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Previous issue date: 1999-02-26 / Pontif?cia Universidade Cat?lica de Campinas / The present study reports the emotional experiences of 4 couples after being informed of severe anomalies impairing their unborn fetuses. This study aimed at: 1) investigating the emotional reactions, that is, fantasies, anguishes, and defenses triggered in these couples after the disclosure of the unfavorable diagnosis; 2) analyze the bonds established with the fetuses, medical team and psychologist, as well as the bonds between both partners of each couple; 3) understand the parents desires related to the future and development of their pregnancies, and also describe the psychologist s perceptions of the analyzed cases. The analysis was accomplished through the clinical method, by using a technique of free, non-directive interviews. The Theory of Objective Relationships developed by Melanie Klein was adopted to interpret the contents, which was complemented with information provided by other psychological studies on gestations of malformed fetuses. The framework was adjusted to the institutional conditions where prenatal diagnosis was performed. Results reveal how difficult it is for couples to understand the medical information provided to them at the time when diagnosis is concluded. In this moment, anguish and blame were typical of the schyzo-paranoid position. The parents and especially the women s narcissism was deeply affected. Denial, projection, and splitting were common defenses. Characteristic experiences of the depressive position signalized for a greater integration of the ego and for a decrease in defensive mechanisms. Emotional reactions, expectations, and feelings presented by the husbands were different than those presented by the wives. The bonds established with the fetuses were suddenly broken and strong, ambivalent feeling were found. The couples adopted a dependency-oriented position in relation to all professionals in the team. An attitude of respect to the couple s feelings and values favored them in the process of consideration and expression of feelings. Their decisions regarding abortion triggered a moral dilemma that was respected by the medical team. Beliefs and values of each couple, as well as their own personal evaluation of the malformation s severety were more determinant for the decision on the gestational future than gestational ages and bonds established with the fetuses. Suggestions were made to professionals enrolled in the assistance of Fetal Medicine. / Este estudo relata a viv?ncia emocional de quatro casais ap?s a descoberta de anomalias severas no feto em gesta??o. Objetivou-se: investigar as rea??es emocionais, ou seja, fantasias, ang?stias e defesas neles desencadeadas ap?s receberem o diagn?stico pr?-natal desfavor?vel; analisar os v?nculos estabelecidos com o feto, a equipe m?dica, a psic?loga e o c?njuge; compreender os desejos dos pais com rela??o ao futuro e ? evolu??o da gravidez, bem como descrever as viv?ncias da psic?loga com rela??o aos casos pesquisados. A an?lise foi realizada atrav?s do m?todo cl?nico, utilizando a t?cnica da entrevista livre, n?o-diretiva. Para interpretar os conte?dos analisados adotou-se a teoria das rela??es objetais desenvolvida por Melanie Klein, complementada por subs?dios de outros estudos psicol?gicos sobre gravidez de fetos malformados. O enquadre foi adaptado ?s condi??es da institui??o onde os casais realizaram o estudo pr?-natal. Os resultados revelaram o qu?o dif?cil ? a compreens?o das informa??es m?dicas transmitidas por ocasi?o do diagn?stico. Nesse momento, a ang?stia e a culpa foram t?picas da posi??o esquizo-paran?ide. O narcisismo parental, especialmente o da mulher, foi fortemente abalado. A nega??o, a proje??o e a cis?o foram as defesas mais utilizadas. As viv?ncias depressivas, marcantes na posi??o depressiva, sinalizaram uma maior integra??o eg?ica e uma diminui??o dos mecanismos defensivos. Os maridos apresentaram rea??es emocionais, expectativas e sentimentos diferentes das viv?ncias femininas. O v?nculo estabelecido com o feto foi bruscamente interrompido e fortes sentimentos de ambival?ncia foram encontrados. Os casais assumiram uma posi??o de depend?ncia em rela??o a todos os profissionais da equipe. Uma atitude de respeito ?s cren?as e aos valores dos pacientes favoreceu-os no processo reflexivo e na express?o dos sentimentos. A decis?o dos casais em rela??o ? interrup??o da gravidez desencadeou um conflito moral respeitado pela equipe. As cren?as e os valores de cada casal, bem como a avalia??o pessoal da gravidade do problema foram mais determinantes para a decis?o acerca do futuro da gravidez do que o tempo gestacional e o v?nculo at? ent?o estabelecido com o feto. Sugest?es foram oferecidas aos profissionais envolvidos no atendimento em Medicina fetal.
| Identifer | oai:union.ndltd.org:IBICT/oai:tede.bibliotecadigital.puc-campinas.edu.br:tede/184 |
| Date | 26 February 1999 |
| Creators | Gasparini, Eliane Verginia Rovigatti |
| Contributors | Terzis, Antonios, Cury, Vera Engler, Cariola, Teresa Corr?a |
| Publisher | Pontif?cia Universidade Cat?lica de Campinas, Programa de P?s-Gradua??o em Psicologia, PUC-Campinas, BR, CCV ? Centro de Ci?ncias da Vida |
| Source Sets | IBICT Brazilian ETDs |
| Language | Portuguese |
| Detected Language | English |
| Type | info:eu-repo/semantics/publishedVersion, info:eu-repo/semantics/masterThesis |
| Format | application/pdf |
| Source | reponame:Biblioteca Digital de Teses e Dissertações da PUC_CAMPINAS, instname:Pontifícia Universidade Católica de Campinas, instacron:PUC_CAMP |
| Rights | info:eu-repo/semantics/openAccess |
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