Upload
anonymous-bu25lwl
View
224
Download
0
Embed Size (px)
Citation preview
8/15/2019 elizabete trabalho revisado (1).odt
http://slidepdf.com/reader/full/elizabete-trabalho-revisado-1odt 1/177
FACULDADE JK - SANTA MARIA DF
LICENCIATURA EM PEDAGOGIA
ENSINO DA EDUCAÇÃO INCLUSIVA: SINDROMES ETRANSTORNOS
SANTA MARIA
2016
8/15/2019 elizabete trabalho revisado (1).odt
http://slidepdf.com/reader/full/elizabete-trabalho-revisado-1odt 2/177
FACULDADE JK - SANTA MARIA DF
Eliz!"#" G$"l%
ENSINO DA EDUCAÇÃO INCLUSIVA: SINDROMES ETRANSTORNOS
T&!l%' $" C'()l*+,' $"Di+)ili( &"+"(#$' )'.' &"/*i+i#'&)il & &',' ( $i+)ili( $"
E(+i(' ( "$*),' I()l*+i $' 34+"."+#&" $' )*&+' $" Li)"()i#*& ".P"$5'5i $ F)*l$$" JK S(#M&i +'! +*"&i+,' $ &'78 Vil.8
SANTA MARIA
2016
8/15/2019 elizabete trabalho revisado (1).odt
http://slidepdf.com/reader/full/elizabete-trabalho-revisado-1odt 3/177
8/15/2019 elizabete trabalho revisado (1).odt
http://slidepdf.com/reader/full/elizabete-trabalho-revisado-1odt 4/177
AS SHNDROMES
8/15/2019 elizabete trabalho revisado (1).odt
http://slidepdf.com/reader/full/elizabete-trabalho-revisado-1odt 5/177
FACULDADE JK *(i$$" S(# M&i
C*&+' "$5'5i 3 +"."+#&"
S9($&'."
D'(
8/15/2019 elizabete trabalho revisado (1).odt
http://slidepdf.com/reader/full/elizabete-trabalho-revisado-1odt 6/177
C'()"i#':
A S9($&'." $" D'( < $"7i(i$ '& *. l#"&,' 5"(<#i)
)&)#"&iz$ "l &"+"( $" *. #"&)"i&' )&'.'++'.' $" (."&' 21 ' /*"
#.!<. < )%.$' $" #&i++'.i $' 218 T&#-+" $" *. $"7i)i?()i
)&)#"&iz$ "l' 7*()i'(."(#' i(#"l")#*l i(7"&i'& > .<$i /*" +"
.(i7"+# (#"+ $'+ 1 ('+8 Al<. $' $<7i)i# )'5(i#i' " $ $i7i)*l$$" $"
)'.*(i),' "++' )'. S9($&'." $" D'( &"+"(# &"$*,' $' #(*+
.*+)*l& )i"(#i7i)."(#" )%.$ $" %i'#'(i8 T.!<. +,' )'.*(+
&'!l".+ ( )'l*( ( #i&"'i$" ('+ 'l%'+ " (' &"l%' $i5"+#i'8 M*i#+
"z"+ )&i( )'. "++ $"7i)i?()i (+)" )'. ('.li+ )&$9)+
+'l*)i'(="i+ )'. )i&*&5i+8
A '&i5". $ S9($&'." $" D'( < $" $i79)il i$"(#i7i),' " "(5l'!
7#'&"+ 5"(<#i)'+ " .!i"(#i+8 A+ )*++ +,' i(."&+ " )'.l"+"('l"($' 7#'&"+ &< P"&i " B+-(#i+8
A S9($&'." $" D'( ( +l $" *l
A &i."i& &"5& & i()l*+,' $" )&i(+ )'. D'( < &""#i,'
$+ '&i"(#;"+ ". +l $" *l & /*" ' "+#*$(#" '++ )'.&""($?-l+8
8/15/2019 elizabete trabalho revisado (1).odt
http://slidepdf.com/reader/full/elizabete-trabalho-revisado-1odt 7/177
El" $".'& *. '*)' .i+ & "(#"($"& 7i&. M(i) L"'(" G&)i $
S")&"#&i M*(i)il $" E$*),' $" S,' P*l'8 O $"+"."(%' ."l%'&
/*($' + i(+#&*;"+ +,' i+*i+8 P'& i++' < i.'&#(#" &"7'&& )'.($'+ "
+'li)i#;"+ )'. .'$"l'+ /*" "l" '++ "& $" &"7"&?()i )'. il*+#&;"+
5&($"+ " )%.#i+ )'. )'&"+ " +9.!'l'+ $" 7=)il )'.&""(+,'8
A li(5*5". "&!l '& +* "z $"" +"& +i.l"+8 U. $i7i)*l$$" $"
/*". #". +9($&'." ". 5"&l < )*.&i& &"5&+8 M*i#+ 7.9li+ (,'
&"&""($". ' 7il%' /*($' "l" 7z l5' "&&$' )'.' .'&$"& " "5& '!"#'+
/*" (,' l%" "&#"()". $iz M(i)8 N,' 7 i++'8 O i$"l < $'#& ' ."+.'
#&#."(#' $i+"(+$' '+ $".i+8 El"+ #?. $" )*.&i& &"5&+ " 7z"& ' /*"
'+ '*#&'+ 7z".8 S" (,' )'(+"5*". 7i)& ' #".' #'$' ". +l "+#!"l"
)'.!i($'+ .+ (,' +" "&.i++i'8
M(#"(% + #ii$$"+ (' (9"l $+ ))i$$"+ $ )&i( )'.
$"+7i'+ 5&$#i'+8 I++' *."(# ' +*)"++' ( &"liz,' $'+ #&!l%'+8
Pl("" *++ "(#&" + #ii$$"+8 O "+7'&' & $"+"('l"& #ii$$"+ /*"
"('l. 7*(;"+ )'5(i#i+ < .*i#' 5&($"8 + "z"+ ' )(+' $ )&i(
7z )'. /*" + #ii$$"+ &". .i++;"+ i.'++9"i+8 Vl'&iz" +".&" '
"."(%' " &'$*,'8 *($' +" +"(#" i+'l$ $' 5&*' " )'. '*)
i.'&#()i (' #&!l%' " ( &'#i( "+)'l&"+ )&i( $'# #i#*$"+ &"#i+)'.' $"+i(#"&"++" $"+)*.&i."(#' $" &"5&+ " &'');"+8
Di I(#"&()i'(l $ S9($&'." $" D'(
E. 2006 ++')i,' Down Syndrome International i(+#i#*i* ' $i 21 $"
.&' )'.' ' Di I(#"&()i'(l $ S9($&'." $" D'(8 A $# 7'i "+)'l%i$ '&
+"& 5&7$ )'.' 21 /*" 7z l*+,' > #&i++'.i $' )&'.'++'.' 218
C'.' ++& i(7'&.;"+ $" l*('+ )'. $"7i)i?()i &
)''&$"(,'Q
F *. &"l#B&i' )'. $"/*,' )*&&i)*l& " '+ '!"#i'+ $'
#&!l%' $" .("i& *$& ' &'7"++'& $' (' +"5*i(#" l("& (''+
$"+7i'+ $" )'&$' )'. + '++i!ili$$"+ $' "+#*$(#"8 E. *. 7i)% &"l#"
+*+ %!ili$$"+ '+ #"($i."(#'+ /*" &")"!" + i(+#i#*i;"+ /*" =
7&"/*"(#'* + ;"+ /*" $"&. )"&#' " + &"($iz5"(+ l)($+8 I()l*'+ &"5i+#&'+ $'+ )*i$$'&"+ " $'+ &'7i++i'(i+ $' A#"($i."(#' E+")iliz$'
@AEE8 A 7i)% '$" +"& ("$ ' &'#')'l' $" AEE8
8/15/2019 elizabete trabalho revisado (1).odt
http://slidepdf.com/reader/full/elizabete-trabalho-revisado-1odt 8/177
A+ C*++:
T&i++'.i +i.l"+ @$&,': "++' '++*i 3 )&'.'++'.'+ ".
#'$+ + )<l*l+ @')'&&" ". )"&) $" $'+ )+'+ $" S9($&'." $" D'(8 A
)*+ $ #&i++'.i +i.l"+ $' )&'.'++'.' 21 < (,' $i+*(,'
)&'.'++.i)8 T&(+l'),': ' )&'.'++'.' "#& $' & 21 7i) 5&*$$' ".'*#&' )&'.'++'.'8
P&""(,':
C"&) $" 1 ". 00 !"!?+ (+)". )'. +9($&'." $" D'(8 N
.i'&i $'+ )+'+ +9($&'." )'(#")" '& )+' < *. )i$"(#" 5"(<#i)'
'&#(#' < $i79)il &""(i& ' &'!l".8 N,' %= )*l$'+ " (,' %= ($ /*" +"
'++ 7z"& (#"+ '* $*&(#" 5&i$"z /*" '++ )*+& '* &""(i&
+9($&'." $" D'(8
A#*l."(#" #&<+ $ 7"&#iliz,' i( i#&' @FIV '$"-+" "+)'l%"&
".!&i;"+ li&"+ $ .*#,' 5"(<#i) ' &')"++' < )%.$' $" $i5(B+#i)'
5"(<#i)' &<-i.l(#)i'(l @PGD8 C+i+ /*" +" +*!."#". FIV #". "++
',' &""(#i ( /*l = +,' #&(+7"&i$'+ & ' #"&' .#"&(' ".!&i;"+
+!i$."(#" ('&.i+8
T&#."(#':
A "&$$" < /*" (,' %= *. #&#."(#' ")l*+i' /*" '++ &""&#"&
S9($&'." $" D'(8 S,' &"liz$+ ;"+ & &"$*zi& '+ "7"i#'+ $" &'!l".+
)'(5?(i#'+ " &"liz$+ ."$i$+ $" i()l*+,' $ )&i(8 N,' %= *.
)l++i7i),' "+")97i) & $'"( .+ "i+#". &i;"+ ('
$"+"('li."(#' ."(#l " .'#'& $" )$ )i"(#" " i++' i(#"&7"&" (+ ."$i$+
$" i()l*+,'8 D"+"('li."(#' $ S9($&'." $" D'(8
O+ !"!?+ &"+"(#. %i'#'(i '* +" +,' .i+ /*i"#'+ " #".
$i7i)*l$$" & "(5'li& " & +*+#"(#& +"* )'&'8 P'&<. ++i. )'.' +
)&i(+ /*"
(,' #". $'"( '+ i+ $"". "&i7i)& + #i#*$"+ $' !"!? " ' "(+i(=-
l' )*i$& $" +i ."+.' ' .i+ )"$' '++9"l8 A i($""($?()i "++'l < l5'/*" )'(#")" )'. #'$'+ " )'. '+ '&#$'&"+ $" S9($&'." $" D'(
8/15/2019 elizabete trabalho revisado (1).odt
http://slidepdf.com/reader/full/elizabete-trabalho-revisado-1odt 9/177
(,' '$"&i +"& $i7"&"(#"8 M*i#'+ +*"&. /*l/*"& li.i#,' " &#i).
"+'&#"+ i. +" )+. " #&!l%.8
Ali."(#,' & P'&#$'&"+ $" S9($&'." $" D'(
A li."(#,' < *. +")#' i.'&#(#" & '+ '&#$'&"+ $"++
+9($&'." 'i+ /*($' )&i(+ "l+ #?. $i7i)*l$$" ". 5(%& "+' "
/*($' )%"5. ( $'l"+)?()i '$". +'7&"& )'. '!"+i$$"8 Al<. $'+
'++9"i+ &'!l".+ $" "+#.5' '+ )i"(#"+ '$". &"+"(#&
$i7i)*l$$"+ (' .'."(#' $ .+#i5,' " &'!l".+ $" +)i"$$"8 O+
li."(#'+ $"". +"& )'(+*.i$'+ )'. )*i$$' & "i#& ' ).*l' $" "+'8
i.'&#(#" *. )'.(%."(#' &'7i++i'(l $" *. (*#&i)i'(i+# & /*""l" i(i)il."(#" li" '+ %=!i#'+ " + $i7i)*l$$"+ $ )&i( ' +" li."(#&8
D"+"('li."(#' $ C&i( )'. S9($&'." $" D'(
0 6 ."+"+ $" i$$": O!+"&" +"* 7il%' " "&i7i/*" /*l .i'&
$i7i)*l$$" /*" "l" "(7&"(# " #"(#" "+#i.*l& .i+ "++ &#"8 P'$".-+"
*#iliz& !&i(/*"$'+ .+i)+ " %i+#B&i+ & #&i& #"(,' $' !"!?8 Al<.
$i++' "l" '$" +"& )'l')$' ". $i"&++ &#"+ $ )+ 7i. $" )'+#*.=-l')'. ' .!i"(#" 7.ili&8 Al5*(+ !"!?+ '$". &"+"(#& .i+ $i7i)*l$$" &
+*5& ' l"i#" .#"&(' " '& i++' < i.'&#(#" "+)'l% $" *. !i)' $"
..$"i& )'. 7*&' ."('& " '&#'$(#i)'8
Al5*.+ )&i(+ ("++ i$$" 7i). )'. + .,'+ " + "&(+ !"&#+
" i++' 7"# ' $"+"('li."(#'8 S".&" &')*&" $"i& + "&(+ $"l" *(#+8
D? &"7"&?()i & !&i(/*"$'+ )'l'&i$'+ )'. 7'&.+ $" =&i'+ .#"&ii+ "
/*" '++. +".&" "+#i.*l=-l'8 D*&(#" '+ !(%'+ !&i(/*" )'. "l")'("&+" " .++5"i" <+ " .,'+ & /*" )&i( &"($8
6 12 ."+"+ $" i$$": F+" ". /*" ' !"!? 7i) .i+ "+"&#' )'.
' /*" ')'&&" ' +"* &"$'& " ++ &+#"&8 Fl" !+#(#" )'. "l" &
"+#i.*l& 7l " & /*" "l" &")'(%" #ii$$"+ $i=&i+ )'.' #'.& !(%'
l.'& " #&')& $" &'*8 N'+ ++"i'+ &')*&" &"+"(#& )'i++ ('+ &
"l" " 7l" ' #".' #'$' +'!&" ' /*" "+#,' "($'8 E+#i.*l" '+#*& $
)&i(8
8/15/2019 elizabete trabalho revisado (1).odt
http://slidepdf.com/reader/full/elizabete-trabalho-revisado-1odt 10/177
12 2 ."+"+ $" i$$": N". +".&" ' $"+"('li."(#' $
)&i( )'. S9($&'." $" D'( +"&= )'&&"+'($"(#" +* i$$"8 E++
li.i#,' $"" +"& i+# )'. &"+"i#' " )*i$$'8 N"++ 7+" "l+ = "+)'l%".
)'i++ " ".i#". .*i#'+ +'(+ " 5"+#'+8 O+ i+ $"". "$*)=-l'+ .'+#&($' '
/*" < )"&#' " "&&$' & /*" "l" = &"($"($'8 U#iliz" !&i(/*"$'+ )'.'
!'l+ )i+ '* !&i(/*"$'+ $" "()i"8 Al<. $i++' "+#i.*l" '+i,' ". <
& /*" "l +" %!i#*"8
2 ('+ $" i$$": N"++ 7+" "l+ '$". = "+#& ).i(%($'
+"(#. )'. .i+ 7)ili$$" " ".i#". .i+ +'(+ /*" = #"(%. &"($i$'8 A/*i
'+ &'!l".+ )'. ' i(#"+#i(' " &"+i&,' '$". +"& &"$*zi$'+ .+ $"".
+"& +".&" li$'+8 El+ '$". )'."& 7z"& %i5i"("
"++'l )'.' &"($"& #'.& !(%' " "+)'& '+ $"(#"+8 O*#&' 7#'& $"
$"+"('li."(#' ("++ 7+" < +" "+#i& +'zi(%' @i++' '$" +B )'(#")"& '&
'l# $'+ )i()' ('+ $" i$$"8
E+#i.*l" .i+ 7l $ )&i( " "(+i(" + &i()ii+ &"5&+ $"
"$*),' & /*" "l #"(% )'(+)i?()i $" /*" $"" +".&" &"liz& "++"
#i' $" 5"+#'8 *($' )&i( ++& 7&"/*"(#& "+)'l '+ i+ i($
$"". "+#i.*l& +"*+ ('+ ". )+8 Eli/*" '+ "&i5'+ /*" "i+#".
)'.' "++'+ "+#&(%+ + i+#+ " &i+)'+ $" /*"$8 I(+#i5*" +"* 7il%'
&#i)i& $+ #ii$$"+ "+)'l&"+ .+ &"+"i#" + li.i#;"+ $ S9($&'." $"
D'(8
Ali" ."l%'& "+)'l & +"* 7il%' $" )'&$' )'. + li.i#;"+
$"l"8 V"&i7i/*" )$ *. " (li+" + "++'+ /*" i&,' )*i$& $"l"8 A+ "+)'l+
*$. ( i()l*+,' $" +"* 7il%' " #.!<. ' %!i#* 7i)& +".
7.9li '& l5*(+ "&9'$'+8 C'(#i(*" &"liz($' ""&)9)i'+ & /*"
)&i( +" $"+"('l ' .=i.' '++9"l8 E+#i.*l" 7l ).i(%$
$( " ' "(+&8
A$'l"+)?()i )'. S9($&'." $" D'(:
A++i. )'.' '+ $'l"+)"(#"+ )'.*(+ '+ '&#$'&"+ $" S9($&'." $"
D'( ++. '& .*i#+ $"+)'!"&#+ (' i(9)i' $ $'l"+)?()i8 O+ ."(i('+
+'7&". )'. *. '++9"l i(7"&#ili$$" " &"+"(#. +i(i+ $" '!"+i$$"8 A'
)%"5& &'i.$."(#" '+ 13 ('+ "l"+ = #"&,' )'.l"#$' '
$"+"('li."(#' +"*l8
8/15/2019 elizabete trabalho revisado (1).odt
http://slidepdf.com/reader/full/elizabete-trabalho-revisado-1odt 11/177
J= (+ ."(i(+ &i."i& ."(+#&*,' )'(#")" $'+ 11 '+ 1 ('+
+"($' /*" $""($"($' $' )+' "l+ '$". &"&'$*zi& .+ )%()" $"
(+)"& *. )&i( )'. S9($&'." $" D'( < $" 0 8 &"$*zi$
')'&&?()i $" *. i$ +"*l #i "(#&" '+ '&#$'&"+ $ +9($&'."8 O* +"
"l"+ ?. .i'&i $+ "++'+ )'.' .i5'+ " "l+ ". +* .i'&i "+#,'
"('li$+ ". +"* )9&)*l' 7.ili& " "+)'l&8
C'.' #&!l%& )'. *. l*(' )'. +9($&'." $" D'(:
O )*&&9)*l' $"" +"& 7l"i!iliz$' & )&i( )'. S9($&'." $"
D'( /*" '$" '* (,' +"& )'.(%$ '& *. ."$i$'& ( +l $" *l8 O
l*(' #.!<. 7z &'+ .+ +* li,' < $i7"&"(#": ' &'7"++'&
)'.(% + "#+ $" +* "'l*,' ' l'(5' $' (' +".&" ' )'.&($'
)'. "l" ."+.' $"(#&' $" +*+ '#"()ili$$"+8 = "+)'l+ /*" &"&.
'Bli'+ &"#&#($' "++ "'l*,'8 i.'&#(#" l".!&& /*" "i+#" +i. *.
$"7i)i?()i i(#"l")#*l8 O &'7"++'& $"" l"& ". )'(+i$"&,' /*" )&i(
(,' '++*i *. "/*i."(#' !i'lB5i)' )z $" )'."#i& )'. '+ '*#&'+ l*('+
$" +* i$$" "(7#iz +i)Bl'5 F"&(($ T&++'+ R'$&i5*"z8 A++i.
)'.' ')'&&" )'. )&i(+ )'. $"+"('li."(#' )'5(i#i' #9i)' ' +i+#".
