In a certain direction, closing itself making with that proper it disappears, changedding into nothing, when the patient one comes back to normal, exactly when its normal one he is irritable, irrelevant, difficult, complaining, anxious one or fearful, the change always is received with relief on the part from the team. An example of accented aptica reaction the intense anxiety was given in a woman of half age, which suffers a colostomia from emergency. In the four or five days posterior the intervention, it remained inert, lying of coasts with the closed eyes, pparently sleeping. Curiously when knowing that it passes for a colostomia, its fear of the death did not increase, but stimulant exerted a mental effect on it. This was the first signal of the hope that if allowed to see, and from there for front recovered with rapidity. One another disgnostic difficulty can present through the similarities between lethargy and depression.

The depressed patient, unless she is in deep estupor, in general speaks of its depression, admits that if she feels sad (these are generally the cases of reactive depression that will be argued more ahead). Therefore, mrbidas guilt, fancies, not rare auto-destruction ideas follow the depressed patient, being able this sintomatologia to be increased of sleeplessness, anorexy and affective amorfism, in this last case it feels little or no emotion. – Aggressiveness in the surgical patients For the team as for the majority of us, the aggressiveness is a disturbing emotion, perhaps the most negative of all emotions. They do not obtain to understand it, nor to consider justified it, consider it an accusation of thing badly made. The surgeons who veem the very personal aggressiveness in this way, find difficult to think as a normal part of the life. One becomes aggressive when injuriado, attacked or in danger is natural and must be respected. It feels itself in fact in danger is cut, has pain, it is incapacitated and perceiving itself or not, if he becomes aggressive.