Made available in DSpace on 2016-04-04T18:27:16Z (GMT). No. of bitstreams: 1 ana claudia.pdf: 454849 bytes, checksum: 2ec7642700236761ec5d3bf8ff3aebc8 (MD5) Previous issue date: 2006-02-08 / Pontif?cia Universidade Cat?lica de Campinas / Cancer is a disease characterized by the loss of the control of the cellular division and by the capacity of these disorganized cells to invade others organic structures. In Brazilian women, the breast cancer is the type of cancer that causes more deaths, but if it is detected early, there are large chances of cure. Many times it is discovered late which leads to mutilation treatment to the woman, as surgical removal of one or both breasts, partially or completely (mastectomy) followed by chemotherapy and/or radiotherapy. Undergoing a mastectomy because of a chronic disease has a very complex connotation to the women because their symbol of femininity, seduction and maternity has been removed. The changes in these women lives are in the personal, familiar and professional field. Therefore, it is extremely important that researches are made, seeking to know about the behaviors that contribute to the promotion of the psychological well-being of these women. This research had for objective to accomplish a functional analysis of the women's behaviors after the mastectomy surgery. Were interviewed four women that went by the mastectomy, with ages varying among 34 and 49 years old, leaded by a mastologist. The interviews were recorded and completely transcribed. The women also maintained a written registration, during fifteen days, in which they specified the context, the actions, feelings and thoughts corresponding to the situation, as well as their consequences of the existences related to the cancer. Categories of behaviors were identified and analyzed in their functions. The categories more mentioned by that sample were: believes (faith and faith in God and behaviors optimists), received social and family support and reflections regarding the own life. For each category of behavior, a functional analysis was accomplished as well as some were given examples of the participants verbalizations that demonstrate the antecedents, the behaviors and the consequences of these. It was verified that having faith and believing in God were behaviors that evoke positive consequences that can contribute to face the cancer. Optimistic behaviors increase the occurrence probability of the adhesion behaviors to the treatment (as taking medications, to going to the doctor, for instance). In the participants verbalization, we can observe that the social and familiar support is considered extremely important to the women. The context which women with breast cancer are involved also provides reflections about their own lives, contributing to self-knowledge. The diagnosis of the cancer, its treatment and its consequences are considered antecedent stimulus that evoke the behaviors included by the mentioned categories. Those behaviors generate diversified consequences, as positive and negative reinforcement. With this procedure it was possible to know some variables that act in the post-mastectomy atmosphere, which contributes to the elaboration of analyticalbehavior intervention programs that could benefit women with breast cancer. / O c?ncer ? uma doen?a que se caracteriza pela perda do controle da divis?o celular e pela capacidade destas c?lulas desorganizadas invadirem outras estruturas org?nicas. Nas mulheres brasileiras, o c?ncer de mama ? o tipo de neoplasia que mais causa mortes, por?m se detectado precocemente, h? alta chances de cura. Muitas vezes, ele ? descoberto tardiamente, gerando tratamento mutilantes ? mulher, como a retirada parcial ou total da mama e a realiza??o da quimioterapia e/ou radioterapia. Extirpar a mama em decorr?ncia de uma enfermidade cr?nica possui uma conota??o extremamente complexa para a mulher, pois o s?mbolo de feminilidade, sedu??o e maternidade foi amputado. As mudan?as na vida desta mulher englobam as esferas pessoal, profissional e familiar. Assim, ? de extrema import?ncia que pesquisas sejam feitas, visando conhecer os comportamentos que contribuem com a promo??o do bem-estar psicol?gico. Para tanto, esta pesquisa teve por objetivo realizar uma an?lise funcional dos comportamentos de mulheres ap?s a cirurgia de mastectomia. Foram entrevistadas quatro mulheres que passaram pela mastectomia, com idades variando de 34 a 49 anos, encaminhadas por um mastologista. As entrevistas foram gravadas e transcritas em sua ?ntegra. As mulheres mantiveram tamb?m um registro escrito, durante quinze dias, em que especificaram o contexto, as a??es, sentimentos e pensamentos correspondentes ? situa??o, bem como suas conseq??ncias, das viv?ncias relacionadas ao c?ncer. Categorias de comportamentos foram identificadas e analisadas em suas fun??es. As categorias mais citadas por essa amostra foram: cren?as (m?sticas e otimistas), receber apoio social e familiar e busca pelo auto-conheimento. Para cada categoria de comportamento foi realizada uma an?lise funcional bem como foram dados alguns exemplos de verbaliza??es das participantes que demonstram os antecedentes, os comportamentos e as conseq??ncias destes. Verificou-se que acreditar