"$*))i'(l .i+ $"/*$' &i )'(7'&." ' i($i9$*' .+ "+)'l+ )'. !'.
%i+#B&i)' ( 5"+#,' $ i()l*+,' +,' + .i+ &")'."($$+8
C'.' $"" +"& &"l,' $'+ i+ ( "+)'l:
C'.' )'(#")" )'. /*l/*"& '*#&' l*(' ' "(5."(#' $'+ i+ ('
*(i"&+' "+)'l& !"("7i)i ' $"+"('li."(#' $ )&i( )'. S9($&'." $"
D'(8 O+ i+ $"". +"& &)"i&'+ $ "+)'l l"($' ". )'(+i$"&,' /*"
(,' < '++9"l &""& $" (#".,' ' /*(#' " )'.' )&i( i&= &"($"&
'!+"& Vii(" P<&i)' $ APAE $" S,' P*l'8 F"&(($ T&++' R'$&i5*"z)&"+)"(#: O /*" '+ i+ $"". &')*&&Q W'(+ &'7"++'&"+ !'(+ *ili&"+
$" )l++" " *. .!i"(#" +"5*&' - "(7i. ' /*" +" $"+" & #'$' l*('8
A)'.(%($' $" "&#' $#,' " "'l*,' $' 7il%' '+ i+ "(#"($".
' /*" +" ++ ". +l $" *l " ."(iz. ' +"* ."$' $" /*" % !*llXi(5 -
/*" '+ )'l"5+ "&+i5. ' +"* 7il%' '& "l" +"& $i7"&"(#"8 F"liz."(#" '+
"+")ili+#+ 7i&.. +". %"+i#,' /*" "++" &'!l". < &&': ". 5"&l
)&i( )'. S9($&'." $" D'( $#-+" .*i#' !". ' ."i' "+)'l&8
8/15/2019 elizabete trabalho revisado (1).odt
http://slidepdf.com/reader/full/elizabete-trabalho-revisado-1odt 12/177
FACULDADE JK *(i$$" +(# M&iC*&+' "$5'5i 3 +"."+#&"
S9($&'."
R"##
8/15/2019 elizabete trabalho revisado (1).odt
http://slidepdf.com/reader/full/elizabete-trabalho-revisado-1odt 13/177
C'()"i#':
A S9($&'." $" R"## < *. $'"( ("*&'lB5i) &'')$ '& *..*#,' 5"(<#i) /*" #i(5" ( .i'&i $'+ )+'+ )&i(+ $' +"' 7".i(i('8
C&)#"&iz-+" "l "&$ &'5&"++i $" 7*(;"+ ("*&'lB5i)+ " .'#'&+ B+
."+"+ $" $"+"('li."(#' &"(#"."(#" ('&.l - ". 5"&l #< '+ 1 ."+"+
$" i$8 AB+ "++" "&9'$' + %!ili$$"+ $" 7l ))i$$" $" ($& " '
)'(#&'l" $' *+' $+ .,'+ )'.". &"5&"$i& +"($' +*!+#i#*9$'+ '&
.'i."(#'+ "+#"&"'#i$'+ i('l*(#=&i'+ '* &""#i#i'+8 Pl&+ &"($i$+
#.!<. +,' "+/*")i$+ l"($' *. )&"+)"(#" i(#"&&*,' $' )'(##'+')il8 A )'.*(i),' & "+++ ."(i(+ 5&$#i."(#" +" $= "(+ "l'
'l%&8
)'.*. /*" )&i( )'. S9($&'." $" R"## 7i/*" .'li(% "
&"+"(#" $"+)"l"&,' $' )&"+)i."(#'8 Di+#&!i'+ &"+i&#B&i'+ " $' +'('
#.!<. +,' )'.*(+ "+")il."(#" "(#&" '+ 2 " '+ ('+ $" i$$"8 A &#i&
$'+ 10 ('+ ' &")i."(#' $" "+)'li'+"+ " $" &i5i$"z .*+)*l& 7z". )'.
/*" .*i#+ )&i(+ "&). #'#l."(#" .'!ili$$"8 I++' ++')i$' /*$&'+ .i+ '* ."('+ 5&"+ $" $"7i)i?()i i(#"l")#*l8
A S9($&'." $" R"## < *. T&(+#'&(' Gl'!l $' D"+"('li."(#'
@TGD " *. $+ &i()ii+ )*++ $" $"7i)i?()i .l#il ". ."(i(+8
8/15/2019 elizabete trabalho revisado (1).odt
http://slidepdf.com/reader/full/elizabete-trabalho-revisado-1odt 14/177
8/15/2019 elizabete trabalho revisado (1).odt
http://slidepdf.com/reader/full/elizabete-trabalho-revisado-1odt 15/177
S9($&'." $" R"## - I(#"&"(,' P'(#*l
N,' "i+#". &")"i#+ &'(#+ & +" #&!l%& )'. )&i(+ )'.
+9($&'." $" R"## 'i+ #'$+ + "++'+ +,' $i7"&"(#"+ ."+.' $"(#&' $
i5*l$$"8E(#&"#(#' &"+"(#.'+ l5*.+ "+#&#<5i+ /*" *ili&,' ' #&!l%'
"$5B5i)'8
N+ #ii$$"+ $" "$*),' 79+i) ". Y#'$'Z )i"(#" )'. S9($&'."
$" R"##I(#"& $""-+" #&!l%& &i."i&."(#" "#"(+,' $" )!" " $"
#&'()' & $"'i+ "(#,' )&i( +" "+#i.*l$ )'."& &'l& &&+#&
+"(#&888 N,' '$".'+ /*"&"& /*" "l "(5#i(%" +". /*" "l )'(+i5 7z"&
"#"(+,' )"&i)l " $"". +"5*i& + "#+ $" "'l*,' $" .#*&,' $
)&i(8
P&""(,':
P'& +" #&#& $" *. $'"( 5"(<#i) /*" "('l" )"&) $" 200
.*#;"+ ". *. (i)' 5"(" (,' "i+#". 7'&.+ )'(%")i$+ $" &""(,'
$ +9($&'." $" R"##8
A+ )*++:
A +9($&'." $" R"## < )*+$ '& )"&) $" 200 .*#;"+ 5"(<#i)+
/*" ')'&&". (' )&'.'++'.' +"*l [ .i+ "+")i7i)."(#" (' 5"(" MECP2
". &'i.$."(#" 'i#' '(#'+ "+")97i)'+ $"+#" 5"("8
Al<. $i++' $'"( &&."(#" '$" +"& %"&"$i#=&i8 A+ .*#;"+
5"(<#i)+ /*" &''). +9($&'." 5"&l."(#" ')'&&". $" 7'&. "+'(#("
" l"#B&i8
T&#."(#':
O #&#."(#' & +9($&'." $" R"## &"/*"& )*i$$'+ .<$i)'+
&"5*l&"+ l<. $" #"&i ')*)i'(l " 7i+i'#"&i " $"" )'(#i(*&
."+.' $"'i+ $" + )&i(+ )&"+)"&". " #i(5i&". i$$" $*l#8
8/15/2019 elizabete trabalho revisado (1).odt
http://slidepdf.com/reader/full/elizabete-trabalho-revisado-1odt 16/177
O+ #&#."(#'+ /*" '$". *$& )&i(+ " $*l#'+ )'. +9($&'." $"
R"## i()l*".:
8/15/2019 elizabete trabalho revisado (1).odt
http://slidepdf.com/reader/full/elizabete-trabalho-revisado-1odt 17/177
M"$i);"+
A"+& $" '+ ."$i)."(#'+ "i+#"(#"+ %'" (,' +"&". )z"+ $"
)*&& +9($&'." $" R"## "l"+ '$". *$& )'(#&'l& l5*(+ $'+ +i(i+ "
+i(#'.+ ++')i$'+ )'. $'"( )'.' )'(*l+;"+ " &i5i$"z .*+)*l&8
Fi+i'#"&i " #"&i ')*)i'(l
A #"&i 79+i) " $' *+' $" )i(#+ '* .'l$"+ "+")97i)'+ '$". *$&
+ )&i(+ /*" &"+"(#. "+)'li'+"8 E. l5*(+ )+'+ 7i+i'#"&i
#.!<. '$" *$& .(#"& ' "/*il9!&i' " 7l"i!ili$$" "(/*(#' /*"
#"&i ')*)i'(l *$ ."l%'&& ' *+' i(#"()i'(l $+ .,'+8 Al<. $i++'#<)(i)+ $" 7'('*$iBl'5 #.!<. '$". *$& ."l%'&& i$ $" *.
)&i( )'. +9($&'." $" R"## "(+i(($' 7'&.+ (,' "&!i+ $" )'.*(i),'8
W' (*#&i,'
A (*#&i,' $"/*$ < "#&".."(#" i.'&#(#" #(#' & '
)&"+)i."(#' ('&.l /*(#' & ."l%'&i $+ %!ili$$"+ ."(#i+ " +')ii+
$" *. )&i( )'. +9($&'." $" R"##8 Al5*.+ $"l+ '$". &")i+& $" *.
$i"# )'. l#' #"'& )lB&i)' " .*i#' !". "/*ili!&$8 J= '*#&+ '$".
(")"++i#& $" *. +'($ & )'(+"5*i&". +" li."(#& $"/*$."(#"8 E.
)+'+ .i+ 5&"+ li."(#,' '$" +"& li)$ $i&"#."(#" ('
"+#.5' $ )i"(#" (*. &')"$i."(#' )'(%")i$' )'.' 5+#&'+#'.i8
C'.' #&!l%& "++" l*(' ( +l $" *l:
&")i+' )&i& "+#&#<5i+ & /*" + ."(i(+ )'. S9($&'." $" R"##
'++. &"($"&8 O &i()il < "+#!"l")"& +i+#".+ $" )'.*(i),' /*"
*$". )&i( - )'.' l)+ )'. $"+"(%'+ " l&+ & /*" "l '++
i($i)& ' /*" $"+"8
A "+)'l $"" +"& *. "+' )"++9"l = /*" .*i#+ )&i(+ )'.
"++ +9($&'." (")"++i#. $" "/*i."(#'+ & ).i(%&8
R"+"i#" ' #".' $" &"($iz5". $" )$ )&i( " )'(#" )'.
*$ $' A#"($i."(#' E$*))i'(l E+")iliz$' @AEE8 F *+#"+ (+
8/15/2019 elizabete trabalho revisado (1).odt
http://slidepdf.com/reader/full/elizabete-trabalho-revisado-1odt 18/177
#ii$$"+ +".&" /*" (")"++=&i' " &')*&" &"+"(#& '+ )'(#"$'+
$" .("i& !". i+*l & 7)ili#& )'.&""(+,'8
8/15/2019 elizabete trabalho revisado (1).odt
http://slidepdf.com/reader/full/elizabete-trabalho-revisado-1odt 19/177
FACULDADE JK *(i$$" +(# M&i
8/15/2019 elizabete trabalho revisado (1).odt
http://slidepdf.com/reader/full/elizabete-trabalho-revisado-1odt 20/177
8/15/2019 elizabete trabalho revisado (1).odt
http://slidepdf.com/reader/full/elizabete-trabalho-revisado-1odt 21/177
Conceito:
A +9($&'." $" N''(( #&#-+" $" *. #'l'5i $" '&i5". 5"(<#i)
*#'++.i) $'.i((#" /*" ')+i'( *. $"+"('li."(#' ('&.l $" =&i+
&#"+ $' )'&'8
E+# +9($&'." < )'(+i$"&$ *. #i' $" ((i+.' /*" )'."#" 1 ".
)$ 2800 i($i9$*'+ (+)i$'+ i'+ 7"#($' .!'+ '+ +"'+ i5*l."(#"8
F'i (' (' $" 16 /*" "+# +9($&'." 7'i &")'(%")i$ )'.' *.
"(#i$$" (i) /*($' N''(( " E%.\" $"+)&""&. $i"&+'+ )i"(#"+ /*"
&"+"(#. 7)" i()'.*. " .l7'&.;"+ .l#il+ !&(5"($' $'"(
)&$9) )'(5?(i#8 P&"i."(#" )&"$i#-+" /*" "++"+ )i"(#"+
*$"++". +"& '&#$'&"+ $ +9($&'." $" T*&("& *. "z /*" "+# l#i.
)'.&#il% $i"&++ )&)#"&9+#i)+ )l9(i)+ )'. +9($&'." $" N''((8
A+ .(i7"+#;"+ )l9(i)+ $ +9($&'." $" N''(( i()l*". l<. $
!i "+##*&:
C&)#"&9+#i)+ 7)ii+ i()'.*(+: .il "+#&"i# .($9!*l
"/*"( 'l%'+ !". +"&$'+ " ."($'$'+ " '&"l%+ )'. 7'&.#'
('&.l
P"+)'' l$'
8/15/2019 elizabete trabalho revisado (1).odt
http://slidepdf.com/reader/full/elizabete-trabalho-revisado-1odt 22/177
D"7'&.i$$" #'&=)i)
C&$i'#i )'(5?(i# @0 $'+ )+'+
R"#&$' ."(#l @2 $'+ )+'+
Di=#"+" %".'&&=5i) @'!+"&$ ". ."#$" $'+ )+'+
]&5,'+ 5"(i#i+ '*)' $"+"('li$'+8
O $i5(B+#i)' i($ < 7"i#' )'. !+" (+ )&)#"&9+#i)+ )l9(i)+8 D""
+"& 7"i#' #.!<. ' $i5(B+#i)' $i7"&"()il )'. '*#&+ #'l'5i+ $" '&i5".
5"(<#i) #i+ )'.' +9($&'." $" T*&("& +9($&'." $" C'+#"ll' +9($&'."
)&$i'7)i')*#(" " +9($&'." $" L"''l$8
N,' "i+#" )*& & "+# +9($&'."8 O #&#."(#' < 7"i#' )'. !+" (
+i(#'.#'l'5i &"+"(#$ "l' )i"(#"8
!i#*l."(#" '+ '&#$'&"+ $"+# +9($&'." &"+"(#. *.
"")##i $" i$ $"(#&' $ ('&.li$$" !". )'.' i(#"li5?()i $"(#&' $'+
&."#&'+ ('&.i+8
A+ C*+:
D"7"i#'+ ". /*#&' 5"("+ @KRAS " PTPN11 RAF1 SOS1 '$"
)*+& +9($&'." $" N''((8 C"&) $" ."#$" $+ "++'+ 7"#$+ '& "++
+9($&'." #?. *. .*#,' (' 5"(" PTPN118 A+ "++'+ )'. *. $"7"i#' ('
5"(" KRAS #". *. 7'&. .i+ +""& $ +9($&'." $" N''((8 A/*"l"+ )'.
('&.li$$"+ 5"(<#i)+ RAF1 #"($". #"& *. &'!l". )&$9)' &#i)*l&
@)&$i'.i'#i %i"&#&B7i)8 O+ &'!l".+ )'. "+#"+ 5"("+ )*+& )"&#+
&'#"9(+ "('li$+ (' )&"+)i."(#' " $"+"('li."(#' & #'&(.-+"
%i"&)#i+8
S9($&'." $" N''(( < %"&$$ ' /*" +i5(i7i) %"&"$i#=&i8 *.
)'($i,' *#'++.i) $'.i((#" ' /*" +i5(i7i) /*" "(+ *. $'+ i+ #".
/*" #&z"& ' 5"(" $"7"i#*'+' & /*" *. !"!? #". +9($&'."8 N' "(#(#' '
7#' $" /*" l5*.+ )&i(+ (,' #?. *. i )'. +9($&'." $" N''((
&'"l."(#" +i5(i7i) /*" l5*(+ )+'+ (,' +,' %"&"$i#=&i'+8
8/15/2019 elizabete trabalho revisado (1).odt
http://slidepdf.com/reader/full/elizabete-trabalho-revisado-1odt 23/177
E #"+#"+ $" +9($&'." $" N''((
O "." '$" .'+#&& *. $'!& "#& $" "l" )i. $' 'l%' "&#' $'
(&iz @"i)(#' " !&'+ /*" '$". +"& &"liz$+ ". *. (5*l' i()'.*.8
P'$" %"& +i(i+ $" $'"( )&$9) )'(5?(i# @"+")il."(#"
"+#"('+" *l.'(& " '& "z"+ $" +"#'8
O+ "."+ $" +(5*" & 'l%& & )'(#5". $" l/*"#+ "
7#'&"+ $" +(5*" '$" &""l& +i(i+ $" *. #"($?()i ' +(5&."(#'8
T"+#"+ "+")97i)'+ $""($". $" /*i+ +,' '+ +i(#'.+ '& "".l'
& '+ +i(i+ $ $'"( '$" &")'."($& *. ECG &i'+-[ $" #B& '* ")'
)&$i'5&.8 T"+#"+ & /*"l"+ /*" #?. +i(i+ $" $i.i(*i,' *$i#i +,'&")'."($$'+8
O #"+#" 5"(<#i)' '$" i$"(#i7i)& .*#;"+ ". /*#&' 5"("+ /*"
)*+. +9($&'." $" N''((8
T&#."(#':
N,' "i+#" *. #&#."(#' (i)' & +9($&'." $" N''((8 O#&#."(#' +" )'()"(#& ('+ +i(#'.+ i($ii$*i+8 O %'&.(i' $' )&"+)i."(#'
#". +i$' *#iliz$' )'. +*)"++' ". l5*.+ "++'+ )'. "++ +9($&'." &
#&#& !i "+##*&8
C'.' #&!l%& "++" l*(' ". +l $" *l:
P& ' l)()" $'+ '!"#i'+ &''+#'+ &"#"($"-+" $"+"('l"& *.
"+#*$' $" )+' /*li##i' (' /*l !*+)-+" )'.&""($"& *. )+' &#i)*l&
)'(+i$"&($' +"* )'(#"#' " )'.l"i$$"8 A "+)'l% $" #l ."#'$'l'5i +" $=
'& )&"$i#& /*" "+# &''&)i'(&= ' "+#*$' *. "(#"($i."(#' .i+
&'7*($' " $"#l%$' $' )'#i$i('8 E+"&-+" /*" ' "+#*$' $" )+' *ili" (
)'.&""(+,' $ &'!l".=#i) " '++i!ili#" ' +*&5i."(#' $" ('+ &"l;"+
l"($' ' l"i#'& *. i+,' .i+ .li$ $' )+' l<. $" '++i!ili#& ('+
/*"+#;"+ & "+#*$'+ 7*#*&'+8 D" )'&$' )'. ^i( @*$ GIL 200 83 *.
"+#*$' $" )+' Y< *. i("+#i5,' ".9&i) /*" i("+#i5 *. 7"(."('
8/15/2019 elizabete trabalho revisado (1).odt
http://slidepdf.com/reader/full/elizabete-trabalho-revisado-1odt 24/177
)'(#".'&("' $"(#&' $" +"* )'(#"#' "+")il."(#" /*($' '+ li.i#"+
"(#&" ' 7"(."(' " ' )'(#"#' (,' "+#,' )l&."(#" $"7i(i$'+Z8
C'()"i#':
O /*" < S9($&'." $" T*&("&Q
A +9($&'." $" T*&("& ')'&&" /*($' ' & $" )&'.'++'.'+ [ (,' <
('&.l '$"($' &"+"(#& *. )&'.'++'.' [ *+"(#" '* &)il."(#"
*+"(#"8 A +9($&'." $" T*&("& '$" )*+& *. &i"$$" $" &'!l".+
.<$i)'+ " $" $"+"('li."(#' i()l*i($' !i "+##*& i())i$$" $"
i(i)i& *!"&$$" i(7"&#ili$$" .l7'&.;"+ )&$9)+ )"&#+ $i7i)*l$$"+$" &"($iz5". " &'!l".+ $" $#,' +')il8
A +9($&'." $" T*&("& '$" +"& $i5('+#i)$ (#"+ $' (+)i."(#'
@&<-(#l $*&(#" i(7()i '* ( &i."i& i(7()i8 O)+i'(l."(#" '
$i5(B+#i)' < #&$i'8 A +9($&'." $" T*&("& ')'&&" ". 1 )$ 28000 &#'+ $"
!"!?+ )'. i$8 A)&"$i#-+" /*" $" #'$'+ '+ 7"#'+ )'. S9($&'." $"T*&("& !'&#". (#*&l."(#" $*&(#" 5"+#,'8
*+" #'$+ + "++'+ )'. +9($&'." $" T*&("& &")i+. $"
)*i$$'+ .<$i)'+ ". )*&+' &#i& $" *. &i"$$" $" "+")ili+#+8
E."+ &"5*l&"+ " )*i$$'+ $"/*$'+ '$". *$& #"& *. i$
i($""($"(#" " +*$="l8
A+ C*++
8/15/2019 elizabete trabalho revisado (1).odt
http://slidepdf.com/reader/full/elizabete-trabalho-revisado-1odt 25/177
O+ %*.('+ '++*". 6 )&'.'++'.'+8 O+ )&'.'++'.'+ )'(#?.
