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Control y tolerancia al estrés en familiares de pacientes con esquizofreniaPicasso Clarke, Gracia María 30 September 2015 (has links)
El 80% de los pacientes con esquizofrenia son cuidados por su familia. Al respecto, diferentes estudios indican que este cuidado puede generar un impacto tanto en la salud de los mismos familiares como en la evolución del paciente, de ahí que este estudio busca describir las características de la capacidad para controlar y tolerar el estrés en un grupo de 10 familiares de pacientes mujeres con esquizofrenia. Para ello se utiliza el cluster de Control y Tolerancia al Estrés del Sistema Comprehensivo aplicado al Psicodiagnóstico de Rorschach, y una breve entrevista semiestructurada. Los resultados del Rorschach se contrastaron con la data de Ráez (2007), encontrándose que en el grupo de estudio es mayor el Lambda (L) y el Índice de Inhabilidad Social (CDI), y menor la Experiencia Accesible (EA) y la Experiencia Sufrida (es). Ello evidencia que los familiares suelen enfrentarse a la realidad de un modo defensivo, evitando involucrarse emocional y cognitivamente con ella. Además, indica una dificultad para generar y dirigir respuestas en circunstancias de tensión, predominando las interacciones negativas. El análisis de contenido refuerza el modo pasivo y evitativo de afrontar las situaciones de estrés. Al respecto se discute el impacto del contexto de pobreza en que estas personas se desenvuelven, en la manera como afrontan los estresores. Asimismo, se menciona el papel que juega el género de las pacientes y su situación de hospitalización en el estrés de sus familiares. Finalmente, se mencionan las limitaciones y alcances del estudio, así como las recomendaciones. / 80% of schizophrenic patients are attended by their relatives. This high involvement of the family with the patient could generate an impact in both the relative’s health and the development of the patient’s disease. That is why the purpose of this research is to describe the characteristics present on the capacity to control and tolerate stress in a group of 10 relatives of female Schizophrenic patients. The evaluation was performed with the Rorschach Test, using the comprehensive system and with a semi-structured interview. The Rorschach results were contrasted with the data obtained by Ráez (2007), where significant differences were found in four of the variables. The results determined that Lambda (L) and Social Inability (CDI) were greater in the study group and Accesible Experience (EA) and Sufferable Experience (es) were smaller. This shows that family members tend to confront reality in a defensive way, trying to avoid getting emotionally and cognitively involved with the patient. Furthermore, it also indicates a difficulty in generating and directing answers in stress situations, resulting in negative interactions. This is related to the poverty levels the group lives in. Moreover, the content analysis enhances the passive and avoidance ways to confront stressful situations. Finally, the limitations and scope of the study are discussed, as well as their recommendations.
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Afectividad y control y tolerancia al estrés en menores víctimas de maltratoRivarola Monzón, Maria Paula 14 December 2015 (has links)
El maltrato infantil tiene un impacto negativo en el desarrollo y la salud de los niños y niñas. La presente investigación busca describir la afectividad y el control y tolerancia al estrés de un grupo de veinte niños y niñas víctimas de maltrato físico y psicológico. La medición se realizó con el clúster de afectividad y con el de control y tolerancia al estrés del Sistema Comprehensivo para el Psicodiagnóstico de Rorschach (SCR). Los resultados del SCR se contrastaron con la data de Exner (2003) a través de la Prueba T para una muestra, para las variables paramétricas; y con la Prueba de Rangos con signos de Wilcoxon, para las variables no paramétricas. Se encontraron diecisiete diferencias significativas entre los grupos (R, Lambda, EA, lado izquierdo de la EB, lado derecho de la EB, es, lado izquierdo de la eb, m, Sum C’, SumPondC, Afr, CF, Sum T, S, Complj., CDI y DEPI). Los resultados evidencian que los/as niños/as del grupo de estudio presentan un estilo evitativo, que exhiben una fuerte tendencia a la constricción involuntaria y al hipercontrol consciente de sus afectos; y poco interés por rodearse de estímulos emocionales. La mayoría tiene serias dificultades para manejar situaciones socioafectivas y cerca de un tercio presenta una mayor vulnerabilidad para desarrollar depresión