A ESCUTA PSICANALÍTICA COMO UM CUIDADO PALIATIVO
Autor(a) principal: | |
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Data de Publicação: | 2022 |
Tipo de documento: | Dissertação |
Idioma: | por |
Título da fonte: | Biblioteca Digital de Teses e Dissertações do UNICENTRO |
Texto Completo: | http://tede.unicentro.br:8080/jspui/handle/jspui/1917 |
Resumo: | Death is an imperative for every human being, but the way subjects experience illness and death goes beyond the individual experience of finitude. Dying with comfort and 7 dignity, even with an incurable disease such as cancer, is part of the purpose of palliative care. Paliative care seeks to alleviate suffering and support the person and their family, considering their subjectivity, history, spirituality, family and social ties. This qualitative research sought to understand how subjects with severe cancer, without curative possibilities, experience their illness and what their needs are, within the scope of palliative care. Two women with metastatic cancer were interviewed. Participants were chosen for convenience. Margarida was heard during five meetings at her home and Rosa, only once, in the hospital. Psychoanalysis permeated the entire listening process. The analysis of the interviews was based on the contributions of Freud (1985-1938) and Lacan (1936-1965), which inaugurate knowledge about the determinations of somatic illness in psychic life and in the face of the possibility of getting sick from internal conflicts. The interviews were linked to psychoanalytic theory, based on Lacan's concept of Real, and the psychosomatic phenomenon. As a result, we discussed the illness in the lives of the interviewees, as well as their difficulty in giving meaning to their own suffering. No indexes were found that Palliative Care was performed with them, in the molds of theory and specialty. The comfort and care of the interviewees was provided only by the family members, and not by the health teams. It is concluded that psychoanalytic listening constitutes an important form of palliative care, since the results of the interviews demonstrated the importance of the participants talking about their subjective issues and about their life history in relation to their own illness. We consider that a qualified listening work is essential in health services that provide care to seriously ill people, since it opens space for psychic elaboration and suffering relief and the possibility of family care and of composing a multidisciplinary team. |
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Magni, Cristianahttp://lattes.cnpq.br/5944677204229584087.570.559-63http://lattes.cnpq.br/1956189214847346OTTO, STEPHANIE CRISTIN2022-06-02T13:01:05Z2022-03-17OTTO, STEPHANIE CRISTIN. A ESCUTA PSICANALÍTICA COMO UM CUIDADO PALIATIVO. 2022. 80 f. Dissertação (Programa de Pós-Graduação em Desenvolvimento Comunitário - Mestrado Interdisciplinar) - Universidade Estadual do Centro-Oeste, Irati-PR.http://tede.unicentro.br:8080/jspui/handle/jspui/1917Death is an imperative for every human being, but the way subjects experience illness and death goes beyond the individual experience of finitude. Dying with comfort and 7 dignity, even with an incurable disease such as cancer, is part of the purpose of palliative care. Paliative care seeks to alleviate suffering and support the person and their family, considering their subjectivity, history, spirituality, family and social ties. This qualitative research sought to understand how subjects with severe cancer, without curative possibilities, experience their illness and what their needs are, within the scope of palliative care. Two women with metastatic cancer were interviewed. Participants were chosen for convenience. Margarida was heard during five meetings at her home and Rosa, only once, in the hospital. Psychoanalysis permeated the entire listening process. The analysis of the interviews was based on the contributions of Freud (1985-1938) and Lacan (1936-1965), which inaugurate knowledge about the determinations of somatic illness in psychic life and in the face of the possibility of getting sick from internal conflicts. The interviews were linked to psychoanalytic theory, based on Lacan's concept of Real, and the psychosomatic phenomenon. As a result, we discussed the illness in the lives of the interviewees, as well as their difficulty in giving meaning to their own suffering. No indexes were found that Palliative Care was performed with them, in the molds of theory and specialty. The comfort and care of the interviewees was provided only by the family members, and not by the health teams. It is concluded that psychoanalytic listening constitutes an important form of palliative care, since the results of the interviews demonstrated the importance of the participants talking about their subjective issues and about their life history in relation to their own illness. We consider that a qualified listening work is