#'$ i(7'&.,' 5"(<#i) $"(#&' $"l" ' /*" )'(%")".'+ )'.' DNA8 D'i+
$"++"+ )&'.'++'.'+ +,' $"('.i($'+ +"*i+ )'(%")i$'+ )'.' [ " ^8
E++"+ )&'.'++'.'+ $"#"&.i(. ' +"' +"($' /*" [[ )'&&"+'($" '
+"' 7".i(i(' " [^ )'&&"+'($" ' .+)*li(' ' B&5,' +"*l +"($' [[
)'&&"+'($"(#" > 5i( " [^ )'&&"+'($"(#" ' ?(i+8
A +9($&'." $" T*&("& ')'&&" ". .*l%"&"+ /*" &"+"(#. *.
)&'.'++'.' +"*l ."('+ '* +" &"+"(#. )&'.'++'.'+ @*.
)&'.'++'.' +"*l ."('+8 A+ l#"&;"+ 5"(<#i)+ $ +9($&'." $" T*&("&
'$". +"&:
M'('++'.i )'.l"#
C'.l"# *+?()i $" *. )&'.'++'.' [8 G"&l."(#" ')'&&" $"i$'
*. "&&' (' "+"&. $' i '* (' B*l' $ .,"8 I++' &"+*l# ". #'$+ +
)<l*l+ $' )'&' )'. "(+ *. )&'.'++'.' [8 A .'('++'.i )'.l"# $'
)&'.'++'.' [ ')'&&" ". 0 $'+ )+'+ $ S9($&'." $" T*&("&8
M'+i)i+.'
E. 20 0 $'+ )+'+ $" S9($&'." $" T*&("& &"+"(#. ' )&iB#i'". .'+i)'8 I++' +i5(i7i) /*" )i"(#" &"+"(# ". +"* '&5(i+.' )<l*l+
('&.i+ @6[[ " )<l*l+ )'. .'('++'.i $' [ ' ."+.' #".' @[8
E. l5*(+ )+'+ %= *. )&'.'++'.' [ )'.l"#' " *. "".l& l#"&$'8
M#"&il $" )&'.'++'.' ^
E. *. "/*"( '&)"(#5". $'+ )+'+ $" +9($&'." $" T*&("&
l5*.+ )<l*l+ #?. *. )Bi $' )&'.'++'.' [ " '*#&+ )<l*l+ #?.
*. )Bi $' )&'.'++'.' [ " l5*. .#"&il $" )&'.'++'.' 8̂ A
&"+"( $" .#"&il $" )&'.'++'.' ^ *."(# ' &i+)' $" *. #i' $"
)()"& )%.$' 5'($'!l+#'.8
8/15/2019 elizabete trabalho revisado (1).odt
http://slidepdf.com/reader/full/elizabete-trabalho-revisado-1odt 26/177
F#'&"+ $" &i+)'
A "&$ '* l#"&,' $' )&'.'++'.' [ ')'&&" l"#'&i."(#"8 +
"z"+ < '& )*+ $" *. &'!l". )'. ' "+"&. '* ' B*l' " '*#&+
"z"+ "&$ '* l#"&,' $' )&'.'++'.' [ )'(#")" (' i(9)i' $'
$"+"('li."(#' 7"#l8
O %i+#B&i)' 7.ili& (,' &")" +"& *. 7#'& $" &i+)' '& i++' < '*)'
&'="l /*" '+ i+ $" *. )&i( )'. +9($&'." $" T*&("& #"(%. '*#&
)'. ' #&(+#'&('8 Al<. $i++' ' )'(#&=&i' $+ #&i++'.i+ )'.' #&i++'.i+ $'
)&'.'++'.' 21 @S9($&'." " D'( /*" *."(#. +* i()i$?()i )'. '
*."(#' $ i$$" .#"&( S9($&'." $" T*&("& #". ."+. i()i$?()i
i($""($"(#"."(#" $ i$$" $ .*l%"&8
Si(#'.+
Si(#'.+ $" S9($&'." $" T*&("&
O+ +i(#'.+ $ +9($&'." $" T*&("& '$". &i& +i5(i7i)#i."(#"8
I++' $""($" &i()il."(#" $' &"+*l#$' $' )&iB#i' +" &"+"(#
.'+i)i+.' '* l#"&,' < ". #'$+ + )<l*l+8 V":
N' .'."(#' $' (+)i."(#' '* $*&(#" i(7()i
P"+)'' l&5'
R"#&'5(#i+.' @.($9!*l (,' &'".i("(#"
Pl#' !*)l l#' " "+#&"i#'
P=l"!&+ )9$+
Ol%'+ &"++")$'+
P'*)' )!"l' ( &#" $" #&=+ $ )!"
P"i#' l&5' )'. ..il'+ .l."(#" "+$'+
D"$'+ )*&#'+
O&"l%+ +li"(#"+ & 7'& "'* & !i' '$"($'
5i&& ( $i&",' $ 5&5(# li(% $" )!"l'+
W&'+ /*" $'!&. & 7'& ( l#*& $'+ )'#'"l'+
U(%+ "+#&"i#+ /*" i&. & )i.
I()%' $+ .,'+ " <+ "+")il."(#" ' (+)"&
E+##*& !i' $ .<$i R"#&$' $' )&"+)i."(#'
E+)'li'+"
8/15/2019 elizabete trabalho revisado (1).odt
http://slidepdf.com/reader/full/elizabete-trabalho-revisado-1odt 27/177
P<+ )%#'+
*&#' ."#)&' )*&#' @'++' ( .,' '& !i' $ *(#
N $'l"+)?()i " *"(#*$"
E. l5*(+ )+'+ &"+"( $" +9($&'." $" T*&("& '$" (,' +"&
7)il."(#" "&)"#9"l8 Si(i+ " +i(#'.+ ". )&i(+ .i+ "l%+
$'l"+)"(#"+ " '"(+ /*" '$". i($i)& +9($&'." $" T*&("& i()l*".:
A*+?()i $" +*&#'+ $" )&"+)i."(#' >+ "z"+ "+"&$'+ (
i(7()i
Wi "+##*& )'. *. l#*& $*l# $" 20 )"(#9."#&'+
."('+ $' /*" +" '$"&i "+"&& $" *. .".!&' 7".i(i(' $ ."+.
7.9li Di7i)*l$$"+ $" &"($iz5". &i()il."(#" /*($'
"('l" )'()"i#'+ "+)ii+ '* .#".=#i) ".!'& i(#"li5?()i +"
5"&l."(#" ('&.l
Di7i)*l$$" ". +i#*;"+ +')ii+ )'.' &'!l".+ ".
"(#"($"& + ".';"+ '* &";"+ $" '*#&+ "++'+
D"i$' > 7l?()i '&i( '$". (,' ')'&&"& +
.*$(+ #9i)+ $ *!"&$$" )'.' (+)i."(#' $" "l'+ ")&"+)i."(#' $" +"i'+
A(#")i,' $' 7i. )i)l'+ ."(+#&*i+
N .i'&i $'+ )+'+ i())i$$" $" )'()"!"& *.
)&i( +". #&#."(#' $" 7"&#ili$$"8
Di5(B+#i)' " "."+
W*+)($' *$ .<$i)
+ "z"+ < $i79)il $i+#i(5*i& '+ +i(i+ " +i(#'.+ $ +9($&'." $" T*&("& $"
'*#&'+ #&(+#'&('+8 P'&#(#' < i.'&#(#" .&)& *. )'(+*l# .<$i) &
'!#"& *. $i5(B+#i)' &")i+' " #&#."(#' $"/*$'8 M&/*" *.
)'(+*l# +" ')? )% /*" +* 7il% .'+#& +i(i+ $" +9($&'." $" T*&("& '* +"
8/15/2019 elizabete trabalho revisado (1).odt
http://slidepdf.com/reader/full/elizabete-trabalho-revisado-1odt 28/177
8/15/2019 elizabete trabalho revisado (1).odt
http://slidepdf.com/reader/full/elizabete-trabalho-revisado-1odt 29/177
8/15/2019 elizabete trabalho revisado (1).odt
http://slidepdf.com/reader/full/elizabete-trabalho-revisado-1odt 30/177
T&#."(#':
T&#."(#' $" S9($&'." $" T*&("&
T"&i+ %'&.'(i+
A+ &"'+i;"+ %'&.'(i+ +,' '+ &i()ii+ #&#."(#'+ & +9($&'."
$" T*&("&8 A #"&i $' %'&.(i' $" )&"+)i."(#' < &")'."($$ &
.i'&i $'+ )+'+8 O '!"#i' < *."(#& l#*& #(#' /*(#' '++9"l
$*&(#" i(7()i " $'l"+)?()i8 O #&#."(#' )'. %'&.(i' $" )&"+)i."(#'
5"&l."(#" < $$' =&i+ "z"+ '& +".( )'.' i(";"+ $" +'.#&'i(8 A
#"&i )'. %'&.(i' $" )&"+)i."(#' < *. #&#."(#' $&,' ( S9($&'." $"T*&("& " '$" &"+*l#& ". *. 5(%' $" 6 10 ). ( "+##*& 7i(l8 S" ' 5(%'
$" l#*& (,' ')'&&" l5*(+ .<$i)'+ '$". &")'."($& *. ($&'5?(i'
)%.$' '($&'l'( l<. $' %'&.(i' $' )&"+)i."(#'8
A #"&i "+#&'5?(i) #.!<. $""&= +"& 7"i# ( .i'&i $'+ )+'+
7i. $" )'."& *!"&$$" " l)(& ' $"+"('li."(#' +"*l $*l#'8 O
"+#&'5?(i' #.!<. '$" *$& (' )&"+)i."(#' /*($' *+$' *(#' )'.
#"&i (#"&i'&8 O #&#."(#' )'. "+#&B5"(' 5"&l."(#" )'(#i(* $*&(#" #'$ i$ #< /*" .*l%"& #i( i$$" .<$i $ ."('*+8
T&#."(#'+ "+")97i)'+
P'& )*+ $ &i"$$" $" +i(#'.+ " )'.li);"+ '*#&'+
#&#."(#'+ +,' $#$'+ & &"+'l"& &'!l".+ "+")97i)'+ $ )i"(#"8
C'.' +9($&'." $" T*&("& '$" &"+*l#& ". =&i'+ &'!l".+ $"
$"+"('li."(#' " )'.li);"+ .<$i)+ =&i'+ "+")ili+#+ '$". "+#&
"('li$'+ ( #&i5". & )'($i;"+ "+")97i)+ &")'."($($'
#&#."(#'+ " &"+#,' $" )*i$$'+8
E++ "/*i" '$" "'l*i& > ."$i$ ". /*" + (")"++i$$"+ $ )&i(
.*$. " ' "$i#& '$" )''&$"(& ' )*i$$'8 A "/*i" $" )*i$$'+ &
+9($&'." $" T*&("& i()l*i& l5*(+ '* #'$'+ "++"+ &'7i++i'(i+:
E($')&i('l'5i+#
C&$i'l'5i+#
8/15/2019 elizabete trabalho revisado (1).odt
http://slidepdf.com/reader/full/elizabete-trabalho-revisado-1odt 31/177
Gi(")'l'5i+#
O&#'"$i+#
O#'&&i('l&i(5'l'5i+#
D"(#i+#
O7#l.'l'5i+#
P+i)Bl'5' '* +i/*i#&
G"("#i)i+#8
E."+ &"5*l&"+ #?. .'+#&$' ."l%'&i+ +*!+#()ii+ ( /*li$$" "
$*&,' $" i$ $+ )i"(#"+ )'. +9($&'." $" T*&("&8 P&'!l".+ /*" .*i#+
"z"+ +*&5". $*&(#" i$ $*l# i()l*". "&$ $" *$i,' &'!l".+ ('+
'l%'+ &"++,' &#"&il "l"$ $i!"#"+ " '+#"''&'+"8
G&i$"z " 7"&#ili$$"
P'*)+ "++'+ )'. +9($&'." $" T*&("& '$" "(5&i$& +".
#&#."(#' $" 7"&#ili$$"8 A/*"l+ /*" '$". i($ "+#,' &'"(++
""&i."(#& 7l?()i $'+ '=&i'+ " i(7"&#ili$$" +*!+"/*"(#" .*i#' )"$' (
i$ $*l#8 P'& i++' < i.'&#(#" $i+)*#i& ' )l"($=&i' $" 5&i$"z )'. '
.<$i)' '* .<$i)8
Al5*.+ .*l%"&"+ )'. +9($&'." $" T*&("& '$". "(5&i$& )'.
$',' $" *. B*l' '* ".!&i,'8 I+#' &"/*"& *. #"&i %'&.'(l
"+")il."(#" )'()"!i$ & &"&& ' #"&' & *. 5&i$"z8
N .i'&i $'+ )+'+ + .*l%"&"+ )'. +9($&'." $" T*&("& #?.
5"+#;"+ $" l#' &i+)'8 i.'&#(#" $i+)*#i& i++' )'. "/*i" .<$i)8
C'(i"($' @&'5(B+#i)'
C'.li);"+ '++9"i+
A +9($&'." $" T*&("& '$" 7"#& ' !'. $"+"('li."(#' $" =&i'+
+i+#".+ $' )'&'8 P'$" ')'&&"& *. +<&i" $" )'.li);"+ i()l*i($':
P&'!l".+ )&$9)'+
Ri+)' *."(#$' & $i!"#"+ " %i"&#"(+,'
P"&$ $" *$i,'
P&'!l".+ &"(i+
Di+7*(;"+ $ #i&"'i$"
8/15/2019 elizabete trabalho revisado (1).odt
http://slidepdf.com/reader/full/elizabete-trabalho-revisado-1odt 32/177
D'"( i(7l.#B&i i(#"+#i(l " $'"( )"l9)
D"+"('li."(#' $"7i)i"(#" '* ('&.l $'+ $"(#"+
'$" l"& *. .i'& &i+)' $" "&$ $' $"(#"
A 7'&. $' )<* $ !') " $' .il& i(7"&i'& '$" &"+*l#&
". *. .'&$i$ .l li(%$
E+#&!i+.' " %i"&."#&'i
E+)'li'+" )i7'+" " '+#"''&'+"
I(7"&#ili$$" '* +" ')'&&"& 5&i$"z $" &i+)'
Di7i)*l$$"+ $" &"($iz5".
Mi'& &i+)' $" $<7i)i# $" TDA
E")##i+
P"++'+ )'. +9($&'." $" T*&("& '$". #"& *. i$ ('&.l
/*($' )*i$$'+."(#" )'.(%$+ '& *. "/*i" .<$i)8
P&""(,'
P&""(,'
N,' %= *. 7'&. )'(%")i$ $" &""(i& +9($&'." $" T*&("&8 N'
"(#(#' < i.'&#(#" &"+#& #"(,' '+ +i(#'.+ " 7z"& ' $i5(B+#i)'
&")')" & ' #&#."(#' )'."& ' .i+ )"$' '++9"l8
8/15/2019 elizabete trabalho revisado (1).odt
http://slidepdf.com/reader/full/elizabete-trabalho-revisado-1odt 33/177
FACULDADE JK *(i$$" +(# M&i
8/15/2019 elizabete trabalho revisado (1).odt
http://slidepdf.com/reader/full/elizabete-trabalho-revisado-1odt 34/177
8/15/2019 elizabete trabalho revisado (1).odt
http://slidepdf.com/reader/full/elizabete-trabalho-revisado-1odt 35/177
C'()"i#':
A S9($&'." $" A+"&5"& < *. T&(+#'&(' Gl'!l $' D"+"('li."(#'
@TGD &"+*l#(#" $" *. $"+'&$". 5"(<#i) " /*" &"+"(# .*i#+
+"."l%(+ )'. &"l,' ' *#i+.'8
A' )'(#&=&i' $' /*" ')'&&" (' *#i+.' )'(#*$' )&i(+ )'.
A+"&5"& (,' &"+"(#. 5&($"+ #&+'+ (' $"+"('li."(#' $ 7l "(". +'7&". )'. )'.&'."#i."(#' )'5(i#i' 5&"8 E++"+ l*('+ )'+#*..
"+)'l%"& #".+ $" i(#"&"++" /*" '$". +"& (i)'+ '& l'(5'+ "&9'$'+ $"
#".' - /*($' 5'+#. $' #". $i('++*&'+ '& "".l' 7l.
&""#i$."(#" ("++" ++*(#'8 !ili$$"+ i()'.*(+ )'.' .".'&iz,' $"
+"/*?()i+ .#".=#i)+ '* $" .+ +,' !+#(#" &"+"(#"+ ". "++'+
)'. "++ +9($&'."8
N i(7()i "+++ )&i(+ &"+"(#. $<7i)i#+ (' $"+"('li."(#'.'#'& " '$". #"& $i7i)*l$$"+ & +"5*&& ' l=i+ & "+)&""&8 E+#&*#*&.
+"* "(+."(#' $" 7'&. !+#(#" )'()&"# " (,' )'(+"5*". i(#"&&"#&
."#=7'&+ " i&'(i+ - ' /*" i(#"&7"&" (' &')"++' $" )'.*(i),'8 Al<. $i++'
(,' +!". )'.' *+& '+ .'i."(#'+ )'&'&i+ " '+ 5"+#'+ ( )'.*(i),'
(,'-"&!l " +" "5. &i#*i+ #"($' $i7i)*l$$"+ & &"liz& #ii$$"+
/*" 7'5". > &'#i(8
8/15/2019 elizabete trabalho revisado (1).odt
http://slidepdf.com/reader/full/elizabete-trabalho-revisado-1odt 36/177
A+ )*++:
A )*+ "# $ S9($&'." $" A+"&5"& ++i. )'.' $' T&(+#'&('
$' E+")#&' $' A*#i+.' i($ (,' < )'(%")i$8 O+ )i"(#i+#+ '& '*#&' l$')&"$i#. /*" *. ('&.li$$" (' )<&"!&' $+ )&i(+ '&#$'&+ +"
)*+ .i+ &'="l8
O*#&+ $'"(+ )'.' $"&"++,' " #&(+#'&(' !i'l& #.!<. '$".
"+#& &"l)i'($'+ > S9($&'." $" A+"&5"& " ' T&(+#'&(' $' E+")#&'
A*#i+#8
A' )'(#&=&i' $' /*" l5*.+ "++'+ )'+#*.. "(+& S9($&'."
$" A+"&5"& (,' < )*+$ "l &i,' ".')i'(l '* '& *. 7'&.
