrument, and I'm very biased. I even have some of my neuro-assessment professors who really like to use this instrument. It's not just the way it's handled, it's really cool, and we can absorb many issues from our patients, okay? And on June 6th, the first Saturday of the month, at 9 AM, we will have a workshop on TEIA assessment in clinical practice, from screening to safe diagnosis. I work, as I told you, and I've received some documents that I can't even call reports.

[01:37:50]And it's our duty, as psychologists, to transmit to you exactly how... You write them. We don't have a course here on instruments, on how to write psychological documents. I'll see if we can get something for you.

[01:38:06]Yes, Natalia, they are placed in the group, okay? So, it's very worthwhile if you want to have knowledge in the area of ​​psychological assessment. It was an extremely intense period. I love doing this. So, I presented a paper at last year's CRP (Regional Council of Psychology) exhibition here in Rio, and we had a significant increase in searches for psychological and neuropsychological assessment. So, it's another area of ​​work for you as a psychologist so that you can actually do an assessment exactly as it should be, and not just the kind of document—if I can even call it a document—that I 've been receiving in my office. So, come and learn a little about the area of assessment. Undergraduate studies, as I said, are very short; you don't have time to get to know everything.

[01:39:05]So, it's important that you also learn, that you understand that you can also work in other areas. spheres. Speaking of which, today there's a really cool sphere.

[01:39:21]Hold on.

[01:39:24]Today I'm very happy.

[01:39:28]Uh, just adding this, okay, Rafa?

[01:39:30]Sorry. I'm very happy that it came into effect today. Is everything alright? Everything's fine.

[01:39:34]Uh, today NR1 came into effect. Do you know what NR1 is?

[01:39:40]It's a major advancement in the field of mental health, and the regulatory standard number 01 that came into effect today requires companies to identify and manage psychosocial risks in the workplace.

[01:39:57]So, it's a significant advancement in the area of ​​mental health, and it's very important that you, as a psychologist, celebrate, Juliana, but celebrate, it's progress. So, today companies will need to identify and manage. It 's not about little lectures, it's about continuous mental health programs within the work environment. And nothing is more incredible than celebrating this date, May 26th, which is a milestone for us, we're talking about somatization, right? In the work environment, we We see absenteeism, we see presenteeism. So today we're talking about somatization, precisely on the day that NR1 comes into effect, and it wasn't even planned, it was a coincidence, it's very important. So if you're a psychologist, start studying NR1, start studying psychosocial risks and the importance of celebrating this milestone that occurred today, right? So, study, train yourselves, because we can work in many spheres, okay? That said, Rafa, thank you!

[01:41:12]Oh, I'm the one who thanks you for the invitation, for the continued partnership.

[01:41:17]Come back, come back more often and feel free to do so. To conclude our lecture, okay everyone? Let's go to the verification word, the keyword for people who are in social access, okay?

[01:41:31]As J said, remembering that people who are not in the social process, people who are in special access don't need to write down the word. So, good night, thank you for your presence, in case you 're already leaving, but the keyword for social access is... Scream.

[01:41:53]Second time, the keyword for social access is scream.

[01:41:59]Third and last time, the keyword for social access is scream. I really appreciate everyone's participation. I really enjoyed being here with you tonight, studying, sharing, thinking. Good rest to everyone.

[01:42:17]Bye. Thank you, Rafa. Good rest. Good rest, Davidon! Kisses. See you Tuesday.

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