Submitted by Setor de Tratamento da Informa??o - BC/PUCRS (tede2@pucrs.br) on 2016-06-03T18:21:56Z No. of bitstreams: 1 DIS_CRIS_ALINE_KRINDGES_PARCIAL.pdf: 254839 bytes, checksum: 77badb2f05a6fc3ec73c1c32e78f2f50 (MD5) / Made available in DSpace on 2016-06-03T18:21:56Z (GMT). No. of bitstreams: 1 DIS_CRIS_ALINE_KRINDGES_PARCIAL.pdf: 254839 bytes, checksum: 77badb2f05a6fc3ec73c1c32e78f2f50 (MD5) Previous issue date: 2016-03-04 / Child sexual abuse (CSA) is considered a public health problem. It includes social, cultural, psychological, medical and legal aspects, and it can be an inciting factor of different consequences for the human development. This thesis aimed to observe women who were CSA victims and the consequences for adulthood, concerning emotion regulation, sexual satisfaction and risky sexual behavior. The research consists of two articles: the literature narrative review and the empirical study. The literature narrative review focuses on the CSA through empirical studies review on this theme. Some significant CSA consequences were verified in the sexual satisfaction scope, such as the lack of pleasure, besides the sexual aversion and avoidance. However, there are some opposite results in which CSA victims also presented major excitation, sexual desire and satisfaction in sexual relations. The review study showed there is no unanimity in literature and the CSA may affect the sexual satisfaction in different ways. In the empirical study, I aimed to investigate the CSA consequences for emotion regulation, sexual satisfaction and risky sexual behavior based on a descriptive and exploratory analysis. Eight women over the age of 18 and presenting some CSA episode were subjects for this study. The evaluation occurred through self-report scale and semi-structured interview and results showed that all the evaluated CSA victims presented different levels of emotion dysregulation. In regard to sexual satisfaction, in some cases, women reported difficulties, whereas others reported the preservation of their sexual desire and satisfaction. Risky sexual behaviors were identified in only two cases and remitted the sexual experiences of the past. These results are relevant for understanding potential long-term CSA repercussions and helping with effective psychological intervention for specific cases of women with history of sexual victimization in childhood. / O abuso sexual na inf?ncia (ASI) ? considerado um problema de sa?de p?blica, englobando aspectos sociais, culturais, psicol?gicos, m?dicos e jur?dicos e pode ser fator desencadeante de diferentes consequ?ncias para o desenvolvimento humano. Esta disserta??o objetivou avaliar mulheres v?timas de ASI e as consequ?ncias para a vida adulta, em rela??o ? regula??o emocional, satisfa??o sexual e comportamento sexual de risco. A disserta??o ? composta por dois artigos, sendo um estudo de revis?o narrativa da literatura e um estudo emp?rico. O estudo de revis?o narrativa da literatura aborda as consequ?ncias do ASI por meio da revis?o de estudos emp?ricos nesta tem?tica. Foram verificadas consequ?ncias significativas do ASI no ?mbito da satisfa??o sexual, como aus?ncia de prazer, avers?o e evita??o sexual. Por?m, resultados opostos foram identificados, nos quais v?timas de ASI tamb?m possu?am maior excita??o e desejo sexual, assim como satisfa??o nas rela??es sexuais. O estudo de revis?o indicou n?o haver um consenso na literatura e que o ASI pode afetar a satisfa??o sexual de diferentes formas. No estudo emp?rico buscou-se investigar as consequ?ncias do ASI para a regula??o emocional, satisfa??o sexual e comportamento sexual de risco a partir de uma an?lise descritiva e explorat?ria. Participaram deste estudo oito mulheres com idade acima de 18 anos e com algum epis?dio de ASI. A avalia??o ocorreu por meio de escalas de autorrelato e entrevista semiestruturada. Os resultados demonstraram que todas as v?timas de ASI avaliadas possu?am dificuldades de regula??o emocional, em diferentes n?veis. Em rela??o ? satisfa??o sexual, em alguns casos as mulheres relataram dificuldades, no entanto outras relataram desejo e satisfa??o sexual preservados. Comportamentos sexuais de risco foram identificados em apenas dois casos e remetidos a experi?ncias sexuais do passado. Estes resultados s?o relevantes para compreender poss?veis repercuss?es da ASI em longo prazo e para subsidiar interven??es psicol?gicas efetivas para demandas espec?ficas de mulheres com hist?rico de vitimiza??o sexual na inf?ncia.