u otro trastorno afectivo. El análisis de contenido refleja lo hallado a nivel cuantitativo y también expresa la percepción de los/as niños/as de sus figuras parentales y su deseo por vivir en un entorno más seguro y positivo. Finalmente, la discusión está organizada en torno a tres ejes: la pertinencia de la elección del instrumento para trabajar con la población del estudio; el análisis de los contrastes encontrados entre el grupo de participantes y la data de Exner (2003), y el análisis de contenido; y los alcances y limitaciones de este trabajo. / Child maltreatment has a negative impact in the development and health of children. The present investigation sought to describe the affect and control and stress tolerance of a group of twenty physically and psychologically abused children. The measurement was performed with the cluster of affect and the one of control and stress tolerance of the Comprehensive System for the Rorschach Test. The results from the Rorschach Test were contrasted with Exner’s data (2003) through the T-Test for one sample, in the case of the parametric variables; and with the Wilcoxon signed-rank Test, in the case of the non parametric variables. Seventeen significant differences were found between the groups (R, Lambda, EA, left side of EB, right side of EB, es, left side of eb, m, Sum C’, WSumC, Afr, CF, Sum T, S, Blends, CDI y DEPI). The results show that children of the study group have an avoidant style, a strong tendency to involuntary affective constraint and an aware hypercontrol of emotions; and little interest in surround themselves with emotional stimuli. Most of them have serious difficulties to cope with socio-emotional situations and about a third of the group show increased vulnerability to develop depression or another mood disorder. The content analysis is consistent with what was found quantitatively and it also shows the perception that these children have of their parental figures and their wish to live in a safer and much positive environment. Finally, the discussion is organized around three main topics: the pertinence of the instrument for this group, the analysis of the found contrasts between the participants and Exner’s data (2003) and the content analysis; and the extensions and limitations of this research.
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Auto percepción en madres adolescentes institucionalizadasOlano Romero, Daniela 13 March 2013 (has links)
La presente investigación busca describir las características de la autopercepción en un grupo de 10 madres adolescentes institucionalizadas. La medición se realizó con el Psicodiagnóstico de Rorschach desde el Sistema Comprehensivo de Exner y una entrevista semiestructurada. Los resultados brindados por el Rorschach se contrastaron con la data de Ráez (2007), empleando estadísticos descriptivos y el Criterio de Cohen para comparar las medias, hallándose diferencias en los códigos MOR, contenido parahumano [(H)] y contenido humano parcial [Hd], así como en la suma de contenidos humanos. A la vez, se evidencia la importancia de analizar de manera integral otras variables que impactan en la autopercepción, identificando diferencias en: X%-, W:D:Dd, C´, D-, GHR-PHR, Fd y P. Se observa además que a partir del Índice de Egocentrismo parecen configurarse subgrupos con características específicas en las participantes. De otro lado, se realizó un análisis temático de las entrevistas y de las respuestas al Rorschach que dan cuenta de una autopercepción que se viene configurando a partir de concepciones deficitarias y nocivas, enfocadas en su vulnerabilidad, indefensión, desprotección, pérdida de control, y en la preocupación e insatisfacción con un cuerpo vivenciado como violentado, dañado y poco atractivo. A ello se agrega que es a partir de esta autopercepción que se vinculan con los otros, y en particular, con su bebé. Se resalta también el rol de la institucionalización en este proceso. En la discusión, se cuestiona la pertinencia y potencia de un instrumento como el Psicodiagnóstico de Rorschach para el diagnóstico y la investigación; asimismo, se propone una estrategia de análisis que suma a la ruta planteada por Exner otros niveles para revisar las variables y configuraciones que permitan una mayor y mejor comprensión de las participantes. Los resultados son reflexionados tomando en cuenta los contextos en los que han vivido las jóvenes y las experiencias vinculares provistas por los mismos, así como el momento evolutivo en el que se encuentran. Finalmente, se proponen líneas de intervención que respondan a las características de la autopercepción reportadas en este estudio.
