{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,2]],"date-time":"2025-10-02T16:33:02Z","timestamp":1759422782555},"reference-count":30,"publisher":"FapUNIFESP (SciELO)","issue":"spe2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev. esc. enferm. USP"],"published-print":{"date-parts":[[2014,12]]},"abstract":"<jats:p>A pregnant adolescent\u2019s vulnerability increases when she is a victim of intrafamilial violence and drug addiction, which cause physical and biopsychosocial damage to the mother and her baby. Objective Present and analyze the case of an adolescent who is addicted to drugs, pregnant and the victim of lifelong intrafamilial violence. Method A case study based on a semi-structured interview conducted in the Obstetrics Emergency Unit at the Teaching Hospital of the University of S\u00e3o Paulo. The data were interpreted and analyzed using Content Analysis. Results intrafamilial violence experienced at the beginning of the adolescent\u2019s early relationships seriously affected her emotional maturity, triggering the development of psychopathologies and leaving her more susceptible to the use and abuse of alcohol and other drugs. The adolescent is repeating her history with her daughter, reproducing the cycle of violence. Conclusion Adolescent pregnancy combined with intrafamilial violence and drug addiction and multiplies the adolescent\u2019s psychosocial vulnerability increased the adolescent\u2019s vulnerability.<\/jats:p>","DOI":"10.1590\/s0080-623420140000800009","type":"journal-article","created":{"date-parts":[[2015,3,21]],"date-time":"2015-03-21T20:04:51Z","timestamp":1426968291000},"page":"53-58","source":"Crossref","is-referenced-by-count":5,"title":["Cumulative Vulnerability: A Case Study on intrafamilial violence, Drug Addiction and Adolescent Pregnancy"],"prefix":"10.1590","volume":"48","author":[{"given":"Paula Orchiucci","family":"Miura","sequence":"first","affiliation":[{"name":"Clinical Psychology at the Institute of Psychology,  Brazil"}]},{"given":"Gislaine Martins Ricardo","family":"Passarini","sequence":"additional","affiliation":[{"name":"Clinical Psychology at the Institute of Psychology,  Brazil"}]},{"given":"Loraine Seixas","family":"Ferreira","sequence":"additional","affiliation":[{"name":"Clinical Psychology at the Institute of Psychology,  Brazil"}]},{"given":"Rui Alexandre Paquete","family":"Paix\u00e3o","sequence":"additional","affiliation":[{"name":"School of Psychology and Educational Sciences,  Portugal"}]},{"given":"Leila Salom\u00e3o de La Plata Cury","family":"Tardivo","sequence":"additional","affiliation":[{"name":"Institute of Psychology,  Brazil"}]},{"given":"Dora Mariela Salcedo","family":"Barrientos","sequence":"additional","affiliation":[{"name":"School of Arts, Sciences and Humanities,  Brazil"}]}],"member":"530","reference":[{"key":"ref1","series-title":"Relat\u00f3rio Final Projeto de Pesquisa. Conselho Nacional de Desenvolvimento Cient\u00edfico e Tecnol\u00f3gico","volume-title":"Estudo de viol\u00eancia dom\u00e9stica contra adolescentes gr\u00e1vidas atendidas no Hospital Universit\u00e1rio de S\u00e3o Paulo: bases para interven\u00e7\u00e3o.","author":"Salcedo-Barrientos DM","year":"2013"},{"issue":"1","key":"ref2","doi-asserted-by":"crossref","first-page":"19","DOI":"10.4067\/S0717-95532011000100003","article-title":"Algunas consideraciones sobre comunicaci\u00f3n, g\u00eanero y prevenci\u00f3n del embarazo adolescente.","volume":"17","author":"Barb\u00f3n P\u00e9rez OG","year":"2011","journal-title":"Cienc. enferm. [online]"},{"issue":"1","key":"ref3","doi-asserted-by":"crossref","first-page":"299","DOI":"10.1590\/S0103-73312011000100018","article-title":"Um estudo sobre as m\u00e3es adolescentes brasileiras","volume":"21","author":"Novellino MSF","year":"2011","journal-title":"Physis Revista de Sa\u00fade Coletiva."