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Explorando a psicogénese da demência na sua relação com a esquizofrenia: Proposta psicodinâmica dum continuum estrutural
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Advisor(s)
Abstract(s)
A possível existência de um continuum entre uma estrutura psíquica de personalidade específica e os
diagnósticos de esquizofrenia e demência é o objecto de exploração desta investigação. A amostra do
estudo é constituída por 58 participantes do sexo feminino, tendo 30 participantes o diagnóstico de
esquizofrenia (M=68.83 anos, DP=8.13) e 28 participantes o diagnóstico de demência (M=83.36 anos,
DP=7.51). Os instrumentos de avaliação psicológica utilizados são a prova projectiva TAT (Murray,
1973; Shentoub, 1999), o Manual for the Measurement of Symbiosis in Human Relationship
(Summers, 1978) e escalas do Ego Function Assessment (Bellak, 1989). A angústia de fragmentação
e a relação de objecto fusional apresentam-se relacionadas com a esquizofrenia e, por seu turno, a
angústia de abandono e a relação de objecto anaclítica com a demência. Diferentes estruturas de
personalidade parecem estar relacionadas com os diferentes diagnósticos, sendo que a estrutura
psicótica surge associada à esquizofrenia e a estrutura borderline à demência. Discutem-se aspectos
suscitados pelo estudo e propõem-se sugestões para futuras investigações.
The aim of this research is to explore the possible association and continuum between a specific psychic structure of personality and the diagnoses of schizophrenia and dementia. The sample consisted of 58 female participants, 30 participants diagnosed with schizophrenia (M=68.83 years of age, SD=8.13) and 28 participants diagnosed with dementia (M=83.36 years of age, SD=7.51). The projective test TAT (Murray, 1973; Shentoub, 1999), the Manual for the Measurement of Symbiosis in Human Relationship (Summers, 1978) and the scales of the Ego Function Assessment (Bellak, 1989) were used for the psychological assessment. The fragmentation anguish and the fusional object relation were associated with schizophrenia and the abandonic anguish and the anaclitic object relation were associated with dementia. It was assumed that specific psychic structures of personality were associated with the different diagnoses, the psychotic structure connected with schizophrenia and the borderline structure with dementia. The discussion points out significant issues of this study. Some suggestions for further research are proposed.
The aim of this research is to explore the possible association and continuum between a specific psychic structure of personality and the diagnoses of schizophrenia and dementia. The sample consisted of 58 female participants, 30 participants diagnosed with schizophrenia (M=68.83 years of age, SD=8.13) and 28 participants diagnosed with dementia (M=83.36 years of age, SD=7.51). The projective test TAT (Murray, 1973; Shentoub, 1999), the Manual for the Measurement of Symbiosis in Human Relationship (Summers, 1978) and the scales of the Ego Function Assessment (Bellak, 1989) were used for the psychological assessment. The fragmentation anguish and the fusional object relation were associated with schizophrenia and the abandonic anguish and the anaclitic object relation were associated with dementia. It was assumed that specific psychic structures of personality were associated with the different diagnoses, the psychotic structure connected with schizophrenia and the borderline structure with dementia. The discussion points out significant issues of this study. Some suggestions for further research are proposed.
Description
Keywords
Demência Esquizofrenia Personalidade Psicologia dinâmica Psicopatologia Dementia Dynamic psychology Personality Psychopathology Schizophrenia
Citation
Análise Psicológica, 29(2), 231-246.
Publisher
Instituto Superior de Psicologia Aplicada