Padrões relacionais familiares de uma adolescente com diabetes tipo 1: a interface saúde e justiça

Abstract

This work aimed to evaluate the relationship patterns in a family under scrutiny of Court of Law due the risk of death of its adolescent daughter with diabetes mellitus type 1 (DM1). Besides, this research also aims understand the multigenerational environment and the confrontation resourses to deal the disease and its agravation. It is a qualitive investigation based on the Family Systemic Approach and on a case study. The case used three research instruments: a semi-structured interview, genogram and Structuralized Familiar Interview Test (Férez-Carneiro, 2005). From the triangulation of collected data, the information was categorized. The reported case suggested that the law intervention did not diminish the patient´s hospitalization frequency, even while contributed to a more intense medical supervision. Law scrutiny was perceived by the family and the patient as additional stress factor to family relations. This approach did not alter the confrontation resources structured by the adolescent and her family multigenerationally. This factor could have jeopardized the assimilation of more effective ways to deal with DM1. This research also demonstrated the need of external intervention to allow a more effective dialogue among health team, family and Court of Law. It´s expected from more dialogue the structuring of more robust social network to support the patient and her family that has perceived themselves negligenciated and isolated during the whole process