essential in health services that provide care to seriously ill people, since it opens space for psychic elaboration and suffering relief and the possibility of family care and of composing a multidisciplinary team.A morte é um imperativo para todo ser humano, mas a forma como os sujeitos vivenciam o adoecimento e a morte vai além da experiência individual da finitude. Morrer com conforto e dignidade, ainda que com uma doença incurável, como o câncer, faz parte do propósito dos cuidados paliativos. Cuidado este, que busca aliviar o sofrimento e dar apoio à pessoa adoecida e a sua família, considerando sua subjetividade, sua história, espiritualidade, família e laços sociais. Esta pesquisa qualitativa buscou compreender como sujeitos adoecidos com câncer grave, sem possibilidades curativas, vivenciam o seu adoecimento e quais as suas necessidades, no âmbito dos cuidados paliativos. Foram entrevistadas duas mulheres com câncer metastático, fora de possibilidades curativas, mas em condições clínica, emocional e cognitiva satisfatórias, escolhidas por conveniência para esta pesquisa. Margarida foi ouvida durante cinco encontros em sua casa e Rosa apenas uma vez, no hospital. A psicanálise permeou todo o processo de escuta e por tratar-se de um setting produzido, pretendeu mostrar a verdade contextual dos sujeitos, perpassados pelo inconsciente e produzido pelo pesquisador a partir daquilo que escuta. A análise das entrevistas se deu a partir das contribuições de Freud (1985-1938) e Lacan (1936-1965), os quais inauguram um saber sobre as determinações do adoecimento somático na vida psíquica e frente à possibilidade de adoecer por de conflitos internos. A partir dos fragmentos das entrevistas, as falas foram articuladas à teoria psicanalítica, a partir do conceito de Real de Lacan e do fenômeno psicossomático. Na discussão foi realizada a reflexão do lugar do câncer na vida das mulheres entrevistadas e suas dificuldades em elaborar sobre o próprio sofrimento. Não foram encontrados índices de que os cuidados paliativos tenham sido realizados nos moldes da teoria e da especialidade, de maneira que o conforto e cuidado foi propiciado apenas pelos familiares, e não pelas equipes de saúde. Conclui-se que a escuta psicanalítica se constitui como uma forma de cuidado paliativo importante, uma vez as entrevistas realizadas demonstraram a importância de as participantes falarem sobre suas questões subjetivas na relação com o próprio adoecer. Consideramos que um trabalho de escuta qualificada seria de suma relevância nos serviços de saúde que realizam os cuidados de pessoas gravemente adoecidas e em cuidados paliativos, possibilitando a elaboração psíquica e o alívio do sofrimento, além da possibilidade de atendimento familiar e de realizar o trabalho em equipe multiprofissional.Submitted by Fabiano Jucá (fjuca@unicentro.br) on 2022-06-02T13:01:05Z No. of bitstreams: 1 Dissertação - Stephanie Otto.pdf: 759671 bytes, checksum: f6c5772635f6473bb192c04f9bb6dd32 (MD5)Made available in DSpace on 2022-06-02T13:01:05Z (GMT). No. of bitstreams: 1 Dissertação - Stephanie Otto.pdf: 759671 bytes, checksum: f6c5772635f6473bb192c04f9bb6dd32 (MD5) Previous issue date: 2022-03-17Coordenação de Aperfeiçoamento de Pessoal de Nível Superior - CAPESapplication/pdfhttp://tede.unicentro.br:8080/jspui/retrieve/8297/Disserta%c3%a7%c3%a3o%20-%20Stephanie%20Otto.pdf.jpgporUniversidade Estadual do Centro-OestePrograma de Pós-Graduação em Desenvolvimento Comunitário (Mestrado Interdisciplinar)UNICENTROBrasilUnicentro::Departamento de Saúde de IratiCâncerCuidados PaliativosPsicanálisePsicossomáticaCancerPalliative carePsychoanalysisPsychosomaticsCIENCIAS HUMANASCIENCIAS SOCIAIS APLICADASA ESCUTA PSICANALÍTICA COMO UM CUIDADO PALIATIVOinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesis-4515693129068426850600600600600600-81592662142740531315653018110556964051-19880619442701333922075167498588264571info:eu-repo/semantics/openAccessreponame:Biblioteca Digital de Teses e Dissertações do UNICENTROinstname:Universidade Estadual do Centro-Oeste (UNICENTRO)instacron:UNICENTROTHUMBNAILDissertação - Stephanie Otto.pdf.jpgDissertação - Stephanie Otto.pdf.jpgimage/jpeg1948http://localhost:8080/tede/bitstream/jspui/1917/4/Disserta%C3%A7%C3%A3o+-+Stephanie+Otto.pdf.jpg31e55bcddd320cdba50e2dfa57c0eae0MD54TEXTDissertação - Stephanie Otto.pdf.txtDissertação - Stephanie Otto.pdf.txttext/plain219426http://localhost:8080/tede/bitstream/jspui/1917/3/Disserta%C3%A7%C3%A3o+-+Stephanie+Otto.pdf.txt21a1dbf6b6a2e8e0dbdd0d09687ecbdfMD53ORIGINALDissertação - Stephanie Otto.pdfDissertação - Stephanie Otto.pdfapplication/pdf759671http://localhost:8080/tede/bitstream/jspui/1917/2/Disserta%C3%A7%C3%A3o+-+Stephanie+Otto.pdff6c5772635f6473bb192c04f9bb6dd32MD52LICENSElicense.txtlicense.txttext/plain; charset=utf-82003http://localhost:8080/tede/bitstream/jspui/1917/1/license.txt6544a715df32d52b08aa3def94c4dddeMD51jspui/19172022-06-03 01:00:07.243oai:localhost: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Biblioteca Digital de Teses e Dissertaçõeshttp://tede.unicentro.br:8080/jspui/PUBhttp://tede.unicentro.br/tde_oai/oai3.phprepositorio@unicentro.br||fabianoqueiroz@yahoo.com.bropendoar:2022-06-03T04:00:07Biblioteca Digital de Teses e Dissertações do UNICENTRO - Universidade Estadual do Centro-Oeste (UNICENTRO)false |
