Submitted by Sara Ribeiro (sara.ribeiro@ucb.br) on 2017-06-19T18:29:55Z No. of bitstreams: 1 IlckmansBergmaTonhaMoreiraMugarteDissertacaoParcial2012.pdf: 481760 bytes, checksum: ae794c45f043ab266258ee1509773b07 (MD5) / Approved for entry into archive by Sara Ribeiro (sara.ribeiro@ucb.br) on 2017-06-19T18:31:19Z (GMT) No. of bitstreams: 1 IlckmansBergmaTonhaMoreiraMugarteDissertacaoParcial2012.pdf: 481760 bytes, checksum: ae794c45f043ab266258ee1509773b07 (MD5) / Made available in DSpace on 2017-06-19T18:31:19Z (GMT). No. of bitstreams: 1 IlckmansBergmaTonhaMoreiraMugarteDissertacaoParcial2012.pdf: 481760 bytes, checksum: ae794c45f043ab266258ee1509773b07 (MD5) Previous issue date: 2012-06-25 / Eating disorders such as anorexia and bulimia nervosa, considered as serious disturbances in eating habits, are relevant causes of morbidity and mortality in adolescents. Patients with these disorders have a mortality rate twelve times higher than the normal population in the same age range. Obesity may be considered one of the world???s most serious public health problems, because of the complications associated with it and the high rates of morbidity and mortality. Eating disorders and obesity have been studied in past years, however most researches focuses on the individual aspects of the patients. It was with the intent to broaden the comprehension of these diagnosis, also involving the family context of individuals, that this present study aims at establishing possible links between the answers given by the adolescents with eating disorders (bulimia nervosa and anorexia nervosa) and obesity, in regards to the parental figures in the Rorschach method and the characteristics of the family dynamic, identified by means of systemic techniques. The project is part of a larger project which aims at building a psychosocial care methodology for children and adolescents with eating disorders and their families, which is in progress at Universidade Catolica de Brasilia, under the coordination of this dissertation???s advisor and of which the author is also part of. The participants were three families which resides in Administrative Regions of the Federal District: the first has an adolescent with a diagnosis of anorexia nervosa, composed by the mother, 46 years of age, and a sister who is 17, they live in a rental home and have a monthly income of $2.700,00; the second has an adolescent with a bulimia nervosa diagnosis, composed by the mother who is 42 years old, father, 43, and two brothers of 22 and 07, they live in a home which they own and have a monthly income of two minimum wages; the third which has a diagnosis of obesity is composed by the mother, 67 years old, two sisters of 26 and 21, and a brother of 23, they live in a home which they own and have an approximate monthly income of two minimum wages. Qualitative research method was used by means of case study. A semi-structured family interview ??? Family Life Cycle Interview was conducted, with the elaboration of a genogram and, afterwards, the adolescents were submitted to the Rorschach test. The data from the interviews were analysed based on the constructiveinterpretative method of Gonz??les Rey and the data from the tests were analysed according to the Rorschach protocols, based on the French School. The data found regarding the Family Life Cycle and history showed a few characteristics of the family dynamic such as: difficulties on the maternal side of the families; difficulties in the adolescents??? social relationships; a disengaged family structure (in the family with anorexia nervosa), family with diffused external borders (bulimia nervosa) and an enmeshed family structure (family with obesity); current irregular eating habits (families with anorexia and obesity) and abundance and variety in the current eating habits (family with bulimia); food as a gathering factor (families with bulimia and obesity). The data from the Rorschach test showed the presence of low self-esteem, insecurity, distortions of self-concept and self-image and sexual identification problems among the adolescents. / Os transtornos alimentares (TA) - anorexia nervosa e bulimia nervosa, considerados como graves perturba????es no comportamento alimentar, s??o causas importantes de morbidade e mortalidade em adolescentes. Pacientes com esses transtornos t??m um ??ndice de mortalidade doze vezes maior que o da popula????o normal da mesma faixa et??ria. A obesidade pode ser considerada um dos mais graves problemas de sa??de p??blica, em todo o mundo, devido ??s complica????es a ela associadas e ??s altas taxas de morbidade e mortalidade. Os TA e a obesidade t??m sido estudados nos ??ltimos anos, por??m a maioria das pesquisas enfoca os aspectos individuais dos pacientes. Foi no sentido de ampliar a compreens??o sobre esses diagn??sticos, envolvendo tamb??m o contexto familiar dos indiv??duos, que o presente estudo teve como objetivo estabelecer poss??veis rela????es entre as respostas dadas por adolescentes com TA e obesidade, referentes ??s figuras parentais no m??todo de Rorschach e as caracter??sticas da din??mica familiar, identificadas por meio de t??cnicas sist??micas. O projeto faz parte de um projeto maior que tem o objetivo de construir uma metodologia de atendimento psicossocial a crian??as e adolescentes com transtornos alimentares e suas fam??lias, em andamento na Universidade Cat??lica de Bras??lia, sob a coordena????o da orientadora dessa disserta????o e do qual a autora da mesma faz parte. Os participantes foram tr??s fam??lias residentes em Regi??es Administrativas do Distrito Federal: uma adolescente com diagn??stico de anorexia nervosa, formada pela genitora, 46 anos, e uma irm?? de 17, reside em casa alugada e tem uma renda mensal aproximada de R$2.700,00; a segunda com uma adolescente com diagn??stico de bulimia nervosa, formada pela genitora, 42 anos, o genitor, 43, e dois irm??os de 22 e 07, reside em casa pr??pria e renda mensal de dois sal??rios m??nimos; a terceira que possui diagn??stico de obesidade ?? formada pela genitora, 67 anos, duas irm??s de 26 e 21, e um irm??o de 23, reside em casa pr??pria e renda de dois sal??rios m??nimos. Utilizou-se o m??todo da pesquisa qualitativa por meio do estudo de caso. Realizou-se entrevista familiar semiestruturada ??? Entrevista do Ciclo de Vida Familiar, com elabora????o do genograma e, em seguida, os adolescentes foram submetidos ao teste de Rorschach. Os dados das entrevistas foram analisados com base no m??todo construtivo-interpretativo de Gonz??les Rey e os dados do teste foram analisados segundo os protocolos de Rorschach, com base na Escola Francesa. Os dados levantados sobre a hist??ria e Ciclo de Vida Familiar mostraram algumas caracter??sticas da din??mica familiar como: dificuldades nas fam??lias de origem materna; dificuldades no relacionamento social dos adolescentes; estrutura familiar do tipo desligada (na fam??lia com anorexia nervosa), fam??lia com fronteiras externas difusas (bulimia nervosa) e fam??lia com estrutura do tipo emaranhada (fam??lia com obesidade); padr??o alimentar atual irregular (fam??lias com anorexia e obesidade) e fartura e variedade na alimenta????o atual (fam??lia com bulimia); a comida como fator agregador (fam??lias com bulimia e obesidade). Os dados do teste de Rorschach apontaram para a presen??a de baixa autoestima, inseguran??a, distor????es acerca do autoconceito e autoimagem e problemas de identifica????o sexual nos adolescentes.