Submitted by Setor de Tratamento da Informa??o - BC/PUCRS (tede2@pucrs.br) on 2015-09-29T12:57:03Z No. of bitstreams: 1 475285 Texto Completo.pdf: 2201401 bytes, checksum: 17c76eaa304cc4d0792fee5adb40252c (MD5) / Made available in DSpace on 2015-09-29T12:57:03Z (GMT). No. of bitstreams: 1 475285 Texto Completo.pdf: 2201401 bytes, checksum: 17c76eaa304cc4d0792fee5adb40252c (MD5) Previous issue date: 2015-08-13 / Coordena??o de Aperfei?oamento de Pessoal de N?vel Superior - CAPES / This doctoral thesis aims to analyze from the State of Tocantins reality, as the Social Assistance Policy's, through the actions of Specialized Social Assistance Reference Centers (CREAS), has been setting for the promotion of the rights of children, adolescents and their families in situations of sexual violence. In this sense, the research sought mainly to contribute to the production of knowledge about sexual violence against children and adolescents in Tocantins, since there is no significant research and studies on this subject in the State. The specific objectives sought to identify characteristics of sexual violence; unravel how teams of CREAS has been acting in the interdisciplinary framework to guarantee the rights of children and adolescents and their families; analyze how the Social Assistance Policy's has sought to materialize the intersectoral approach to confronting sexual violence against children and adolescents and investigate how has been guaranteed the protection of rights and access to the medium complexity services to children, adolescents and families living in rural or to access difficult the municipalities. In view of the objectives proposed in this research, the kind of research used was the qualitative approach, in which they sought to apprehend these aspects of reality: the particularities of sexual violence, the perception of the subjects about the phenomenon, challenges and possibilities for realization of completeness of care for children and adolescents in situations of sexual violence.To collect data, there were 17 interviews with families, professionals and coordinators of CREAS beyond the desk review of 40 medical records of attendance of CREAS. To analyze the data collected in the survey, we opted for the content analysis technique and the systematization method of Practice. Data analysis allowed to grasp that construction of comprehensiveness of care to children, adolescents and families in situation of sexual violence requires a movement that promotes the break with revictimization of answers. The reports of the subjects reveal the presence of subscribers values in a culture based on socioeconomic inequality, ethnic-racial, gender and generation, thus asserting the presence of symmetry between unequal relations and reproduction of sexual violence. Thus, the analysis of the data confirms the thesis that the interdisciplinary and intersectoral approach are elements that support for the effectiveness of integrality of interventional processes to enable the CREAS and the protection network overcome fragmented actions, superficial and immediate. / A presente tese de doutorado tem como mote analisar a partir da realidade do Estado do Tocantins, como a Pol?tica de Assist?ncia Social, por meio das a??es dos Centros de Refer?ncia Especializado de Assist?ncia Social (CREAS), vem se configurando para a promo??o dos direitos das crian?as, adolescentes e suas fam?lias em situa??o de viol?ncia sexual. Nesse sentido, a pesquisa buscou primordialmente contribuir para a produ??o de conhecimentos acerca da viol?ncia sexual contra crian?as e adolescentes no Tocantins, uma vez que n?o h? pesquisas e estudos significativos sobre essa tem?tica no Estado. Os objetivos espec?ficos buscaram identificar as particularidades da viol?ncia sexual; desvendar como as equipes dos CREAS v?m atuando no ?mbito interdisciplinar para a garantia dos direitos das crian?as e adolescentes e suas fam?lias; analisar como a Pol?tica de Assist?ncia Social vem buscando materializar a intersetorialidade para o enfrentamento ? viol?ncia sexual contra crian?as e adolescentes e investigar de que forma vem sendo garantida a prote??o aos direitos e o acesso aos servi?os da m?dia complexidade ?s crian?as, adolescentes e fam?lias residentes nas ?reas rurais ou de dif?cil acesso dos munic?pios. Tendo em vista os objetivos propostos nesta investiga??o, o tipo de pesquisa utilizada foi a de enfoque qualitativo, em que se buscou apreender tais aspectos da realidade: as particularidades da viol?ncia sexual, a percep??o dos sujeitos acerca do fen?meno, os desafios e possibilidades para a efetiva??o da integralidade do atendimento ?s crian?as e adolescentes em situa??o de viol?ncia sexual.Para a coleta de dados, realizaram-se 17 entrevistas com fam?lias, profissionais e coordenadores/as do CREAS al?m da an?lise documental de 40 prontu?rios de atendimento dos CREAS. Para analisar os dados coletados na pesquisa, optou-se pela t?cnica de an?lise de conte?do e pelo m?todo de Sistematiza??o da Pr?tica. A an?lise dos dados permitiu apreender que a constru??o da integralidade do atendimento ?s crian?as, adolescentes e fam?lias em situa??o de viol?ncia sexual requer um movimento que promova o rompimento com respostas revitimizantes. Os relatos dos sujeitos revelam a presen?a de valores calcados em uma cultura baseada na desigualdade socioecon?mica, ?tnico-racial, de g?nero e gera??o, asseverando assim a presen?a da simetria entre rela??es desiguais e reprodu??o da viol?ncia sexual. Desse modo, a an?lise dos dados confirma a tese de que a interdisciplinaridade e intersetorialidade s?o elementos que corroboram para a efetiva??o de processos interventivos integralizados ao possibilitar ao CREAS e a rede de prote??o superar a??es fragmentadas, superficiais e imediatistas.