dc.title.por.fl_str_mv |
A ESCUTA PSICANALÍTICA COMO UM CUIDADO PALIATIVO |
title |
A ESCUTA PSICANALÍTICA COMO UM CUIDADO PALIATIVO |
spellingShingle |
A ESCUTA PSICANALÍTICA COMO UM CUIDADO PALIATIVO OTTO, STEPHANIE CRISTIN Câncer Cuidados Paliativos Psicanálise Psicossomática Cancer Palliative care Psychoanalysis Psychosomatics CIENCIAS HUMANAS CIENCIAS SOCIAIS APLICADAS |
title_short |
A ESCUTA PSICANALÍTICA COMO UM CUIDADO PALIATIVO |
title_full |
A ESCUTA PSICANALÍTICA COMO UM CUIDADO PALIATIVO |
title_fullStr |
A ESCUTA PSICANALÍTICA COMO UM CUIDADO PALIATIVO |
title_full_unstemmed |
A ESCUTA PSICANALÍTICA COMO UM CUIDADO PALIATIVO |
title_sort |
A ESCUTA PSICANALÍTICA COMO UM CUIDADO PALIATIVO |
author |
OTTO, STEPHANIE CRISTIN |
author_facet |
OTTO, STEPHANIE CRISTIN |
author_role |
author |
dc.contributor.advisor1.fl_str_mv |
Magni, Cristiana |
dc.contributor.advisor1Lattes.fl_str_mv |
http://lattes.cnpq.br/5944677204229584 |
dc.contributor.authorID.fl_str_mv |
087.570.559-63 |
dc.contributor.authorLattes.fl_str_mv |
http://lattes.cnpq.br/1956189214847346 |
dc.contributor.author.fl_str_mv |
OTTO, STEPHANIE CRISTIN |
contributor_str_mv |
Magni, Cristiana |
dc.subject.por.fl_str_mv |
Câncer Cuidados Paliativos Psicanálise Psicossomática |
topic |
Câncer Cuidados Paliativos Psicanálise Psicossomática Cancer Palliative care Psychoanalysis Psychosomatics CIENCIAS HUMANAS CIENCIAS SOCIAIS APLICADAS |
dc.subject.eng.fl_str_mv |
Cancer Palliative care Psychoanalysis Psychosomatics |
dc.subject.cnpq.fl_str_mv |
CIENCIAS HUMANAS CIENCIAS SOCIAIS APLICADAS |
description |
Death is an imperative for every human being, but the way subjects experience illness and death goes beyond the individual experience of finitude. Dying with comfort and 7 dignity, even with an incurable disease such as cancer, is part of the purpose of palliative care. Paliative care seeks to alleviate suffering and support the person and their family, considering their subjectivity, history, spirituality, family and social ties. This qualitative research sought to understand how subjects with severe cancer, without curative possibilities, experience their illness and what their needs are, within the scope of palliative care. Two women with metastatic cancer were interviewed. Participants were chosen for convenience. Margarida was heard during five meetings at her home and Rosa, only once, in the hospital. Psychoanalysis permeated the entire listening process. The analysis of the interviews was based on the contributions of Freud (1985-1938) and Lacan (1936-1965), which inaugurate knowledge about the determinations of somatic illness in psychic life and in the face of the possibility of getting sick from internal conflicts. The interviews were linked to psychoanalytic theory, based on Lacan's concept of Real, and the psychosomatic phenomenon. As a result, we discussed the illness in the lives of the interviewees, as well as their difficulty in giving meaning to their own suffering. No indexes were found that Palliative Care was performed with them, in the molds of theory and specialty. The comfort and care of the interviewees was provided only by the family members, and not by the health teams. It is concluded that psychoanalytic listening constitutes an important form of palliative care, since the results of the interviews demonstrated the importance of the participants talking about their subjective issues and about their life history in relation to their own illness. We consider that a qualified listening work is essential in health services that provide care to seriously ill people, since it opens space for psychic elaboration and suffering relief and the possibility of family care and of composing a multidisciplinary team. |
publishDate |
2022 |
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2022-06-02T13:01:05Z |
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2022-03-17 |
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OTTO, STEPHANIE CRISTIN. A ESCUTA PSICANALÍTICA COMO UM CUIDADO PALIATIVO. 2022. 80 f. Dissertação (Programa de Pós-Graduação em Desenvolvimento Comunitário - Mestrado Interdisciplinar) - Universidade Estadual do Centro-Oeste, Irati-PR. |
dc.identifier.uri.fl_str_mv |
http://tede.unicentro.br:8080/jspui/handle/jspui/1917 |
identifier_str_mv |
OTTO, STEPHANIE CRISTIN. A ESCUTA PSICANALÍTICA COMO UM CUIDADO PALIATIVO. 2022. 80 f. Dissertação (Programa de Pós-Graduação em Desenvolvimento Comunitário - Mestrado Interdisciplinar) - Universidade Estadual do Centro-Oeste, Irati-PR. |
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