"+")97i) /*" '+ i+ "$*). +"*+ 7il%'+8
O+ +i(#'.+ $ S9($&'." $" A+"&5"& '$". &i& $" "++' &
"++' " &i. #.!<. $" i(#"(+i$$" " 5&i$$"8 O+ +i(i+ .i+
)'.*(+ i()l*".:
P&'!l".+ )'. %!ili$$"+ +')ii+
C&i(+ )'. S9($&'." $" A+"&5"& 5"&l."(#" #?. $i7i)*l$$" &
i(#"&5i& )'. '*#&+ "++'+ " .*i#+ "z"+ )'.'&#.-+" $" 7'&. "+#&(%
". +i#*;"+ +')ii+8 P'&#$'&"+ $"++" $i+#&!i' 5"&l."(#" (,' 7z". .i5'+
7)il."(#" 'i+ #?. $i7i)*l$$" & i(i)i& " .(#"& *. )'("&+8
C'.'&#."(#'+ ")?(#&i)'+ '* &""#i#i'+
C&i(+ )'. "++ )'($i,' '$". $"+"('l"& *. #i' $"
)'.'&#."(#' ('&.l /*" "('l" .'i."(#'+ &""#i#i'+ " "+#&(%'+
)'.' #'&)"& .,' '* '+ $"$'+8
P&=#i)+ " &i#*i+ i()'.*(+
8/15/2019 elizabete trabalho revisado (1).odt
http://slidepdf.com/reader/full/elizabete-trabalho-revisado-1odt 37/177
U. )&i( )'. S9($&'." $" A+"&5"& '$" $"+"('l"& &i#*i+ /*"
"l" '* "l +" &")*+" #"&.i((#"."(#" l#"&& )'.' +" "+#i&
'!&i5#'&i."(#" ". *. '&$". "+")97i) '& "".l'8
Di7i)*l$$"+ $" )'.*(i),'
A+ "++'+ )'. "+#" #&(+#'&(' )'+#*.. (,' 7z"& )'(##' i+*l
' 7l& )'. l5*<.8 El+ '$". #"& &'!l".+ ' *+& "&"++;"+ 7)ii+ "
' 5"+#i)*l& !". )'.' '$". &"+"(#& $i7i)*l$$" & )'.&""($"&
li(5*5". )'&'&l " li(5*5". $"(#&' $" *. $"#"&.i($' )'(#"#' "
)'+#*.. +"& .*i#' li#"&i+ (' *+' $ l9(5*8
P'*)'+ i(#"&"++"+
A )&i( )'. S9($&'." $" A+"&5"& '$" $"+"('l"& *. i(#"&"++"
i(#"(+' " /*+" '!+"++i' ". l5*.+ #ii$$"+ " =&"+ #i+ )'.' &=#i) $"
"+'&#"+ )li. '* #< ."+.' .+8
P&'!l".+ $" )''&$"(,'
O+ .'i."(#'+ $" )&i(+ )'. S9($&'." $" A+"&5"& '$" &")"&
$"+"i#$' '* )'(+#&(5"$'&8
!ili$'+'+ '* #l"(#'+'+
M*i#+ )&i(+ )'. S9($&'." $" A+"&5"& +,' ")")i'(l."(#"
i(#"li5"(#"+ #l"(#'++ " "+")iliz$'+ ". *. $"#"&.i($ =&" )'.'
.+i) '* .#".=#i)8
T&#."(#':
U. l(' $" #&#."(#' +B '$" +" "+#!"l")"& /*($' "i+#" *.
#&!l%' )'(*(#' "(#&" i+ "$*)$'&"+ " .<$i)'+8 N' "(#(#' $""-+"
)'(+i$"&& l5*.+ &"5&+ $" &'#",' & *. )&i( )'. S9($&'." $"
A+"&5"& " /*" (")"++i#. /*" +". )*.&i$+:
8/15/2019 elizabete trabalho revisado (1).odt
http://slidepdf.com/reader/full/elizabete-trabalho-revisado-1odt 38/177
18 N,' 5'+#. /*" l%"+ i(#"&&'.. +* &'#i(8 D"". +"&
&"i."(#" &"&$'+ +" #i"&". /*" li)& l5*. .*$( ( +* i$8
28 D""-+" li)& + &"5&+ )'. .*i#' )*i$$' " )'. )"&#
7l"i!ili$$"8
8 O+ &'7"++'&"+ $"". &'"i#& ' .=i.' + =&"+ /*"
$"+"&#". ' i(#"&"++" $ )&i( " #"(#& /*" '+ "(+i('+ +". )'()&"#'+ "
'!"#i'+8
8 P'$"-+" &")'."(+& )'. #ii$$"+ /*" i(#"&"++". > )&i(
/*($' "l" #"(% &"liz$' l5*. #&"7 $" 7'&. +#i+7#B&i8
8 U#iliz& + 7"&&."(#+ i+*i+ ( "$*),' $"+++ )&i(+ '&/*"
'$". &"+'($"& .*i#' !". >+ ."+.+8
68 Ei#& ' )'(7&'(#'8 El"+ (,' "(#"($". &"5&+ &95i$+ $"
*#'&i$$" '* i&&i#,'8 P'$". #'&(&-+" i(7l"9"i+ " #"i.'+'+8
38 D"". "+#i.*l=-l'+ & /*" #"(%. .i5'+ ."l%'&($' +* &#i)i,'
". 5&*' " &"7'&($' '+ )'.(%"i&'+ /*" #.!<. ' "+#i.*l".
&#i)i&8
N'&.l."(#" ."$i),' "+#= )'(#&-i($i)$ (' &')"++' $"
#&#."(#'8 N' "(#(#' ". +i#*;"+ )'()&"#+ )'.' '+ "+#$'+ $"
(+i"$$" $"&"++,' '* $" 7l# $" #"(,' '$" +"& *#iliz$ $"+$" /*($'
+" )'. '&i"(#,' &"+#&i# $' .<$i)'8
Di5(B+#i)'+ " "."+:
A .i'&i $'+ )+'+ $" S9($&'." $" A+"&5"& +,' $i5('+#i)$'+ (
i$$" $" 3 ('+ '* .i+ #&$"8 S"5*($' A++')i,' A."&i)( $"
P+i/*i#&i '+ )&i#<&i'+ $i5(B+#i)'+ +" !+"i. ". l5*.+ *#+:
18 N+ $i7i)*l$$"+ /*li##i+ $" i(#"&,' +')il
28 P$&;"+ $" )'.'&#."(#' i(#"&"++" " #ii$$"+ &"+#&i#+
&""#i#i " "+#"&"'#i$'+ /*" .(i7"+#.
8 D"7i)i?()i )li(i)."(#" +i5(i7i)#i ( =&" +')il ')*)i'(l "
". '*#&+ =&"+ i.'&#(#"+ $' $"+"('li."(#'
8/15/2019 elizabete trabalho revisado (1).odt
http://slidepdf.com/reader/full/elizabete-trabalho-revisado-1odt 39/177
8 A#&+' )l9(i)' +i5(i7i)#i' ( li(5*5".
8 A#&+' )l9(i)."(#" +i5(i7i)#i' & +* i$$" )&'('lB5i) ('
$"+"('li."(#' )'5(i#i' $" %!ili$$"+ $" *#'-*$ " $#,' '* $"
)*&i'+i$$" "l' .!i"(#" /*" ' )"&)8
68 N,' +" )*.&". '+ )&i#<&i'+ $" '*#&' #&(+#'&(' 5"("&liz$' $"
$"+"('li."(#' '* $" "+/*iz'7&"(i8
P&""(,':
N,' < '++9"l &""(i& +9($&'." $" A+"&5"& 'i+ $" *. l$' +*
'&i5". i($ < $"+)'(%")i$ " $" '*#&' + (i)+ i+#+ & $"+)'!"&#
+,' $" '&$". 5"(<#i) " '&#(#' i.'++9"i+ $" $'.i(&8 P&")" /*"
'&i5". 5"(<#i) < i.'&#(#" )'. i(#"&"(,' $" $i"&+'+ 5"("+ ".
i(#"&,' )'. ' ."i' .!i"(#"8
C'.' #&!l%& "++" l*(' ". +l $" *l
A+ &")'."($;"+ +,' +"."l%(#"+ >+ $' *#i+.'8 R"+"i#" ' #".' $"
&"($iz5". $' l*(' " "+#i.*l" )'.*(i),' )'. '+ )'l"5+8
C'("&+" )'. "l" $" .("i& )l& " '!"#i " &"+"(#" + #ii$$"+
i+*l."(#" & "i#& &*9$'+ ( )'.&""(+,' $' /*" $"" +"& 7"i#'8
T.!<. < )'(+"l%="l "l'&& '+ #".+ $" i(#"&"++" $' l*(' &
!'&$& (''+ ++*(#'+ li5$'+ >+ "")##i+ $" &"($iz5".8 S" "l" #".
*. )'l",' $" )&&i(%'+ '& "".l' *#iliz"- & i(#&'$*zi& ' +i+#". $"(*."&,'8 A;"+ /*" "+). > &'#i( $"". +"& )'.*(i)$+
(#")i$."(#"8
O+ 7*($."(#'+ $+ $"7i)i?()i+ " +9($&'."+
C'(%")"& ' /*" 7"# ' +"* l*(' < ' &i."i&' ++' &
)&i& "+#&#<5i+ /*" 5&(#. &"($iz5".
C'()l*+,':
8/15/2019 elizabete trabalho revisado (1).odt
http://slidepdf.com/reader/full/elizabete-trabalho-revisado-1odt 40/177
P& /*" '++ %"& i()l*+,' (+ "+)'l+ < (")"++=&i' %"&
.i'& )'."#?()i &'7i++i'(l $'+ &'7"++'&"+ &'"#'+ "$*))i'(i+ .i+
)'.l"#'+ " 7l"i!ili$$" & /*" '+ )*&&9)*l'+ '++. +"& $#$'+ >+
(")"++i$$"+ $'+ l*('+8 (")"++=&i' #"& )'(%")i."(#' $'+ "&7i+ "'l*#i'+
$'+ l*('+ +*+ li.i#;"+ " #&+'+ li($' ' ."+.' #".' $" /*i+
&")*&+'+ "$*))i'(i+ (")"++i# " ". /*" #i' $" "+)'l "l"+ '$". +"&
"()'(#&$'+8 O '!"#i' $ i()l*+,' < "()'(#&& ."l%'& +i#*,' & /*" *.
Al*(' +" $"+"('l ' ."l%'& '++9"l8 $i&"i#' $" #'$'+ '+
l*('+ /*" l%"+ +". '7"&")i$+ '++i!ili$$" "$*))i'(l (+ )'($i;"+
.i+ ('&.liz$'&+ '++9"i+ " /*" l%"+ "&.i#. (' 7*#*&' 7z"& &#" "
&#i)i& $" *. .("i& ."l%'& ( +')i"$$"8
8/15/2019 elizabete trabalho revisado (1).odt
http://slidepdf.com/reader/full/elizabete-trabalho-revisado-1odt 41/177
FACULDADE JK *(i$$" +(# M&i
8/15/2019 elizabete trabalho revisado (1).odt
http://slidepdf.com/reader/full/elizabete-trabalho-revisado-1odt 42/177
C*&+' "$5'5i 3 +"."+#&"
S9($&'."
`illi.+
8/15/2019 elizabete trabalho revisado (1).odt
http://slidepdf.com/reader/full/elizabete-trabalho-revisado-1odt 43/177
C'()"i#':
A S9($&'." $" `illi.+ < *. $"+'&$". (' )&'.'++'.' 3 /*"
#i(5" )&i(+ $" .!'+ '+ +"'+8 D"+$" ' &i."i&' (' $" i$ "+++
)&i(+ )'+#*.. i&&i#&-+" )'. 7)ili$$" - !' &#" #". %i"&+"(+i!ili$$"
*$i#i - " $".'(+#&. $i7i)*l$$"+ & +" li."(#&8 P&'!l".+ .'#'&"+ "
7l# $" "/*il9!&i' #.!<. +,' )'.*(+ - $".'& & )'."& ($&
i())i$$" & )'&#& "l .&&& '+ +#'+ '* ($& $" !i)i)l"# '&
"".l'8 P'& '*#&' l$' %= *. 5&($" i(#"&"++" '& .+i) !' .".B&i
*$i#i " .*i# 7)ili$$" ( )'.*(i),'8 P"++'+ )'. "++ +9($&'."
+'&&i". )'. 7&"/*?()i *#iliz. 5"+#'+ " .(#?. ' )'(##' i+*l &)'.*(i)&-+"8
P&'!l".+ )&$9)'+ &"(i+ " '#i#"+ 7&"/*"(#"+ )'+#*.. )'."#"&
)&i(+ )'. "++ +9($&'."8 P'& i++' < i.'&#(#" .(#"& *.
)'.(%."(#' )l9(i)' & "i#& ' 5&."(#' $" $'"(+
$")'&&"(#"+8 N $'l"+)?()i "+)'li'+"+ #.!<. '$". &")"&8
A+ +l+ "+")ii+ +" .(#i"&. '&/*" '+ &'7"++'&"+ (,' +")%. &"&$'+ + "+)'l+ (,' #i(%. "+#&*#*& (")"++=&i " '+
5&*'+ $" $"7"+ $'+ $i&"i#'+ $+ "++'+ )'. $"7i)i?()i $*i$. $
i()l*+,'8 A#< /*" ". 200 B+ ('+ $" $"!#"+ P'l9#i) N)i'(l $"
E$*),' E+")il ( P"&+")#i $ E$*),' I()l*+i )!'* )'.
"+)'l% "(#&" "(+i(' &"5*l& " "+")il @l"i ' /*$&' )i.8
A (' 'l9#i) )'."'* .*$& '+ $&;"+ ' $"7i(i& )'. )l&"z )'.' $""
+"& '7"&")i$ E$*),' & #'$'+ '+ /*" #?. $"7i)i?()i8 N,' '& )+'
("++" ."+.' (' "l &i."i& "z ' (."&' $" l*('+ )'. (")"++i$$"+
8/15/2019 elizabete trabalho revisado (1).odt
http://slidepdf.com/reader/full/elizabete-trabalho-revisado-1odt 44/177
"+")ii+ (' "(+i(' &"5*l& +*"&'* ' $" .#&i)*l$'+ ". +l+ "+")ii+
@veja o gráfico8
N +l $ &'7"++'& "ll"( ' $"+7i' (' &i."i&' (' $" M#%"*+ "& '*#&':
.*$& ' $&,' $" )'.'&#."(#' $' l*(' *#i+# /*" i(+i+#i ". (,' +")'.*(i)& )'. (i(5*<.8 El" +!i l"& " &")i+ 7l& +" "&"++&8 A++i.
)'.' 7zi )'. #'$ #*&. "ll"( ' i()"(#i l"& + %i+#B&i+ "
)'("&+& +'!&" "l+8 N' i(9)i' ' 5&'#' "(+ &""#i &"+'+#+ " i++' = "&
*. i#B&i8 M+ "l /*"&i /*" M#%"*+ +" )'.*(i)++" "+'(#("."(#"8
D*&(#" )%.$ &'7"++'& "ll"( +".&" 7zi *. *+ B+ ' ('."
$"l" ( "+"&( $" '*i& &"+'+#8 N$ )'(#")i8 A#< /*" *. $i &
+*&&"+ $" #'$'+ "l" $i++" &"+"(#"8 A #*&. i(#"i& !#"* l.+8 A
&#i& $"++" .'."(#' "l" )'."'* +" )'.*(i)& $iz"& ' /*" /*"&i8
G&+ > )'(/*i+# $ )'.*(i),' "ll"( ++'* )'(#& )$ "z .i+
)'. &#i)i,' $" M#%"*+8 A++i. $"+)'!&i* '*#&+ '++i!ili$$"+
"+#*$'* #&')'* ""&i?()i+ )'. )'l"5+ '!+"&'* " li'* i(#"&,' $'
."(i(' )'. + &''+#+ /*" 7zi " ++i. '&5(iz'* $i7"&"(#"+ #ii$$"+
& /*" "l" *$"++" &"($"& i($ .i+8 N' 7i. $ 1_ +<&i" M#%"*+ =
"+)&"i i($ /*" #i"++" $i7i)*l$$" & )'(#&'l& ' #.(%' $ l"#&8
N' (' +"5*i(#" '&<. =&i'+ )'l"5+ )'. /*". M#%"*+ "+#*$ +9&.
$ +l8 A (' &'7"++'& #.!<. (,' +" +"(#i +"5*& & i()l*i& ' l*('8
M#%"*+ +" +"(#i* "&$i$' " &"5&"$i*8 P&'* $" l"& " $" "+)&""& 'l#'* +"&
5&"++i' " !($'(& +l $" *l8 E. l*5& $" i& & ' !"!"$'*&'
'&<. "l" +" &"7*5i ( #*&. $" "ll"(8 A/*"l &'7"++'& $ 2_ +<&i"
+'7&i )'. + ."+.+ $i$+ /*" #< %'" $"+(i.. .*i#'+ )'l"5+@)'(%" (' /*$&' !i' &'5&.+ $" 7'&.,' ( =&"8
P'& /*" i()l*i&Q S"&= /*" + )&i(+ )'. $"7i)i?()i (,' &"($". .i+ ".
)l++"+ +"&$+ )'. &'7"++'&"+ "+")iliz$'+ " $"$i)$'+ "(+ >+
(")"++i$$"+ $"l+Q *". &"+'($" < M&i T"&"+ E5l<& M(#'( $')"(#"
$ F)*l$$" $" E$*),' $ U(i"&+i$$" E+#$*l $" C.i(+ @U(i).
" *. $+ i'("i&+ (' "+#*$' $ i()l*+,' (' W&+il: A "+)'l &"5*l& < .i+$"+7i$'& " *. .!i"(#" $"+7i$'& < .i+ &'9)i' ' &"($iz$'8
8/15/2019 elizabete trabalho revisado (1).odt
http://slidepdf.com/reader/full/elizabete-trabalho-revisado-1odt 45/177
N,' "(+ + )&i(+ )'. $"7i)i?()i +,' .i+ $"+7i$+8 O+ '*#&'+ l*('+
#.!<. 5(%. .*i#' )'. i()l*+,'8 A 7l"i!iliz,' $" &")*&+'+ '$" *$&
#'$'+ &"($"& .i+8 S" ' "$*)$'& *#iliz *. .'$"l' ". D & "(+i(& '
Si+#". S'l& '& "".l' (,' +B '+ /*" #?. $"7i)i?()i *$i#i (.
.i+ .+ #.!<. #'$ )l++" #". )"++' *. &")*&+' /*" 7)ili#
)'.&""(+,' $' )'(#"$'8 O &'7"++'& /*" "+#= &"&$' & i()l*+,'
"+#= &"&$' & #"($"& #'$+ + )&i(+ $iz Cl=*$i P"&"i& D*#&
+")&"#=&i $" E$*),' E+")il $' Mi(i+#<&i' $ E$*),' @MEC8 A i()l*+,'
'!&i5 ' +i+#". "$*))i'(l +" &""(+& $"+)'!&i& ('+ 7'&.+ $"
"(+i(& )'.l"# M&i T"&"+8 M*$ ' "(#"($i."(#' $' /*" <
&"($iz5".8
P& &"($"& i()l*i&
P&'5&. E$*),' I()l*+i: Di&"i#' > Di"&+i$$"
O /*" < F'&.,' $" &'7"++'&"+ & $i++".i(& E$*),' I()l*+i8
P&'7i++i'(i+ $'+ )%.$'+ .*(i)9i'+-'l' +,' #&"i($'+ " #*. )'.'
