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Vínculo

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Abstract

MAGALHAES, Priscila Melillo de  and  FERIOTTI, Maria de Lourdes. Attention to bond in neonatology: Groups Balint-Paideia - a strategy to deal with the pain and uncertainty in extreme situations. Vínculo [online]. 2015, vol.12, n.2, pp. 20-30. ISSN 1806-2490.

The teams of the Neonatal Intensive Care Units deal everyday with situations of great suffering and risk which are intensified because of the fragility of the newborn lives and direct contact with parental pain. This scenario may englobe the impact of premature birth or diagnosis of malformation, the adverse effects of required treatments or the inaccessibility to services and precariousness of available resources. The formation of the Intensive Care team is regulated by rigorous protocols which do not facilitate listening to families with the aim to search for shared decisions. The team tension also affect the professionals by the confrontation of knowledge and power, by the difficult acceptance of their limits and by the fragmentation of care. The Balint-Paideia Groups combine resources of psychoanalysis and democratic management methodologies to a shared experience of analysis of the relationship focused on attention to bond with newborns and their families, as well as amoung team members and institutional management. This experience favors the change in paradigms, embracing the uniqueness of subjective experiences and enriching possible ways of living and working.

Keywords : Balint-Paideia Groups; Attention to Bond; Breaking Bad News; Humanization of Healthcare.

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