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Análise Psicológica

Print version ISSN 0870-8231

Aná. Psicológica vol.19 no.2 Lisboa Apr. 2001

 

Perturbação de comportamento na infância: Diagnóstico, etiologia, tratamento e propostas de investigação futura

 

Renata Benavente (*)

 

RESUMO

A presente reflexão pretende abordar, de forma resumida, algumas questões relativas às perturbações de comportamento na infância. Havendo diversos estudos que relacionam este tipo de psicopatologia com criminalidade, perturbações psiquiátricas, toxicodependência e dificuldades de inserção social na idade adulta, importa tentar compreender e diagnosticar o fenómeno com a maior precocidade possível de modo a iniciar-se tratamento adequado atempadamente. Aprofunda-se o diagnóstico de acordo com a DSM-III-R, abordando a importância das relações com os pares e os significados de alguns tipos de comportamento como a mentira o furto. Apresentamos algumas das teorias explicativas da etiologia desta perturbação, numa linha psicanalítica. Por fim, fazemos algumas propostas concretas no que se refere ao tratamento, considerando as influências da família, da escola e do grupo de pares, propondo intervenções no âmbito da terapia familiar com recurso a programas de orientação parental. O afastamento da criança da família pela colocação institucional ou em famílias de acolhimento, é considerado como alternativa facilitadora do processo terapêutico em que a criança deverá ser enquadrada. Colocamos, por fim, algumas hipóteses.

Palavras-chave: Infância, distúrbio de comportamento, mentira, furto, família.

 

ABSTRACT

Children conduct problems is the issue of the present paper. There are many studies that relate this kind of disrupted behavior with future criminality, psychiatric disturbance, drug abuse and difficulties in social integration in adulthood. That's why we believe it's important to understand and diagnose this disturbance as soon as possible to make early treatment possible. The diagnosis is based on the DSM-III-R, and peers relations, stealing and lying are considered. We exhibit some of the psychoanalytic theories that explain conduct problems in children and some of the treatment strategies considering family, school and peers influences. Removing children away from their families by placement in foster families or institutions as a way to promote the psychotherapeutic process is also discussed. Finally, future investigation hypotheses about early conduct problems are made.

Key words: Childhood, conduct problems, lying, stealing, family.

 

Texto completo disponível apenas em PDF.

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REFERÊNCIAS BIBLIOGRÁFICAS

Ajuriaguerra, J., & Marcelli, D. (1986). Manual de psicopatologia infantil. Porto Alegre: Artes Médicas.         [ Links ]

American Psychiatric Association (1987), Diagnostic and Statistical Manual of Mental Disorders, 3rd edition, revised (DSM-III-R). Washington, DC: American Psychiatric Association.         [ Links ]

Cruz, J., & Torres, M. (1999). Impacto del robo y de la fuga en niños maltratados físicamente. Revista de Psicologia General y Aplicada, 52 (4), 537-550.         [ Links ]

Emery, R., Waldron, M., Kitzman, K., & Aaron, J. (1999). Delinquent behavior, future divorce or nonmarital childbearing, and externalising behavior among offspring: a 14-year prospective study. Journal of Family Psychology, 13 (4), 568-579.        [ Links ]

Frick, P., & Jackson, Y. (1993). Family functioning and childhood antisocial behavior: yet another reinterpretation. Journal of Clinical Child Psychology, 22 (4), 410-419.        [ Links ]

Gelfand, D., Jenson, W., & Drew, C. (1988). Understanding child behavior disorders - An introduction to child psychopathology (2nd ed.). Chicago: Holt, Rinehart and Winston, Inc.        [ Links ]

Grünspun, H. (1978). Distúrbios psiquiátricos da criança. Rio de Janeiro: Livraria Atheneu.         [ Links ]

Kazdin, A., Mazurick, J., & Bass, D. (1993). Risk for attrition in treatment of antisocial children and families. Journal of Clinical Child Psychology, 22 (1), 2-6.         [ Links ]

Kazdin, A., & Wassell, G. (2000). Therapeutic changes in children, parents and families resulting from treatment of children with conduct problems. Journal of the American Academy of Child & Adolescent Psychiatry, 39 (4), 414-420.        [ Links ]

Kernberg, P., & Chazan, S. (1991). Children with conduct disorders - A psychotherapy manual. New York: Basic Books.         [ Links ]

Klein, M. (1982). Essais de psychanalyse (1921-1945). Paris: Payot.         [ Links ]

Kuperman, S., Schlosser, S., Lindral, J., & Reich, W. (1999). Relationship of child psychopathology to parental alcoholism and antisocial personality disorder. Journal of the American Academy of Child & Adolescent Psychiatry, 38 (6), 686-692.         [ Links ]

Lebovici, S., Diatkine, R., & Soulé, M. (1985). Traité de psychiatrie de l' enfant et de l' adolescent. Paris: PUF.         [ Links ]

Matos, A. C. (1986). A delinquência - perspectiva psicodinâmica. Alter/Ego, 2, 75-83.        [ Links ]

Meltzer, D. (1977). Os Estados sexuais da mente. Rio de Janeiro: Imago.         [ Links ]

Ollendick, T., & Hersen, M. (1983). Handbook of child psychopathology. New York: Plenum Press.         [ Links ]

Patterson, G., DeGarmo, D., & Knutson, N. (2000). Hyperactive and antisocial behaviours: comorbid or two points of the same process? Development and Psychopathology, 12, 91-106.         [ Links ]

Rae-Grant, N., McConville, B., Kenned, J., Vaug, W., & Steiner, H. (1999). Violent behavior in children and youth: preventive intervention from a psychiatric perspective. Journal of the American Academy of Child & Adolescent Psychiatry, 38 (3), 235-241.         [ Links ]

Spillius, E. (1990). Melanie Klein hoje - Desenvolvimentos de teoria e prática. Rio de Janeiro: Imago.        [ Links ]

Stattin, H., & Magnusson, D. (1996). Antisocial development: A holist approach. Development and Psychopathology, 8, 617-645.         [ Links ]

Steiner, H., & Dunne, J. (1997). Summary of the practice parameters for the assessment and treatment of children and adolescents with conduct disorders. American Academy of Child & Adolescent Psychiatry. Aprovado em Março de 1997, retirado da World Wide Web: http://www.aacap.org.         [ Links ]

Vital, B. & Stoff, D. (1997). Subtypes of aggression and their relevance to child psychiatry. Journal of the American Academy of Child & Adolescent Psychiatry, 36 (3), 307-315.         [ Links ]

Wamboldt, M., & Wamboldt, F. (2000). Role of the family in the onset and outcome of childhood disorders. Journal of the American Academy of Child & Adolescent Psychiatry, 39 (10), 1212-1219.         [ Links ]

Weiner, I. (1982). Child and adolescent psychopathology. New York: John Wiley & Sons.         [ Links ]

 

(*) Comissão de Protecção de Crianças e Jovens de Almada, Rua Irene Lisboa, Complexo Educativo dos Cataventos da Paz, 2800 Almada, Portugal.

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