A ética e a ameaça de morte em crianças com câncer

• Ano de defesa: 2013
• Autor(a) principal: Góes, Ana Paula Faulhaber
• Orientador(a): Mezan, Renato
• Tipo de documento: Dissertação
• Tipo de acesso: Acesso aberto
• Idioma: por
• Instituição de defesa: Pontifícia Universidade Católica de São Paulo
• Programa de Pós-Graduação: Programa de Estudos Pós-Graduados em Psicologia: Psicologia Clínica
• Departamento: Psicologia
• País: BR
• Palavras-chave em Português: Ética; Psicanálise; Filosofia; Oncologia pediátrica
• Palavras-chave em Inglês: Ethics; Psychoanalysis; Philosophy; Pediatric oncology
• Área do conhecimento CNPq: CNPQ::CIENCIAS HUMANAS::PSICOLOGIA
• Link de acesso: https://tede2.pucsp.br/handle/handle/15270

An ethical behavior has been a fundamental requirement in various professional practices of our contemporary society. The demand for decisions that are in accordance with accepted practices by the social group in which each is inserted is organized as a way to guide a beneficial practice as possible. However, how are we supposed to guide a decision when the most affected by the choice is a child? How to include children, so that their participation provides help for parents and health professionals to choose the best alternative? Include the child with cancer in their treatment decisions does not mean relegating to an "incompetent." Including it in the process means recognizing it as a subject, especially, subject affected bodily and mentally. In health, for a long time, the goal was to keep the patient alive. Nowadays, the main orientation has been the quality of life that this patient will have after going through the proposed treatment. Thus, medical practice has focused on providing less aggressive treatments, especially in oncology field. In treating children, this concern is amplified given that more and more children survive from cancer and will have to adapt themselves to the reality of the world after the effects of chemotherapy and radiotherapy. Furthermore, treatment with them depends on decisions made by others: their parents. Recognizing that parents are also directly affected by the illness of a child (whether socially or psychologically), how can us summon them to decide on something that will affect the lives of their children, while giving voice to these children? In parallel, psychoanalysis is increasingly embedded in the hospital, being called upon to respond from a place other than medical knowledge. While that works with patients and families, the psychoanalyst is summoned to answer for the team that is charge of the treatment. Suppose a subject that knows about itself in a child is an important step and a fundamental change of attitude to medical practice. The attitude of the psychoanalyst requires caution and is guided by confidentiality contract with the patient, but always providing material for the team to help the sufferer. In this context, understanding what is ethics, knowing that there is a big difference between medical ethics and the ethics of psychoanalysis, as well as know how this vector is directed against various practices becomes necessary so as to guide the practices currently in effect