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  • About
  • The Global ETD Search service is a free service for researchers to find electronic theses and dissertations. This service is provided by the Networked Digital Library of Theses and Dissertations.
    Our metadata is collected from universities around the world. If you manage a university/consortium/country archive and want to be added, details can be found on the NDLTD website.
1

O desempoderamento da gravidez : implica??es ps?quicas em mulheres que n?o sabiam que estavam gr?vidas at? o momento do parto

Gon?alves, Thom?s Gomes 06 March 2014 (has links)
Made available in DSpace on 2015-04-14T13:22:19Z (GMT). No. of bitstreams: 1 456266.pdf: 49171 bytes, checksum: e48053df0e34bacc2f33d6143c6200e2 (MD5) Previous issue date: 2014-03-06 / The gravidness process is an experience that demands an intense psychic work, then situations where pregnancy is only discovered by the time of labor, certainly it brings some increase in the psychic dynamic. Considering that the situation of not having consciousness on pregnancy during its whole process is a situation that requests a lot of questioning to those who dedicate themselves to this topic, this dissertation aimed to understand the psychic implications involved in the phenomenon of non psychotic denial of pregnancy from the report of women who did not know they were pregnant. It was written two sections on this theme: the theoretical section aims to review the literature of denial of pregnancy phenomenon in a context that comprehends an etymological investigation, the historical aspects, the definition of the term by different authors, the difference between the types of denial of pregnancy, the theoretical explanations in the literature, among other aspects. This theoretical section has as its objective a special type of denial of pregnancy in which it is related to women without psychosis diagnosis that did not know about their pregnancy by a great period of time or until labor. The empirical section aimed, through a qualitative methodology, to understand from study cases of women who did not know they were pregnant until labor, the understanding of the psychic dynamic of those who have experienced this experience. Participated in this research three participants who did not know about their pregnancy until labor. They were located by convenience. The participant after signing the Consent Term, participated in a series of three interviews, recorded in audio and transcribed afterwards that along with a sociodemographic data and a structured interview called Mini International Neuropsychiatric Interview that had as an objective to discard or to confirm psychotic symptoms, constituted a study case of each participant. The data analysis was made through the method of Interpretative Analysis of Frederick Erickson. From this analysis it was identified four affirmations which demonstrate: the precariousness in the relationship with their mothers, particular aspects with male figure, fractures in the perception and the compulsion of repetition inherent in this phenomenon thought from the perspective pregnancy of the term disempowerment of pregnancy. The affirmations took into account psychoanalytical tools for its discussion. The study found the possibility that this phenomenon could be understood from a perspective that privileges the psychic field and its psychic dynamics. Therefore this will promote new studies and then it will have more clarification of this experience regarding unconscious aspects. Thus, the results of this research may contribute for the clinical practice with women who were unaware of their pregnancy as well as for health professionals who wish to work with this subject. / O processo gestacional ?, por si s?, uma experi?ncia que demanda um intenso trabalho ps?quico. Logo, em situa??es em que a gesta??o ? descoberta somente na hora do parto, certamente h? um incremento de excesso presente na din?mica ps?quica. Tendo em vista que a situa??o de n?o ter consci?ncia sobre o estado grav?dico durante todo o seu processo ? uma situa??o que imp?e diversos questionamentos ?queles que se dedicam a essa tem?tica, esta disserta??o procurou compreender as implica??es ps?quicas envolvidas no fen?meno da nega??o n?o psic?tica da gravidez a partir da hist?ria de vida de mulheres que n?o sabiam que estavam gr?vidas. Foram elaboradas duas se??es a respeito desse tema: a se??o te?rica objetiva a revis?o de literatura do fen?meno da nega??o da gravidez em um contexto que compreende uma investiga??o etimol?gica, os aspectos hist?ricos, de defini??o do termo por diferentes autores, a diferencia??o entre os tipos de nega??o da gravidez, as explica??es te?ricas dispon?veis na literatura, entre outros aspectos. Essa se??o te?rica se foca num tipo em especial de nega??o da gravidez, o qual diz respeito a mulheres sem diagn?stico de psicose que desconhecem seu estado grav?dico por um bom per?odo da gesta??o ou at? a hora do parto. J? a se??o emp?rica procurou, por meio de uma metodologia qualitativa, compreender, a partir de estudos de casos de mulheres que n?o sabiam que estavam gr?vidas at? o momento do parto, o entendimento da din?mica ps?quica pr?pria de sujeitos que passaram por essa experi?ncia. Participaram desta pesquisa tr?s mulheres que desconheceram o estado grav?dico at? o momento do parto, que foram localizadas por conveni?ncia. Ap?s terem assinado o Termo de Consentimento Livre e Esclarecido (TCLE), elas participaram de uma s?rie de tr?s entrevistas, gravadas em ?udio e posteriormente transcritas, que, juntamente com a ficha de dados sociodemogr?ficos e a entrevista estruturada Mini International Neuropsychiatric Interview, que tinha como intuito descartar ou confirmar sintomas psic?ticos, constitu?ram o Estudo de Caso de cada participante. A an?lise dos dados foi feita por meio do m?todo de An?lise Interpretativa de Frederick Erickson. A partir dessa an?lise foram identificadas quatro asser??es que demonstraram: a precariedade na rela??o com a figura materna, singularidades com a figura masculina, fraturas na percep??o e a compuls?o ? repeti??o presente no fen?meno sendo pensada a partir do termo desempoderamento da gravidez. As asser??es contaram com os aportes psicanal?ticos para a sua discuss?o. O estudo realizado constatou a possibilidade de que esse fen?meno seja compreendido a partir de um vi?s que privilegia o intraps?quico e sua din?mica ps?quica, permitindo que novos estudos sejam feitos para que, cada vez mais, se tenha um esclarecimento sobre esse fen?meno no que diz respeito aos seus aspectos inconscientes. Sendo assim, os resultados desta pesquisa podem contribuir tanto para a cl?nica psicanal?tica com mulheres que desconhecerem a gesta??o, assim como para profissionais de sa?de que venham a trabalhar com este fen?meno.

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