},{"key":"ref4","series-title":"S\u00e3o Paulo: Martins Fontes.","volume-title":"Adolesc\u00eancia. uma interpreta\u00e7\u00e3o psicanal\u00edtica. 2\u00aa ed.","volume":"15","author":"Blos P","year":"1998"},{"key":"ref5","series-title":"Zahar.","volume-title":"Problemas psicol\u00f3gicos da adolesc\u00eancia. com \u00eanfase especial na forma\u00e7\u00e3o de grupos. 3\u00aa ed.","author":"Deutsch H","year":"1983"},{"issue":"1","key":"ref6","doi-asserted-by":"crossref","first-page":"5","DOI":"10.1177\/1077559504271287","article-title":"The victimization of children and youth: a comprehensive national survey.","volume":"10","author":"Finkelhor D","year":"2005","journal-title":"Child Maltreatment"},{"issue":"2","key":"ref7","doi-asserted-by":"crossref","first-page":"209","DOI":"10.1111\/j.1939-0025.2012.01147.x","article-title":"Family context, victimization and child trauma symptoms: variations in safe, stable and nurturing relationships during early and middle childhood.","volume":"82","author":"Turner HA","year":"2012","journal-title":"American Journal of Orthopsychiatry."},{"key":"ref8","first-page":"23","article-title":"Personality disorders in a sample of parents acused of physical abuse or neglect.","volume":"27","author":"Fontaine D","year":"2012","journal-title":"J. Fam."},{"issue":"3","key":"ref9","doi-asserted-by":"crossref","first-page":"941","DOI":"10.1542\/peds.2008-3836","article-title":"Sexual intercourse among adolescents maltreated before age 12: a prospective investigation.","volume":"124","author":"Black MM","year":"2009","journal-title":"Pediatrics."},{"issue":"2","key":"ref10","doi-asserted-by":"crossref","first-page":"106","DOI":"10.1037\/a0023139","article-title":"Childhood abuse and current health problems among older adults: the mediating role of self-efficaccy.","volume":"1","author":"Sachs-Ericsson N","year":"2011","journal-title":"Psychology of Violence"},{"issue":"7","key":"ref11","doi-asserted-by":"crossref","first-page":"1059","DOI":"10.1176\/ajp.152.7.1059","article-title":"Borderline personality disrder symptons and severity of sexual abuse.","volume":"152","author":"Silk K","year":"1995","journal-title":"The American Journal of Psychiatry"},{"key":"ref12","first-page":"648","article-title":"Parents emotional neglect and overprotection according to the recollections of patients with borderline personality disorder.","volume":"148","author":"Hallie Z","year":"1991","journal-title":"American Journal of Psychiatry"},{"key":"ref13","series-title":"Minist\u00e9rio da Sa\u00fade (BR)","volume-title":"Sistema de Vigil\u00e2ncia de Viol\u00eancia e Acidentes. [Internet]","year":"2011"},{"key":"ref14","series-title":"Apoiar: novas propostas em psicologia cl\u00ednica.","first-page":"513","volume-title":"Vitimiza\u00e7\u00e3o e Viol\u00eancia: Atendimentos cl\u00ednicos a partir de enquadres diferenciados. In: Tardivo LSLPC, Gil CA, organizadores.","author":"Pinto AA","year":"2008"},{"key":"ref15","series-title":"Vetor.","volume-title":"IFVD: Invent\u00e1rio de frases no diagn\u00f3stico de viol\u00eancia dom\u00e9stica contra crian\u00e7as e adolescentes.","author":"Pinto AA","year":"2010"},{"key":"ref16","series-title":"Artmed","first-page":"24","volume-title":"A s\u00edndrome normal da adolesc\u00eancia. In: Aberastury A, Knobel M, organizadores Adolesc\u00eancia normal: um enfoque psicanal\u00edtico.","author":"Knobel M","year":"2011"},{"issue":"4","key":"ref17","doi-asserted-by":"crossref","first-page":"206","DOI":"10.1590\/S0047-20852012000400003","article-title":"Exposi\u00e7\u00e3o a trauma e transtorno de estresse p\u00f3s-traum\u00e1tico em usu\u00e1rias de crack.","volume":"61","author":"Tractenberg SG","year":"2012","journal-title":"J Bras Psiquiatr."