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Occupational Therapy and babies treatment in premature intervention from a Hypothesis of Psychomotor Functioning: single case study1 1 This study is part of the research “Comparative Analysis of the Development of Premature Babies and the Term and its Relationship with Psychic Risk: from detection to intervention” approved by the Research Ethics Committee under opinion number 652.722. Those responsible had clarification of the objectives and procedures and showed their agreement to participate in the research after signing the Informed Consent Term (TCLE).

Abstract

Introduction:

Ongoing studies about premature intervention (PI) on babies with developmental risk, like prematures, invite therapists to construct new clinical treatments.

Objective:

To analyze the effectiveness of a Hypothesis of Psychomotor Functioning (HPF) for treatment of the premature babies.

Method:

Qualitative, longitudinal, and clinical almost experimental single case study. We studied one premature baby, with developmental and psychic risk, identified by the PREAUT and IRDI protocols. The baby received three months of PI treatment by occupational therapy from the HPF. Treatment was filmed and registered in a field diary. We then compared the proposed objectives and the collected results, outlining the effects of the HPF.

Results:

The case confirms that the psychomotor irregularity may be understood as a psychomotor symptom and its source construed as from a HPF. The irregularity is considered in a singular way, as observation of how the child constructs its Body Scheme (BS) and Body Image (BI), starting from the bonds with parents. The treatment effectiveness was confirmed from a HPF, as the psychomotor symptom went away (BS), giving place for cognitive and psychomotor acquisitions, and to the maternal resignification of the investments in her baby (BI). The BS is taken as a cognitive and motor psychic functioning related to the BI in construction.

Conclusion:

The HPF interprets the baby psychomotor process based on its construction, allowing a PI that can transform a psychomotor symptom into a structuring motion.

Keywords:
Premature; Psychomotor Performance; Occupational Therapy; Speech; Language and Hearing Sciences; Psychoanalysis

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