This study sought to investigate the significance of death for doctors who work with terminally ill patients in the Bone Marrow Transplant (BMT) context. The research was based on a qualitative, methodological and collective case study approach, and used Dejours' psychodynamics of work as a theoretical framework. Five practitioners linked to a Bone Marrow Transplant Unit in a university hospital in São Paulo, Brazil, participated in the research. A semi-structured script was applied which addressed the personal, academic and professional experiences elicited by a terminal situation. Data were organized into two categories: "Work and professional identity: the doctor's battle against death" and "Vocation and medical training: it all begins at home." The results show that, in the medical and hospital context, death is almost always reduced to technical rationality and this must be avoided at all costs. The significances attributed to death are rooted in the values of contemporary society and subjectively perceived through the physician's life trajectory and academic training, which influence how these professionals experience the dying process of the patients.
Os encontros acontecem, não se marca hora e data para eles, precisa-se apenas estar aberto, e também assim foi com essa dissertação, olhos e mente abertos e atentos de aprendiz e de repente o real nos toma e vai nos trans-formando, pronto fomos encontrados; quer dizer, não tem nada de pronto, pois a essência do encontro é haver sempre re-construções. Carrego uma grande pérola desse encontro que cada vez se apresenta em nova face para mim, aos poucos fui entendendo com Winnicott, e com os entrevistados, que talvez o dom que mais nos aproxima de Deus seja a criatividade, Ele nos convida a sermos cocriadores, e por isso, eternos trans-formadores do que acontece em nossas vidas. Assim como na obra de Michelangelo que Deus cria Adão, coloca em suas mãos o toque de continuar criando, e Adão, cria o seu Deus. Um a imagem e semelhança do outro, pois é isso que encontros permitem, sermos olhados com a particularidade e pessoalidade do olhar de cada um, e aí já somos outros. Aos que lerão essa dissertação, convido a co-autoria em um encontro trans-formador. Aoki, F.C.O.S. (2016). The construction of parenting in the interaction with children with Down syndrome. Master's dissertation, Psychology department, University of São Paulo, Ribeirão Preto. In Brazil, a child is born with Down Syndrome (DS) every 600 births, which represents approximately 8,000 babies with DS each year. The singularities in these children's development require special skills from the parents to meet each differentiated need of these children that might otherwise go unnoticed or easily noticed in children without any kind of syndrome. The interaction with parents, who are the primordial agents in this process, is essential even to minimize the syndrome's effects; there are very few studies, however, about the experience of caregivers with the children. In this context, the aim of this study was to understand how "being a parent" is build up when it comes to children with Down syndrome, from the diagnosis of the syndrome to the time of the interview. The clinical-qualitative method was used, by means of a collective case study. Winnicott's psychoanalysis was used as the theoretical framework. Semi-open and individual, face-to-face, interviews were performed with five couples who were parents of children with Down syndrome, aged 7-10 years. The interviews were audio recorded and fully transcribed. The results are presented in four categories: "Love at second sight" approaches the initial interactive process, parents speak about the shocking news of the Down syndrome and the challenges of changing dreams and expectations. "The place and no place environment" describes how parents perceived different environments. Some hostile, in which they were not welcomed or leveraged when it comes to the task of taking care of these children, emphasizing that the last causes overload in parents' perception. The parents state, however, that the greatest support comes from the partner, which helps accepting the news and finding care possibilities. In "Good Enough Meeti...
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