.*l#ili)$'&"+ ". +* )i$$"8
O /*" = 7"z C*&+'+ ". 162 .*(i)9i'+-'l' )'. 7'&.,' ". 200 $"
12830 &'7"++'&"+8
P&'5&. $" F'&.,' C'(#i(*$ $" P&'7"++'&"+ ( E$*),' E+")il
O /*" < E+")iliz,' "#"(+,' '* "&7"i'."(#' & "$*)$'&"+ $
&"$" !li)8
O /*" = 7"z C*&+'+ & .il &'7"++'&"+ ". 200 .i(i+#&$'+ ". 1
i(+#i#*i;"+ !li)+ $" "(+i(' +*"&i'&8
P&'5&. $" I.l(#,' $" Sl+ $" R")*&+'+ M*l#i7*()i'(i+
O /*" < Di+#&i!*i,' $" .#"&ii+ "$5B5i)'+ " "/*i."(#'+ &
#"($i."(#' "+")iliz$'8
O /*" = 7"z C&i'* "(#&" 200 " 200 81 +l+ $" &")*&+'+8
P&'5&. E+)'l A)"++9"l
O /*" < Di+#&i!*i,' $" &")*&+'+ & $"/*,' $" "+)'l+8O /*" = 7"z I("+#i* 0 .il%;"+ $" &"i+ ". 2003 " 200 &
$#,' $" "$i79)i'+8
8/15/2019 elizabete trabalho revisado (1).odt
http://slidepdf.com/reader/full/elizabete-trabalho-revisado-1odt 46/177
T&#."(#':
C'.' (,' "i+#" )*& & +9($&'." $" `illi.+ (". *. #&#."(#'
"+")97i)' & "+# $'"( '+ .<#'$'+ #"&?*#i)'+ "i+#"(#"+ i+. '
)'(#&'l" $'+ +i(i+ " +i(#'.+ i()*l$'+ > +9($&'." )'.' %i"&#"(+,' &#"&il
'#i#" l<. $" '*#&'+ &'!l".+ )&$i'+)*l&"+ " &"(i+8
T"&i+ $" $"+"('li."(#' $ 7l " 7i+i'#"&i #.!<. '$".
*$& '+ )i"(#"+ li$& '+ +i(#'.+ )'.' $"7i)i?()i )'5(i#i " &i5i$"z
.*+)*l& 8
A+ C*++:
O '&#$'& $ +9($&'." $" `illi.+ (+)" 5"&l."(#" )'. !i' "+'#". $i7i)*l$$" & +" li."(#& )'+#*. )%'&& .*i#' " .'+#&&-+" i&&i#$'8
D"+$" ' (+)i."(#' ' !"!? = '$" &"+"(#& &'!l".+ )&$9)'+ .+ '+
("*&'lB5i)'+ .*i#+ "z"+ +,' "&)"!i$'+ +'."(#" /*($' )&i( < .i'&8
O +")#' 7)il )&)#"&9+#i)' 7i) .i+ "&)"#9"l )'. ' ++& $' #".'
+'!&"#*$' ( &"+"( $" (&iz "/*"(' " ".i($' l=!i'+ )%"i'+ $"(#"+
"/*"('+ " +'&&i+' 7&"/a"(#"8
E+#+ )&)#"&9+#i)+ 5"&l."(#" +,' )'.(%$+ '& #&+'
("*&'.'#'& " $" )&"+)i."(#' $i7i)*l$$" $" l')'.',' " "/*il9!&i' $i7i)*l$$" $"
&"($iz5". " $<7i)i# $" #"(,'8 S,' )'.*(+ #.!<. ('+ &i."i&'+ ('+ $"
i$ '+ #&(+#'&('+ '$'(#'lB5i)'+ )'.' *+?()i $" l5*(+ $"(#"+ " ' .*
7")%."(#' $+ &)$+ $"(#=&i+ " + '#i#"+ $" &""#i,'8
D' '(#' $" i+# )'.'&#."(#l %= *. "&7il !+#(#" ")*li&
.&)$' '& 5&($" +')i!ili$$" " "(#*+i+.' .".B&i $.i&="l &"++'+ ('."+ " l*5&"+ ."$' $" l#*& " %i"&+"(+i!ili$$" +'(+
7'&#"+ #i+ )'.' $" li/*i$i7i)$'& .'#'+ '* !&i#$"i&+8 Al<. $i++' "i!".
&"')*,' ")"++i )'. $"#"&.i($'+ ++*(#'+ '* '!"#'+ &"7"&?()i
"l )'.(%i $" $*l#'+ 7)ili$$" & (''+ i$i'.+ (,' '!+#(#" '
#&+' )'5(i#i' " *. 5'+#' ")"&!$' '& .+i)8
A +9($&'." $" `illi.+ $")'&&" $" *. "&$ $" *. "/*"(' "$' $"
*. $'+ $'i+ )&'.'++'.'+ 38 C'.' (B+ #".'+ $*+ )Bi+ $"++" )&'.'++'.'*. %"&$$ $' i " '*#& $ .," $"l",' l" > &"$*,' $
8/15/2019 elizabete trabalho revisado (1).odt
http://slidepdf.com/reader/full/elizabete-trabalho-revisado-1odt 47/177
/*(#i$$" $" i(7'&.,' &'$*zi$ "l'+ 5"("+ li l')liz$'+8 E+++
i(7'&.;"+ ($ .i+ +,' $' /*" &")"i#+ & +" &'$*zi& &'#"9(+8
M"('+ &")"i#+ +i5(i7i) ."('+ &'#"9(+8 Al5*.+ "z"+ ' '&5(i+.' #'l"&
!". &'$*,' $" ."('& /*(#i$$" $" )"&#+ &'#"9(+8 E. '*#&+ '&<.
< (")"++=&i' +" #"& *. $'+5". )"&# $"+++ +*!+#()i+ & /*" %
7'&.,' " ' $"+"('li."(#' $"/*$' $' '&5(i+.'8
E(#&" + &'#"9(+ /*" +,' &'$*zi$+ ". /*(#i$$" i(+*7i)i"(#"
( +9($&'." $" `illi.+ "+#= "l+#i( /*" )'(7"&" "l+#i)i$$" +'+
+(5a9("'+ *l.;"+ i(#"+#i('+ " "l"8 A +* &'$*,' $"7i)i"(#" l"
"+#&"i#."(#' $" &#<&i+ $' *l.,' " #.!<. $ '&# ' /*" $i7i)*l#
++5". $' +(5*" " l" ' &")i."(#' $" +'&'+ (' )'&,'8
A 7l# $" '*#&+ &'#"9(+ i l"& ')'&&?()i +i(#'.+ )'.' ')=l)i' l#' (' +(5*" " 7l# $" )&"+)i."(#'8 Fi(l."(#" + i(7'&.;"+
&'$*zi$+ '& '*#&'+ 5"("+ #i+ )'.' LIMK1 " RFC2 +,' i.'&#(#"+ &
' $"+"('li."(#' " 7'&.,' $"/*$ $' )<&"!&' " '+ &'!l".+
("*&'lB5i)'+ "+#&i. &"l)i'($'+ ". +* ."('& "&"++,'8
E."+ " $i5(B+#i)'+
O )'(*(#' $" )&)#"&9+#i)+ " +i(#'.+ '$" l"(#& +*+"i# $
+9($&'." $" `illi.+8 P'&<. & ' $i5(B+#i)' $"7i(i#i' #'&(-+" (")"++=&i
&"liz,' $" *. #"+#" /*" &')*& $"#")#& "++ "&$ (' )&'.'++'.' 38
U. +i.l"+ )'(#5". $'+ )&'.'++'.'+ )'.' < 7"i# (' )&iB#i' (,'
)'(+"5*" $"#")#& "++ "&$ *. "z /*" "l (,' '$" +"& i+# ('
.i)&'+)Bi'8 D"+# 7'&. 7'&. $"+"('li$'+ '*#&'+ "."+ .i+
$"#l%$'+ "(#&" '+ /*i+ %i!&i$iz,' 7l*'&"+)"(#" i( +i#* @FIS /*"
)'(+"5*". $".'(+#&& "&$ $" .#"&il 5"(<#i)' ("++ &"5i,'8
U. "z )'(7i&.$' ' $i5(B+#i)' )'(<. )&"+)"(#& /*" %=
(")"++i$$" $" *. i("+#i5,' )*i$$'+ & $"#")#& "i+#?()i - '*
(,' - $" &'!l".+ )&$9)'+ '* &"(i+ ( )&i(8
P&""(,': N,' %= ("(%*. 7'&. )'(%")i$ )z $" &""(i&
+9($&'." $" `illi.+8
8/15/2019 elizabete trabalho revisado (1).odt
http://slidepdf.com/reader/full/elizabete-trabalho-revisado-1odt 48/177
C'.' #&!l%& "++" l*(' ". +l $" *l:
A +')i!ili$$" (,' < *. &'!l". & )&i(+ )'. S9($&'." $"
`illi.+8 M+ < &")i+' #'.& )*i$$' )'. (+i"$$" $"++"+ l*('+8
G"&l."(#" "l"+ +" &"')*. $".i+ )'. $"#"&.i($'+ ++*(#'+8 C'(#"
)'. ' 'i' $' A#"($i."(#' E$*))i'(l E+")iliz$' @AEE " &"+"i#" '#".' $" &"($iz5". $" )$ *.8
A#ii$$"+ )'. .+i) #&". #"(,' $"+++ )&i(+ #(#' "l
+"(+i!ili$$" *$i#i /*(#' "l !' .".B&i8
T.!<. < )'.*. /*" )&i(+ )'. +9($&'." $" `illi.+ &')*&".
7z"& .iz$"+ )'. $*l#'+ " (,' +" &'i.". #(#' $+ )&i(+ $
."+. i$$"8
8/15/2019 elizabete trabalho revisado (1).odt
http://slidepdf.com/reader/full/elizabete-trabalho-revisado-1odt 49/177
FACULDADE JK *(i$$" +(# M&i
8/15/2019 elizabete trabalho revisado (1).odt
http://slidepdf.com/reader/full/elizabete-trabalho-revisado-1odt 50/177
C*&+' "$5'5i 3 +"."+#&"
S9($&'."
Mi$' $' G#'
8/15/2019 elizabete trabalho revisado (1).odt
http://slidepdf.com/reader/full/elizabete-trabalho-revisado-1odt 51/177
C'()"i#'C'. '+ ('+ $ 5"(<#i) ."$i)i( #*l #". "+#*$$' )$ "z
.i+ + $'"(+ /*" "('l". + .l7'&.;"+ )'(5?(i#+ " $"7i)i?()i
."(#l8 A "+#i.#i < $" /*" (' .*($' &'i.$."(#" 1 $'+ (+)i$'+
i'+ +" '&#$'& $" l5*. ('.li )&'.'++.i)8
A &i."i& ('.li )&'.'++.i) $"+)&i# "l ."$i)i( 7'i
S9($&'." $" D'(8 E+# < #< '+ $i+ #*i+ .i+ )'(%")i$ "l'+
.<$i)'+ " "l '*l,' ". 5"&l8
E. 16 .<$i)'+ 7&()"+"+ 7iz"&. &i."i& $"+)&i,' $" *.
('.li )*+$ "l "&$ $" .#"&il 5"(<#i)' $' !&' )*&#' $'
)&'.'++'.' 8 E+# ('.li 7'i $"('.i($ S9($&'." $" C&i D* C%# '*
YS9($&'." $' Mi$' $' G#'Z 'i+ ' )%'&' $ )&i( l".!& ' .i$' $"
*. 5#'8
A S9($&'." $" C&i D* C%# )'."#" 1 )&i( )$ 08000 (+)i$'+
i'+ " < &"+'(+="l '& l#"&;"+ )"&"!&i+ &"#&$' ."(#l " &'!l".+/*" 7"#. ". .i'& '* ."('& 5&* ' $"+"('li."(#' ("*&'+i)'.'#'& "
+$" 5"&l $'+ 7"#$'+8
D"i$' > +* $"+)'!"&# " $"+)&i,' &")"(#"+ i(#"&"(;"+ "$*)#i+
" #"&?*#i)+ #,' i.'&#(#"+ & ' ."l%'& $"+"('li."(#' !i'+i)'++')il
$ )&i( (,' +,' .l."(#" $i*l5$+ " ++i. '#"()ii+ i($ii$*i+
(,' +,' "l'&$'+8
8/15/2019 elizabete trabalho revisado (1).odt
http://slidepdf.com/reader/full/elizabete-trabalho-revisado-1odt 52/177
8/15/2019 elizabete trabalho revisado (1).odt
http://slidepdf.com/reader/full/elizabete-trabalho-revisado-1odt 53/177
&"+"(#& $i7i)*l$$"+ $*&(#" li."(#,' /*" ,' $"+$" $i7i)*l$$" $"
+*),' #< "(5+5'+ 7&"/a"(#"+ )'.&'."#"($' !' (*#&i,'8
A &"+"( $" &'!l".+ $" +$" ++')i$'+ $*&(#" '+ &i."i&'+
('+ $" i$ '$". i()i$i& (+ '++i!ili$$"+ "$*)#i+ "l+ l'(5+
%'+i#liz;"+ "l+ )'(+*l#+ )'. "+")ili+#+ $i7"&"(#"+ $i+#i(#'+
#&#."(#'+ .<$i)'+ "#)8
Intervenção precoce
A i(#"&"(,' $"" )'."& (' ."+.' .'."(#' $' $i5(B+#i)' =
/*" ( #*li$$" (,' "i+#" ("(%*. #i' $" #&#."(#' .<$i)' (". )i&&5i)'
/*" '++ Y)*&&Z )&'.'++'.'#i8 A (i) +'l*,' < "$*),' " "+#i.*l,' $9 i.'&#()i $" )'(%")?-l' ' .i+ &=i$' '++9"l8
A+ 7.9li+ #?. $i&"i#' +"&". i(7'&.$+ "l' .<$i)' " i(7'&.,'
/*" +" $= '+ i+ $"" +"& &"l +". )&i& 7l++ "")##i+ .+ $" 7'&.
$"li)$ " +'!&"#*$' $i&i5i$ > !*+) $" &")*&+'+ '($" '++. "()'(#&&
"++'+ "+")iliz$+ & )'."& *. &'5&. $" "+#i.*l,'8
D+ )&i(+ (' /*" +" &"7"&" ' +"* $"+"('li."(#' +i)'.'#'& "i(#"l")#*l8 E+# $"" +" i(i)i& $*&(#" '+ &i."i&'+ $i+ '* ."+"+ $" i$
!'&$($' )&i( $" 7'&. 5l'!l ". #'$+ + +*+ =&"+ $"
$"+"('li."(#'8
- A+ #ii$$"+ $"". #"& +".&" *. )&=#"& l$i)' )'. .#"&ii+
#&#i'+ & )&i(8
- D"".-+" &'"i#& '+ .'."(#'+ ". /*" )&i( "+#" .i+
&")"#i +". 7'." +". +'(' "#)8
- N,' +" $"" 7'&& )&i( +"($' /*" ' .i+ i.'&#(#"
< .'#i=-l & &"($iz5".8
- A &"+"(#,' $+ #ii$$"+ $"" )'."& )'. .i+ +i.l"+
& i& 5&$*l."(#" )"&)($'-+" $ .i+ )'.l" " )!& )'. *. /*"
)&i( +i! &"liz&8 E+++ #ii$$"+ (,' $"". &"+"(#& )'.
8/15/2019 elizabete trabalho revisado (1).odt
http://slidepdf.com/reader/full/elizabete-trabalho-revisado-1odt 54/177
."+. +"/a?()i & "i#& *#'.#iz,' @)'($i)i'(."(#'
$+ ."+.+8
- O7"&")"& '++i!ili$$" $" !&i()& li&"."(#" $"+$" '+
&i."i&'+ ."+"+8 D"i& ' l)()" $ )&i( " > +* i+# '5'+ '* '!"#'+
/*" '++. )%.& +* #"(,'8
- T'$'+ '+ ""&)9)i'+ (")"++i#. $" *. #".' $" &"($iz5".
" < '*)' &'="l /*" (+ &i."i&+ "z"+ ' &"liz". " ' 7. !".8
- T"& ". )'(# /*" + &"($iz5"(+ '$". &"+"(#&-+" $"
7'&. &=i$ $*&(#" l5*. "&9'$' " $*&(#" '*#&'+ $" 7'&. .i+ l"(#8
A+ )*++:
A +9($&'." $" )&i-$*-)%# ')'&&" $"i$' > "&$ $" .l#il'+ 5"("+ ('
!&' )*&#' $' )&'.'++'.' '&#(#' < *. $'"( 5"(<#i)8 M+ .*i#'+
)+'+ $" +9($&'." $" )&i-$*-)%# (,' +,' %"&$$'+8 A $"l",' $" *. "$'
$' !&' )*&#' $' )&'.'++'.' < ( .i'&i $+ "z"+ *. ""(#'
"i+B$i)' /*" ')'&&" $*&(#" 7'&.,' $+ )<l*l+ &"&'$*#i+ @B*l'+ '*
"+"&.#'zBi$"+ '* ('+ "+#=5i'+ i(i)ii+ $' $"+"('li."(#' 7"#l8 A+
"++'+ 7"#$+ ('&.l."(#" (,' #". %i+#B&i)' $ $"+'&$". ( 7.9li8
C"&) $" 10 $'+ '&#$'&"+ $ +9($&'." )&i-$*-)%# %"&$. ('&.li$$" )&'.'++.i) $" *. $'+ i+ (,' 7"#$'+ "l $'"(8
N"++"+ )+'+ ' &"(#" )&&"5 *. &"&&(' )%.$' #&(+l'),'
!l()"$ ' /*l ' .#"&il 5"(<#i)' < $/*i&i$' '* "&$i$'8
T&(+l');"+ !l()"$+ 5"&l."(#" (,' )*+. /*l/*"&
&'!l". $" +$"8 N' "(#(#' "l+ '$". +" #'&(& (,'-!l()"$+
/*($' +,' ++$+ & '+#"&i'&"+ 5"&;"+8 C&i(+ /*" %"&$. *.
#&(+l'),' (,'-!l()"$ '$". #"& *. &"&&(' )&'.'++.i)' )'.
.#"&il 5"(<#i) "#& '* "&$i$'8 I($i9$*'+ )'. +9($&'." )&i-$*-)%# /*"
%"&$&. *. #&(+l'),' (,'-!l()"$ #". .#"&il 5"(<#i)' "&$i$' $"
*. !&' $' )&'.'++'.' ' /*" &"+*l# ". $"+!ili$$"+ i(#"l")#*i+ "
&'!l".+ $" +$" )&)#"&9+#i)'+ $"+# $"+'&$". 5"(<#i)8
Si(#'.+ $" S9($&'." )&i-$*-)%#
E(#&" '+ +i(#'.+ $ +9($&'." )&i-$*-)%# '$".'+ li+#&:
C%'&' 5*$' &")i$' )'. '+ +'(+ &'$*zi$'+ '& *. 5#'
8/15/2019 elizabete trabalho revisado (1).odt
http://slidepdf.com/reader/full/elizabete-trabalho-revisado-1odt 55/177
Ol%'+ i()li($'+ & !i'
Wi' "+' ' (+)"& " $"+"('li."(#' l"(#'
D"7i)i?()i i(#"l")#*l
D"$'+ $+ .,'+ " $'+ <+ &)il."(#" 7*($i$'+
M&)+ ( "l" "(+ ". 7&"(#" $ '&"l%
D"+"('li."(#' l"(#' '* i()'.l"#' $" %!ili$$"+
.'#'&+
T&#."(#':
T&#."(#'+ "+")97i)'+ (,' "i+#".8 O .<$i)' ++i+#"(#" '$"
+*5"&i& ."i'+ $" #&#."(#' '* )'(#&'l" $'+ +i(#'.+8
O+ i+ $" *. )&i( 7"#$ '& "+# +9($&'." $"". '!#"& )'(+"l%."(#' 5"(<#i)' " 7z"& #"+#"+ & $"#")#& /*l $"l"+ #".
