<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0870-8231</journal-id>
<journal-title><![CDATA[Análise Psicológica]]></journal-title>
<abbrev-journal-title><![CDATA[Aná. Psicológica]]></abbrev-journal-title>
<issn>0870-8231</issn>
<publisher>
<publisher-name><![CDATA[ISPA-Instituto Universitário]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0870-82312008000200011</article-id>
<title-group>
<article-title xml:lang="pt"><![CDATA[Significações de doença, confronto sintomático e adaptação em pacientes de Reumatologia e Ortopedia: Uma abordagem desenvolvimentista e dialéctica]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pires]]></surname>
<given-names><![CDATA[Ana]]></given-names>
</name>
<xref ref-type="aff" rid="A01"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Joyce-Moniz]]></surname>
<given-names><![CDATA[L.]]></given-names>
</name>
<xref ref-type="aff" rid="A01"/>
</contrib>
</contrib-group>
<aff id="A01">
<institution><![CDATA[,Universidade de Lisboa Faculdade de Psicologia e Ciências da Educação ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>04</month>
<year>2008</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>04</month>
<year>2008</year>
</pub-date>
<volume>26</volume>
<numero>2</numero>
<fpage>309</fpage>
<lpage>326</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_arttext&amp;pid=S0870-82312008000200011&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_abstract&amp;pid=S0870-82312008000200011&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_pdf&amp;pid=S0870-82312008000200011&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="pt"><p><![CDATA[O estudo das significações, representações ou crenças dos doentes sobre as suas doenças tem constituído um domínio prevalecente na Psicologia da Saúde e da Doença. Numa perspectiva desenvolvimentista, estas significações podem ser categorizadas em termos de níveis de progressiva abstracção e complexidade, e as acções a que estão ligadas em termos de operações dialécticas de descentração e compensação. Para ilustrar um enquadramento metodológico desta concepção, os autores apresentam os primeiros resultados de uma investigação com doentes de Ortopedia e Reumatologia, sobre a ligação desses níveis e operações a uma metodologia de auto-monitorização do sintoma principal, geralmente a dor física, e do controlo percebido sobre o mesmo.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[The study of the patients’ significations, representations or beliefs about their illnesses has been a prevailing domain in Health and Illness Psychology. From a developmental perspective, these significations may be characterized in terms of levels of progressive abstratraction and complexity, and the actions to which they are associated in terms of dialectic operations of decentration and compensation. In order to illustrate a methodological orientation of this conception, the authors introduce the first results of an investigation addressed to patients of Orthopaedics and Rheumatology, about the connection of those levels and operations to a methodology of self-monitoring of the main symptom, in most cases the physical pain, and of the perceived control of that symptom.]]></p></abstract>
<kwd-group>
<kwd lng="pt"><![CDATA[Significações da doença]]></kwd>
<kwd lng="pt"><![CDATA[níveis de significação]]></kwd>
<kwd lng="pt"><![CDATA[operações dialécticas]]></kwd>
<kwd lng="pt"><![CDATA[Ortopedia]]></kwd>
<kwd lng="pt"><![CDATA[Reumatologia]]></kwd>
<kwd lng="pt"><![CDATA[auto-monitorização]]></kwd>
<kwd lng="en"><![CDATA[Illness significations]]></kwd>
<kwd lng="en"><![CDATA[levels of significations]]></kwd>
<kwd lng="en"><![CDATA[dialectic operations]]></kwd>
<kwd lng="en"><![CDATA[Orthopaedics]]></kwd>
<kwd lng="en"><![CDATA[Rheumatology]]></kwd>
<kwd lng="en"><![CDATA[self-monitoring]]></kwd>
</kwd-group>
</article-meta>
