Hospital Psychological Assessment with the Drawing of the Human Figure: A Contribution to the Care to Oncologic Children and Teenagers
Iracema do Vale Pinheiro1*, Allyson Guimarães da Costa1,2, Débora Cristina Bandeira Rodrigues3, Nália de Paula Oliveira4, Adriana Malheiro1,5, Josafá Lima Ramos6
1Departamento de Ensino e Pesquisa, Fundacao de Hematologia e Hemoterapia do Amazonas (HEMOAM), Manaus, Brazil.
2Programa de Pós-Graduacao em Medicina Tropical, Universidade do Estado do Amazonas (UEA), Manaus, Brazil.
3Departamento de Servico Social, Universidade Federal do Amazonas (UFAM), Manaus, Brazil.
4Centro de Tratamento Psicológico (CENAPSI), Manaus, Brazil.
5Programa de Pós-Graduacao em Imunologia Básica e Aplicada, Universidade Federal do Amazonas (UFAM), Manaus, Brazil.
6Servico de Psicologia, Fundacao de Hematologia e Hemoterapia do Amazonas (HEMOAM), Manaus, Brazil.
DOI: 10.4236/psych.2015.64046   PDF   HTML   XML   4,279 Downloads   5,499 Views   Citations


Cancer affects a large number of children and adolescents each year, and studies prove possible negative influences on the emotional state during the treatment of the disease. This study is part of the macro search entitled “Hospital Psychological Assessment Protocol: A Contribution to the care to Oncologic Patients”, from which the data were extracted. The main objective of this study was to identify the emotional disorders in oncologic children and adolescents in the hospitalization process, through the DHF: Drawing of the Human Figure—DHF. It refers to a cross-sectional descriptive study, with qualitative method, with approach in psychoanalysis. The study included 10 oncohematologic children and adolescents, aged between 5 and 17 years and 11 months in the hospitalization process for cancer treatment in the Hospital Foundation of Hematology of the Amazon—HEMOAM. To obtain preliminary information, we used an Anamnese script in an interview with parents/guardians, after that, it applied the projective psychological test, in a maximum time of 50 minutes. Among the main results identified in the research as emotional changes in the hospitalization process, it could be highlighted: hostility, narcissism, depression, preoccupation with themselves, aggression, insecurity, withdrawal, regression, anxiety and tension. The emotions that were prevalent throughout the period of hospitalization for chemotherapy were: aggression, insecurity, withdrawal, regression, anxiety and tension. The resources used by the child and the adolescent as strategies to tackle the disease were: regression, withdrawal, aggression and hostility. It is concluded that the instrument (DHF) allows psychological assistance which is performed without exposing the patient to content that permeates the hospital environment, thus favoring the therapeutic secrecy without interfering with hospital routine, but adapting to it.

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Pinheiro, I. , Costa, A. , Rodrigues, D. , Oliveira, N. , Malheiro, A. & Ramos, J. (2015). Hospital Psychological Assessment with the Drawing of the Human Figure: A Contribution to the Care to Oncologic Children and Teenagers. Psychology, 6, 484-500. doi: 10.4236/psych.2015.64046.

Conflicts of Interest

The authors declare no conflicts of interest.


[1] Aberastury, A. (2012). Child Psychoanalysis—Theory and Technique (8th ed.). Porto Alegre: Artmed.
[2] Angerami-Camon, V. A. et al. (2010). Hospital Psychology: Theory and Practice (2nd ed.). London: Pioneer Thomson Learning.
[3] Azevedo, G. (1995). Adolescence: The Teacher’s Book. Sao Paulo: Scipione (Peer Support).
[4] Bandeira, D. R., Costa, A., & Arteche, A. (2008). DHF Validity Study as Children’s Cognitive Development Measure. Psychology: Reflection and Criticism, 21, 332-337.
[5] Bardin, L. (2011). Content Analysis. Sao Paulo: Editions 70.
[6] Belar, C. D. (2000). Psychological Interventions and Health: Critical Connections. Psychology, Health & Diseases, 1, 11-17.
[7] Bowlby, J. (1993). Distress and Separation: A Literature Review. In J. Bowlby (Eds.), Separation: Anguish and Anger (2nd ed.). Sao Paulo: Martins Fontes.
[8] Bighetti, A., & Valle, E. R. M. (2008). Understanding the Experiences of Teenagers with Cancer: Phenomenological Analysis of TAT. In Themes in Psycho-Oncology. Sao Paulo: Summus.
[9] Buck, J. N. (2009). HTP: House-Tree-Person, Drawing Projective Technique: Interpretation Guide (2nd ed.). Sao Paulo: Vector.
[10] Campos, D. M. S. (1996). Child Psychology and Adolescents (15th ed.). Petropolis: Voices.
[11] Campos, D. M. S. (1969). Drawing Test as Personality Diagnostic Instrument (38th ed.). Petropolis: Voices.
[12] Campos, T. C. P. (1995). Hospital Psychology: The Psychology Practice in Hospitals. Sao Paulo: EPU.
[13] Capitao, C. G., Scortegagna, S. A., & Baptista, M. N. (2005). The Importance of Psychological Assessment in Health Psychological Assessment. University San Francisco, 4, 75-74.
[14] Carvalho, M. M. (2002). Psycho-Oncology: History, Characteristics and Challenges. Psycho-USP, 13.
[15] Compas, B. E. et al. (2001). Coping with Stress during Childhood and Adolescence: Problems, Progress, and Potential in Theory and Research. Psychological Bulletin, 127, 87-127.
[16] Freitas, P. G. (2008). Drawing the Human Figure and the Drawing of the Sick Person in Psychological Assessment of Children in Hospital. 140 f. Dissertation Master, Sao Paulo: Institute of Psychology, University of Sao Paulo.
[17] Hultz, C. S., & Bandeira, D. R. (2000). Human Figure Drawing. In Psychodiagnosis-V (5th ed., pp. 19-22). Porto Alegre: Artmed.
[18] Kubler-Ross, E. (2008). On Death and Dying: What the Terminally Ill Have to Teach Doctors, Nurses, Religious and Their Own Relatives (9a. ed.). Sao Paulo: Editora WMF Martins Fontes.
[19] Moraes, E. O., & Enumo, S. R. F. (2008). Hospitalization Coping Strategies in Children Evaluated by Computerized Instrument. Psycho-USF, 13, 221-231.
[20] Oliveira, G. F., Dantas, D. F. C., & Fonseca, P. N. (2004). The Impact of Hospitalization in Children 1 - 5 Years of Age. Journal of the Brazilian Society of Health Psychology, 7, 3-12.
[21] Simonetti, A. (2004). Manual of Health Psychology: The Disease Map. Sao Paulo: House of Psychologist.
[22] Stout, C. E., & Cook, L. P. (1999). New Areas for Psychological Assessment in General Health Care Settings: What to Do Today to Prepare for Tomorrow. Journal of Clinical Psychology, 55, 797-812.<797::AID-JCLP3>3.0.CO;2-O
[23] Valle, E. R. M., & Ramalho, M. A. N. (2008). The Cancer in Children: The Difficult Path. In Themes in Psycho-Oncology. Sao Paulo: Summus.
[24] Veit, M., & T. Carvalho, V. A. (2008). Psycho-Oncology: Definitions and Scope of Business. In Themes in Psycho-Oncology. Sao Paulo: Summus.
[25] Veit, M. T., & Barros, L. H. C. (2008). Interventions in Psycho-Oncology Institutions. In Themes in Psycho-Oncology. Sao Paulo: Summus.

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