*. l#"&,' (' )&'.'++'.' 8
P&""(,':
N,' "i+#" &""(,' )'(%")i$ & +9($&'." $" )&i-$*-)%#8C+i+ )'. %i+#B&i)' 7.ili& $"+# +9($&'." /*" /*"&". "(5&i$&
$"". )'(+i$"&& 7z"& *. )'(+*l# $" )'(+"l%."(#' 5"(<#i)'8
A#*l."(#" "i+#" *. #"+#" 5"(<#i)' $*&(#" 5"+#,' /*" <
&"liz$' ( _ +".( $" 5"+#,' #&<+ $" *. +i.l"+ )'l"# $" +(5*"
"&i7<&i)'8 C'.' (,' "i+#" 5&*' $" &i+)' "l" < i($i)$' & /*l/*"&
5"+#(#"8
C'.' #&!l%& "++" l*(' ". +l $" *l:
P&#i)i(#": W8 P8 F8 +"' 7".i(i(' (+)"* ". $" !&il $" 200 <
+"5*($ 7il% $" *. )+l (,' )'(+(5*9("'8 M'& )'. '+ i+ " i&.,' $'i+
('+ .i+ "l%' ". *. )%=)& ". *. )i$$" $" '&#" .<$i' (' i(#"&i'& $'
"+#$' $" S,' P*l'8 S"*+ B+ .#"&('+ .'&. ". *. )+ ('+ 7*($'+ $'
."+.' #"&&"('8 N,' %'*" i(#"&)'&&?()i+ ( 5"+#,' )&i( (+)"* $"
&#' ('&.l )'. 6 +".(+ 22 \5 " "5& 238 Al<. $i++' &"+"(#'*
%i'5li)".i ' (+)"& " $i7i)*l$$" &"+i&#B&i )'. 1 $i+ $" i$ '&<.
8/15/2019 elizabete trabalho revisado (1).odt
http://slidepdf.com/reader/full/elizabete-trabalho-revisado-1odt 56/177
&"++'(()i .5(<#i) (,' i$"(#i7i)'* /*l/*"& #i' $" l#"&,'8 N' "."
)l9(i)' B+ ' (+)i."(#' &"+"(# + +"5*i(#"+ )&)#"&9+#i)+:
!&/*i)"7li 7)" #9i) 'l%'+ z*i+ )'. "i)(#' i(7"&i'& *+?()i $"
7i,' $' 'l%& (&iz )'. $'&+' )*&#' '&"l% $" i.l(#,' !i )'. l'!'+
+li"(#"+ .i)&'5(#i "+)'' )*&#' #B& )'. "+)*$' &"5 l.& (i) "
%i'#'(i .*+)*l& &i()il."(#" $i+#l8 S"* )%'&' "& 7&)' " +"
++"."l% ' $" *. 5#' &i()il."(#" #< '+ &i."i&'+ 6 ."+"+ $" i$8
W8 P8 F8 &"+"(#'* #&+' (' $"+"('li."(#' .'#'&
8/15/2019 elizabete trabalho revisado (1).odt
http://slidepdf.com/reader/full/elizabete-trabalho-revisado-1odt 57/177
FACULDADE JK *(i$$" +(# M&i
8/15/2019 elizabete trabalho revisado (1).odt
http://slidepdf.com/reader/full/elizabete-trabalho-revisado-1odt 58/177
C*&+' "$5'5i 3 +"."+#&"
S9($&'."
T'*&"##"
8/15/2019 elizabete trabalho revisado (1).odt
http://slidepdf.com/reader/full/elizabete-trabalho-revisado-1odt 59/177
Conceito:
A +9($&'." $" T'*&"##" #.!<. )'(%")i$ )'.' +9($&'." $" l
T'*&"##" @SGT '* ST < *. $i+#&!i' ("*&'+i/*i=#&i)' /*" +" )&)#"&iz '& .l#il'+ #i/*"+ .'#'&"+ '* ')i+ /*" "&$*& '& .i+ $" *. (' "
('&.l."(#" i(+#l-+" ( i(7()i8
F'i &i."i&."(#" $"+)&i# ". 12 "l' .<$i)' 7&()?+ J"( M&)
G+&$ I#&$ &"+'(+="l '& $i5('+#i)& 7"),' ( M&/*"+ $"
Di.i"&&"8 C'(#*$' 7'i "(+ ". 1 /*" "+# $'"( 7'i $"('.i($
+9($&'." $" Gill"+ $" l T'*&"##" /*($' ' "+#*$($' $" ."$i)i( Gill"+ $" l
T'*&"##" *!li)'* *. &"l#' $ #'l'5i8
O (."&' $" )+'+ $"++ $'"( #". +i$' )&"+)"(#" +"($'
&'"l."(#" ". )'(+"/a?()i $ .i'& $i+'(i!ili$$" $" i(7'&.;"+ "
)'(%")i."(#'+ +'!&" "(7"&.i$$" '& &#" $+ "/*i"+ $" +$"
&"+'(+="i+ '& $i5('+#i)=-l8
N'&.l."(#" +9($&'." i(i)i-+" $*&(#" i(7()i '* *"(#*$" $"
*. i($i9$*' ')+i'(l."(#" #'&(($'-+" )&(i)8 N' "(#(#' %!i#*l."(#"
$*&(#" i$ $*l# '+ +i(#'.+ #"($". ."(iz&8
N 5&($" .i'&i $'+ )+'+ @0 .(i7"+#,' )l9(i) i(i)il $
$'"( +,' '+ #i/*"+ .'#'&"+8 E+#"+ "(5l'!. i+)& 7&(zi& #"+# )'(#&i&
.*+)*l#*& $ 7)" !l(& )!" )'(#&i& ". #&()'+ '+ .+)*l'+ $'
!$."( '* '*#&'+ 5&*'+ .*+)*l&"+ !". )'.' '*#&'+ .'i."(#'+ .i+
"l!'&$'+ )'.' #')& '* !#"& ". '!"#'+ /*" +" "()'(#&. &Bi.'+8
8/15/2019 elizabete trabalho revisado (1).odt
http://slidepdf.com/reader/full/elizabete-trabalho-revisado-1odt 60/177
T.!<. "i+#". '+ #i/*"+ ')i+ /*" !&(5". &*9$'+ (,'
&#i)*l$'+ )'.' #'++i& 7*(5& '* li.& 5&5(# " ".i++,' &)il '* #'#l
$" l&+8 E. ."('+ $ ."#$" $'+ )+'+ '!+"&.-+" )'&'lli "
)'&'&i /*" < *#iliz,' i('l*(#=&i $" l&+ " 5"+#'+ '!+)"('+
&"+")#i."(#" "&"++,' $" i(+*l#'+ &""#i,' $" *. +'. l& '*
7&+" &"7"&i$ '& '*#& "++' /*" &")"!" ' ('." $" ")'lli8
O $i5(B+#i)' < "(+ )l9(i)' +"($' !+"$' ('+ +"5*i(#"+ )&i#<&i'+:
P&"+"( $" #i/*"+ .'#'&"+ .l#il'+ " *. '* .i+ ')i+
$*&(#" +9($&'." (,' (")"++&i."(#" +i.*l#("."(#"
O)'&&?()i $" #i/*"+ $i"&++ "z"+ ' $i /*+" /*"
$i&i."(#" '* i(#"&.i#"(#"."(#" '& .i+ $" *. ('
C'. ' ++& $' #".' &i l')liz,' (#.i) '
(."&' 7&"/*?()i )'.l"i$$" #i' " 5&i$$" $' #i/*"+
I(9)i' ( i(7()i '* $'l"+)?()i @(#"+ $'+ 1 ('+ $"
i$$"
I("i+#?()i $" '*#&+ )'($i;"+ .<$i)+ /*" "+)l&".
'+ .'i."(#'+ i('l*(#=&i'+ "'* + ')liz;"+
T"+#".*(%' '* &"5i+#&' $" #i/*"+ .'#'&"+ "'* ')i+8
N,' "i+#" )*& & "++ $"+'&$". .+ %= )'(#&'l"8 P"+/*i++ #?.
"i$"()i$' i.'&#()i $ *#iliz,' $" *. 7'&. $" #"&i
)'.'&#."(#l )'5(i#i )%.$ $" #&#."(#' $" &""&+,' $" %=!i#'+8
E+# +" !+"i (' #&"i(."(#' $'+ '&#$'&"+ $ +9($&'." & /*"
.'(i#'&". + +"(+;"+ &".'(i#B&i+ " '+ #i/*"+ )'. ' '!"#i' $" &"i$&
)'. *. &",' 'l*(#=&i 7i+i)."(#" i()'.#9"l )'. ' #i/*"8
Al5*(+ 7=&.)'+ (#i+i)B#i)'+ #?. .'+#&$' &"+*l#$'+ '+i#i'+ (
$i.i(*i,' $ i(#"(+i$$" $'+ #i/*"+ /*($' +* "&i'$i)i$$" +" #&$*z ".
&"*9z' & *#'"+#i. " )"i#,' +')il8 E. $"#"&.i($'+ )+'+ (' /*l
'+ #i/*"+ +,' !". l')liz$'+ '$" +"& 7"i#' ' *+' $ #'i( !'#*l9(i)8
Di+#&!i' $' +i+#". ("&'+' )&)#"&iz$' '& .'i."(#'+
&""#i#i'+ '* +'(+ i('l*(#=&i'+8
Mi+ $" 10 .il )+'+ '& (' @W&+il
N,' #". )*& .+ ' #&#."(#' '$" *$&
8/15/2019 elizabete trabalho revisado (1).odt
http://slidepdf.com/reader/full/elizabete-trabalho-revisado-1odt 61/177
C&(i)': '$" $*&& ('+ '* i$ i(#"i&
G"&l."(#" $i5('+#i)="l "l &B&i "++'
N,' &"/*"& "."+ l!'&#'&ii+ '* $" i.5".
A +9($&'." $" T'*&"##" )'." ( i(7()i8
E+#= li5$ .'i."(#'+ &""#i#i'+ i()'(#&'l="i+ '* +'(+
i($"+"$'+ @#i/*"+ )'.' ' i+)& $'+ 'l%'+ "()'l%"& $" '.!&'+ '* ")l.&
l&+ '7"(+i+8
O+ #&#."(#'+ '$". i()l*i& ."$i)."(#'+ " +i)'#"&i8
I$$"+ 7"#$+
8/15/2019 elizabete trabalho revisado (1).odt
http://slidepdf.com/reader/full/elizabete-trabalho-revisado-1odt 62/177
8/15/2019 elizabete trabalho revisado (1).odt
http://slidepdf.com/reader/full/elizabete-trabalho-revisado-1odt 63/177
-1C'.*.
-1
-0
1-60
C'.*.
C'.*.
R&'
8/15/2019 elizabete trabalho revisado (1).odt
http://slidepdf.com/reader/full/elizabete-trabalho-revisado-1odt 64/177
8/15/2019 elizabete trabalho revisado (1).odt
http://slidepdf.com/reader/full/elizabete-trabalho-revisado-1odt 65/177
Sintomas
G"&l."(#" $i5('+#i)="l "l &B&i "++'
E+#= li5$ .'i."(#'+ &""#i#i'+ i()'(#&'l="i+ '* +'(+
i($"+"$'+ @#i/*"+ )'.' ' i+)& $'+ 'l%'+ "()'l%"& $" '.!&'+ '* ")l.&
l&+ '7"(+i+8
8/15/2019 elizabete trabalho revisado (1).odt
http://slidepdf.com/reader/full/elizabete-trabalho-revisado-1odt 66/177
A+ "++'+ '$". #"&:
N' )'.'&#."(#': 5&"++,' )'.'&#."(#' )'.*l+i'
%i"&#ii$$" i.i#,' i('l*(#=&i $" .'i."(#'+ $" '*#& "++'
i.*l+ii$$" .'i."(#'+ &""#i#i'+ &5*"($' i()'(#&'l"l."(#"
&""#i,' $" l&+ +". +"(#i$' &""#i,' +". +"(#i$' $+ &B&i+ l&+
'* 7l# $" .'$"&,'
N'+ .+)*l'+: #i/*" *."(#' $ #ii$$" .*+)*l& '* .'i."(#'+
i('l*(#=&i'+
N' %*.'&: (+i"$$" &""(+,' '* &i
T.!<. )'.*.: $i7i)*l$$" $" &"($iz5". "++.' $ =l"!&
55*"i& i5&&"& i+)& '+ 'l%'+ &""#i$."(#" +9($&'." $' +'!&"++l#' '*
#'++" A+ )*++:
O+ )i"(#i+#+ (,' #?. )"&#"z +'!&" + )*++ $ +9($&'." $"
T'*&"##" " $" .*i#+ '*#&+ $'"(+ )"&"!&i+8 S!"-+" /*" < %"&"$i#=&i (
.i'&i $'+ )+'+ .+ (,' +" )'(%")" ' .'$' "#' )'.' "l < %"&$$8 O+
)i"(#i+#+ i($ (,' $"+)'!&i&. *. 5"(" "+")97i)' $ +9($&'." $" T'*&"##"
.+ ". *. +")#' "l"+ &")". )'()'&$&: '+ #i/*"+ $ +9($&'." &"+*l#.
$" ('.li+ (' )<&"!&'8 E+")i7i)."(#" "l"+ '(#&. $'"(+(' #=l.' 5(5li'+ $ W+" " )B&#" 7&'(#l $' )<&"!&' " #.!<.
$i+7*(;"+ ('+ ("*&'#&(+.i++'&"+ "(#&" + )<l*l+ ("&'++ $' )<&"!&'8
O+ )i"(#i+#+ +*+"i#. $"+++ &#"+ $' )<&"!&' ". &z,' $" +"*+
<i+ ( 7*(,' )"&"!&l8 O #=l.' #* ( #&(+.i++,' $+ i(7'&.;"+
+"(+'&ii+ " .'#'&+ & ' )B&#" )"&"!&l " & ' #&'()' )"&"!&l8 O 5l(5li'
!+l "+#= l')liz$' ( !+" $' )<&"!&' " #* ( )''&$"(,' $'+
.'i."(#'+ .'#'&"+8 P'&#(#' + $"+'&$"(+ $' 5l(5li' !+l 5"&l."(#"&"+*l#. ". *. )i"(#" )*'+ .'i."(#'+ +,' i('l*(#=&i'+ " ')'&&".
i("+"&$."(#"8 O )B&#" 7&'(#l "+#= l')liz$' )'.' ' ('." +*5"&" (
&#" $ 7&"(#" (' )<&"!&' l'5' #&=+ $ #"+#8 E++ &#" $' )<&"!&' <
&"+'(+="l "l' )'(#&'l" $ #ii$$" .'#'& %=!il /*" i()l*i 7l8
A('.li+ ('+ ("*&'#&(+.i++'&"+ "+")i7i)."(#" /*(#i$$"+
")"++i+ $' ("*&'#&(+.i++'& $'.i( #.!<. '$". "+#& "('li$+
( +9($&'." ' /*" l5*(+ +*5"&". /*" #l"z +" ' .")(i+.' &i.=&i' $
+9($&'." $" T'*&"##"8 A $'.i( #* (' )<&"!&' & *$& > &"5*l&
.'i."(#'+ " ".';"+8 P'&#(#' /*l/*"& $i+#&!i' '$" l#"&& "++"+
8/15/2019 elizabete trabalho revisado (1).odt
http://slidepdf.com/reader/full/elizabete-trabalho-revisado-1odt 67/177
7#'&"+8 N9"i+ $i.i(*9$'+ $" $'.i( 7'&. '(#$'+ )'.' )*+ $' .l
$" P&\i(+'( @". i(5l?+ $'"( )&)#"&iz$ '& .'i."(#'+
l"(#'+ &li+i 7)il @". i(5l?+ #&".'&"+ " 7&/*"z 5"("&liz$8 E.
)i"(#"+ )'. /*(#i$$"+ ")"++i+ $" $'.i( '+ +i(#'.+ $"
)'(#&;"+ .*+)*l&"+ i('l*(#=&i+ +!i#+ " "++.B$i)+ )'.' /*"l+ $
+9($&'." $" T'*&"##" +,' "+"&$'+8
Di5(B+#i)'
O $i5(B+#i)' $ +9($&'." $" T'*&"##" < "++"()il."(#" )l9(i)' " $""
'!"$")"& '+ +"5*i(#"+ )&i#<&i'+: 1 #i/*"+ .'#'&"+ .l#il'+ " *. '* .i+
#i/*"+ ')i+ $"". .(i7"+#&-+" $*&(#" l5*. #".' .+ (,'
(")"++&i."(#" ' ."+.' #".' 2 '+ #i/*"+ $"". ')'&&"& $i"&++ "z"+
'& $i @5"&l."(#" ". +l /*+" #'$'+ '+ $i+ '* i(#"&.i#"(#"."(#" '&
*. "&9'$' $" "l' ."('+ #&?+ ."+"+ )'(+")*#i'+ ' /*$&' $""
)'."& (#"+ $'+ 1 ('+ $" i$$"8
T&#."(#'
A +9($&'." $" T'*&"##" < *. $"+'&$". /*" (,' #". )*& .+ '$"
+"& )'(#&'l$8 E+#*$'+ )l9(i)'+ #?. $".'(+#&$' *#ili$$" $" *. 7'&. $"
#"&i )'.'&#."(#l )'5(i#i )'(%")i$ )'.' #&#."(#' $" &""&+,' $"%=!i#'+8 El +" !+"i (' #&"i(."(#' $'+ )i"(#"+ & /*" .'(i#'&". +
+"(+;"+ &".'(i#B&i+ " '+ #i/*"+ )'. 7i(li$$" $" &"+'($"& "l"+
)'. *. &",' 'l*(#=&i 7i+i)."(#" i()'.#9"l )'. ' #i/*"8
M"$i)."(#'+ (#i+i)B#i)'+ #?. +" .'+#&$' #"i+ ( &"$*,' $
i(#"(+i$$" $'+ #i/*"+ /*($' +* &""#i,' +" &""&#" ". &"*9z' &
*#'"+#i. " )"i#,' +')il8 E. l5*(+ )+'+ $" #i/*"+ !". l')liz$'+
'$". +"& #"(#$+ li);"+ l')i+ $" #'i( !'#*l9(i) @!'#'8 Al5*(+
*#'&"+ $"7"($". /*" ")")i'(l."(#" '$" +"& i($i)$' ' #&#."(#'
)i&&5i)' )'. "+#i.*l,' )"&"!&l &'7*($ li)$ ". )"&#+ =&"+ $'
)<&"!&'8
8/15/2019 elizabete trabalho revisado (1).odt
http://slidepdf.com/reader/full/elizabete-trabalho-revisado-1odt 68/177
FACULDADE JK *(i$$" +(# M&i
8/15/2019 elizabete trabalho revisado (1).odt
http://slidepdf.com/reader/full/elizabete-trabalho-revisado-1odt 69/177
C*&+' "$5'5i 3 +"."+#&"
S9($&'."
E$&$+
8/15/2019 elizabete trabalho revisado (1).odt
http://slidepdf.com/reader/full/elizabete-trabalho-revisado-1odt 70/177
C'()"i#'+:
T.!<. )'(%")i$ )'.' T&i++'.i 1 +9($&'." $" E$&$+ < *.
$'"( 5"(<#i) )*+$ '& *. #&i++'.i $' )&'.'++'.' 1 '* +" *.
)'($i,' ". /*" "++' )&&"5 #&?+ )Bi+ $' )&'.'++'.' 1 ". "z $"
$*+8 A S9($&'." $" E$&$+ 7'i $"+)&i# "l' 5"("#i)i+# !&i#(i)' J'%( 8
E$&$+ ". 1608
Ti'+:
A )Bi "#& $' )&'.'++'.' 1 &"+"(#" ". "++'+ )'. +9($&'." $" E$&$+ '$" )'(#")"& $" #&?+ 7'&.+ $i+#i(#+: )'.l"#
&)il '* l"#B&i8 E .*i#' ".!'& "i+#. "++"+ #&?+ $i7"&"(#"+ #i'+ $
S9($&'." $" E$&$+ i++' (,' +i5(i7i) /*" #&i++'.i &)il $'
)&'.'++'.' 1 +" ."l%'& '* ."('+ i'& $' /*" #&i++'.i )'.l"#8
P& )$ #i' $ $'"( %= *. +<&i" $" ")*li&i$$"+ /*" &"*$i).