</front><body><![CDATA[ <p><b>Significa&ccedil;&otilde;es de doen&ccedil;a, confronto sintom&aacute;tico  e adapta&ccedil;&atilde;o em pacientes de Reumatologia e Ortopedia:  Uma abordagem desenvolvimentista e dial&eacute;ctica </b></p>      <p>&nbsp;</p>      <p align="right">Ana Pires (<a href="#1">*</a><a name="top1"></a>) </P>     <p align="right">L. Joyce-Moniz (<a href="#2">**</a><a name="top2"></a>) </P>      <p>&nbsp;</p>      <p align="center">RESUMO</P>      <p align="justify">O estudo das significa&ccedil;&otilde;es, representa&ccedil;&otilde;es    ou cren&ccedil;as dos doentes sobre as suas doen&ccedil;as tem constitu&iacute;do    um dom&iacute;nio prevalecente na Psicologia da Sa&uacute;de e da Doen&ccedil;a.    Numa perspectiva desenvolvimentista, estas significa&ccedil;&otilde;es podem    ser categorizadas em termos de n&iacute;veis de progressiva abstrac&ccedil;&atilde;o    e complexidade, e as ac&ccedil;&otilde;es a que est&atilde;o ligadas em termos    de opera&ccedil;&otilde;es dial&eacute;cticas de descentra&ccedil;&atilde;o    e compensa&ccedil;&atilde;o. Para ilustrar um enquadramento metodol&oacute;gico    desta concep&ccedil;&atilde;o, os autores apresentam os primeiros resultados    de uma investiga&ccedil;&atilde;o com doentes de Ortopedia e Reumatologia, sobre    a liga&ccedil;&atilde;o desses n&iacute;veis e opera&ccedil;&otilde;es a uma    metodologia de auto-monitoriza&ccedil;&atilde;o do sintoma principal, geralmente    a dor f&iacute;sica, e do controlo percebido sobre o mesmo. </P>     <p align="justify"><I>Palavras-chave</I>: Significa&ccedil;&otilde;es da doen&ccedil;a,    n&iacute;veis de significa&ccedil;&atilde;o, opera&ccedil;&otilde;es dial&eacute;cticas,    Ortopedia, Reumatologia, auto-monitoriza&ccedil;&atilde;o. </P>      <p>&nbsp;</p>      <p align="center">ABSTRACT </P>      ]]></body>
<body><![CDATA[<p align="justify">The study of the patients&rsquo; significations, representations    or beliefs about their illnesses has been a prevailing domain in Health and    Illness Psychology. From a developmental perspective, these significations may    be characterized in terms of levels of progressive abstratraction and complexity,    and the actions to which they are associated in terms of dialectic operations    of decentration and compensation. In order to illustrate a methodological orientation    of this conception, the authors introduce the first results of an investigation    addressed to patients of Orthopaedics and Rheumatology, about the connection    of those levels and operations to a methodology of self-monitoring of the main    symptom, in most cases the physical pain, and of the perceived control of that    symptom. </P>     <p align="justify"><I>Key words</I>: Illness significations, levels of significations,    dialectic operations, Orthopaedics, Rheumatology, self-monitoring. </P>      <p>&nbsp;</p>      <p>Texto completo disponível apenas em PDF.</p>     <p>Full text only available in PDF format.</p>      <p>&nbsp;</p>      <p align="center">REFER&Ecirc;NCIAS </P>      <!-- ref --><p>Ahmet, I., &amp; Mermi, A. (2007). Anxiety and depression in patients  with rheumatoid arthritis. <I>Clinical Rheumatology, 26</I>, 872-878. &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;[&#160;<a href="javascript:void(0);" onclick="javascript: window.open('/scielo.php?script=sci_nlinks&ref=000020&pid=S0870-8231200800020001100001&lng=','','width=640,height=500,resizable=yes,scrollbars=1,menubar=yes,');">Links</a>&#160;]<!-- end-ref --><p>Barros, L. (1996). Contribui&ccedil;&atilde;o do estudo das significa&ccedil;&otilde;es  sobre sa&uacute;de e doen&ccedil;a para as interven&ccedil;&otilde;es em psicologia  pedi&aacute;trica. <I>An&aacute;lise Psicol&oacute;gica, 14 </I>(2-3), 215-230. </P>      <p>Barros, L. (2002). <I>Interven&ccedil;&atilde;o desenvolvimentista com m&atilde;es  de beb&eacute;s em risco. Disserta&ccedil;&atilde;o de doutoramento em Psicologia</I>.  Universidade Cl&aacute;ssica de Lisboa. </P>      ]]></body>
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<body><![CDATA[<p>(<a href="#top1">*</a><a name="1"></a>) Doutoranda em Psicologia da Sa&uacute;de,    Faculdade de Psicologia e Ci&ecirc;ncias da Educa&ccedil;&atilde;o, Universidade    de Lisboa. </P>     <p>(<a href="#top2">**</a><a name="2"></a>) Faculdade de Psicologia e Ci&ecirc;ncias    da Educa&ccedil;&atilde;o, Universidade de Lisboa. </P>      ]]></body><back>
<ref-list>
<ref id="B1">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Ahmet]]></surname>
<given-names><![CDATA[I.]]></given-names>
</name>
<name>
<surname><![CDATA[Mermi]]></surname>
<given-names><![CDATA[A.]]></given-names>
</name>
</person-group>
<article-title xml:lang="en"><![CDATA[Anxiety and depression in patients with rheumatoid arthritis.]]></article-title>
<source><![CDATA[Clinical Rheumatology]]></source>
<year>2007</year>
<volume>26</volume>
<page-range>872-878</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
