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Publication
Luto sem morte. A Influência da Reconstrução Mamária na Elaboração do Luto em Mulheres Mastectomizadas
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| 3.56 MB | Adobe PDF |
Advisor(s)
Abstract(s)
Quando uma mulher realiza uma mastectomia, perspetiva-se numa real mutilação da sua mama
que remete para uma ferida narcísica, já que coloca veemente em causa a autoestima e imagem
corporal desta. Pela frente a mulher tem o trabalho do luto pela perda que sofreu, ou seja, o
aparelho psíquico tem de estar capacitado a conectar as impressões traumatizantes. Desta
forma, a intervenção psicológica deverá estar assente no crescimento pós-traumático.
Atentando que a literatura existente realçou informações contrastantes quanto à influência da
reconstrução mamária no processo de luto, teve-se por principal objetivo averiguar esta relação
e quais as suas variáveis intervenientes, por via de comparação de dois grupos – com e sem
reconstrução mamária. O presente estudo contou com 74 participantes do sexo feminino que
se haviam submetido a uma mastectomia (M= 45,23; DP= 9,23). As participantes responderam
a escalas de autorrelato acerca da Imagem Corporal (IC), Trabalho do Luto (IEL) e
Desenvolvimento Pós-Traumático (IDPT). Os resultados sugerem que a Reconstrução (ou não)
Mamária não influencia significativamente o Trabalho do Luto ou tão pouco o
Desenvolvimento Pós-Traumático. Ademais, não foi possível verificar se a Imagem Corporal
mediava a relação entre a Reconstrução (ou não) mamária por falha dos pressupostos. Face às
diversas limitações encontradas, os dados obtidos carecem de mais informações obtidas a partir
de estudos futuros.
ABSTRACT: When a woman undergoes a mastectomy, there is a prospect of a real mutilation of her breast that refers to a narcissistic wound, since it vehemently calls into question her self-esteem and body image. Ahead of the woman is the work of mourning the loss she has suffered, that is, the psychic apparatus must be able to connect the traumatizing impressions. Thus, psychological intervention should be based on post-traumatic growth. Bearing in mind that the existing literature has highlighted contrasting information regarding the influence of breast reconstruction on the grieving process, the main objective was to investigate this relationship and its intervening variables, by comparing two groups – with and without breast reconstruction. The present study included 74 female participants who had undergone mastectomy (M= 45.23; SD= 9.23). Participants answered self-report scales about Body Image (CI), Grief Work (ELI) and Post-Traumatic Development (PTID). The results suggest that Breast Reconstruction (or not) does not significantly influence Grief Work or Post-Traumatic Development. In addition, it was not possible to verify whether Body Image mediated the relationship between breast reconstruction (or not) due to a failure of the assumptions. In view of the various limitations found, the data obtained require more information from future studies.
ABSTRACT: When a woman undergoes a mastectomy, there is a prospect of a real mutilation of her breast that refers to a narcissistic wound, since it vehemently calls into question her self-esteem and body image. Ahead of the woman is the work of mourning the loss she has suffered, that is, the psychic apparatus must be able to connect the traumatizing impressions. Thus, psychological intervention should be based on post-traumatic growth. Bearing in mind that the existing literature has highlighted contrasting information regarding the influence of breast reconstruction on the grieving process, the main objective was to investigate this relationship and its intervening variables, by comparing two groups – with and without breast reconstruction. The present study included 74 female participants who had undergone mastectomy (M= 45.23; SD= 9.23). Participants answered self-report scales about Body Image (CI), Grief Work (ELI) and Post-Traumatic Development (PTID). The results suggest that Breast Reconstruction (or not) does not significantly influence Grief Work or Post-Traumatic Development. In addition, it was not possible to verify whether Body Image mediated the relationship between breast reconstruction (or not) due to a failure of the assumptions. In view of the various limitations found, the data obtained require more information from future studies.
Description
Dissertação de mestrado realizada sob a
orientação de Professora Doutora
Carolina Seybert apresentada no Ispa –
Instituto Universitário para obtenção de
grau de Mestre na especialidade de
Psicologia Clínica.
Keywords
Mastectomia Reconstrução mamária Imagem corporal Luto Trauma Mastectomy Breast reconstruction Body image Mourning Trauma