em um ser superior que possa trazer a cura s?o comportamentos que desencadeiam conseq??ncias positivas que podem contribuir para o enfrentamento da enfermidade. Os comportamentos otimistas aumentam a probabilidade de ocorr?ncia dos comportamentos de ades?o ao tratamento (como tomar medica??es, ir ao m?dico, por exemplo). Nas verbaliza??es das participantes observa-se que o apoio social e familiar recebido ? considerado de extrema import?ncia no contexto vivenciado. O contexto ao qual encontram-se as mulheres com c?ncer de mama tamb?m proporcionaram reflex?es ? respeito da pr?pria vida, contribuindo com o autoconhecimento. O diagn?stico do c?ncer, seu tratamento e suas conseq??ncias s?o considerados est?mulos antecedentes, que evocam os comportamentos englobados pelas categorias citadas. Esses comportamentos, por sua vez, geram conseq??ncias diversificadas, como refor?o positivo e negativo. Desta maneira, com esse procedimento foi poss?vel conhecer algumas vari?veis que atuam no ambiente p?s-mastectomia, o que contribui para elabora??o de programas de interven??o anal?tico-comportamentais que poderiam beneficiar as mulheres acometidas por c?ncer de mama

Made available in DSpace on 2014-12-17T14:19:40Z (GMT). No. of bitstreams: 1 JoselitoS.pdf: 612868 bytes, checksum: 0cc04efc92078741392b1c822ad08e6e (MD5) Previous issue date: 2007-05-25 / The breast cancer is the most incident neoplasia in Brazilian women, configure as important cause of female death in Brazil. Its magnitude is go to be consider as a disease that go out the biological and numerical, extending of the subjective dimension and interrelationships of society and socials experiences, to into in knowledge and practices. Linking of the growing older process, the breast cancer extend as social, economical and cultural dimensions, madding in plot of socials relationships, through that acquire mean. In the context of the high expectative of live and the high number of older age persons, consider that that the high number of years had lived correspond the exposition of this individuals to corporate of the ambientals aggressions and own processes of human constitution of natural wear, like as chronicle-degenerate disease, the example is cancer. In the perspective, we collected narratives of mastectomies women with 60 age or so, about the breast cancer, the body and the growing older process, had has as objectives to reflexes about relatives questions, the comprehension about cancer, like experience, had lived and mean in the context of action and interaction of mastectomies older women, and to comprehend like women interrelationships and respond the changes that grow up of the disease and the growing older process in the everyday of their lives. Through of the narratives. We know that the disease is an initial information that take a form through successives approximation between women with their reality, since the family from hospital institution. The breast cancer to be continue a disease who cause a lot of apprehension and fear, getting and changing the ill s live as marked form. Have dad the body and the growing older process genteels and redimensions by disease, women need to define news and multiples functions due to the contingency that the disease impose / O c?ncer de mama ? a neoplasia mais incidente nas mulheres brasileiras, configurando-se como importante causa de morte feminina, no Brasil. Sua magnitude leva-nos a consider?-lo uma doen?a que extrapola o puramente biol?gico e num?rico, estendendo-se ? dimens?o subjetiva e interrelacional, ao conv?vio e ?s experi?ncias sociais, adentrando num campo m?ltiplo de saberes e pr?ticas. Vinculando-se ao processo de envelhecimento, o c?ncer de mama alcan?a dimens?o social, econ?mica e cultural, e demarca percursos institucionais, individuais e coletivos, sendo socialmente constru?do na trama das rela??es sociais, atrav?s das quais adquire significado. Contextualizando o aumento da expectativa de vida e do n?mero de idosos, consideramos que os anos vividos a mais correspondem ? exposi??o dos indiv?duos a um conjunto de agressores ambientais e de processos pr?prios da constitui??o humana de desgaste natural, como as doen?as cr?nico-degenerativas, a exemplo do c?ncer. Nessa perspectiva, coletamos narrativas de mulheres mastectomizadas com 60 anos e mais, sobre o c?ncer de mama, o corpo e o envelhecimento, tendo como objetivos refletir sobre quest?es relativas ? compreens?o do c?ncer, como experi?ncia, vivida e significada em contextos de a??o e intera??o de mulheres idosas mastectomizadas; compreender como as mulheres se interrelacionam e reagem ?s modifica??es decorrentes da doen?a e do envelhecimento, no cotidiano de suas vidas. A partir das narrativas, compreendemos que a doen?a ? um dado inicial que toma forma a partir de sucessivas aproxima??es dessas mulheres da realidade que as cerca, desde a fam?lia at? a institui??o hospitalar. O c?ncer de mama continua sendo uma doen?a que causa muita apreens?o e medo, alcan?ando e modificando a vida da doente de forma marcante. Tendo o corpo e o envelhecimento afetados e redimensionados pela doen?a, as mulheres precisam definir novos e m?ltiplos pap?is sociais devido ?s conting?ncias que a doen?a lhes imp?e