Made available in DSpace on 2016-08-03T16:34:29Z (GMT). No. of bitstreams: 1 Sandra Maria Muller.pdf: 4207788 bytes, checksum: 6fd0d2cdac615bd371342ab417e5122c (MD5) Previous issue date: 2013-09-27 / The epidemic of Acquired Immunodeficiency Syndrome (AIDS) is currently a phenomenon of great magnitude and extent in global health. The lipodystrophy syndrome is a change that affects the body self-image and sexuality, increasing the stigma of the disease and causing difficulties in adherence to treatment and social relations. OBJECTIVES: a) describe aspects of the psychodynamics of HIV / AIDS affected and not affected by lipodystrophy, focusing the defense mechanisms used; b) investigate the perception of body image in HIV / AIDS affected and not affected by lipodystrophy syndrome; c) identify similarities and differences in perceptions of body image in HIV / AIDS patients affected by lipodystrophy with those not affected. METHOD: Eight patients were selected by convenience criterion in the outpatient Clinic of Infectious Diseases of Heliopolis Hospital. We used an Interview Guide - designed and developed with specific questions for the target audience, and the Drawing of the Human Figure projective personality test graphic; the analysis of the data, as indicated by the instrumental, aided by reading the contents of clinical-psychological diagnosis. RESULTS: In both groups the data pointed to common characteristics regarding the internal psychodynamics and the perception of body image. Primitive defensive resources were used in most featuring the dysfunction of body image and a rigid egoic control though fragile. It was noticed how much is distressing for these patients deal not only with self-image as well as sexuality. CONCLUSIONS: Monitoring programs for HIV / AIDS should consider how these patients need to be followed in psychotherapy. Health promotion should take into account not only improves the quality of life, but also seek to understand how these women relate and how they exert their sexuality. / A epidemia da Síndrome da Imunodeficiência Adquirida (aids) é, atualmente, um fenômeno de grande magnitude e extensão na saúde mundial. A síndrome de lipodistrofia é uma alteração que afeta a autoimagem corporal e a sexualidade, aumentando o estigma da doença e ocasionando dificuldades na adesão ao tratamento e nas relações sociais. OBJETIVOS: a) descrever aspectos da psicodinâmica de pacientes HIV/aids acometidos e não acometidos pela lipodistrofia, dando enfoque aos mecanismos de defesa utilizados ; b) investigar a percepção de imagem corporal em pacientes HIV/aids acometidos e não acometidos pela síndrome de lipodistrofia; c) identificar semelhanças e diferenças de percepção de imagem corporal em pacientes HIV/aids acometidos pela lipodistrofia com aqueles não acometidos. MÉTODO: Foram selecionados oito pacientes por critério de conveniência do ambulatório da Clínica de Infectologia do Hospital Heliópolis. Foram utilizados um Roteiro de Entrevista e o Desenho da Figura Humana DFH teste projetivo gráfico de personalidade; a análise dos dados foram submetidos à análise qualitativa conforme indicação do instrumental, auxiliados pela leitura do conteúdo clinico-diagnóstico psicológico. RESULTADOS: Nos dois grupos os dados apontaram para características em comum quanto à psicodinâmica interna e à percepção de imagem corporal. Recursos defensivos primitivos foram os mais utilizados caracterizando a presença de disfunção da imagem corporal e um controle egóico rígido, embora frágil. Percebeu-se o quanto é angustiante, para estas pacientes, lidar não somente com a autoimagem como também com a sexualidade. CONCLUSÕES: Os programas de acompanhamento ao HIV/aids devem considerar o quanto essas pacientes necessitam de ser acompanhadas em psicoterapia. A promoção de saúde deve levar em conta não somente a melhora da qualidade de vida, mas também buscar compreender como estas mulheres se relacionam e de que forma exercem a sua sexualidade.

The thesis deals with the developmental period of preschool-aged and early school- aged children and their drawing of a figure. The theoretical part describes the children's development at this time and also their developmental oddities and determinants that influence the development. It follows up the children's drawing, its developmental stages and especially the drawing of a human figure. The practical part focuses on the drawing of a human figure created by children in kindergartens and elementary schools. It's divided into two stages. At the first stage there is the drawing evaluated according to the Draw-a-person Test written in 1982 by J. Šturm and M. Vágnerová. The discovered values are interpreted from the qualitative and quantitative point of view. The attention is paid to remarkable events at the second stage. The practical part validates or disproves given hypotheses. The whole dissertation, its contribution to research and use for pedagogical workers are summarized in the conclusion. Key words: Preschool-age, early school-age, children's development, development of a drawing, drawing of a human figure, draw-a-person test, evaluation, case study