![]() ![]() First, the mother or tutor was interviewed with a structured questionnaire. To build the genogram, data collection about the children took place in four moments: at the pediatric evaluation in the daycare, by analyzing the school records interviewing the person in charge of the child interviewing the teachers and interviewing the day-care coordinator. The population of this investigation included 63 children, aged between 2 and 6 years, enrolled in the day-care facility in 2011, corresponding to 55 family genograms. The institution is managed by a religious order and is located at the border of the road Fernão Dias. The study consisted of a qualitative study, conducted in a philanthropic day-care facility in the city of Guarulhos, São Paulo. Therefore, this study aimed at describing the use of the family genogram in the pediatric appointment as a tool to analyze the degradation of parental bonding and violence against children. 11, 12 The familiarization of the pediatrician with this instrument increases the resoluteness of the service provided for the child, and it can also help the family to understand its members in new ways, as well as promote means to become partners in its own therapeutic plan. Major events such as deaths, divorces, accidents, mental disorders, violence, chemical and alcohol dependence, and sexual abuse are also shown in this graphic representation, in order to plan for the full family health care. 10 The genogram is a visual-symbolic representation instrument that provides qualitative information about the dimension of family dynamics and functioning, demonstrating and organizing the genetic, medical, social, behavioral, relational, and cultural aspects involved in the family structure. 9Īmong the innovative practices that provide a broader view of the child’s universe, the family genogram stands out. The search for full care to the child indicates a new vision of health care and a huge challenge to clinical practice. 8 In this context, specialized child care, without showing the complexity of family dynamics, is like caring for the symptom without treating the cause. 7 Another study, conducted by Brito and collaborators, showed that aggressive behavior and victimization that are present among adolescents, have been associated with physical domestic violence. ![]() Sierra and Mesquita analyzed children and adolescents and concluded that intra-household violence perpetrated by the parents, as well as privation and negligence, represent high chances of causing psychological and physical damage, and the consequent delay in the full development of the child. 5 Children who live with alcoholic mothers are exposed to negligence, abuse, and behavioral issues. When the mother is an alcohol consumer, an environment with low cohesion and organization, as well as great incidence of domestic violence, is observed. The family can be both protective against the development of mental disorder and it can turn into a triggering factor. 3 On the other hand, in a family in which misery, hunger, and violence are present, the household represents a place of privation, instability, and thinning of the affectionate and solidarity bonds, characterizing a situation of social vulnerability. 2 According to Kalostian and Ferrari in 1994, the family is an indispensable space for the insurance of survival and full protection of the children and other relatives. 1 The motives that guide the lifestyle of a family depend on how the power relations are established, which determine family roles, its organization and performance. In modern society, a family arrangement is one of the different configurations that the family can embrace, such as multigenerational family, extended family, and reconstructed family. ![]()
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