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In this paper the author aims to define the main interpellations to Theology made by the Priest Manuel Antunes, a remarkable portuguese philosopher and humanist of the 20th century. These interpellations are divided essentialy in three aspects: the relevant role attributed to the Historical Theology and a critical position face to her absence in the portuguese Catholical Church in the middle of 20th century; the attribution of a central role to the notion of Person and of Christ, giving a particular enphasys to the christological dimention in Theology; the relief given to the public dimention of Theology, exhortating to the dialogue with the contemporary culture, breaking restrict and crystalised spaces.

This article offers some contributions from anthropology and morals that provide guidance on the preparation for marriage. This preparation must be an in-depth and thorough process, in order to clearly recognize the life-long demand for fidelity in marriage. Furthermore, it is necessary to understand how true love is a gift of oneself. The article is structured into three parts. First, it addresses four anthropological fractures: anthropological nihilism, emotivism, individualism and fragmentation of sexuality. All of them are obstacles to the true surrender of oneself in fidelity, exclusiveness and totality. Second, virtue is proposed as a path towards the integration of the person, where practical reason plays a primary role. Lastly, it considers what personal love is, and outlines the specific content of the promise in matrimonial consent.

From an anthropological point of view, once linked to a perspective on formative process, an all-encompassing critical crisis in the medical field can, nevertheless, vivify core religious questions, even though, later, it becomes restricted (or not) to a figurative scope. What is most impressive, however, is the realization of how, in our current pandemic crisis, a worldwide crisis, derived from SARS-CoV-2 virus, public health issues, strictly medical in their core, have been irreparably plunged into a much more complex and wide social stock, something that mimetic theory would have envisaged. Suddenly, as if by magic, a virus outbreak was turned into an international crisis of economic, political, and cultural magnitudes, with undeniable ethical repercussions. Before this increasingly unstable scenario, steadily undifferentiated, but, on the other hand, one that is highly promising, regarding the presumed emergence of new social models, promisingly detached from violence, we support in this article that mimetic theory continues to be a very useful sociological tool, in fact, an analytical resource for the assessment of social processes and an efficient means to think of new models for our current cultural life.

COVID-19 pandemic raises numerous ethical and bioethical challenges. A pandemic impacts all, but not in the same way, revealing structural injustices and inequalities. The public health crisis created by COVID-19 exposes a latent crisis that questions the structures supporting the dominant model of socioeconomic relations. This essay seeks to understand the ethical challenge of a world crisis, in which the pandemic is a manifestation of something deeper. It argues that the global public health crisis of COVID-19 and its extension for socioeconomic issues is a manifestation of a latent crisis that humanity has ignored in order to save the current economic system. The author examines two concepts of crisis: out-crisis, a pandemic as a symptom of something deeper; and in-crisis, a latent crisis of the neoliberal system that allowed a devastating pandemic to happen. This essay is divided into two parts: the first maps the main ethical challenges of the pandemic as an out-crisis; then, the second analyzes the in-crisis and how it manifested in the pandemic from Pope Francis’ perspective. The conclusion is that the COVID-19 pandemic can be understood as an opportunity for a process of conscientization towards an ongoing movement of confronting the out-crisis and the in-crisis. 

The dialogue between literature and theology, in Portugal, has been made with an informal timidity. I am not referring to the way in which literature opens – more or less explicitly, more or less anguished – to transcendence. Nor do I refer to the way in which theology approaches literature, often with frowning and little gratuity. It seems that the history of the dialogue between literature and theology in Portugal is written with an overlap of monologues. This article, without excessive historiographical or epistemological pretensions, seeks to claim the need for this dialogue

Our goal in this article is to analyze "how" theology is done in times of global pandemic, caused by the new coronavirus, which has infected countless people in the world, leaving them sick and a good number dying. There were also psychological, economic, social, cultural, political and religious impacts that bring to light loss of meaning in the very modus vivendi of humanum on the planet. In turn, in its condition of scientia Dei, theology gives a sense orientation to human beings and seeks the meaning of the world-nature. Therefore, there is an urgent need to raise a fundamental question: how does theology become present as contemporary world theology at this time of pandemic? To answer this question, we will start from the theology of the "signs of the times" evoked at the Second Vatican Council, and then present principles of structuring theology so that we can then visualize the theological repercussions on the question of God, the human being, the nature world and Christianity as a religion of love.

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Barahona Fernandes The work keeps current value, responding to the needs of further clinical psychiatry, equipped to a fuller knowledge of the sick person and psychiatric disease. See, hear and understand the person in distress, assess psychopathology and diagnose the disease in its complexity, requires a method and theoretical and practical knowledge of different but integrated areas. For Barahona Fernandes is necessary to make a careful analysis of the mental state of the sick person familiar with the knowledge of the history of life and personality in its evolution. The reductionist temptations resulting from one-sided views, taking part for the whole, are psychological, psychoanalytic, sociological or biological (neuroscientific), lead to a partial knowledge and parcel of disturbed human being and his illness.

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Burning mouth syndrome (BMS) is a relatively common chronic disease of unclear etiopathogenesis. It is defined as a distinctive nosological entity that includes all forms of burning sensation in the mouth, including stinging sensation or pain, in association with an oral mucosa that appears clinically normal, in the absence of local or systemic diseases. It was hypothesized that psychological factors could influence its appearance, but also physiological factors, with some authors suggesting a neuropathic etiology. Regarding the treatment of BMS, benefits were found in individual or group psychotherapy, as well as in psychopharmacological interventions, however its current therapeutic approach is not completely satisfactory. In this paper we describe two cases of BMS and discuss the possible etiopathogenesis and current therapeutic approaches.

