Cette thèse porte sur la procréation dans le contexte de l'infection à VIH marqué de nos jours par les progrès thérapeutiques notables dans la prise en charge. Elle est construite autour de trois grandes parties qui présentent des éléments à la fois de portée générale et des éléments centrés sur les expériences de procréation de femmes séropositives du Burkina Faso. Dans les associations de lutte contre le VIH et dans les centres de santé, les individus reçoivent de plus en plus, des informations sur la possibilité d'avoir des enfants lorsqu'on est porteur du VIH sous réserve de conditions pour l'essentielles médicales, et parfois des offres d'accompagnement thérapeutique et nutritionnel soutenues par certaines agences. Ces informations et ces offres sont récupérées par les individus notamment les femmes, qui dès lors, organisent, orientent ou construisent non seulement leurs comportements et leurs choix de procréation mais aussi leurs parcours de soins. Ce traitement de la procréation dans le contexte du VIH au Burkina Faso met en lumière un processus de recomposition de la prise en charge du VIH dans les services de santé et dans les associations. Une recomposition caractérisée par une évolution des discours et des représentations, la naissance de nouvelles activités qui font appel à de nouvelles pratiques –pour les soignants–, un renforcement de l'immixtion du médical dans la vie sexuelle et reproductive des individus, et pour les femmes, l'émergence de nouvelles maternités qui, tout en s'inscrivant dans le rapport « maternité-féminité », fait plus de place à la figure du sujet dans les relations familiales et conjugales. / This thesis is about the procreation in the context of HIV infection based on remarkable therapeutic progress nowadays in caring people. It's based on three big parts which show at the same time global ranges and elements based on HIV positive women's experience in Burkina Faso. In associations fighting against HIV and health centers, people receive more information on the possibility to have children when they are HIV positive but under the condition of essential medicines, furthermore the therapeutic and nutritional supply is sometimes supported by some agencies. These information and supply are got back by people namely women who once organize direct and build not only their behavior but also their choice of procreation and their distance of caring. This treatment of procreation in the context of HIV in Burkina Faso explains a process of recomposition and taking in charge HIV in health centers. A recomposition characterized by an evolution of speeches, representations and birth of new activities which requires new practices for care givers, a strengthening of interference of medicines in people's sexual and reproductive life. Besides for women, the emergency of new maternity which is written in the report in “maternity-femininity” make more place in the figure of the topic about the family and couple's relationship.

Submitted by Mariana Dornelles Vargas (marianadv) on 2015-03-23T11:38:05Z No. of bitstreams: 1 uma_compreensao.pdf: 815466 bytes, checksum: c6852d451fd87b0d97e1b8e3200d0df1 (MD5) / Made available in DSpace on 2015-03-23T11:38:05Z (GMT). No. of bitstreams: 1 uma_compreensao.pdf: 815466 bytes, checksum: c6852d451fd87b0d97e1b8e3200d0df1 (MD5) Previous issue date: 2011 / Banco Santander / Banespa / Esta dissertação de Mestrado buscou estudar o tema da infidelidade conjugal sob a perspectiva psicanalítica, através de um entendimento teórico dos processos psíquicos associados a relacionamentos amorosos nos quais ocorrem episódios de infidelidade. Com base no referencial psicanalítico contemporâneo, através das contribuições de Otto Kernberg (1995a; 1995b), Lucinda Mitchell (2000) e Lawrence Josephs (2006), buscou-se compreender a partir dos vínculos amorosos os conflitos daí derivados. Então, foi desenvolvida uma pesquisa qualitativa. A partir das sessões de psicoterapia breve e dos resultados do Teste das Relações Objetais (Phillipson, 2008), realizou-se uma compreensão dinâmica de dois casos clínicos. Os resultados obtidos permitiram compreender que o comportamento infiel crônico deriva de questões pré-edípicas referentes à tentativa de evitar o aprofundamento do vínculo amoroso associado à experiência de perda dos objetos parentais primitivos. Espera-se, com este trabalho, fornecer subsídios para o aprimoramento teórico conceitual das questões amorosas, bem como para o trabalho clínico em psicoterapias psicanalíticas. / This Master thesis explores the subject of couple infidelity using psychoanalysis. It provides an in-depth comprehension of the psychological mechanisms involved on a loving-unfaithful couple relationship. Based on the contemporary works of Otto Kernberg (1995a, 1995b), Lucinda Mitchell (2000) and Lawrence Josephs (2006), conflicts derived from loving relationships are studied. A qualitative methodology was used to formulate a psychodynamic comprehension of two case studies. Data was obtained through psychoanalytical short term psychotherapy and through the results from Object Relations Test (Phillipson, 2008). The study identified that long term infidelity has its origins in pre-oedipal issues related to the avoidance of deepening the romantic relationship and to the frightening experience of losing primitive parental objects. This article aims at improving the theoretical framework to study loving relationships, as well as the clinical practice of psychoanalytical psychotherapy.