Contribuições do pré-natal psicológico para a proteção psíquica da diade mãe-bebê em caso de gestação decorrente de estupro: um estudo de caso à luz da teoria da subjetividade

Abstract

Introduction: This text is a study of a rape-related pregnancy case in which the woman had her abortion request misshadled by the state and was forced to carry out her pregnancy. She started a pre-natal psychological (PNP) care so she could handle the psychic disorders from the trauma, and with the choice of keeping the baby or offering for adoption. Objective: To understand the subjective productions related to the process of rape-related pregnancy,the motherhood development, and evaluate the protective potential of the pre and post natal psychological care to the pregnant victim. Method: Qualitative research in the format of a retrospective and longitudinal case study based on consultations carried out over three years and secondary data from medical records of the pre and post-natal psychological monitoring of a patient who became pregnant after a rape crime. The methodological framework was based on the Theory of Subjectivity by González-Rey (2005). A constructive-interpretative analysis was carried out that revealed three nuclei of subjective meaning of the participant. Results: The patient's three nuclei of meaning were obtained from repetitions of situations experienced by the patient and also from the elaborations she made from that. The analyzed nuclei were: violence, emotional consequences of rape and construction of maternity. And it was also possible to realize that psychological prenatal care can be used as a valid and effective tool in monitoring this type of pregnant woman and her follow-up as a psychological postpartum. Final considerations: It was possible to conclude the relevancy of the psychological care both in the pre and pos natal forms in a situation of rape related pregnancy, as well as to witness the development of the diade mother-baby. Products: From the study, an article was developed on the role of the psychologist in the delivery scene and a protocol with the systematization of psychological prenatal care for post-rape pregnant women.