Palabras clave: Auto percepción, Adolescencia, Maternidad, Institucionalización, Psicodiagnóstico de Rorschach. / This research tries to describe the self-perception characteristics in a group of 10 institutionalized adolescent mothers. The evaluation was performed through the Rorschach Test using Exner´s Comprehensive System and a semi-structured interview. The results from the Rorschach were contrasted with the Raez data (2007) using descriptive statistics and the Cohen Criteria to compare the means, finding differences in MOR, non human contents [(H)] and partial human content [Hd]; as well as in the sum of human contents. Moreover, this clearly shows the importance of analyzing other variables as a whole that have great impact on the self-perception identifying differences on X%-, W:D:Dd, C´, D-, GHR-PHR, Fd and P. In addition to this, we can see from the Egocentricity Index that it seems that some sub-groups with specific features in the participants are formed. On the other hand, a thematic analysis of the interviews and the responses to the Rorschach were made, showing a self-perception that is being created from the unhealthy and negative conception focused on the vulnerability, helplessness, defenselessness, loss of control and dissatisfaction with a body that is experienced as having been abused, damaged and not very attractive. Furthermore, it is from this self- perception that they relate with others and in particular with their babies. It is important to mention the role of the institutionalization in this process. In the discussion, the pertinence and strength of an instrument like the Rorschach Test for the diagnosis and research is questioned. Besides, an analysis strategy that adds the course of action of Exner to other levels is proposed to revise the variables and configurations that will allow a greater and better understanding of the participants. The results are reflected upon taking into account the context in which these youngsters have lived, and the related experiences provided by them, as well as the evolutionary moment that they are experiencing. Finally, some intervention lines that correspond to the characteristics of the self-perception reported in this study are suggested.
Key Words: Self-perception, Adolescence, Maternity, Institutionalization, Rorschach Test.
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Afectividad y control y tolerancia al estrés en trabajadores del sector construcciónTorrejon Aguilar, William Alfredo 17 January 2018 (has links)
Los trabajadores del sector construcción están sometidos a una serie de condiciones y
exigencias que impactan en sus emociones y en el modo cómo se adapta a las circunstancias
del medio. Por este motivo, la presente investigación busca describir las características
afectivas y la capacidad de control en un grupo de 20 trabajadores de construcción. Para ello,
se utilizaron los clústers de afectividad y control y tolerancia al estrés del Sistema
Comprehensivo del Rorschach (SCR). Los resultados obtenidos de la muestra se contrastaron
con un grupo de comparación de similar edad y situación socioeconómica. En relación a la
afectividad, las variables FC y SumC’ fueron mayores en el grupo de estudio, mientras que las
respuestas de espacio en blanco S se encontraron disminuidas. Con respecto al clúster de
control, los puntajes D y AdjD se mostraron mejor ajustadas, mientras que el lado izquierdo
de la eb (FM+m) apareció disminuida. Los resultados evidenciaron que los obreros tienden a
involucrarse poco con sus afectos y a evitar las situaciones que les generan estrés, lo cual
favorecería cierta estabilidad en su capacidad de control. Debe considerarse que este
funcionamiento es un modo adaptativo al cual ellos se habrían ajustado con la finalidad de
mostrarse productivos, aunque esta característica parecería ser propia de la población limeña.
Además, teniendo como base el contexto de trabajo, se señalarán las implicancias de los
hallazgos estadísticos, los alcances, limitaciones y sugerencias de este estudio. / Construction workers are subject to a number of conditions and requirements impacting their
emotions and the way in adapting to the circumstances of the environment. This research aims
to describe the emotional expression and the capacity for control in a group of 20 construction
workers. For this purpose, clusters of affectivity and control and stress tolerance of Rorschach
Comprehensive System (RCS) were used. The results obtained from the sample were
compared with a comparison group of similar age and socio-economic situation. In relation to
affectivity, variables FC and SumC' were higher in the study group, while blank responses S
were found to be decreased. Concerning to the control cluster, D and AdjD scores were better
adjusted, while the left side of the eb (FM + m) appeared diminished. The results show that
workers tend to involve little with their affections and avoid situations that cause stress. It
would favor the appearance of some stability in capacity for control. This functioning could
be considered as an adaptive mode which they have been adjusted in order to perform
productive, although it would seem to be a characteristic of Lima population. In addition,
based on characteristics of construction workers, the implications of the statistical findings,
limitations and suggestions are mentioned.