},{"issue":"2","key":"ref18","doi-asserted-by":"crossref","first-page":"122","DOI":"10.1590\/S1516-44462006000200009","article-title":"Teenage pregnancy: use of drugs in the third trimester and prevalence of psychiatric disorders.","volume":"28","author":"Mitsuhiro SS","year":"2006","journal-title":"Rev Bras Psiquiatr."},{"issue":"20","key":"ref19","doi-asserted-by":"crossref","first-page":"335","DOI":"10.1002\/cbm.776","article-title":"Triply troubled: criminal behaviour and mental health in a cohort of teenage pregnant substance misusers in treatment.","author":"Barnes M","year":"2010","journal-title":"Criminal Behaviour and Mental Health"},{"issue":"35","key":"ref20","doi-asserted-by":"crossref","first-page":"1393","DOI":"10.1016\/j.adolescence.2012.03.001","article-title":"Brief report: pregnant by age 15 years and substance use initiation among US adolescent girls.","author":"Cavazos-Rehg PA","year":"2012","journal-title":"Journal of Adolescence"},{"key":"ref21","series-title":"Bookman;","volume-title":"Estudo de Caso. Planejamento e m\u00e9todos. 4\u00aa ed.","author":"Yin RK","year":"2009"},{"key":"ref22","series-title":"Edi\u00e7\u00f5es 70","volume-title":"An\u00e1lise de Conte\u00fado","author":"Bardin L","year":"2013"},{"key":"ref23","series-title":"Artes M\u00e9dicas","first-page":"79","volume-title":"Da depend\u00eancia \u00e0 independ\u00eancia no desenvolvimento do indiv\u00edduo. In: Winnicott DW. O ambiente e os processos de matura\u00e7\u00e3o.","author":"Winnicott DW","year":"1990"},{"key":"ref24","series-title":"Artes M\u00e9dicas","first-page":"55","volume-title":"A integra\u00e7\u00e3o do ego no desenvolvimento da crian\u00e7a. In: Winnicott DW. O ambiente e os processos de matura\u00e7\u00e3o.","author":"Winnicott DW","year":"1990"},{"key":"ref25","series-title":"Artes M\u00e9dicas","first-page":"128","volume-title":"Distor\u00e7\u00e3o do ego em termos de falso e verdadeiro self. In: Winnicott DW. O ambiente e os processos de matura\u00e7\u00e3o.","author":"Winnicott DW","year":"1990"},{"key":"ref26","series-title":"Martins Fontes","first-page":"145","volume-title":"A imaturidade do adolescente. In: Winnicott DW. Tudo come\u00e7a em casa.","author":"Winnicott DW","year":"2005"},{"key":"ref27","series-title":"Escuta.","volume-title":"Psican\u00e1lise: elementos para a cl\u00ednica contempor\u00e2nea.","author":"Figueiredo LC","year":"2008"},{"key":"ref28","series-title":"Imago","first-page":"95","volume-title":"A criatividade e suas origens. In: DW Winnicott. O brincar e a realidade.","author":"Winnicott DW","year":"1975"},{"key":"ref29","series-title":"American Psychiatric Association","volume-title":"Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition.","year":"2013"},{"key":"ref30","series-title":"Jason Aronson","volume-title":"Borderline conditions and pathological narcissism.","author":"Kernberg O","year":"1976"}],"container-title":["Revista da Escola de Enfermagem da USP"],"original-title":[],"link":[{"URL":"http:\/\/www.scielo.br\/pdf\/reeusp\/v48nspe2\/0080-6234-reeusp-48-nspe2-00053.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2017,5,23]],"date-time":"2017-05-23T00:50:25Z","timestamp":1495500625000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.scielo.br\/scielo.php?script=sci_arttext&pid=S0080-62342014000800053&lng=en&tlng=en"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2014,12]]},"references-count":30,"journal-issue":{"issue":"spe2","published-print":{"date-parts":[[2014,12]]}},"alternative-id":["S0080-62342014000800053"],"URL":"https:\/\/doi.org\/10.1590\/s0080-623420140000800009","relation":{},"ISSN":["0080-6234"],"issn-type":[{"value":"0080-6234","type":"electronic"}],"subject":[],"published":{"date-parts":[[2014,12]]}}}