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"Psychodynamism of Parents of Children with Serious Asthma."
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Adriana Aparecida Fregonese
Wilma Carvalho Neves Forte
Wilze Laura Bruscato |
Asthma is a chronic disease that affects 10% of the brazilian population and is a public heath problem, resulting in high social cost due to hospitalizations, school absence, parcial ou total inability to work. It has a multifarious etiology, in which organic and/or hereditary factors join environmental and psychological ones. Asthma is a chronic childhood disease that brings many issues to family life, interfering in child´s and parents´ routine. There are many hospitalizations, besides the need of alimentation, hygiene and sports practice control. The clinical treatment provided by the heath team is affected by parents´ adhesion problems, especially by the asthmatic children´s mothers. Parents´ emotional issues jeopardize the children´s maturation process, blocking medical and psychological treatments. Both parents and society impede the asthmatic to become independent, and many children feel comfortable in that place, allowing parents to think, act and decide everything for them, mantaining a dependent relationship that may last for their hole life. Considering those aspects, this research purpose is to investigate motherhood and fatherhood meaning, besides the association between the parents´ psychodynamism and children´s respiratory alergy. The investigation instruments used were semi-guided interviews and two boards of Thematic Apperception Test (TAT). Through the analysis of the data and qualitative evaluation was possible to conclude that both fathers and mothers have difficulty to express satisfaction or not with conjugal union. Regarding motherhood, it was noticed the permanence of immature and less elaborated conflicts that are difficult to be solved. They tend to see their children as fragile and provide an exaggerated protection that keep the child attached to them. Most fathers had emotional problems on finding their places as partners and parents. They act as supplying of material resources and keep an affective distance. The parents´emotional issues affets the relationship with their children and the asthma assumes a communicative value for the parents-child triad. When the child realises the parents´ weakness, it is possible to achieve everything that is desired, obtaining “gains” from the symptom. Parents can also obtain “gains” from children´s asthma, because the crisis may take parents´ attention away from conjugal conflicts, avoiding their facing and solving.
Uniterms: psychology, pediatrics and asthma.
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