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Abuso Sexual na Infância: uma Leitura Fenomenológica-Existencial através do Psicodiagnóstico RorschachJung, Flávia Hermann 16 March 2006 (has links)
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Previous issue date: 2006-03-16 / The present study has accomplished a qualitative phenomenological-existential
reading of the animal and human content responses given by 8 children who were
victims of sexual abuse, subject to the Rorschach Psychodiagnosis blots. We sought
to understand how these children percieve human element in themselves and in
interpersonal exchange; and detect whether there were psychic damage to their
capacity of relating interpersonally. Such reading has revealed the need to tune the
human and animal content codes to the experiences which were being told by the
children, which motivated us to propose of questioning the current codes. The results
showed that most of the group responses (46%) were regarding scary and aggressive
characters. Offended characters or characters in physically or psychically painful
situations accounted for 30% of the responses. Contents expressing positive and
constructive views of the character were the least frequent reaching only 24%.
Overall, 62% of the children reflected in the test the relation offender-victim. We
conclude that most of the times the human and the relationships are most times
embedded in negative connotations associated to violence and pain, confirming the
presence of psychic harm; and that the Rorschach diagnosis is able to stimulate a
projective speech in which the subject reveals symbolically real facts from his life
story. / Este estudo realizou uma leitura qualitativa, fenomenológica-existencial, das
respostas de conteúdo animal e humano fornecidas por 8 crianças vítimas de abuso
sexual, submetidas aos estímulos das manchas do Psicodiagnóstico Rorschach.
Buscou-se compreender como estas crianças percebem o humano em si e na
convivência interpessoal; e detectar se havia danos psíquicos associados à
capacidade de se relacionar interpessoalmente. Esta leitura revelou a necessidade de
sintonizar a codificação destes conteúdos às experiências que estavam sendo
comunicadas, o que nos motivou a propor um questionamento dos atuais códigos. Os
resultados revelaram que a maioria das respostas do grupo (46%) se referiu à
percepções de personagens agressivos e amedrontadores; personagens agredidos ou
em situações de sofrimento físico ou psíquico representaram 30% das respostas;
conteúdos que expressavam percepções positivas e construtivas dos personagens
foram os menos freqüentes (24%); e 62% das crianças projetaram no teste a relação
agressor-vítima. Concluiu-se que o humano e os relacionamentos são, em sua
maioria, imbuídos de conotações negativas, relacionadas à violência e dor,
confirmando a presença de dano psíquico; e que o Rorschach é capaz de estimular
um discurso projetivo no qual o sujeito revela, simbolicamente, fatos reais de uma
história de vida.
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Análise da afetividade de crianças com Transtorno de Déficit de Atenção e Hiperatividade pelo método de Rorschach: um enfoque junguianoFigaro, Rosângela Ascenção Dias de Souza 04 June 2009 (has links)
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Previous issue date: 2009-06-04 / This study was dedicated to the analysis of affectional and emotional characteristics of
children with Attention Deficit Hyperactivity Disorder - ADHD. The results obtained by
applying Rorschach Test by Exner Comprehensive System indicate susceptibility to
depressive episodes. We also verify difficulties in inhibitory control, related to situations of
ongoing stress, resulting from intense ideational activity, which interferes with their processes
of attention and concentration.
There were observed distress feelings, generated by some awareness of unmet needs. ADHD
children present complex affectional and emotional characteristics, being the processing of
emotions the most important in their psychological activity.