.*i#' /*li$$" $" i$ $'+ '&#$'&"+8 P'& i++' < .*i#' $i79)il "+#!"l")"&
*. $&,' $" +i(i+ " +i(#'.+ & )$ )&i( "5($' )'.' !+" ' #i'
$ $'"( /*" "l #".8
C'(7i& '+ #i'+ "i+#"(#"+ $ +9($&'." $" E$&$+:
T&i++'.i 1 )'.l"#
E+#" < ' #i' .i+ )'.*. $ +9($&'." /*" ')'&&" ". )"&) $"
$'+ )+'+8 P'& #&i++'.i )'.l"# ('+ &"7"&i.'+ ' 7#' $" ' )&'.'++'.'
"#& "+#& &"+"(#" ". #'$+ + )<l*l+ $' )'&' $' i($i9$*'8 E+#" #i' $"
8/15/2019 elizabete trabalho revisado (1).odt
http://slidepdf.com/reader/full/elizabete-trabalho-revisado-1odt 71/177
#&i++'.i (,' < %"&"$i#=&i " #.'*)' < &'')$ '& /*l/*"&
$"+)*i$' )'."#i$' "l'+ i+ $*&(#" '* (#"+ $ 5&i$"z8
T&i++'.i 1 &)il
A+ #&i++'.i+ &)ii+ +,' .*i#' &&+8 El+ ')'&&". /*($' "(+
&#" $" *. )&'.'++'.' "#& "+#= &"+"(#"8 E++"+ )+'+ '$". #"& &iz
%"&"$i#=&i8 M*i#' &&."(#" *. "$' $' )&'.'++'.' 1 +" "5
'*#&' )&'.'++'.' (#"+ '* B+ )'()",'8 D"+# 7'&. "++'+
7"#$+ '& "+#" #i' $ +9($&'." #?. + $*+ )Bi+ $' )&'.'++'.' 1
l<. $" *. "$' &)il $' .#"&il "#& $' )&'.'++'.' 18
T&i++'.i 1 l"#B&i
E+#" #"&)"i&' #i' $ S9($&'." $ E$&$+ #.!<. < "#&".."(#"
&&'8 El" ')'&&" /*($' ' )&'.'++'. "#& "+#= &"+"(#" ". l5*.+ .+ (,'
". #'$+ + )<l*l+ $' )'&'8 A++i. )'.' )'(#")" )'. 7'&. )'.l"# $
T&i++'.i 1 "+#" #i' $ $'"( )'(%")i$ '*l&."(#" )'.'
Y.'+i)'Z #.!<. (,' < %"&"$i#=&i " < *. ')'&&?()i l"#B&i /*"
')'&&" $*&(#" $ii+,' )"l*l&8
A+ C*++:
T&i++'.i+ +,' &'!l".+ 5"(<#i)'+ ". /*" "++' (+)" )'. *.
)Bi "#& $" l5*. )&'.'++'.'8
N' .'."(#' $ )'()",' 2 )&'.'++'.'+ $' i " 2
)&'.'++'.'+ $ .," +" )'.!i(. & )&i& *. ('' +"& %*.(' /*" ".
('&.l."(#" )'. 6 )&'.'++'.'+ ". )$ )<l*l $" +"* )'&'8 A #&i++'.i
')'&&" .i+ &")i+."(#" $*&(#" $ii+,' )"l*l& ". *. &'!l".
)'(%")i$' )'.' $i+*(,' ."iB#i)8 N"l" ' !"!? (+)" )'. *. )Bi "#&
". l5*. $'+ 2 &"+ $" )&'.'++'.'+ &"+*l#($' ". *. #'#l $" 3
)&'.'++'.'+ ". "z $'+ 6 )'. '+ /*i+ *. i($i9$*' +*$="l (+)"8 N'
)+' $ S9($&'." $" E$&$+ ' &'!l". ')'&&" (' & $" )&'.'++'.'+ (4
A T&i++'.i 1 "+& $" && < +"5*($ .i+ )'.*. /*" "i+#"8 A
&i."i& < T&i++'.i 21 )'(%")i$ '*l&."(#" )'.' S9($&'." $" D'(
8/15/2019 elizabete trabalho revisado (1).odt
http://slidepdf.com/reader/full/elizabete-trabalho-revisado-1odt 72/177
". /*" "++' (+)" )'. #&?+ )Bi+ $' )&'.'++'.' 218 A #"&)"i&
#&i++'.i .i+ )'.*. < /*" "('l" ' )&'.'++'.' 1 )'(%")i$
)'.' S9($&'." $" P#*8
F#'&"+ $" &i+)'
A S9($&'." $" E$&$+ "+#= $i&"#."(#" "('li$ ( i$$" $ .,"8
M*l%"&"+ )i. $'+ ('+ /*" "(5&i$. "+#,' .i+ +*"i#+ #"& 7il%'+
)'. T&i++'.i 1 $' /*" .*l%"&"+ .i+ '"(+8
J= & ' !"!? $'"( )'+#*. ')'&&"& .i+ ". )&i(+ $' +"'
7".i(i(' $' /*" $' +"' .+)*li(' ".!'& + #+ $" .'&#li$$" l'5'
B+ '* l5*. #".' B+ ' (+)i."(#' +" .i'& "(#&" '+ ."(i('+8
Si(#'.+ $" S9($&'." $" E$&$+
Ei+#". i(."&'+ +i(i+ " +i(#'.+ /*" )&)#"&iz. *. )&i(
)'. S9($&'." $" E$&$+8 A+ )&)#"&9+#i)+ &"+"(#$+ "l'+ '&#$'&"+
$"+# $'"( +,':
C&(i' $i+7B&.i)' )'. ' '++' '))ii#l &'".i("(#" @&#"
#&+"i& " i(7"&i'& $' )&(i'
Mi)&'5(#i *. $"+'&$". (' )&"+)i."(#' 7)il
7"#($' &i()il."(#" .($9!*l /*" +" "()'(#& ". *. '+i,'
.*i#' '+#"&i'& ". &"l,' > .il
O&"l%+ .i+ !i+ /*" ' ('&.l @'&"l%+ $" i.l(#,'
!i
P<+ #'&#'+ )'(5?(i#'+
D"7'&.i$$"+ ('+ $"$'+ $+ .,'+
D'"( )&$9) )'(5?(i#
Wi' "+' ' (+)"&
F&/*"z .*+)*l&
P'*)' "#i#"
C%'&' 7&)'
P&'!l".+ $" )&"+)i."(#'
M($9!*l ."('& /*" ' ('&.l
*"i' &")*$'
8/15/2019 elizabete trabalho revisado (1).odt
http://slidepdf.com/reader/full/elizabete-trabalho-revisado-1odt 73/177
Ri5i$"z .*+)*l& "#&".
D"$'+ +'!&"'+#'+
U(%+ .l $"+"('li$+
P"&(+ )&*z$+
TB& ". 7'&.#' i()'.*. @"i#' )&i($'
<&(i i(5*i(l '* *.!ili)l
E()*&#."(#' $' $"$,' $' <
R*5+ ( l. $+ .,'+ " (+ l(#+ $'+ <+
W') "/*"( " #&i(5*l&
E+#"('+" *l.'(&
E+#"('+" B&#i)
D"7"i#'+ (' +"#' "(#&i)*l&
D"7"i#'+ (' +"#' *&i)*l& M= 7'&.,' &"(l
M.il'+ ."('&"+ " .i+ $i+#(#"+ *. $' '*#&' /*" '
('&.l
G"(i#i+ (.l'+
P"+)'' )*&#'
Mi'& &"+"( $" "l'+
A('.li+ )"&"!&i+
M= 7'&.,' $'+ 'l%'+
A('.li+ "&#"!&i+
M= 7'&.,' $'+ .".!&'+
Di5(B+#i)' " "."+
N )'(+*l# .<$i)
E+")ili+#+ /*" '$". $i5('+#i)& S9($&'." $" E$&$+ +,':
Cl9(i)' 5"&l
G"("#i)i+#
N"*&'l'5i+#
P+i/*i#&
P+i)Bl'5'
N"7&'l'5i+#
C&$i'l'5i+#
O$'(#'l'5i+#
8/15/2019 elizabete trabalho revisado (1).odt
http://slidepdf.com/reader/full/elizabete-trabalho-revisado-1odt 74/177
O .<$i)' &'"l."(#" 7&= *. +<&i" $" "&5*(#+ #i+ )'.':
*i+ +,' '+ &i."i&'+ ++'+ /*" $"' #'.&Q
*i+ (")"++i$$"+ "+")ii+ ."* 7il%' &")i+&=Q
*l "")##i $" i$Q
C'.' $'"( i(#"&7"&i&= ( /*li$$" $" i$ $"
."* 7il%' " ( $" .i(% 7.9liQ
*i+ '+ +i(#'.+ /*" &")"&,' )'(7'&." ' #".'Q
A /*". &")'&&"& ". .'."(#'+ $" (")"++i$$"Q
= &"+#&i;"+ /*" $"". +"& +"5*i$+Q
Di5(B+#i)' $" S9($&'." $" E$&$+
G"&l."(#" ' $i5(B+#i)' $" S9($&'." $" E$&$+ < 7"i#' $*&(#" 5"+#,' &i()il."(#" '& )*+ $'+ "."+ &<-(#i+8 N' "(#(#' ".
l5*(+ )+'+ '$" )'(#")"& $" $'"( +B +"& $"+)'!"&# B+ ' &#'8
Ei+#". i(."&'+ "."+ )z"+ $" $i5('+#i)& S9($&'." $"
E$&$+ " .*i#'+ "+#,' > $i+'+i,' $'+ i+ )'.' &#" $" #"+#"+ &<-(#i+8
O+ #"+#"+ $" i.5". i($i). ' &i+)' '* &'!!ili$$" $" )&i(
#"& T&i++'.i 18 E++"+ "."+ l". ". )'(# '+ &"+*l#$'+ $" #'$'+ '+/*" &"liz&. ' ."+.' #"+#" " '+ .<$i)'+ )'.&. '+ &"+*l#$'+
"+")97i)'+ )'. '+ $/*"l" 5&*'8 E(#,' "l"+ *+. "+##9+#i)+ &
i$"(#i7i)& + )%()"+ $" +9($&'." "+#& &"+"(#" ". +"* 7il%' )'. !+"
(' (."&' $" "z"+ /*" '+ '*#&'+ )'. '+ ."+.'+ &"+*l#$'+ #i"&.
)&i(+ )'. T&i++'.i 1 (' ++$'8
O $i5(B+#i)' < 7"i#' $" 7#' '& ."i' $" "."+ $" li,' ('+
/*i+ %= "&i7i),' $+ )<l*l+ (' )&iB#i'8 O $i5(B+#i)' & $'"( +"
)'(7i&. +" 7'& '!+"&$ &"+"( $" *. )Bi "#& $' )&'.'++'.' 18
T&#."(#':
O #&#."(#' $" )&i(+ )'. S9($&'." $" E$&$+ < l("$'
i($ii$*l."(#"8 A+ #"&i+ $i+'(9"i+ /*" +"&,' *#iliz$+ $""($". $
)'($i,' i($ii$*l $' )i"(#"8
8/15/2019 elizabete trabalho revisado (1).odt
http://slidepdf.com/reader/full/elizabete-trabalho-revisado-1odt 75/177
S!"-+" (' "(#(#' /*" )&i( $""&= +"& )'.(%$ $" "&#'
'& *. "/*i" .<$i) 7'&.$ '& $i"&+'+ "+")ili+#+ )$ *.
&"+'(+="l '& *. &#" $'+ +i(#'.+ l<. < )l&' $" +i)Bl'5'+ "
+i/*i#&+ /*" #.!<. '++. #"($"& '+ 7.ili&"+8
C'(i"($' @&'5(B+#i)'
C'(7i&.$' ' $i5(B+#i)' < %'& $" +" &"&& & )*i$& $ )&i(
" &')*&& ."l%'&& ' .=i.' /*li$$" $" i$ !". )'. $" #'$'+ '
&"$'&8+*
AB+ ' $i5(B+#i)' l"" ' #".' /*" *l5&
(")"++=&i' (#"+ $" #'.& /*l/*"& #i' $" $")i+,'
P&')*&" +".&" 7z"& "&5*(#+ " "$i& "li);"+ *. 5"("#i)i+#8 i.'&#(#" #i&& #'$+ + +*+ $i$+ )'. ' .<$i)'
P&')*&" +!"& +".&" ' .=i.' /*" *$"& +'!&" S9($&'."
$" E$&$+8 M(#"(%-+" +".&" .*i#' !". i(7'&.$' +'!&" $'"(
(''+ .<#'$'+ $" #&#."(#' " '*#&+ ('i$$"+ .<$i)+ /*" '++.
*$. ."l%'&& i$ $'+ )i"(#"+ " 7.ili&"+
V= #&=+ $" 5&*'+ $" 'i' /*" li$". $i&"#."(#" )'.
/*"+#;"+ &"l#i+ > S9($&'." $" E$&$+8 E(#&& ". )'(##' )'.
'*#&+ "++'+ /*" ++. "l'+ ."+.'+ &'!l".+ /*" ')? '$"
*$&
Si5 #'$+ + &")'."($;"+ .<$i)+ " )"&#i7i/*"-+" $"
/*" +"* 7il%' "+#= &")"!"($' ' #&#."(#' $"/*$'8 C*i$"#"(#."(#" $ 5"($ .<$i) $" +"* 7il%' " (,' 7l#" > )'(+*l#
P&')*&" *$ +i)'lB5i) & ')? & +"* &)"i&'
'* &)"i& " +" (")"++=&i' & '*#&'+ .".!&'+ $' 5&*' 7.ili&
/*" )'(i"&,' $i&i."(#" )'. )&i( '&#$'& $ S9($&'." $"
E$&$+
C'.li);"+ '++9"i+
A+ )'.li);"+ $")'&&"(#"+ $ S9($&'." $" E$&$+ &i. .*i#'
$" )'&$' )'. ' )i"(#"8 N .i'&i $'+ )+'+ + )'.li);"+ '++9"i+
8/15/2019 elizabete trabalho revisado (1).odt
http://slidepdf.com/reader/full/elizabete-trabalho-revisado-1odt 76/177
')'&&". '& )*+ $'+ $"7"i#'+ )'(5?(i#'+ $' #&+' ."(#l " 79+i)' " $ .=
7'&.,' $" B&5,'+ i#i+ )'.' '+ &i(+ " &'!l".+ $' )'&,'8
E")##i+
A&'i.$."(#" 0 $+ )&i(+ /*" (+)". )'. S9($&'." $"
E$&$+ (,' +'!&"i". > &i."i& +".( $" i$8 A # $" .'&#li$$" <
.i+ )'.*. ". ."(i('+ $' /*" ". ."(i(+8 N' "(#(#' l5*.+ )&i(+
)'(+"5*". i"& '& .*i#'+ ('+ "+& $+ )l&+ li.i#;"+ " $'+
&'!l".+ $" +$" /*" ""(#*l."(#" +*&5".8
P&""(,':
P'& +" #&#& $" *. $'"( 5"(<#i) /*" )'(#")" '& *. "&&' (
$ii+,' )"l*l& (,' < '++9"l &""& (". "i#& /*" S9($&'." $" E$&$+
')'&&8 N' "(#(#' "."+ &<-(#i+ '$". &""l& $'"( (#"+ $'
(+)i."(#' $ )&i(8 Al<. $i++' < '++9"l "&i7i)& +" %= &<-$i+'+i,'
5"(<#i) ('+ i+ & T&i++'.i 1 '& ."i' $" "."+ 5"(<#i)'+
"+")97i)'+8 E++"+ #"+#"+ +,' &")'."($$'+ &i()il."(#" i+ /*" =
#i"&. *. 7il%' )'. S9($&'." $" E$&$+ " /*" l(". #"& (''+ 7il%'+8
C'.' #&!l%& "++" l*(' ". +l $" *l:
01 A(#"+ $" #*$' #"(% )"&#"z $" /*" ' /*" ')? "+#= li$($' <
IPERATIVIDADE8 D"7i(i#i."(#" (,' < #&"7 $'+ &'7"++'&"+ $i5('+#i)&
IPERATIVIDADE .+ ')? '$" " $"" /*"+#i'(&8 E+")i7i)."(#" #"(%
)"&#"z $" l5*<. #"(% #"+#$' *$i,' " i+,' $ )&i( &")"(#"."(#"
" #"(% )"&#"z #.!<. $" /*" '*#&'+ &'!l".+ .<$i)'+ #"(%. +i$'
&"+'li$'+8 T"(% )"&#"z $" /*" *. li,' $"/*$ 7'i 7"i#8 C'(#i(*"
/*"+#i'(($' #< /*" +" +i(# )'("()i$'8 A &"+'(+!ili$$" $i++' #*$' < $'+
i+ " (,' $'+ &'7"++'&"+ .+ ' &'7"++'& '$" )'(#&i!*i& & ' &')"++'8
02 S"5*($' &"&"-+" & +*'&#&8 S"& *. &'7"++'& ( +l
$" *l '($" %= $'i+ '* #&?+ l*('+ )'. IPERATIVIDADE '$" +"& "#&".."(#" )(+#i'8 T"(% )"&#"z $" /*" ')? '$" #". ' 'i' $
8/15/2019 elizabete trabalho revisado (1).odt
http://slidepdf.com/reader/full/elizabete-trabalho-revisado-1odt 77/177
"+)'l " $'+ i+8 T"(% )"&#"z $" /*" %= *. "++' )'. )'(%")i."(#'
/*l ')? '++ )'(+*l#& /*($' #i"& *. &'!l". @"$5'5' +i)Bl'5'
i(7(#il ++i+#"(#" +')il +i)Bl'5' $ "+)'l '* "$i#& .+ 7'&.,' $
"++' (,' < &"l."(#" i.'&#(#"8 O /*" i.'&# < /*" "l" '* "l )'(%"
.*i#' +'!&" IPERATIVIDADE )'(%" '+ &")*&+'+ $" *. +l $" *l "
'++ 7l& )'. )l&"z8 T"(% )"&#"z $" /*" '+ i+ "+#,' #&!l%($' )'.
')?8 T"(% )"&#"z $" /*" '+ )'l"5+ '$". *$& ')?8
0 C'(%" +"*+ li.i#"+8 N,' #"(% ."$' $" "$i& *$8 V')?
)'.' &'7"++'& (,' '$" /*"&"& +"& *. "+")ili+# ". IPERATIVIDADE8
V')? $"" +"(#i&-+" )'(7'&#="l ". "$i& *$ /*($' )%& (")"++=&i'8
0 PERGUNTE AO ALUNO O UE PODE AJUDAR E+#"+ l*('+
+,' +".&" .*i#' i(#*i#i'+8 El"+ +!". $iz"& 7'&. .i+ 7=)il $" &"($"&
+" ')? "&5*(#&8 El"+ 7i). ('&.l."(#" #"."&'+'+ ". '7"&")"& i(7'&.,'
'l*(#&i."(#" '&/*" i+#' '$" +"& l5' .*i#' '*+$' '* "#&5(#"8 M+
#"(#" +"(#& +'zi(%' )'. ' l*(' " "&5*(#& "l" )'.' "l" '$" &"($"&
."l%'&8 O ."l%'& "+")ili+# & $iz"& )'.' ' l*(' &"($" < ' &B&i'
l*('8 ++*+#$'& 7&"/*?()i )'. /*" +*+ 'i(i;"+ +,' i5('&$+ '*
(,' +,' +'li)i#$+8 Al<. $' .i+ "+")il."(#" )'. l*('+ .i+ "l%'+
#"(% )"&#"z $" /*" "l" "(#"($" ' /*" < IPERATIVIDADE8 I+#' i *$& .*i#' ')?+ $'i+8
0 L".!&"-+" $" /*" '+ l*('+ )'. IPERATIVIDADE (")"++i#.
$" "+#&*#*&,'8 El"+ &")i+. "+#&*#*&& ' .!i"(#" "#"&(' = /*" (,'
'$". +" "+#&*#*&& i(#"&(."(#" '& +i ."+.'+8 F li+#+8 Al*('+ )'.
