Midori Otake Yamada

A vivência do pai no processo de reabilitação da criança com deficiência auditiva

This study aimed to investigate the emotional experiences and defense mechanisms of hearing impairment children parents. Twelve male genitors aged from 25 to 38 were interviewed. Their school levels were from incomplete elementary school to incomplete superior degree. Among the interviewees, seven have only one child; three of them have two children, and one has three children , one of them with specific needs. The answers were categorized and analyzed according to the psychodynamic referential basement, and they have shown experiences of shock, anxiety and anguish, the use of defense mechanisms facing the diagnosis, and the deficiency implications. The evidenced defenses were analyzed as environmentally expected reactions that can lead parents to more realistic ways for facing later confrontation. Its suggested that, such as mothers, fathers also experience the impact and emotional difficulties concerning their childrens diagnosis. The different family roles puts fathers apart from childrens education, but their contribution to the rehabilitation process must be recognized.

O papel do psicólogo no programa de implante coclear do Hospital de Reabilitação de Anomalias Craniofaciais

O objetivo deste trabalho e relatar o papel do psicologo no programa de implante coclear do Hospital de Reabilitacao de Anomalias Craniofaciais da Universidade de Sao Paulo, Bauru, desenvolvido por uma equipe interdisciplinar para a reabilitacao de pessoas com deficiencia auditiva. O trabalho do psicologo envolve as seguintes etapas: estudo de caso, preparacao pre-cirurgica, acompanhamento pos-cirurgico e acompanhamento na reabilitacao. Os quatro momentos sao permeados pelo continuo trabalho em relacao aos sentimentos do paciente, relacao familiar e pela investigacao sobre a mudanca ocorrida na sua vida e na da familia durante o processo.

Expectativas prévias ao implante coclear e avaliação pós implante em adolescentes

This work aimed to verify tendencies of relation between previous expectations (P.E.), anxieties and fears of patients applying to Cochlear Implant (C.I.) and their later evaluation concerning the gains obtained with the implant. The subjects were 6 patients of both sexes, between 13 and 19 years of age, with C.I. accomplished from 7 to 44 months. The data previous to the surgery were collected from the patients registers and compared with the ones collected through the semi-structured interview conducted during the later rehabilitation stage. The results indicated similarity between two kinds of P.E. and evaluation post C.I.. The aesthetic aspect revealed itself as an important factor among the patients concerns. The pre-surgery guidance made the P.E. more adequate as well as the evaluation of the gains post C.I.. The necessity of psychological attendance pre and post C.I. is indicated in order to minimize the difficulties of adaptation related to the self-image of adolescent patients and the development of proper expectations.

A repetição intergeracional e o significado atual da deficiência auditiva

The present clinical case study used a systemic perspective, concepts of family therapy, an intergenerational approach and mythic instrumental reading to understand the family of a subject with hearing impairment. The objective was to recognize the family myths and to establish the relationships between these myths and the present day meaning assigned by him to his deficiency. A semi-structured interview was used to gather information. A qualitative analysis of the data allowed the identification of myths regarding the hearing impairment, family unity, and the struggle to survive. The presence of hearing impairment in other members of the family has generated rigidity in the rules regarding help and care. Such rigidity is related to the myth of family unity and to the frontiers that have been established with the external world. The identification of the intergenerational contents that cross over the family history generated the possibility to find new ways to deal with the impairment. It also provided an overview of the family context and confirmed the necessity of family participation in the rehabilitation process.

Avaliação do desenvolvimento cognitivo e afetivo-social de crianças com perda auditiva

PURPOSE: the objective of this study was to evaluate the level of cognitive, affective and social development of children diagnosed with hearing loss. METHOD: the study included 50 children diagnosed with hearing loss, with a mean age of 16.1 months, both genders. We applied a semi-structured interview with parents for the life history of the child, Scale Development and Behavioral Assessment Scale Reaction Baby Retraction. RESULTS: the study identified 80% of children with bilateral profound hearing loss. Quotient of normal development occurred in 76% of the sample and the most affected functions were language and personal-social. The affective and interactional levels adjustment were characterized by the alarm reactions for personal problems and social interaction. CONCLUSION: the dephased verbal and nonverbal competences showed implications on cognitive development, suggesting the hearing loss condition and associated risk factors, with limited situational communicative exchanges that promote the development of adaptive skills and increased the self-esteem on the relationships.

Avaliação das habilidades escolares de crianças com implante coclear

PURPOSE: to evaluate and characterize the performance of children with hearing impairment using cochlear implants, between 9 and 12 year old, as well as to check the time that the child takes to access phonological information and confront such results according to gender and number of participants. METHOD: the study included 32 children of both genders, attending the first to the fifth grade of elementary school, regularly enrolled in the Audiological Research Center of Rehabilitation Hospital of Craniofacial Anomalies, University of Sao Paulo, in Bauru / SP. The instruments used were the School Performance Test (TDE) and the Rapid Auto Naming Test (RAN). RESULTS: the results showed that 74% of children showed school performance being generally below expected, with greater difficulty in writing and within the average as for the time it takes to process the information. CONCLUSIONS: we conclude that 74% of children had lower academic performance assessments and that there was no relationship among such results with the rapid naming, as this is within the mean value and is a prerequisite for reading, and the participants in this study provide satisfactory reading skill.