They tend to seek autonomy and self-assertion, at the risk of having impulsive and opposing
behaviors. Based on Jung Theory represented by Jean Knox s ideas about the implicit
memory and complexes, we conclude that for being emotionally intense, ADHD children
present a response style determined by Mother Complex. Such complex will be constituted
from feelings and emotions stored in the implicit memory, originated from the learning
occurred in the relationships between the child and their mother or care giver / Este estudo se dedicou à análise das características afetivas e emocionais das crianças que
apresentam o Transtorno de Déficit de Atenção e Hiperatividade - TDAH. Os resultados
obtidos pela aplicação do Método de Rorschach de acordo com o Sistema Compreensivo de
Exner apontam para suscetibilidade a episódios depressivos. Verificamos também
dificuldades no controle inibitório, associadas a situações de estresse permanente, resultantes
de atividade ideacional intensa, o que interfere nos processos de atenção e concentração.
Foram observados sentimentos de angústia, gerados por certa consciência de necessidades não
atendidas. As crianças com TDAH apresentam características afetivas e emocionais
complexas, sendo o processamento das emoções o mais importante em sua atividade
psicológica. Tendem a buscar autonomia e auto-afirmação, correndo o risco de terem
condutas impulsivas ou de oposição. Com base na teoria junguiana representada pelas idéias
de Jean Knox sobre a memória implícita e os complexos, concluímos que por serem intensas
emocionalmente, as crianças com TDAH apresentam um estilo de resposta determinado pelo
Complexo Materno. Este se constituirá a partir de sentimentos e emoções armazenados na
memória implícita, decorrentes das aprendizagens ocorridas nas relações da criança com sua
mãe ou com seu cuidador
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Object-relations in maltreated and abused children assessed with the Rorschach inkblots and the Mutuality of Autonomy Scale (Urist) / Relaciones Objetales en niños maltratados y abusados a través del Rorschach y del MOA (Urist)Rivera Carpio, Sylvia 25 September 2017 (has links)
The objective of the study was to observe the quality of the object-relations in maltreated and institutionalized boys and girls, assessed with the Rorschach inkblots and the Mutuality of AutonomyScale (MOA) of Urist. The participants were 23 children of both sexes, aged 8 to 10,who had been maltreated in their household and were institutionalized in an orphanage. The results showed that both tools reflect object-relations well. There are significant differences, depending on the sex, time of Separation from their maternal figure and the type of maltreatment they received. Furthermore, the children represent more adaptative, conventional and positive object relations what is related with their resources. / El objetivo fue conocer cómo es la calidad de las relaciones objetales en Jos niños y niñas institucionalizados, que han sido objeto de algún tipo de maltrato, a través del Psicodiagnóstico de Rorschach (Exner) y de la Escala de Mutualidad de Autonomía (MOA) de Urist. Los participantesfueron 23 niños de ambos sexos, entre 8 y 1 O años que habían recibido maltrato en su entorno familiar. El grupo de estudio provino de los niños institucionalizados que se encuentran internados en un puericultorio, pertenecientes a un sector socio económico bajo. Los resultados mostraron que ambos instrumentos reflejan la calidad de las relaciones objetales de manera adecuada. Asimismo, existen diferencias significativas de acuerdo al sexo, momento de separación de la figura materna y tipo de maltrato recibido. Por otro lado, los menores de nuestro estudio logran representarse relaciones más adaptativas, convencionales y positivas que nos ligancon sus recursos.
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The present situation about the teaching of Rorschach and other proyective tests in Peru / Situación actual de la enseñanza del psicodiagnóstico de Rorschach y los métodos proyectivos en el PerúRáez de Ramírez, Matilde 25 September 2017 (has links)
This papee presents a brief history about the origin and development of the proyecrive techniques in Peru. A questionnaire was administercd ro universitiy professors and members of the Peruvian Rorschach and Proyecrive Merhods Sociery in order ro collect data concerning the test rraining situation. Results indicare that there is a broad vicw towards scientific thought that stresses research and rhe use of standardized tests. lt is also pointed out, rhat the conceptual frame work is based on current changes in psychology. / Se presenta una breve historia sobre el origen y desarrollo de las pruebas psicológicas proyectivas en el Perú. Se administró una encuesta a profesores universitarios y a miembros de la Sociedad Peruana de Rorschach y Métodos Proyectivos, con el propósito de conocer la situación actual de la enseñanza de pruebas. Los resultados demuestran que existe una corriente de apertura hacia el pensamiento científico, con énfasis en la investigación y en el empleo de pruebas estandarizadas. Asimismo se muestra que el marco conceptual de trabajo está basado en los cambios actuales en psicología.
