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Even using a vocabulary belonging to the free world, he gradually accepted loa welcome. He seemed to perceive that something would change. As he needed medical care, he was referred to a front-line clinic State Civil Defense and Health Bureauwhere he was diagnosed with possible pneumonia, lps with IV antibiotics for three days and transferred to our unit, characterized as a ‘street dweller and crack user’. This is consequently a chronic disease that may enter into remission with treatment, particularly in patients presenting good responses to drugs soon after treatment begins.

La causa de los adolescentes – de Francoise Dolto- by claudio contreras serrano on Prezi

He was facing a new situation in his life. A year-old adolescent in the teen ward at a public hospital in Rio de Janeiro diagnosed with idiopathic juvenile arthritis. Psychologist, Piedade Municipal Adolescrntes. Chronic illness in childhood: In terms of schooling, he knows only a few basic combinations of letters. However, cases of negligence are noted.

Finally, he was living in an at-risk situation in the street, perhaps driven out by difficulties in his family and experimenting with drugs. Juvenile Idiopathic Arthritis may progress through peaks or present as a single outbreak in the course of the adolwscentes lifetime.

Although everything was explained to this adolescent, he did not feel comfortable with the idea. It was difficult to approach him as he was extremely withdrawn, making it hard to identify his physical symptoms accurately. Consequently, we feel that sharing knowledge through interdisciplinary actions and the commitment of all the players involved in the various tiers of government who were engaged in monitoring this case, play a vital role in ensuring the best possible care for this adolescent, opening up new and real prospects for better days to come.


He spent 69 days in the teen boys ward. Despite possible correction or compensation, negative impacts on the social contexts of patients remain severe. For Pless et al. We also stress the specific characteristics of our patient who, due to a lengthy hospitalization period in our unit, built up relationships of mutual trust with all the practitioners, paving the way for him to take the first step towards redeeming his own identity.

CASE STUDY C is a teenage boy, 15 years old, who lived with his mother and seven siblings in a ramshackle and unhealthy home, reflecting the extreme poverty of the family. Pediatrics ; 58 1: If we adapt these concepts related to chronic disease to the adolescent universe, the contextual complexity will certainly increase significantly. There is a possibility of controlling it in the course of the patient’s lifetime, with asymptomatic periods or not.

La Causa de Los Adolescentes

He dropped out of school, which is a place of the utmost importance for healthy development, as this is a place that simulates life on a smaller scale, with rules and limits.

This case ratifies the importance of guiding efforts through intersectorial actions linked to the deployment of public policies, in order to ensure comprehensive healthcare adolescenges.

Framework for identifying children who have chronic conditions – the case for a new definition. We believe that the fact that the patient had been legally removed from the custody of his biological family – even before admission – streamlined the development of his progress, allowing social safety nets to interact with greater fluidity.

There is no consensus in the literature on this concept. Little by little, the entire team arrived, and at no time did C appear hostile.

With the results of the laboratory examinations leukocytosis with left deviation, llos of very high inflammatory activities and chronic anemia and having dismissed other diagnoses xdolescentes, leukosis, bacterial endocarditis and other infectionsthe conclusion was reached that this was the case of juvenile idiopathic arthritis JIA in its systemic form Still’s disease. Like most adolescents, he attempted to join peer groups, where he was probably under pressure in order to be accepted, seeking an identity and encountering crack.


Even the term ‘chronic disease’ is not unanimously accepted as appropriate – some authors feel that the phrase ‘chronic condition’ is more appropriate.

La Causa de Los Adolescentes : Francoise Dolto :

Initially, his general status was poor, sleepy and spending the entire dolgo lying down, with constant fever. Chronic diseases are lengthy processes, with symptoms that develop gradually and multidimensional aspects.

During his hospitalization, the patient reported that he was very scared of drugs because of the pains he felt in his body when their effect faded away. He seemed to want to protect himself as he did in the street. His blanket and position when al down adolescfntes a cocoon. He is in a chrysalis, with nothing to say to anyone, in the water. Launched very young into brutal social experiences, these children are forced to be adolescents and even adults at very young ages, precociously surviving terrible things that are almost impossible at their ages.

He was not accustomed to receiving attention and to have people looking at him in a situation of care rather that threat. We believe dilto the life of this adolescent was saved to a great extent by the strong and affectionate links that he built up with the professionals working at the Halfway House, established before he was admitted to hospital and proven by the presence and commitment of these professionals to him and to ourselves throughout the entire process, all intended to seek the best possible outcome for his case, which was discussed at a interdisciplinary war meeting, as well as on other occasions with the Halfway House coordinator and the patient himself.

Wary and nervous, yes, but he never demonstrated any aggressive ed.