Artigo Original Responses to falling Ill: defense mechanisms used by women with Turner syndrome and variants Respostas ao adoecimento: mecanismos de defesa utilizados por mulheres com síndrome de Turner e variantes

Background: Article extracted from the doctoral research entitled “Experiences of the infertility phenomenon by patients suffering from Turner syndrome and variants: a clinical-qualitative study” approved by the University of Campinas. Objectives: To understand the defenses employed by women suffering from TS and different ways of dealing with the disease. Method: Qualitative research with exploratory design, non-experimental. The instrument consisted of a semidirect psychological interview, involving 13 women, undergoing semestral medical follow-up at the Center for Integral Attention to Women’s Health (CAISM), and whose sampling was determined by saturation. Data was interpreted using the psychodynamic approach along with an eclectic framework of theoretical references for discussion in the spirit of interdisciplinary approach. Results: These women displayed psychosocial conflicts such as difficulties in interpersonal relationships; feelings of resignation, anger, impotence, devaluation and depression symptoms. Defenses used were: repression, denial, annulment, fantasizing, adaptation and sublimation. Discussion: Women suffering from TS and variants must deal with the disease’s organic and psychic implications that cause great suffering and often hinder a saner social insertion. In this case, the study’s findings can guide ambulatory psychological support concomitantly to the routine clinical protocol. Chvatal VLS, et al. / Rev Psiq Clín. 2009;36(2):48-53 Key-words: Turner syndrome, defense mechanisms, qualitative research, genetics.