Professional Documents
Culture Documents
Primera Sesin
Segunda Sesin
COMIENZO DE LA ENTREVISTA
2
NOMBRE DE LOS PADRES:
PADRE: _________________________________EDAD:_______OCUP._______
MADRE_________________________________EDAD:_______OCUP.________
Ha acudido antes a apoyo psicolgico?
NO
Fecha
Mes
Ao
No_________
MADRE
3
PADRE
MADRE
Nombre del padre, edad, ocupacin, Nombre del padre, edad, ocupacin,
finado, ao de muerte:
finado, ao de muerte:
finado, ao de muerte:
Hermanos (del mayor al menor), con Hermanos (del mayor al menor), con
sus respectivas parejas e hijos y sus respectivas parejas e hijos y
edades.
edades.
FAMILIA NUCLEAR
.
5
Lugar
que
ocupa
el
nio
en
la
familia
(opcional)
__________________________________________________________________
__________________________________________________________________
Fue
deseado?_________
Fue
la
causa
del
matrimonio?
__________________________________________________________________
__________________________________________________________________
________________________________________________________
(De aqu hasta los ASPECTOS FAMILIARES puede ser opcional).
Dificultades durante el embarazo:
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
____________________________________________________________________
Duracin del Embarazo:
__________________________________________________________________
__________________________________________________________________
Tipo de Parto: ______________________________________________________
Peso al nacer:
_________________________________________________________________
6
Problemas
de
alimentacin
al
nacer
hasta
el
primer
ao:______________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
A qu edad?:
Sostuvo la cabeza:________________________________ (Esperable: 3 meses)
Se sent:____________________________________(Esperable: 7 10 meses)
Gate:______________________________________ (Esperable: 7 10 meses)
Camin:____________________________________ (Esperable: 10 16 meses)
Us palabras que significan algo: ________________ (Esperable: 18 24 meses)
Us oraciones:_______________________________ (Esperable: 24 36 meses)
Aprendi
pedir
ir
al
bao
para
orinar:_______________________________________(Esperable: 24 36 meses)
Aprendi
pedir
ir
al
bao
para
7
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
3. ASPECTOS FAMILIARES.
MIEMBRO
PADRE
MADRE
Actitud hacia el
sntoma.
Explicaciones del
sntoma.
Diferencias hacia
el sntoma.
qu
manera?
__________________________________________________________________
__________________________________________________________________
___________________________________________________________
Si ustedes hubieran sabido antes de que naciera su hijo, que cualidades y
defectos
tendra,
lo
aceptaran
as?
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
A quin de los dos prefiere el nio, con quin se siente ms a gusto?
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
9
__________________________________________________________________
__________________________________________________________________
En
la
familia,
hacia
quin
siente
coraje
antipata
el
nio?
__________________________________________________________________
Debido a qu?
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
A quin respeta ms el nio?________________________ Debido a qu?
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
______________________________________________________________
A
quin
no
respeta?______________________
Debido
qu?
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
______________________________________________________________
A quin le tiene ms miedo?_______________________ Debido a qu?
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
______________________________________________________________
10
Piensa usted que su esposo debera ser diferente en la educacin de su hijo?
___________
Si
es
as,
cmo
debera
ser?
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
______________________________________________________________
Piensa usted que su esposa debera ser diferente en la educacin de su hijo?
___________
Si
es
as,
cmo
debera
ser?
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
______________________________________________________________
Hay
en
su
familia
problemas
por
culpa
del
nio?
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
Hay peleas entre hermanos? (si es hijo nico observar si vive con primos o
medios hermanos)
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
11
su
hijo
alguna
habilidad
talento?
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
Cules caractersticas de su hijo desearan cambiar?
Madre_____________________________________________________________
__________________________________________________________________
Padre_____________________________________________________________
__________________________________________________________________
Cul considera es la peor conducta de su hijo?
Madre_____________________________________________________________
__________________________________________________________________
Padre_____________________________________________________________
__________________________________________________________________
Cules
conflictos
crisis
han
tenido?
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
____________________________________________________________
12
Cmo los resolvieron?
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
Cmo emplean el tiempo libre?
Madre_____________________________________________________________
__________________________________________________________________
Padre_____________________________________________________________
__________________________________________________________________
Estn
de
acuerdo
en
cmo
educar
al
nio?
