Abstract
BACKGROUND: The family narratives are true contextual cues in the representation of the experiences of illness of depressive child. The family members use healthcare services in an attempt to understand the disease so that describe the everyday practices in the living with the child. OBJECTIVE: This original article aims to present childhood depression with its various nuances and its many consequences in the family context. METHODS: The universe of this study involved 24 families in the age group ranging from 45 to 70 years who searched the care services at Children's Psychosocial Care Center (CAPSi). Through the records, a survey of the family members was performed, from case reports, in the course of medical and psychological consultations. This is a purposive sample, which was selected by approximation the inclusion criteria, a sample of 12 family members of both sexes. The attention focused on the use of narrative interview - which is recognized as a genre of sociolinguistic research - fully recorded. RESULTS: The family member has its convivial trajectory with the disease through a specific identity and enunciation with the child. The family narratives show up symbolic portraits to the rescue of the guiding elements of the depressive situation. The family narratives are shown as spaces of reinterpretation of pain and psychological distress. The disorder explained in the narratives of childhood depression inserted in understanding plays a crucial role in exposing the intensity of pain and psychological distress. CONCLUSION: It is fundamental important in clinical care the psychiatric practice inserted into the historical and social context of the family members who have their own living narrative with the disease.
Highlights
This article is based on the following question: how the family narratives in childhood depression can help in understanding the disease? This issue has gained great impact today with the establishment of interpretive way how the family tries to find clinical knowledge in pain and suffering contextualized in living with the child
The family narratives describe the perception of facts lived to living with childhood depression denoting through different utterances an essential understanding of the context of pain and psychological distress
The narratives of childhood depression are strongly committed to the influence of the disease in the family context and this perspective is externalized through contextual cues framed in pain and psychological distress inserted to the child
Summary
Childhood depression is presented in post-modernity of multifaceted way, with its various nuances and its many consequences both within the family and in the society. [1, 2,3,4,5,6,7,8,9,10,11] The impact caused by the disease demonstrates that depression in childhood is, in addition to many other denominations, a public health phenomenon that is reaching alarming levels in populations at social risk. [12]In this perspective, the family narratives may be positioned as true contextual cues in the representation of the illness experiences of depressive child. The enunciation of the disease, arises from the communicative movement between what is said and what is interdict of childhood depression in family narratives. [18] In this perspective, the family due to the helplessness caused by the different dimensions of enunciation of the child's illness, interpret messages from living with the disease within the communication clinically intentioned. This issue has gained great impact today with the establishment of interpretive way how the family tries to find clinical knowledge in pain and suffering contextualized in living with the child. This original article presents childhood depression with its various nuances and its many consequences in the family context. The family members use healthcare services in an attempt to understand the disease so that describe the everyday practices in the living with the child
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