La angustia en los niños durante el proceso de hospitalización : posible intervención a partir del juego desde una perspectiva psicoanalítica.

Abstract

The present research’s theme is: Distress in children during the hospitalization process: possible intervention based on play from a psychoanalytic perspective. Its general objective is to analyze the presence of distress in hospitalized children from 5 to 12 years old in order to construct a possible intervention proposal. Taking into consideration that for psychoanalysis, anxiety is the affect that does not deceive. From an inter and intratextual reading of some analysts, among them Lacan and Freud, an intervention modality such as play in hospitalized children was proposed based on psychoanalytic theory. To support the theories and the manifestation of anguish, interviews were conducted with parents and professionals of the hospital environment, which allowed evidencing the presence of anguish and some of its repercussions. In addition, two clinical vignettes made in practice were presented. The first case is of a 5-year-old boy who has a diagnosis of acute lymphoblastic leukemia with low adaptation to hospitalization and a high level of distress. And the second case of a 9 year old girl, who has an emergency amputation of her leg due to an accident, presenting a high level of anguish due to the reality of the absence. In both cases the intervention of the clinical psychologist is important for the regulation of distress through the representation of fictions by means of play.