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Contribuição do estudo das significações sobre saúde e doença para as intervenções em psicologia pediátrica
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Authors
Advisor(s)
Abstract(s)
No domínio da Psicologia Pediátrica as metodologias
que têm provado maior eficácia são as que valo -
rizam as características da compreensão infantil sobre
a doença, tanto na elaboração das explicações sobre os
procedimentos médicos, como na própria estruturação
das metodologias de confronto. Neste trabalho, a autora
considera que é necessário alargar esta centração na
compreensão da causalidade para um ênfase mais
alargado e abrangente nos processos de significação
pessoal sobre saúde e doença.
O reconhecimento do primado das significações na
sua complexidade cognitiva e emocional conduz a definir três linhas de força para a definição das intervenções em Psicologia Pediátrica: I) reconhecimento da
importância dos estudos da Psicopatologia do Desenvolvimento
sobre o impacto das vivências da doença
no processo global de desenvolvimento da criança e da
família; 2) centração nos processos de significação infantil
sobre doença e saúde; 3) centração nos processos
de significação parental sobre a doença, sobre as relações
entre os problemas de saúde e o desenvolvimento
infantil, e sobre a resolução de problemas educacionais
e a adesão às recomendações dos profissionais.
Em seguida são analisadas cada uma destas recomendações,
explicitando a sua relevância para a intervenção
em Psicologia Pediátrica.
ABSTRACT: The most eficient methods of intervention in Pediatric Psychology are those that recognize the relevance of the charactheristics of children’s understanding of disease for the elaboration of both the explanations about medica1 procedures, and of the coping strategies. In this paper, the author considers the need to enlarge the emphasis on the understanding of the causality of disease, to a more enlarged and comprehensive focus on the processes of personal meaning about health and disease. The recognition of the primacy of meaning in its cognitive and emotional complexity, leads to the defi - nition of three guidelines for the design of interventions in Pediatric Psychology: I) recognition of the importance of the research on Developmental Psychopathology, mainly those about the consequences of the disease experience to child and family development; 2) emphasis on children’s significations about health and disease; 3) emphasis on parental significations about their children‘s disease, about the relations between health problems and child development, and about educacional problem solving and adherence to medica1 prescriptions. The relevance and consequences of theses three guideiines are discussed.
ABSTRACT: The most eficient methods of intervention in Pediatric Psychology are those that recognize the relevance of the charactheristics of children’s understanding of disease for the elaboration of both the explanations about medica1 procedures, and of the coping strategies. In this paper, the author considers the need to enlarge the emphasis on the understanding of the causality of disease, to a more enlarged and comprehensive focus on the processes of personal meaning about health and disease. The recognition of the primacy of meaning in its cognitive and emotional complexity, leads to the defi - nition of three guidelines for the design of interventions in Pediatric Psychology: I) recognition of the importance of the research on Developmental Psychopathology, mainly those about the consequences of the disease experience to child and family development; 2) emphasis on children’s significations about health and disease; 3) emphasis on parental significations about their children‘s disease, about the relations between health problems and child development, and about educacional problem solving and adherence to medica1 prescriptions. The relevance and consequences of theses three guideiines are discussed.
Description
Keywords
Psicologia pediátrica Significações Saúde e doença Pediatric psychology Significations Health and disease
Citation
Analise Psicológica, 14(2-3), 215-230
Publisher
ISPA - Instituto Superior de Psicologia Aplicada