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Publication
Vinculação no adolescente com perturbação estado-limite da personalidade – Estudo exploratório
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Abstract(s)
Esta investigação tem como objectivos a descrição e caracterização do quadro
nosológico de perturbação estado-limite da personalidade aplicado à adolescência;
a compreensão da percepção de Vinculação nos adolescentes borderline e a
distinção de possíveis manifestações clínicas e sintomáticas que a ela se associam.
A amostra deste estudo integrou quarenta adolescentes, que frequentam uma
Unidade de Pedopsiquiatria, com diagnóstico realizado de perturbação estado-limite
da personalidade. A amostra de prestadores de cuidados constitui-se por trinta e
nove mães e doze pais, perfazendo um total de cinquenta e um participantes.
Foram utilizados, neste estudo, os seguintes instrumentos: Childhood Interview
for DSM-IV Borderline Personality Disorder de Mary Zanarini (2003); Millon
Adolescent Clinical Inventory (Tradução Experimental de Alexandra Anciães, 2004);
Inventário sobre a Vinculação para a Infância e Adolescência de Marina Carvalho,
Isabel Soares e Américo Baptista (2006).
Conclui-se que a maioria dos jovens participantes possui percepção insegura da
vinculação (55%). Destes, 36,4% denota percepção evitante da vinculação e 63,6%
apresenta percepção ansiosa/ambivalente. Ao analisarmos as características da
personalidade nos três grupos de vinculação, verificamos a existência de
manifestações sintomáticas da externalização nos adolescentes com percepção
segura da vinculação; manifestações sintomáticas da internalização e da
externalização em adolescentes ansiosos/ambivalentes e uma predominância de
aspectos da internalização nos sujeitos evitantes. O instrumento utilizado para a
caracterização da personalidade demonstra-se eficaz, permitindo a distinção entre
sintomas e manifestações clínicas da PELP e a organização de diferentes
subgrupos, que apesar de apresentarem o mesmo diagnóstico, possuem
características próprias que os definem.
This research aims to describe and characterize the nosological framework of borderline personality disorder applied to adolescents, understanding the perception of attachment in these teenagers and the distinction of possible clinical and symptomatic manifestations associated with it. The sample includes forty adolescents, attended in a Mental Health Unit for children and adolescents, within the diagnosis of borderline personality disorder already made. The sample of caregivers is made by thirty-nine mothers and twelve fathers, forming a total of fifty-one individuals. In this study the following instruments were used: Childhood Interview for DSMIV Borderline Personality Disorder by Mary Zanarini (2003); Millon Adolescent Clinical Inventory (Experimental Translation by Alexandra Anciães, 2004), Inventory of Attachment for Children and Adolescents by Marina Carvalho, Isabel Soares and Américo Baptista (2006). It was concluded that the majority of young participants has insecure perception of attachment (55%). From these individuals, 36.4% has an avoidant perception of attachment and 63.6% presented preoccupied perception. Analyzing the characteristics of personality in the three groups of binding, we have found the existence of symptomatic manifestations of externalizing in adolescents with secure attachment; symptomatic manifestations of both internalizing and externalizing in preoccupied adolescents and the predominance of internalizing aspects in the avoidant group. The instrument used, by this investigation, to characterize the personality, shown to be effective, allowing the distinction between symptoms and clinical manifestations of BPD and allows the organization of different subgroups with the same diagnosis but different characteristics.
This research aims to describe and characterize the nosological framework of borderline personality disorder applied to adolescents, understanding the perception of attachment in these teenagers and the distinction of possible clinical and symptomatic manifestations associated with it. The sample includes forty adolescents, attended in a Mental Health Unit for children and adolescents, within the diagnosis of borderline personality disorder already made. The sample of caregivers is made by thirty-nine mothers and twelve fathers, forming a total of fifty-one individuals. In this study the following instruments were used: Childhood Interview for DSMIV Borderline Personality Disorder by Mary Zanarini (2003); Millon Adolescent Clinical Inventory (Experimental Translation by Alexandra Anciães, 2004), Inventory of Attachment for Children and Adolescents by Marina Carvalho, Isabel Soares and Américo Baptista (2006). It was concluded that the majority of young participants has insecure perception of attachment (55%). From these individuals, 36.4% has an avoidant perception of attachment and 63.6% presented preoccupied perception. Analyzing the characteristics of personality in the three groups of binding, we have found the existence of symptomatic manifestations of externalizing in adolescents with secure attachment; symptomatic manifestations of both internalizing and externalizing in preoccupied adolescents and the predominance of internalizing aspects in the avoidant group. The instrument used, by this investigation, to characterize the personality, shown to be effective, allowing the distinction between symptoms and clinical manifestations of BPD and allows the organization of different subgroups with the same diagnosis but different characteristics.
Description
Dissertação de Mestrado apresentada ao Instituto Superior de Psicologia Aplicada para obtenção de grau de Mestre na especialidade de Psicologia Clínica.
Keywords
Personalidade Estado-limite Adolescência Vinculação Personality Borderline Adolescence Attachment