Promovendo a interação mãe-criança com implante coclear: um estudo de caso

The aim of this study was to evaluate the effect of an intervention made with the mother of a child following cochlear implantation through the evaluation of behavior changes identified after the program. Participants of the study were one mother and her deaf and cochlear implanted child, videorecorded during four observation sessions: in a playing and a daily situation, before and after the intervention. The intervention occurred in two meetings and involved practical orientations and the use of the videofeedback to help the mother analyse herself interacting with the child. Results showed that mothers speeches increased in two categories: giving information and making requests; as well as in the childs spontaneous speeches and making requests, when pre and pos-tests were compared in both situations. The study shows the importance of interventions which favour mother-child relations for the enhancement of a deaf and cochlear implanted child communicative skills.

Dimensão afetiva da pessoa com surdez adquirida, antes e após o implante coclear

The aim of this study was to investigate the affective dimension in adult patients with acquired deafness, both before and after using cochlear implants, by indicating the occurrence of changes in this dimension and investigating it, particularly in the modes of egoic feelings, feelings towards others, feelings of temporality and states of mind before and after the use of the cochlear implant. Forty-four adults took part in this study. They received cochlear implants from the Audiological Research Center at the Craniofacial Anomaly Rehabilitation Hospital at the University of Sao Paulo in Bauru . It was concluded that, during the period of deafness, negative feelings and an affective climate of tension and depression prevailed, leading the subject to a negative bonding, to a lack of syntony with the world. On the other hand, after the cochlear implant, positive feelings and an affective climate of tranquility and satisfaction prevailed, leading the subject to positive bonding, a feeling of syntony with the world.

IMPLANTE COCLEAR E TRANSTORNO DO ESPECTRO AUTISTA: VIVÊNCIA DE MÃES

Para pessoas com deficiencia auditiva (DA) severa ou profunda pode ser indicado o implante coclear (IC), dispositivo implantado na orelha cirurgicamente. Ha um numero significativo de criancas com DA e outras comorbidades, entre elas o Transtorno do Espectro Autista (TEA). O objetivo desse estudo foi compreender a vivencia de maes de criancas com IC e diagnostico de TEA. O estudo foi de natureza qualitativa e o metodo utilizado foi a investigacao fenomenologica, que consiste na apreensao do fenomeno tal como ele se manifesta para a pessoa que vivencia. Foram entrevistadas seis maes de criancas usuarias do IC e com diagnostico de TEA. Os depoimentos foram submetidos ao processo de analise fenomenologica e se desvelou em sete categorias tematicas: O impacto das multiplas deficiencias; Dedicacao exclusiva aos filhos; “Vinte e quatro horas correndo atras”; “So esta faltando ele falar”; “O implante coclear foi uma bencao na minha vida e na dele”; Necessidade de apoio psicossocial; Como se sentem atualmente. As maes revelaram como sao afetadas subjetivamente na sua relacao com o filho com IC e diagnostico de TEA, indicando impacto negativo na qualidade de sua vida. O IC significou a possibilidade de seu filho participar do mundo sonoro e elas poderem ter mais acesso ao mundo deles. A esperanca no desenvolvimento da fala de seu filho passa a ser o sentido para continuarem a trajetoria. Destaca-se a necessidade de servicos de suporte aos pais, a importância do trabalho em equipe interdisciplinar e o estimulo a rede de apoio.

A relação mãe-bebê com deficiência auditiva no processo de diagnóstico DOI - 10.5752/P.1678-9523.2014V20N3P460

O objetivo do estudo foi compreender as vivencias de maes frente ao processo de diagnostico da deficiencia auditiva de seu bebe. Participaram desta pesquisa sete maes de bebes diagnosticados com perda auditiva profunda, no Centro de Pesquisas Audiologicas do HRAC-USP. Com base na abordagem qualitativa, a analise dos resultados baseou-se no metodo fenomenologico. O estudo revelou que a experiencia das maes frente ao diagnostico de deficiencia auditiva do filho foi de ruptura e de impacto negativo em suas trajetorias de vida. Apos a intervencao da equipe, passam a encarar a situacao sob uma nova perspectiva e esperanca. Considerando que a presenca e persistencia dos sentimentos negativos nas maes constituem potencial fator de risco na relacao mae-bebe, identificar os fatores que se encontram relacionados ao efeito negativo no desenvolvimento infantil pode ajudar essa mae a superar a dor do diagnostico e estabelecer uma relacao saudavel com o seu filho.