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“A Daily Born and Dying”: Dynamics of Affective-Semiotic Self-Regulation Involved in Early Intervention Practices with Children with Congenital Zika Virus Syndrome

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Abstract

From 2015 to 2016, an epidemic of births of children with Congenital Zika Virus Syndrome emerged in Brazil, and the state of Bahia concentrated the highest incidence of cases. The official health guidelines recommended that the affected children and their families should be supported by interdisciplinary teams of early intervention. This paper aims to deepen the comprehension of regulation and affective-semiotic mediation processes involved in the early intervention with children with Congenital Zika Virus Syndrome and their families. It focus on the experiences of a professional interviewed in a public health service in Salvador, Bahia – Brazil, through narrative analysis and the theoretical-methodological foundations of Cultural Psychology of the Semiotic Dynamics. These approaches allowed the understanding of the processes of construction of meanings, symbolic action and affective-semiotic regulation. The care of Congenital Zika Virus Syndrome children by professionals relates to disquieting experiences, inter subjectivity, meaning construction, affections and symbolic actions. These dynamic processes allowed the professional to better adapt to regulation and affective-semiotic mediation, as well as her own performance in face of children and their families. This analysis emphasizes the reflections of health care practices and their repercussions in the quality of the assistance.

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Notes

  1. In order to assure the participants anonymity, no details of the service or subjects will be disclosed.

  2. Participants revealed fear of exposure of babies and families with other data production techniques. Thus, the narrative interview was shown to be more appropriate for the objectives of the study.

  3. Fictitious name.

  4. These processes regard the subject’s agency in the interaction with the culture, by the semiotic mediation involved in the internalization of cultural messages and during the externalization of the individual inner experiences to the cultural environment.

  5. In Lotman’s (2005) words, “semiosphere is the semiotic space, outside of which semiosis cannot exist”.

  6. The notion of hierarchy between signs indicates that some signs condense qualitatively higher relevance than others (based on its affective attribute, for example). These higher signs promote and guide the use of the other signs, becoming great mediators on the affective-semiotic processes.

  7. As brought by Peirce and Buchler (1955, p.115): “Symbols grow. They come into being by development out of other signs, particularly from icons, or from mixed signs partaking of the nature of icons and symbols. We think only in signs. These mental signs are of mixed nature; the symbol-parts of them are called concepts. If a man makes a new symbol, it is by thoughts involving concepts. So, it is only out of symbols that a new symbol can grow.”.

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Acknowledgements

We would like to express gratitude to Professors Cecilia Anne McCallum Ph.D. and Elsa de Mattos Ph.D. for contributing with this study; the Graduate Program in Psychology at the Federal University of Bahia for support; and the Research Support Foundation State of Bahia for research funding.

Funding

This study achievement was only possible with the financing of the Research Support Foundation of the State of Bahia (FAPESB).

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Authors and Affiliations

  1. Postgraduate Program in Psychology of the Federal University of Bahia, Salvador, Brazil

    Nara Jesus Brito & Vania Bustamante

  2. National Postdoctoral Program of the Coordination for the Improvement of Higher Education Personnel - Brazil (CAPES) At the Postgraduate Program in Psychology of the Federal University of Bahia, Salvador, Brazil

    Vívian Volkmer Pontes

Authors
  1. Nara Jesus Brito
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  2. Vívian Volkmer Pontes
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  3. Vania Bustamante
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Contributions

All authors substantially contributed to the design of the study. Nara Jesus Brito was in charge of collecting, analyzing the data, writing and revision of the manuscript. Vívian Volkmer Pontes and Vania Bustamante contributed to the analysis, writing and revision of the manuscript.

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Correspondence to Nara Jesus Brito.

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All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards. Approval was granted by the Research Ethics Committee of the Psychology Institute of the Federal University of Bahia.

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Brito, N.J., Pontes, V.V. & Bustamante, V. “A Daily Born and Dying”: Dynamics of Affective-Semiotic Self-Regulation Involved in Early Intervention Practices with Children with Congenital Zika Virus Syndrome. Integr. psych. behav. 57, 256–272 (2023). https://doi.org/10.1007/s12124-021-09628-6

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