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Master's Dissertation
DOI
https://doi.org/10.11606/D.47.2008.tde-18022009-081917
Document
Author
Full name
Fatima Cristina Monteiro de Oliveira
E-mail
Institute/School/College
Knowledge Area
Date of Defense
Published
São Paulo, 2008
Supervisor
Committee
Amiralian, Maria Lucia Toledo Moraes (President)
Trinca, Ana Maria Trapé
Vaisberg, Tania Maria Jose Aiello
Title in Portuguese
Compreendendo a fobia em odontopediatria por meio de intervenções com o Procedimento de Desenhos-Estórias
Keywords in Portuguese
Fobias
Intervenção psicoterapêutica
Odontopediatria
Procedimento de desenhos-estórias
Psicanálise
Abstract in Portuguese
Essa foi uma pesquisa qualitativa que aplicou, avaliou os resultados e comprovou a utilidade da aplicação do Procedimento de Desenhos-Estórias na apreensão dos conteúdos emocionais de crianças e adolescentes com receio do tratamento odontopediátrico. O objetivo do estudo foi pesquisar os pontos nodais das angústias, conflitos, fantasias e mecanismos de defesa que emergem nessa situação de crise. A metodologia consistiu na utilização de entrevistas clínicas com as mães e crianças, na observação clínica da criança e na aplicação do procedimento. Foram estudadas 15 crianças entre 8 e 14 anos, utilizando-se de 3 a 12 sessões. O referencial de abordagem e interpretação foi o psicanalítico. Como modificação em relação à proposta original do instrumento, foram utilizadas intervenções auxiliares de associações livres e propiciadoras de aprofundamento no material emergente e compreensão dos conteúdos emocionais. Observou-se que: a. A necessidade de atendimento odontopediátrico exacerba com intensidade fantasias, conflitos e mecanismos de defesa primitivos. b. O instrumento facilita o contato e aprofundamento com focos nodais de conflitos e angústias inconscientes. c. O processo auxilia no conhecimento dos conflitos, mobilizando uma tendência para a integração dos mesmos. Verificou-se que as intervenções com o Procedimento de Desenhos- Estórias foram plenamente adequadas à apreensão dos conteúdos emocionais profundos de crianças e adolescentes nessa condição de crise. Concluiu-se que, a situação de crise que antecede o atendimento odontopediátrico dos pacientes estudados, foi ampla de mobilização de angústias primitivas e intensas fantasias que necessitam ser comunicadas e elaboradas em um processo psicoterapêutico.
Title in English
Comprehending the phobia in pediatric dentistry by means of interventions with Drawing-and-Story Procedure
Keywords in English
Draw and tell a story procedure
Pediatric dentistry
Phobias
Psychoanalisis
Psychotherapeutic intervencion
Abstract in English
This is a qualitative research, viewing to apply, evaluate results and demonstrate the need of employing the Drawing-and-Story Procedure. while understanding and elaborating emotional contents of children and adolescents who fear pediatric-dentistry treatment. This study also aims to examine the nodal points of anguish, conflicts, fantasies and the mechanisms of defense that emerge from the crisis situation. The methodology consisted in the use of clinical interviews with mothers and children, in the clinical observation on the child and in undertaking of procedure. A research, devided in 3-12 sections, was made with fifteen children, aged 8-14 in private clinic. Psychoanalysis was used as a system of approach and interpretation. As a modification, related to the original consideration, a free-associated auxiliary therapeutic verbalization has been used, as well as a deepening in the emerging material and understanding of the emotional contents.The results were as follows: a. The need of pediatric dentistry attendance will intensively exacerbate fantasies, conflicts and selfdefense primitive mechanisms. b. The instrument facilitates the contact and deepening of nodal points in conflicts and unconcious anguish. c. The process assists in knowing all conflicts by mobilizing a trend for integrating them. The results has led to conclude that the Drawing-and-Story Procedure used in this clinical situation, has shown as being highly suitable to the whole aprehension of emotional contents in children and adolescents in this crisis situation.This study has taken the initial hypothesis which a crisis situation that precedes the pediatric dentristy attendance in case study patients has a wide range of distresses and intense fantasies that should be notified and elaborated within a psychotherapeutical process.
 
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oliveirafcm_me.pdf (9.86 Mbytes)
Publishing Date
2009-04-17
 
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