A função terapêutica fonoaudiológica: a importância do manejo num caso clínico de motricidade orofacial

• Autor(a) principal: Feichtenberger, Mariana Bernardes
• Data de Publicação: 2009
• Tipo de documento: Dissertação
• Idioma: por
• Título da fonte: Biblioteca Digital de Teses e Dissertações da PUC_SP
• Texto Completo: https://tede2.pucsp.br/handle/handle/12246
• topic: Motricidade orofacial; Linguagem; Manejo; Terapia miofuncional; Speech therapy; Orofacial motricity; Language; Management; Winnicott; CNPQ::CIENCIAS DA SAUDE::FONOAUDIOLOGIA

Introduction: In the orofacial motricity field is very usual the focus that the speech therapist apply to the functional aspects during the evaluation and in the rehabilitatation of the altered structures. Recent studies have shown that the professionals have already considered the subjective aspects, besides the technology developments, in order to properly achieve a more efficient speech therapy treatment; although, they do not take into account the human condition of the patient. This research points out the importance of the therapist to be very focused in their patients and their life history, considering both the way they think themselves and the world around them. Objective: from a single case study, to discuss and to understand, the speech therapist´s orofacial motricity role as a language work, spotlighting the therapeutic handling postures towards the patient. Method: The research in question is from a clinic-qualitative perspective, developed throughout specific clinic case studies. The decision of having this particular case chosen was due to its uniqueness which affected the punctual way of the speech therapy work in the orofacial motricity area. The material selected was developed from written recorded reports, after meetings with the patient, focusing the significant aspects of the therapeutic process during the period from June 2007 to October 2008. The data was analyzed according to the bakhtinian dialogical perspective and the psychoanalytical concepts of Winnicott. Results: the analysis of the clinic case emphasized the importance of considering the patient, in its constitution, as a person exploited therapeutically in its functional aspects that are found distorted. Throughout the therapeutic process the patient, feeling her essential life needs, could come close to the major reasons that made her to look for the therapy, and enable her to transform them, even before the beginning of the proper technical work. Conclusion: To undertake a dialogical clinical posture that is committed with care and recognition of the historical characteristics of the patient, is very important and contributes to a successful transformation of the therapeutic course. The patient begins to recognize himself better, making his growth as a constituted person, potentially being able to deal with speech language questions that are found modified. In the detailed case of orofacial motricity work, it is possible to conclude that it has a lot to do with language development, in the way that, it is under this dialogical progress work that the patient is found