The act of playing as a signifier for the application of the dramatic Therapeutic Toy performed by the nurse: theoretical reflection.

Giulia Delfini,Luciana De Lione Melo,Rafaela Rovigatti De Oliveira Oriente Pereira,Ana Paula Rigon Francischetti Garcia

doi:10.1590/0034-7167-2021-0062

Giulia Delfini, Luciana De Lione Melo + Show 2 more

Open Access

https://doi.org/10.1590/0034-7167-2021-0062

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Abstract

To reflect on the possible contributions of the act of playing as a signifier in the use of dramatic Therapeutic Toy performed by the nurse. Theoretical-reflexive study, based on three moments: The language of the unconscious that emerges as a signifier when playing; How the dramatic Therapeutic Toy is used by the nurse; and the act of playing as a signifier during the application of the dramatic Therapeutic Toy: contributions to nursing practice. Through the intervention of the nurse in the sessions, the act of playing mediated by the dramatic Therapeutic Toy provides the child with the opportunity to elaborate on signifier elements that had not been meant by him. Through the dramatic Therapeutic Toy, the articulation of the child's organism with his reality in the formation of the self constitutes an advance for the production of knowledge and nursing assistance to the child, enabling complete care and allowing the elaboration of their anxieties, which collaborates so that the child constitutes himself as a subject.

Highlights

The act of playing is a child’s right, one of the most important childhood activities, which stimulates him in its social, physical, and intellectual dimensions, and through it the child learns and develops himself(1)
Since pediatric nursing care must ensure full attention to the child, it is necessary to include the act of playing in the care through the use of the toy by the nurse, aiming at all therapeutic purposes that it provides(1)
The Federal Council of Nursing, following Resolution No 546/2017, recognizes the Therapeutic Toy (TT) as an activity carried out by nursing, stating that the nurse that works in the pediatric section can decide to use or not the TT in the care of hospitalized children(1)

Summary

INTRODUCTION

The act of playing is a child’s right, one of the most important childhood activities, which stimulates him in its social, physical, and intellectual dimensions, and through it the child learns and develops himself(1). The language of the unconscious that emerges in the act of playing as signifier For the nurse to be able to use the conception of the act of playing as a structuring of the human psyche and recognize the toy in his relationship with the child, it is necessary to present concepts that will base such reading. The subject enters, through the language presented by his family, in a social order that is previous to him, being preceded by a familiar myth with signifiers that will name him, involving him into the language(4,6-7) It happens because the baby will need a caregiver who will perform the role of interpreter, understood as the function of the Other, aspect that will establish demands and name the acts of the baby(6). The child has holes, delimited by the mismatch between the organic conception and his reality, which should be filled by their constructions through the symbolic articulation, originally introduced by the maternal function and experienced by the child in the act of play(4,6)

How the dramatic therapeutic toy has been used by the nurse

FINAL CONSIDERATIONS