Introduction: Post-traumatic stress disorder (PTSD) is characterized by a set of symptoms that occur following exposure to a traumatic event. These include re-experiencing the trauma, avoidance of stimuli related to it, and persistent symptoms of hypervigilance. PTSD is also associated with major sleep disturbances and these disturbances have a significant impact on quality of life and prognosis. Objectives: Our aim was to review the main changes in sleep pattern observed in bipolar disorder, the physiopathological mechanisms involved in those changes and their clinical impact. Methods: A non-systematic review of the literature in English was carried out by searching PubMed with the key words “sleep disturbance”, “post traumatic stress disorder” and “polysomnography”. Results: Complaints of altered sleep patterns include nightmares, insomnia, frequent nocturnal waking, poor sleep quality, a decrease in total sleep time (TST) and an increase in stage N1 of NREM sleep, with a decrease in stage N2. As regards REM sleep, previously mentioned changes previously observed on polysomnography (an increase in its density and percentage) proved inconsistent. Discussion and conclusions: Correcting the sleep disturbances observed in PTSD should be considered a therapeutic priority, as it prevents the recurrence of symptoms of the disorder and facilitates socio-professional integration, leading to greater success in rehabilitation and improved quality of life for these patients.

Abstract: Mental disability referred to here as Intellectual Developmental Disorder (IDD), according to the ICD-11 working group, shows a high prevalence of associated psychiatric morbidity that is poorly diagnosed. The dual diagnosis perspective in IDD seeks to clarify this situation in the overall framework of the difficulties presented by individuals with IDD. This article presents the data from use of a tool designed to detect psychiatric pathology in children and young people with IDD, the ChA-PAS (Child Adolescent Psychiatric Assessment Schedules), and evaluates the consistency of the results of the ChA-pAS with psychiatric diagnoses previously reached clinically. In the results, the vast majority of the study population (91%) presents psychiatric illness associated with IDD, with a predominance of autism spectrum disorder (ASD) and attention deficit hyperactivity disorder (ADHD). The prevailing condition in individuals with profound IDD is ASD, while in individuals with severe IDD, ADHD is most common. The degree of agreement with prior clinical diagnoses was 100%, which supports the hypothesis that ChA-PAS is a useful tool in assessment of this population. We conclude that even with suitable tools, assessment of individuals with IDD, especially severe and profound IDD, is always a challenge. Using new tools and translating, calibrating and validating them for the Portuguese population could be of benefit to people with IDD.

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Introduction: Following national and international models of specialized interventions for early‑onsetpsychotic disorders, these author’s department implemented in 2010 its own Programme for Early Intervention in Psychosis (PIPP). This is an intensive, multidisciplinary approach programme for patients presenting with psychotic symptoms in their first five years, in order to improve care and reach better recovery. The aim of the present research was to address the impact of such specialized intervention on the recovery of patients experiencing early onset psychosis. Methods: We retrospetively studied a set of clinical and psychosocial variables in a group of patients consecutively admitted to the PIPP, from 2010 on, after being diagnosed with psyvhosis in its first five years, being then followed for five more in the programme. For comparison, we studied the same variables in a historic sample of early‑onset psychosis patients that were offered treatment‑as‑usual in psychiatry outpatient consultation (N‑PIPP), before PIPP was created. We performed statistical analyses using SPSS 22 software.Results: Compared to the N‑PIPP group, patients in the PIPP achieved significantly lower risk for inwards readmission (0.40, p=0.043) and defnitive treatment drop‑out (RR=0.21, p=0.011); and they were more likely to get a job or social occupation (RR=1.83, p=0.048). They also seemed to attain higher clinical remission, despite not statistically signifacant (RR=1.33, p=0.184).Conclusion: The approach provided by a specialized multidisciplinary programme for patients with early‑onset psychosis has a favourable effect on their clinical and social outcome.

Problem gambling has become a major public health concern, with psychosocial and mental health consequences. Some efforts have been done in the last years by regulatory and health related bodies worldwide for assuring that betting can be safer and less harmful. A vast consensus concerning the need to promote Responsible Gambling strategies have been put forward, even though the implementation of policies in this domain is very broad, poorly systematized and often does not translate, in an evident manner, to consolidated and valid practices for promoting safe gambling and the prevention of morbidity. This paper aims to review theoretical and research‑based arguments supporting the need of investment in responsible gambling field, and to propose some recommendations for sponsoring strategic policies in which harm‑minimization and prevention tools are prioritized. A literature review was carried out through an intensive search of online electronic databases and collaborative contacts with researchers in the field of non‑substance addictive behaviors. Papers and documents from scientific and governmental boards, related to prevention and harm minimization or reduction of gambling problems and published between 1998 and 2018 were selected. Different tools in the field of responsible gambling are pointed as good and evidence‑based practices that need to be continuously implemented and replicated. Some others can be promising but need further research. The findings of this study may help many entities and stakeholders involved in this behavioral addiction field (researchers, governmental and health agencies, regulators and gambling industry) for strengthening responsible gambling national policies and strategies.