Jose Goncalves

Background Doctors often deal with end-of-life issues other than assisted death, such as incompetent patients and treatment withdrawal, including food and fluids. Methods A link to a questionnaire was sent by email three times, at one-week intervals, to the doctors registered in the Northern Section of the Portuguese Medical Association. Results The questionnaire was returned by 1148 (9%) physicians. This study shows that only a minority of Portuguese doctors were willing to administer drugs in lethal doses to cognitively incompetent patients at the request of a family member or other close person, and even less would do it on their initiative. Most doctors favored the withdrawal of life support measures in advanced and progressive diseases at the patient’s request. Still, much fewer doctors agreed with the suspension of supportive life measures at the request of a family member, another close person, or by their own unilateral decision. However, fewer agreed with that action concerning the rest of the food and fluids. Portuguese doctors favor the administration of drugs for suffering control, even foreseeing they could shorten life. Conclusion Most doctors in this study respect patients’ autonomy but disagree with measures decided by others that have an impact on patients’ survival. They also agree with the administration of drugs for suffering control, even considering the possibility of shortening life.

Serious mental health disorders are increasing among college students and university counseling services are often overburdened. Mobile applications for mental health have been growing exponentially in the last decade and they are emerging in university settings as a promising tool to promote and intervene in college students' mental health. Additionally, considering the recent covid-19 pandemic, mHealth interventions, due to its nature and possibilities, may play an important role in these institutions. Our main objectives are to explore mhealth interventions in universities, regarding its conceptual framework, acceptability and efficacy outcomes and understand its impact and contributions to address treatment delivery and psychological difficulties resulting from covid-19 pandemic. The literature search was conducted in scientific databases, namely, Web of Science, Pubmed, and Scopus. A search in app stores was not conducted, thus regarding commercially available apps, only those found in our database search were included in our review. We selected studies with mobile applications addressing psychological interventions for college students. A total of 2,158 participants were included in the 8 selected studies and most interventions were delivered through mobile apps only and based in cognitive behavioral therapy. Results suggested that college students accept and adhere to these interventions and preliminary evidence of efficacy was demonstrated in different disorders, such as stress, anxiety, depression and risky behaviors such as alcohol and tobacco abuse and sexual knowledge. We conclude that universities, particularly college counseling services, may benefit from mhealth interventions, not only to address college students' mental health but to decrease some of its difficulties related to lack of human resources. Specifically in covid-19 pandemic context, these interventions may contribute significantly by promoting and delivering psychological interventions at a safe distance.

Resenha do livro: ENKVIST, Inger. Educação: Guia para perplexos. Campinas-SP: Kirion, 2019. 142 p. Inger Enkvist é professora de literatura espanhola na Universidade de Lund, na Suécia e estudiosa das ideias pedagógicas e práticas educativas, com vasta publicação de ensaios e livros sobre o tema, analisando-o em suas aplicações em diferentes contextos. É conhecida por sua crítica às abordagens pedagógicas que se tornaram hegemônicas a partir da metade do século XX, as quais ela sintetiza sob o título de “ nova pedagogia”, contrastando-as com os pressupostos teóricos e práticas da chamada “pedagogia tradicional”. Na obra em análise, a autora procura esclarecer o conceito de “pedagogia tradicional” ou “educação tradicional” que, segundo ela, normalmente é apresentado de forma superficial, pejorativa e até caricatural. Remete-se à filosofia clássica para apresentar os fundamentos dessa tradição que já vem sendo negada desde que a educação passou a ser pensada dos pontos de vistas utilitarista e igualitarista, desde o século XIX, culminando na hegemonia de tais pressupostos em meados do século XX. Aponta a crise atual como, em grande parte, consequência dessa “nova” percepção. Nessa abordagem introdutória, propõe aos educadores o aprofundar-se no conhecimento dos conceitos e princípios educação tradicional, refletindo sobre as suas implicações práticas e os resultados obtidos por países que ainda os adotam. Realiza também uma avaliação dos pressupostos da “nova pedagogia” e as suas possíveis relações não apenas com os resultados da educação escolar, mas implicações sociais mais amplas. Aborda as diversas aplicações do conceito de educação e espaços onde ela é realizada, delimitando o seu enfoque a educação escolar e as suas relações. Discute os fundamentos epistemológicos da educação, o papel do professor, sua formação e postura profissional, as disciplinas escolares, seus objetivos e métodos de ensino e aprendizagem, bem como os papéis da instituição escolar, do aluno e a imprescindível colaboração da família. Aborda ainda a educação como política de Estado, refletindo sobre avaliações dos sistemas de ensino em diferentes contextos. Enkvist (2019) discute inicialmente o conceito de educação em suas diversas aplicações e nos vários espaços de sua realização, enfatizando aquela que é produzida no âmbito da família e da escola. Nesse aspecto, apesar das diferenças de objetivos e fundamentação teórica, a abordagem lembra Brandão (2001), apontando quão amplo é este conceito e a diversidade de possibilidades de suas aplicações, sendo a educação escolar apenas uma delas. Mesmo sendo o objetivo da autora tratar especificamente da educação escolar, reconhece a necessidade de articular a sua abordagem aos outros aspectos e instituições relacionadas. Para ela, “a educação de um jovem é um projeto de colaboração entre o próprio jovem, a família, a escola e a sociedade” (p.71). Data de registro: 01/10/2020 Data de aceite: 22/09/2021.

Background and ObjectiveThe outbreak of Coronavirus Disease 2019 has raised increased challenges for older adults’ personal growth in diverse cultural settings. The aim of this study was to analyze negative emotions and their role on older adults’ self-growth in Mexico, Italy, Portugal, and Spain, during the COVID-19 pandemic. For this purpose, a cross-national qualitative research was carried out.MethodsData were collected from 338 community-dwelling participants aged 65 years and older, using a semi-structured interview protocol. Older adults were asked about negative emotions that significantly contribute to their self-growth during the COVID-19 pandemic. Content analysis was used to identify key themes.ResultsSeven main negative emotions significantly contributed to seven themes of self-growth, across the samples: sharing difficult experiences with others, supportive partner, spiritual practices, engagement with life, generativity, volunteering activities, and intimacy and sexual satisfaction. Sharing difficult experiences with others was most pertinent to Mexican and to Italian participants, and a supportive partner to Portuguese, and to Spanish participants.ConclusionThe findings of this study indicate that negative emotions during the COVID-19 pandemic contributed to their older adults’ self-growth. This study highlighted the cultural diversity of experiences during the pandemics and underlined the upside of negative emotions and its relation to older adults’ self-growth during this period.