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OALib Journal期刊
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Evaluación familiar y del desarrollo de dos ni?as, hijas de padres con VIH/SIDA

Keywords: aids/hiv, familly structure, behavioral organization, mental and motor developmental indexes.

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Abstract:

objective: to describe the family patterns of interaction of two girls born to parents infected with aids/hiv, and their behavioral organization around forty days, also the mental and motor development at six and twelve months. methodology: the two family systems of the two girls with both parent infected by aids/hiv, were evaluated using a genogram; they were also appraised with the brazelton neonatal behavioral assesment scale (nbas), between days 39 and 44; and with the bayley scale of infant development (bsid-ii) at six and twelve months of age. results: in the two cases, the family organization belongs to a young adult couple with hiv positive and two healthy sons; in the first case, the mother is identified as the transmitter; in the second, the father is the spreading agent. there is a weakening effect in the parental subsystem. the couples relations are ambivalent. as the hiv/aids advances, the alliances divide the family, excluding several members from the collaboration effort against the illness; this overloads the maternal grandmothers. hierarchies and limits become diffused, resulting in a lack of a firm and stable emotional contention for the children. the two families are stalled in a situational stress period. in respect to the nbas the two infants obtained performance from good to excelent (scores 7,8,9) across the clusters; in the bsid-ii both cases had a normal score in the first six months of their mental and motor development, while at twelve months of age, the first case continued with a normal development, but the second case was not precisely evaluated due to oppositional behavior. conclusions: both family systems are identified with an organization affected by the hiv presence, their structure is promoting a parentalization (role reversal) process and neglect for the children; though the motor and mental development of the two girls were found according to the expected norm for their age.

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