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Publication
Lutos gestacional e neonatal: VivĂȘncia subjectiva materna da perda
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Abstract(s)
Introdução: A perda de um filho é sempre um traumatismo ligado à perda de um objecto de
amor em pleno investimento narcĂsico e libidinal (Keating & Seabra, 1994). Actualmente nĂŁo
existem estudos especĂficos acerca das vivĂȘncias psicolĂłgicas de mulheres que tenham sofrido
vĂĄrias perdas perinatais. Assim, o objectivo principal deste estudo Ă© o de conhecer, descrever e
compreender o processo e o trabalho de luto em casos de perda perinatal e o objectivo especĂfico
prende-se com uma compreensĂŁo mais profunda acerca da experiĂȘncia subjectiva de uma mĂŁe
que sofreu diversas perdas perinatais. MĂ©todo: Abordagem qualitativa, de tipo estudo de caso e
com carĂĄcter exploratĂłrio; foi obtida uma amostra intencional e de conveniĂȘncia, constituĂda por
um Ășnico sujeito, do sexo feminino. Recorreu-se a uma Entrevista nĂŁo-directiva, Ă tĂ©cnica
projectiva de Rorschach, ao InventĂĄrio de Desenvolvimento PĂłs-TraumĂĄtico e Ă Escala de Luto
Perinatal. Resultados: Foram descritos sentimentos de choque, aturdimento, culpa, solidĂŁo,
desamparo, injustiça e isolamento ao longo do seu processo. Apesar disso, o suporte conjugal
revelou-se eficaz. Foram notórias ainda dificuldades nas estratégias de Coping para lidar com as
perdas, dificuldades identitĂĄrias e a existĂȘncia de um nĂșcleo depressivo associado a sentimentos
de tristeza e vazio. ConclusĂŁo: A emergĂȘncia de cargas fantasmĂĄticas relacionadas com a
prematuridade e com as perdas fazem com que os mecanismos de defesa estejam cada vez mais
fracos. Assim, torna-se fundamental âagarrarâ esta mulher e ajudĂĄ-la a criar novas estratĂ©gias
eficazes para integrar todos os aspectos da sua vida e para que encontre o equilĂbrio emocional.
ABSTRACT: Introduction: The loss of a child is always a traumatism associated with the loss of a love object in full narcissistic and libidinal investment (Keating & Seabra, 1994). However, there are no specific studies about the psychological experiences of women who have undergone several perinatal losses. Thus, the primary aim of this study is to know, describe and understand the process of mourning and grief work in cases of perinatal loss and the specific aim concerns with a deeper understanding of the subjective experience of a mother who suffered several perinatal losses. Method: Qualitative approach, the case study type, with an exploratory nature, and was obtained a purposeful and convenience sample constituted by a single female subject. We used a non-directive interview, the Rorschach projective technique, the Posttraumatic Development Inventory and Perinatal Grief Scale. Results: She described feelings of shock, daze, guilt, loneliness, helplessness, injustice and isolation throughout its process. Nevertheless, the marital support proved to be effective. Still, were notorious difficulties in Coping Strategies for dealing with losses, identity difficulties and the existence of a depressive nucleus associated with feelings of sadness and emptiness. Conclusion: The emergence of fantasmatic charges related to prematurity and losses make the defense mechanisms are increasingly weak. Thus, it becomes essential to "grab" this woman and help her create new effective strategies to integrate all aspects of your life and to find emotional balance.
ABSTRACT: Introduction: The loss of a child is always a traumatism associated with the loss of a love object in full narcissistic and libidinal investment (Keating & Seabra, 1994). However, there are no specific studies about the psychological experiences of women who have undergone several perinatal losses. Thus, the primary aim of this study is to know, describe and understand the process of mourning and grief work in cases of perinatal loss and the specific aim concerns with a deeper understanding of the subjective experience of a mother who suffered several perinatal losses. Method: Qualitative approach, the case study type, with an exploratory nature, and was obtained a purposeful and convenience sample constituted by a single female subject. We used a non-directive interview, the Rorschach projective technique, the Posttraumatic Development Inventory and Perinatal Grief Scale. Results: She described feelings of shock, daze, guilt, loneliness, helplessness, injustice and isolation throughout its process. Nevertheless, the marital support proved to be effective. Still, were notorious difficulties in Coping Strategies for dealing with losses, identity difficulties and the existence of a depressive nucleus associated with feelings of sadness and emptiness. Conclusion: The emergence of fantasmatic charges related to prematurity and losses make the defense mechanisms are increasingly weak. Thus, it becomes essential to "grab" this woman and help her create new effective strategies to integrate all aspects of your life and to find emotional balance.
Description
Dissertação de Mestrado em Psicologia ClĂnica apresentada ao ISPA - Institto UniversitĂĄrio
Keywords
Perdas Luto perinatal VivĂȘncias subjectivas Losses Perinatal grieving Subjective experiences