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
_____________________________________________________________
En
su
matrimonio,
su
vida
sexual
es
satisfactoria?
__________________________________________________________________
_______________________________________________________
Existe alguna caracterstica de su esposo que le gustara cambiar?
__________________________________________________________________
__________________________________________________________________
Debido a qu?
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
13
Existe
alguna caracterstica
de
su esposa que
le
gustara
cambiar?
__________________________________________________________________
Debido a qu?
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
Qu
caractersticas
aprecia
en
su
esposo?
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
___________________________________________________________
Qu
caractersticas
aprecia
en
su
esposa?
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
___________________________________________________________
14
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
Cul
es
el
estado
de
salud
de
usted
seora?
__________________________________________________________________
__________________________________________________________________
___________________________________________________________
Cul
es
el
estado
de
salud
de
usted
seor?
__________________________________________________________________
__________________________________________________________________
____________________________________________________________
Influyen sus padres en su matrimonio?
Madre________________Cmo?
__________________________________________________________________
__________________________________________________________________
______________________________________
Padre________________Cmo?
__________________________________________________________________
__________________________________________________________________
______________________________________
Vamos a hablar de la preferencia que pueda sentir su hijo hacia alguno de
ustedes:
Cuando
su
hijo
tiene
algn
problema,
quin
busca?
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
15
__________________________________________________________________
__________________________________________________________________
Suponiendo que su hijo estuviera hospitalizado y nada ms una persona lo
pudiera
visitar,
quin
creen
que
preferira
que
lo
visitara?
___________________________________________________________
Debido a qu?
__________________________________________________________________
__________________________________________________________________
Si
su
hijo
pide
permiso,
quin
busca?
__________________________________________________________________
____________________________________________________________
Debido a qu
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
Cuando
estn
todos
en
casa,
cul
compaa
prefiere
su
hijo?
______________________________________________________________
Debido a qu
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
16
__________________________________________________________________
__________________________________________________________________
En caso de que suceda, Qu castigos le imponen al nio?
Madre_____________________________________________________________
__________________________________________________________________
Padre_____________________________________________________________
__________________________________________________________________
Es recurrente el uso de castigos con el menor?
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
Opcional
Alguna vez se le ha gritado?
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
17
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
Quin
decidi
traer
al
nio
consulta?
__________________________________________________________________
__________________________________________________________________
__________________________________________________________
Propensin a abstraerse.
18
Contacto-Retirada.
Nivel de umbral.
Intensidad de reaccin.
19
Adaptabilidad.
20
__________________________________________________________________
__________________________________________________________________
Qu hace con otros nios de su mismo sexo?:
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
21
Qu lo entristece?:
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
Qu lo enoja?:
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
Qu
le
gusta
hacer
al
nio
en
su
tiempo
libre?:
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
Qu
hace
cuando
est
solo?
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
Qu
no
le
gusta
hacer?
__________________________________________________________________
__________________________________________________________________
22
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
Qu
tipo
de
deportes
le
gustan?
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
Cules
son
sus
juegos
favoritos?
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
Estn dispuestos a continuar en el proceso psicoteraputico del menor?
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
Qu esperan que el menor logre?
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
_________________________________________________________________
Qu desean que el menor comportamentalmente hablando cambie?
__________________________________________________________________
__________________________________________________________________
23
__________________________________________________________________
_________________________________________________________________
Qu esperan lograr a nivel familiar?
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
5. ASPECTOS ESCOLARES.
24
__________________________________________________________________
_________________________________________________________________
Qu le gusta ms de la escuela?:
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
Muestra
inters
por
alguna
materia?
__________________________________________________________________
__________________________________________________________________
___________________________________________________________
Qu
le
gustara
hacer
cuando
sea
grande?
__________________________________________________________________
__________________________________________________________________
___________________________________________________________
Qu no le gusta de la escuela?:
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
Cmo es con las tareas?:
25
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
Tiene problemas de lectura o escritura?:
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
26
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
Obedece
las
rdenes,
reglas
normas?
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
Ha
tenido
conflictos
con
sus
compaeros?
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
_______________________________________________________
Manifiesta agrado o desagrado por la escuela?
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
FIN DE LA ENTREVISTA