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To access the Intelligence Wechsler Scale for Children (WISC-III) as an auxiliary resource in the diagnosis of patients with suspected mental retardation.
Thirty patients were evaluated in a university psychiatric service for children and adolescents, consulted during 2008. Those patients underwent a psychiatric evaluation and, after, subsequently the WISC III scale was administered. Patients were classified, according to their intellectual coefficients, as with or without a mental retardation score, following ICD-10 criteria. The results were transferred to a SPSS (Statistical Package for Social Sciences) spreadsheet and then analyzed in its socio-demographic and clinic variables.
Of the thirty patients, 18 (60%) were children and 12 (40%) adolescents; 22 (73,33%) were male and 8 (26,67%) female. Furthermore, the sample revealed that 20 (68,97%) patients had had an axis I diagnosis. For the participants, 7 (23,3%) had an IQ below the cutoff of 70, consistent with the mental retardation diagnosis, and agreeing with the psychiatric evaluation. The other 23 (76,7%) patients had an IQ within the normal range. From those considered intellectually deficient, 5 (71,43%) had a score for mild and 2 (28,57%) for moderate mental retardation.
This study showed that clinical diagnosis of mental retardation is difficult, especially for mild cases, when the characteristics are not very clear. The error probability is increased if an instrument such as WISC III is not administered. Therefore, WISC III is an important instrument in the diagnostic process for mental retardation, in many instances changing a first clinic impression.
With the worldwide increase of severe obesity, the demand for and performance of bariatric surgery has increased.
To show the importance of the group therapy approach in the research and treatment of the surgery's psychological consequences.
Clinical method of research, through weekly open therapeutic groups with patients that have undergone bariatric surgery.
After the surgery the patients: feel empty, which leads them to search for alternative routes to give their lives meaning, some healthy, such as exercising intensely, others unhealthy, such as addictions, especially the consumption of alcohol; they are divided between the control of impulses sensation that the surgery provides and the food temptation that generates anguish, conflicts and fears of failing and gaining weight again; they experience the presence of new identity elements that arise with the weight loss and that lead to feelings of strangeness in relation to themselves and their personality; they are not stigmatized anymore and assume new social roles, with an important improvement of their self-esteem and social functioning; they may experience conflicts that are hard to handle in parental and marital relationships, especially due to jealousy and competitiveness.
Despite the undeniable benefits that the bariatric surgery provides to the patients, psychological conflicts arise. The bariatric surgery is a procedure that causes, in addition to massive weight loss, deep changes in the patients’ psychic structure that, if well conducted in what concerns psychotherapy, lead to a significant improvement of the patient's life quality.
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