Estudos de aspectos psicologicos e culturais de familiares de um grupo de pacientes esquizofrenicos frente a doença

AUTOR(ES)
DATA DE PUBLICAÇÃO

1998

RESUMO

Aims: General: The general aim was to assess and discuss elements related to the informatio~ attitudes and beliefs on schizophrenia among 11 family members of patients at UNICAMP. The specific aims were: a) to assess if the family members had been adequately informed on nosological diagnostic and possible ethiology, course, therapeutics and prognosis; b) to discriminate attitudes and beliefs on schizophrenia were constructed ffom medical-scientific information and/or elements of personal fantasies or also ITom mythic and cultural elements; c) to aggregate helpful material for professionals in mental health field to be able to perform better family counseling and to stimulate the creation of associations dedicated to work especifically with akin families which have similar problems to cope. Method: Clinical-qualitative method, using the technique of semi-g!lided interview with open-ended questions. One quantitative non-representative sample of 11 subjects was interviewed, numerically defined by saturation, in which every subject was a family member of a schizophrenic patient, selected according to the following criteria: 1) to be a dose relative daily coping with the patient for at least one year; 2) to be maj()r-aged (18 years old); 3) to show minimum intellectual and emotional conditions for the interview. The content of interviews were categorized considering. both ffequency and relevance of the discourse. " Results: 1) Doctors neither inform the members of the families on the diagnostic ofthe disturb in many cases or on other forms oftreatments; 2) family members did .not search for sources of scientific information (medical literature, as an example) neither crossed the boundaries oftheir mythic comprehension. 3) Most ofthem ignored the ethiology and course of the disease; 4) the ethiology was was ffequently attributed, by the subjects, to excesses of study, religion practice, grief, falIs, temperature and foods "shocks" and other elements that may have special mythical conotations in their natural environment; 5) thesubjects used to give more importance to medication when they were efficient since the beginning of the treatments and when the patients did not show better condition, their mythical conceptions were reinforced; 6) Psychotherapy was not mentioned; 7) Family counseling on how to cope with the patient in daily life as welI as their psycho-social adjustment were scarce and inapropriate. Conclusions: . It s very probable that the schizophrenics and their family members were .misconducted in the field of study since importante elements such as family counseling on the disease and the forms of treatments were negJected. They were not enough informed on treatments available and could only spontaneoulsy recognize the importance of drugs on the treatment when they were etfective since the beginning of medical care (some less responsive cases to medication helped to create beliefs of mythical means of treatment). Psychotherapy as a mean of social adiustment was not mentioned. Family counseling how to cope with the patient daily were scarce and . inadequate. Conclusions: It s probablé that schizophrenic patients are misconducted at the field studied since important elements like family counseling on the disturbance and treatment are neglected

ASSUNTO(S)

atitude (psicologia) aconselhamento psicologia medica

ACESSO AO ARTIGO

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