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O que é pedofilia e quem é o pedófilo?Carvalho, Vanessa Carneiro Bandeira de 18 May 2011 (has links)
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Previous issue date: 2011-05-18 / Coordenação de Aperfeiçoamento de Pessoal de Nível Superior / This study had as aim to investigate pedophiles representations about themselves and their victims. In this way, we question whether there was or not an instauration
of the guilt feeling. A qualitative method was used based on psychoanalysis and other theoretical references, such as psychiatry, neurology, psychology and law,
which contributed to enrich discussion. Three people participated in the research, one accused and two condemned for pedophilia. The Rorschach Psychodiagnostic
Test, under Cícero Vaz s perspective, and a semi-structured interview were used. The research is divided into three papers, one theoretical and two empirical ones. The first paper is a historical retrospective on pedophilia. We highlight the work of the Pedophilia CPI, as well as the lack of public actions for this matter. The second
paper regards one of the participants, in whom the guilt feeling was observed. In this way, we question to what extent the guilt feeling, when transformed in accountability, could favor the process of resocialization. The other two cases were studied in the third paper, in which we investigate the functioning of the denial mechanism. Results show that there is no mark or profile to define what is a pedophile, in other words, we have not found a specific subjective configuration among those who are accused and/or condemned by sexual abuse, such as it appears in clinical classical definitions / O presente estudo teve como objetivo primordial investigar as representações que os pedófilos possuem sobre si e suas vítimas. Para tanto, interrogamo-nos em que
medida houve ou não a instauração do sentimento de culpa. Foi utilizada uma metodologia qualitativa, com base no referencial teórico da psicanálise; ao mesmo tempo, outras perspectivas teóricas, como a psiquiatria, neurologia, psicologia e direito, também foram utilizadas para enriquecer as discussões. A pesquisa contou com a participação de três indivíduos, um acusado e dois sentenciados pelo crime
de pedofilia. Os instrumentos utilizados foram o Psicodiagnóstico de Rorschach, aplicado e analisado de acordo com Cícero Vaz, e um roteiro de entrevista
semiestruturado. A dissertação está dividida em três artigos, sendo um teórico e dois empíricos. O primeiro consta de uma retrospectiva histórica sobre a temática da pedofilia. Salientamos o trabalho da CPI da Pedofilia, como também a inexistência de ações públicas direcionadas ao tratamento dos pedófilos. O segundo abordou um dos participantes, no qual foi observada a existência do sentimento de culpa.
Desse modo, foi indagado em que medida o sentimento de culpa, quando transformado em responsabilização, poderia ser um fator de favorecimento no processo de ressocialização. No terceiro, foram abordados os outros dois casos nos
quais investigamos as peculiaridades de cada um. Os resultados mostram que não foi encontrada uma marca ou perfil segundo o qual possamos definir o que é o
pedófilo, ou seja, não encontramos uma configuração subjetiva específica entre aqueles que são acusados e/ou condenados por abuso sexual tal qual aparece nas
definições clínicas psiquiátricas
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Retentissements psychiques du cancer gynécologique pelvien sur la sexualité féminine / Psychic impacts of the pelvic gynaecological cancer on feminine sexualityVenturini, Elisa 27 November 2014 (has links)
Le cancer gynécologique pelvien est une pathologie qui se loge dans les organes génitaux internes de la femme : vagin, utérus, col de l'utérus et ovaires. Ces organes malades sont traités chez les patientes de l'étude par hystérectomie plus ou moins élargie (ablation des organes génitaux), chimiothérapie, radiothérapie et curiethérapie. C'est donc une castration que ces femmes subissent dans la réalité d'un corps qui souffre. Cancer et traitements sont autant d'effractions corporelles qui réitèrent une représentation psychique de la pénétration comme de l’accueil passif de l'autre en soi. Cette figure de l'étranger à l’intérieur du moi convoque des fantasmes, affects et représentations pénétrantes qui endommagent l'image du corps, génère des images de passivité et ravive des expériences de passivation. De plus, cette effraction s'opère spécifiquement sur le lieu intime du sexe, là où s'incarne le devenir femme puis le devenir mère, convoquant le féminin de la femme dans sa pluralité, mais aussi dans ses rapports à la féminité. Après