Loading...
Publication
Imagem corporal da criança queimada : A influência do tipo de vinculação e do modelo interno do self no processo de adaptação à mudança
Advisor(s)
Abstract(s)
O presente estudo, realizado no Hospital Dona Estefânia, teve como objectivo
analisar o modo como crianças vítimas de queimaduras se adaptaram às alterações da sua
imagem corporal, tendo por base, o seu tipo de vinculação e o modelo interno de
funcionamento do self. A amostra foi constituída por cinquenta crianças, com idades
compreendidas entre os 62 e os 95 meses (X = 77,74 ; DP = 3,69), de ambos os sexos, que
estiveram internadas no Hospital entre 2001 e 2008. Na recolha dos dados da amostra,
foram utilizados três instrumentos: Teste do Desenho da Figura Humana (Goodenough,
1982) para avaliar a expressão da imagem que a criança projecta sobre si própria, Desenho
Infantil da Família (Kaplan & Main, 1986, traduzido por Veríssimo e Santos, 2001), para
medir a representação que a criança tem da vinculação, e, Puppet Interview (Cassidy,
1986), para avaliar o modelo interno de funcionamento do Self. Os resultados apresentados
demonstraram a existência da influência que a relação de vinculação estabelecida entre a
mãe e a criança tem na organização do modelo interno de funcionamento do self. Embora
quantitativamente não se tenham encontrado diferenças significativas, uma análise
qualitativa permitiu observar que, crianças com um tipo de vinculação seguro e um
modelo interno de funcionamento do self positivo, investem mais nos seus desenhos,
projectando de uma forma mais harmoniosa a imagem que têm de si, independentemente
da sua idade, grau da queimadura e visibilidade da cicatriz. Neste sentido, concluímos que
a qualidade da vinculação e o modelo interno dinâmico são determinantes no modo como
a criança se adapta a uma imagem corporal alterada, depois de ter sofrido um acidente por
queimadura.
ABSTRACT: This study, carried out at the Dona Estefânia Hospital, had the purpose of analyzing the way burned children victims adapted to changes in their body image. It was based on the attachment type and the internal model of working with the self. The sample was constituted by fifty children, between 62 and 95 months of age (x = 77,74 ; s = 3,69), of both sexes, which were hospitalized between 2001 and 2008. Data were collected by means of three instruments: Drawing Human Figure Test (Goodenough, 1982) to evaluate the image expression that the child projects of himself, Family Juvenile Drawing (Kaplan & Main, 1986, translated by Veríssimo and Santos, 2001) to measure the child representation of the quality of attachment, and Puppet Interview (Cassidy, 1986) to evaluate the internal working model of the Self. The present results show the influence that the attachment relationship established between the mother and the child has in the internal model of working of the self organization. Although quantitatively no significant differences were found, a qualitative analysis has showed that children with a secure attachment type and a dynamic positive internal model invest more in their drawings, projecting in a harmonious way their image of themselves, no matter their age, burn degree and scar’s visibility. In this sense, we may conclude that the quality of attachment and the dynamic internal model are determinants of the way children adapt to an altered body image, after suffered a burn accident.
ABSTRACT: This study, carried out at the Dona Estefânia Hospital, had the purpose of analyzing the way burned children victims adapted to changes in their body image. It was based on the attachment type and the internal model of working with the self. The sample was constituted by fifty children, between 62 and 95 months of age (x = 77,74 ; s = 3,69), of both sexes, which were hospitalized between 2001 and 2008. Data were collected by means of three instruments: Drawing Human Figure Test (Goodenough, 1982) to evaluate the image expression that the child projects of himself, Family Juvenile Drawing (Kaplan & Main, 1986, translated by Veríssimo and Santos, 2001) to measure the child representation of the quality of attachment, and Puppet Interview (Cassidy, 1986) to evaluate the internal working model of the Self. The present results show the influence that the attachment relationship established between the mother and the child has in the internal model of working of the self organization. Although quantitatively no significant differences were found, a qualitative analysis has showed that children with a secure attachment type and a dynamic positive internal model invest more in their drawings, projecting in a harmonious way their image of themselves, no matter their age, burn degree and scar’s visibility. In this sense, we may conclude that the quality of attachment and the dynamic internal model are determinants of the way children adapt to an altered body image, after suffered a burn accident.
Description
Dissertação de Mestrado apresentada ao ISPA- Instituto Universitário
Keywords
Crianças queimadas Imagem corporal Tipo de vinculação Modelo interno de funcionamento do self Burned children’s Body image Burned children’s Attachment type Internal working model of the self