avoir dégagé, dans un référentiel littéraire très large, les rares travaux qui mettent en perspective l'effraction d'un cancer gynécologique et ses traitements avec la sexualité des femmes, nous avons situé notre propre recherche dans une approche de psychopathologie psychanalytique et dans ses rapports avec la psychosomatique. S'ensuit un repérage de la théorie psychanalytique conséquent des deux grands champs sollicités par le sujet de l'étude : la sexualité féminine et le corps dans la maladie. La méthodologie originale mise en place s'inscrit dans une démarche exploratoire étayée de la passation de deux tests projectifs : le Rorschach et le TAT, ainsi que d'entretiens cliniques de recherche. Il s'agit d'une méthodologie longitudinale sur trois temps choisis du parcours thérapeutique de ces femmes. Les résultats, traités dans un premier temps dans la dimension singulière de l'étude de cas, sont regroupé ensuite en fonction des hypothèses pour faire apparaître des aménagements communs chez ces patientes. L'analogie entre la situation de l'infans et celle de ces femmes sous contraintes de passivité accompagne la description des trois temps de l'étude. Celle-ci répond à l'hypothèse d'une mobilisation de modalités psychiques spécifiques du traitement de l'effraction corporelle qui convoquent, malmènent, blessent et suppriment les organes génitaux internes. L'étude révèle l'actualisation d'angoisses primitives spécifiquement féminines, telle que l'angoisse de pénétration, traitées par des modalités limites, narcissiques et anales autour d'un fantasme de corps troué et d'une intériorité dangereuse. En définitive, l'étude explore l'ensemble du jeu pulsionnel pour en décrypter les mouvements d’intrication et de désintrication sous-tendant le désinvestissement érotique du génital, convoquant le féminin dans ses potentialités passives et accompagnant l'infléchissement de la relation d'objet sous l'influence de la pulsion de mort. / Pelvic gynaecological cancer is a disease that fits into internal reproductive organs of women : vagina, uterus, cervix and ovaries. These cancers are treated in patients of the study by hysterectomy, extended or not (removal of genitals), chemotherapy, radiotherapy and brachytherapy. It is a castration that these women experience in the reality of a body that suffers. Cancer and treatments are corporal effractions that reiterate a psychic representation of the penetration as the passive reception of the other in oneself. This figure of the foreigner inside the ego summons fantasies, affects and penetrating representations that damage body image, generates passivity images and rekindles passivation experiences. Moreover, this effraction takes place specifically on the intimate sex place, where the growing into a woman and then into a mother incarnates itself, summoning the feminine of the woman in his plurality but also in his connections to feminity. After clearing, in a very broad literary repository, the few studies that put into perspective the effraction of the gynaecological cancer and its treatments with feminine sexuality, we set our own research in the approach of psychoanalytic psychopathology in its relations with psychosomatics. A consistent identification of psychoanalytic theory of the two major fields requested by the subject of the study ensues : feminine sexuality and body in the disease. The original methodology implemented fits into an exploratory process supported by the administration of two projective tests : Rorschach and TAT, along with clinical research interviews. This is a longitudinal methodology at three selected steps of the therapeutic course of these women. The results, treated initially in the singular dimension of the case study are then grouped according to the hypotheses to show the shared adjustments in these patients. The analogy between the situation of the infans and the women under passivity constraints accompanies the description of the three steps of the study. It responds to the hypothesis of a mobilization of psychic modalities specific to corporal effraction treating process which summon, mistreat, wound and remove internal genitalia. The study reveals specifically feminine primitive anxiety such as penetration anxiety, treated by limit modalities, narcissistic and anal around a holed body fantasy and a dangerous interiority. Finally, the study explores the entire set of drives in order to figure out fusion and defusion movements subtending the erotic decathexis of the genital, summoning the feminine in its passive potentialities and accompanying the reorientation of the object-relation under the death drive influence.
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