IPERATIVIDADE +" !"("7i)i. "('&."."(#" /*($' #?. *. #!"l '*
li+# & )'(+*l#& /*($' +" "&$". (' /*" "+#,' 7z"($'8 El"+ (")"++i#.
$" l5' & 7z?-l+ l".!&& $+ )'i++8 El"+ (")"++i#. $" &"i+;"+8 El"+
(")"++i#. $" &""#i;"+8 El"+ (")"++i#. $" $i&"#&iz"+8 El"+ &")i+. $"
li.i#"+8 El"+ &")i+. $" '&5(iz,'8
06 LEMWRE-SE DA PARTE EMOCIONAL DO APRENDIcADO E+#"+
l*('+ (")"++i#. $" *. 'i' "+")il & "()'(#&& &z"& ( +l $" *l8
D'.9(i' ' i(<+ $" 7l%+ " 7&*+#&;"+8 E)i#,' ' i(<+ $" #<$i' "
."$'8 "++"()il &"+#& #"(,' >+ ".';"+ "('li$+ (' &')"++' $"&"($iz5".8
8/15/2019 elizabete trabalho revisado (1).odt
http://slidepdf.com/reader/full/elizabete-trabalho-revisado-1odt 78/177
FACULDADE JK *(i$$" +(# M&i
8/15/2019 elizabete trabalho revisado (1).odt
http://slidepdf.com/reader/full/elizabete-trabalho-revisado-1odt 79/177
C*&+' "$5'5i 3 +"."+#&"
S9($&'."[ F&=5il
8/15/2019 elizabete trabalho revisado (1).odt
http://slidepdf.com/reader/full/elizabete-trabalho-revisado-1odt 80/177
C'()"i#':
C'(%")i$ #.!<. )'.' +9($&'." $" M&#i(-W"ll +9($&'." $' [
F&=5il < *. )'($i,' 5"(<#i) /*" )*+ $"!ili$$"+ i(#"l")#*i+ &'!l".+
$" &"($iz$' " $" )'.'&#."(#' l<. $" $i"&++ )&)#"&9+#i)+ 79+i)+
")*li&"+8 Ai($ /*" ')'&& ". .!'+ '+ 5?("&'+ 7"# .i+ 7&"/*"(#"."(#"
'+ ."(i('+ " 5"&l."(#" )'. 5&($" +""&i$$"8 A S9($&'." $' [ F&=5il <
7'&. %"&$="l .i+ )'.*. $" $"7i)i?()i i(#"l")#*l .'$"&$' 5&"
+"($' +9($&'." $" D'( &i."i& "(#&" #'$+ + )*++ '&<.
+9($&'." $" D'( (,' < %"&$$ " +i. *. 7#li$$" ( .i'&i $+ "z"+8
A +9($&'." $' [ F&=5il < #,' )'.*. /*" &"/*"& )'(+i$"&,' (' $i5(B+#i)'
$i7"&"()il $" $"7i)i?()i i(#"l")#*l " "+#= "(#&" + i($i);"+ .i+ 7&"/*"(#"+
& (=li+" $" DNA )'(+*l# 5"(<#i) " $i5(B+#i)' &<-(#l8 E+#i.-+"
/*" i()i$?()i $ +9($&'." ')'&& ". 1 ". )$ 8000 (+)i."(#'+
.+)*li('+ " ". 1 ". 8000 ."(i(+8 O ('." Y[-7&=5ilZ &"7"&"-+" *.
.&)$'& )i#'5"(<#i)' (' )&'.'++'.' [ *. +9#i' 7&=5il (' /*l )&'.#i(
(,' +" )'($"(+ &'&i$."(#" $*&(#" .i#'+"8
A+ C*++
M*#;"+ (' 5"(" FMR1 )*+. +9($&'." $' [ F&=5il8 O 5"("
FMR1 $= i(+#&*;"+ & &'$*,' $ &'#"9( FMRP @F&5il" [ M"(#l
R"#&$#i'(8 E+# &'#"9( *$ &"5*l& &'$*,' $" '*#&+ &'#"9(+ /*"
7"#. ' $"+"('li."(#' $+ +i(+"+ /*" +,' + )'(";"+ "+")iliz$+
"(#&" + )<l*l+ ("&'++ " 7*($."(#i+ & ++& '+ i.*l+'+ ("&'+'+8
8/15/2019 elizabete trabalho revisado (1).odt
http://slidepdf.com/reader/full/elizabete-trabalho-revisado-1odt 81/177
P&#i)."(#" #'$'+ '+ )+'+ $" +9($&'." $' [ F&=5il +,' )*+$'+
'& *. .*#,' ( /*l *. +"5."(#' $" DNA )'(%")i$' )'.' &""#i,'
#&9li)" CGG )&"+)" (' 5"(" FMR18 N'&.l."(#" "+#" +"5."(#' $" DNA <
&""#i$' $" 0 "z"+8 N+ "++'+ )'. +9($&'. e do X Frágil, no
entanto, o segmento CGG repete-se mais de 200 vezes. Essa
anormalidade
‘desliga’ o gene FMR, o !"e o impede de prod"zir a prote#na FMR$. %
perda o" a de&'i(n'ia desta prote#na interrompe as )"n*+es do
sistema nervoso e leva aos sinais e sintomas da s#ndrome do X Frágil.
Fatores de ris'o
omens e m"leres 'om a 200 repeti*+es do segmento
CGG tem o !"e se 'ama "ma pr/-m"ta*o do gene FMR. % maioria
das pessoas 'om "ma pr/-m"ta*o / intele't"almente normal. Em
alg"ns 'asos, no entanto, indiv#d"os portadores da pr/-m"ta*o tem
"ma !"antidade menor !"e a normal de prote#nas FMR$. Como
res"ltado disso, podem desenvolver moderadas vers+es dos tra*os
)#si'os da s#ndrome do X Frágil 1'omo orelas grandes e pode ter
pro3lemas emo'ionais 'omo ansiedade o"depresso. %l/m disso, as
m"leres !"e so portadoras da pr/-m"ta*o podem apresentar
)al(n'ia ovariana pre'o'e 1entrando na menopa"sa mais 'edo.
Si(#'.+
O+ i($i9$*'+ 7"#$'+ "l +9($&'." $' [ F&=5il 5"&l."(#" #". *.
#&+' (' $"+"('li."(#' $ 7l " $ li(5*5". '+ $'i+ ('+8 A .i'&i
$'+ %'."(+ )'. +9($&'." $' [ 7&=5il #". $" li5"i& .'$"&$ $"7i)i?()i
i(#"l")#*l "(/*(#' )"&) $" *. #"&' $+ .*l%"&"+ 7"#$+ +,'i(#"l")#*l."(#" $"7i)i"(#"+8
C&i(+ )'. +9($&'." $' [ F&=5il '$". #.!<. #"& (+i"$$" "
)'.'&#."(#' %i"&#i' )'.' i(/*i"#,' " i.*l+ii$$"8 P'$". +'7&"&
i($ $" D"+'&$". $' D<7i)i# $" A#"(,' @DDA ' /*" i()l*i (,' )'(+"5*i&
&"+#& #"(,' " $i7i)*l$$" $" )'()"(#&,' & #&"7+ "+")97i)+8 C"&)
$" *. #"&' $'+ i($i9$*'+ )'. +9($&'." $' [ F&=5il #". + )&)#"&9+#i)+
$' *#i+.' $" .l' "+")#&' $"+'&$". /*" 7"# )'.*(i),' "
8/15/2019 elizabete trabalho revisado (1).odt
http://slidepdf.com/reader/full/elizabete-trabalho-revisado-1odt 82/177
i(#"&,' +')il8 C'(*l+;"+ ')'&&". ". )"&) $" 1 $'+ ."(i('+ "
$+ ."(i(+ 7"#$+ )'. +9($&'." $' [ F&=5il8
8/15/2019 elizabete trabalho revisado (1).odt
http://slidepdf.com/reader/full/elizabete-trabalho-revisado-1odt 83/177
A .i'&i $'+ %'."(+ " )"&) $ ."#$" $+ .*l%"&"+ 7"#$+ "l
+9($&'." #&'+ 79+i)'+ )&)#"&9+#i)'+ /*" +" #'&(. .i+ &"(#"+ )'.
i$$"8 E++"+ #&'+ 79+i)'+ i()l*". 7)" l'(5 " "+#&"i# '&"l%+ l&5+
.($9!*l " #"+# &'".i("(#"+ $"$'+ "+#&(%."(#" 7l"9"i+ <+ )%#'+ "
('+ %'."(+ #"+#9)*l'+ 5&($"+ @.)&'-'&/*i$i+.' $"'i+ $ *!"&$$"8
4"s'ando a5"da m/di'a
O+ &'!l".+ $" +$" (+ "++'+ 7"#$+ "l +9($&'." $'
[ F&=5il 5"&l."(#" "+#,' &"l)i'($'+ ' +i+#". ("&'+' #&".'&"+
)''&$"(,' &*i. (+i"$$" " $"&"++,' ". l5*(+ )+'+8
M*l%"&"+ /*" &"+"(#. l#"&;"+ 5"(<#i)+ ."('+ +""&+ '$".
#"& ."('*+ &")')" '* &'!l".+ $" 7"&#ili$$"8
Di5(B+#i)' " "."+
6 diagn7sti'o 'l#ni'o da s#ndrome do X Frágil / m"ito di)#'il,
devido 8s 'ir'"nst9n'ias diversas dos sintomas e sinais apresentados.
:"rante os anos ;<0 e ;=0, a >ni'a )erramenta dispon#vel para o
diagn7sti'o da s#ndrome do X )rágil era o teste de 'romossomo
1'itogen/ti'a. Em3ora tena sido >til, no era sempre pre'iso. ?a
d/'ada de ;;0, 'ientistas identi&'aram o gene FMR, !"e 'a"sa a
s#ndrome, e a partir da# testes de :?% tornaram-se dispon#veis. 6
#"+#" $' 5"(" FMR1 ++'* +*!+#i#*i& '+ #"+#"+ $" )&'.'++'.'+ " #'&(&.-
+" ' #"+#" $&,' & $"#"&.i(& &"+"( $' [ F&=5il8 T"+#"+ $" DNA #".
")"l"(#" &")i+,' $"#")#. .i+ $" $'+ i($i9$*'+ '&#$'&"+ @%'."(+
" .*l%"&"+ $ +9($&'." $' [ 7&=5il8
$" "#&". i.'&#()i "+#!"l")"& ' $i5(B+#i)' &")i+' $
+9($&'." "+")il."(#" /*($' +" #&# $' &i."i&' )+' i$"(#i7i)$' (
7.9li8 U. "z l')liz$ .*#,' '$"-+" i."$i& /*" "l +" #&(+.i#i$
& + 5"&;"+ 7*#*&+8
8/15/2019 elizabete trabalho revisado (1).odt
http://slidepdf.com/reader/full/elizabete-trabalho-revisado-1odt 84/177
O #"+#" $" DNA $"" +"& &")'."($$' & i($i9$*'+ $" .!'+ '+
+"'+ /*" &"+"(#". $"7i)i?()i i(#"l")#*l " $" $"+"('li."(#' *#i+.' "
%i+#B&i)' 7.ili& $" +9($&'." $' [ F&=5il8
8/15/2019 elizabete trabalho revisado (1).odt
http://slidepdf.com/reader/full/elizabete-trabalho-revisado-1odt 85/177
O $i5(B+#i)' &<-(#l $ +9($&'." $' [ F&=5il '$" +"& 7"i#' ('
".!&i,' $' /*l *. )<l*l < &"#i&$ & (=li+" $'+ 5"("+8 C+i+ )'.
%i+#B&i)' $ $'"( +*!."#".-+" &')"$i."(#' $" 7"&#iliz,' i( i#&' &
/*" '+ ".!&i;"+ 5"&$'+ +". (li+$'+8
E. #'$ )&i( )'. )'.'&#."(#' *#i+# $"" &"liz& ' #"+#".'l")*l& & +9($&'." $' [ F&=5il8
T&#."(#':
T&#."(#' $" S9($&'." $' [ 7&=5il
P'& +"& *. )'($i,' 5"(<#i) (,' "i+#" #&#."(#' & +9($&'."
$' [ F&=5il8 O+ +i(#'.+ .i+ )"(#*$'+ $" (+i"$$" " $"&"++,' '$".
+"& #&#$'+ )'. ."$i),' &'&i$8
P'& '*#&' l$' ('+ "$5B5i)'+ " +i)'lB5i)'+ *$. +
)&i(+ 7"#$+ #"&". *. ."l%'& $"+"."(%' "+)'l& !". )'.' *.
i$ +')il .i+ +*$="l8
)'(i"($' @&'5(B+#i)'
C'.li);"+ '++9"i+
O+ &'!l".+ $" +$" (+ "++'+ 7"#$+ "l +9($&'." $'
[ F&=5il 5"&l."(#" "+#,' &"l)i'($'+ ' +i+#". ("&'+' #&".'&"+
)''&$"(,' &*i. (+i"$$" " $"&"++,' ". l5*(+ )+'+8
M*l%"&"+ /*" &"+"(#. l#"&;"+ 5"(<#i)+ ."('+ +""&+ '$".
#"& ."('*+ &")')" '* &'!l".+ $" 7"&#ili$$"8
P&""(,':
A (i) 7'&. '++9"l $" &""(i& ' $"(#' $ +9($&'." < '& ."i'
$" )'(+"l%."(#' 5"(<#i)'8 U. (=li+" $' %i+#B&i)' 7.ili& " #"+#"+
5"(<#i)'+ & $"#")#& /*i+ .*l%"&"+ ( 7.9li )&&"5. .*#,'
5"(<#i) $ +9($&'." $' [ F&=5il8
C+i+ )'. %i+#B&i)' 7.ili& $" +9($&'." $' [ F&=5il '$". +*!."#"&-+" &')"$i."(#'+ $" 7"&#iliz,' i( i#&' " #"&". +"*+ ".!&i;"+
8/15/2019 elizabete trabalho revisado (1).odt
http://slidepdf.com/reader/full/elizabete-trabalho-revisado-1odt 86/177
5"("#i)."(#" (li+$'+ < ' /*" )%..'+ $" +i5(B+#i)' 5"(<#i)' &<-
i.l(#)i'(l @PGD8
C'.' #&!l%& "++" l*(' ". +l $" *l:
O &"+"(#" "+#*$' $" )+' 7'i &"liz$' )'. *. l*(' $' +"'
.+)*li(' )'. 10 ('+ $" i$$" )'. $i5(B+#i)' .<$i)' $" '&#$'& $
S9($&'." $' [ F&=5il /*" +"&= )%.$' /*i '& L*i+ " 7&"/*"(# *.
"+)'l &i$ $" E$*),' E+")il )'. .i+ $" 20 ('+ $" "i+#?()i "
""&i?()i (' #"($i."(#' $" l*('+ )'. $"7i)i?()i ."(#l +i#*$ ". *.
!i&&' $" )l++" .<$i l# $ )i$$" $' Ri' $" J("i&'8 O "+#*$' 7"z &#" $"
*. &'"#' $" "+/*i+ $"+"('li$' ( "+)'l "l' "&9'$' $" 12 ."+"+
'($" &#i)i&. *. #'#l $" 1 l*('+ i($i)$'+ & "+/*i+ "l $i&",'
"'* )''&$"(,' $ "+)'l $" )'&$' )'. '+ )&i#<&i'+ $" i()l*+,' $.'+#& '* +" #"& $"7i)i?()i ."(#l l"" .'$"&$ " i$$" ."(#l "(#&"
" 3 ('+8 O '!"#i' 5"&l $' &"7"&i$' &'"#' 7'i "&i7i)& "7i)=)i "
$"/*,' $'+ &')"$i."(#'+ $" li,' )'5(i#i $i(.i) @CATM " $"
i(#"&"(,' +i)'"$*))i'(l @C*&&9)*l' W&i5%# S#&# !+"$'+ ('+
&"++*'+#'+ $" F"*"&+#"i( " VX5'#+\X & '*l,' )'. $"7i)i?()i
."(#l8 A ."#'$'l'5i $' &'"#' )'(+i+#i* !+i)."(#" ". *. $"li("."(#'
$" +*"i#' )'.' +"* &B&i' )'(#&'l" @+i(5l"-)+" $"+i5( @Kz$i( 12 200$' #i' A-W-A @#"+#"-i(#"&"(,'&"#"+#" ". /*" ' l*(' ++ '& *.
li,' )'5(i#i $i(.i) i($ii$*l @7+" #"+#" $"'i+ "& +*!."#i$'
*. i(#"&"(,' +i)'"$*))i'(l ". 5&*' @7+" i(#"&"(,' " "&
&"li$' @7+" &"#"+#" +"($' )'.&$'+ +"*+ &"+*l#$'+ ". .!+ +
"#+ $" li,' $i(.i) )'. ' CATM8 O l*('
&#i)i(#" L*i+ 7'i "+)'l%i$' & &"liz,' $' "+#*$' $" )+'
$"i$' +* +i(5*l&i$$" " >+ ")*li&i$$"+ $'+ +"*+ &"+*l#$'+ (
"+/*i+ = /*" +" #&# $' (i)' l*(' $"(#&' $' 5&*' $" l*('+
i($i)$'+ "l $i&",' " )''&$"(,' $ "+)'l /*" "& '&#$'& $ S9($&'."
$' [ F&=5il8 P'++*9 )'.' &i()ii+ )&)#"&9+#i)+ )'.'&#."(#i+
i.*l+ii$$" " %i"&#ii$$" l<. $" +i(i+ $" (+i"$$" " i(+#!ili$$"
".')i'(l8 D"i$' > $i7i)*l$$" $" L*i+ ". "+#!"l")"& 9()*l' 7"#i' ".
)*&#' &z' (,' 7'i '++9"l &"liz& )'. "l" '+ &')"$i."(#'+ $" li,'
)'5(i#i i($ii$*l $ 7+" #"+#" /*" (#")"$"&i. ' "&9'$' $" i(#"&"(,'
8/15/2019 elizabete trabalho revisado (1).odt
http://slidepdf.com/reader/full/elizabete-trabalho-revisado-1odt 87/177
+i)'"$*))i'(l8 A++i. +"($' #(#' & "/*i" $" "+/*i+ /*(#' &
"+)'l @)''&$"(,' " &'7"++'&"+ L*i+ 7'i )'(+i$"&$' *. )+' $"+7i$'&
". /*" #'$'+ $ "+)'l " #.!<. $ "+/*i+ #i(%. 5&($"+ "")##i+ "
&"')*,' ". &"l,' '+ &"+*l#$'+ +"&". l)($'+ &"7"&"(#"+ '
$"+"('li."(#' $" +"* '#"()il > $#,' $" +"* )'.'&#."(#' "
."l%'& $' +"* $"+"."(%' )'5(i#i' " )$?.i)' &"l#i' '+ )'(#"$'+
"+)'l&"+8 N' "(#(#' #i+ "")##i+ 7'&. )'&&"+'($i$+ )'.' '$"&=
+"& '!+"&$' (' &"l#' $'+ &"+*l#$'+ l)($'+ "l' l*(' B+ ++&
"l+ $*+ *l#i.+ 7+"+ $ "+/*i+ i(#"&"(,' " &"#"+#" ' /*" )"&#."(#"
Ci?()i+ d C'5(i,' 2012 V'l 13 @1: 10-20 e Ci?()i+ d C'5(i,'
S*!."#i$' ". 2102011 f R"i+$' ". 002012 f A)"i#' ". 102012 f
ISSN 106-21 P*!li)$' '( li(" ". 0 $" !&il $" 2012 16 +*&&""($"*
#'$'+ " #&i!*i &"l"()i ' &"+"(#" "+#*$' $" )+' )'(+i$"&$' & "/*i")'.' +i(5*l&8
8/15/2019 elizabete trabalho revisado (1).odt
http://slidepdf.com/reader/full/elizabete-trabalho-revisado-1odt 88/177
OS TRASTORNOS
8/15/2019 elizabete trabalho revisado (1).odt
http://slidepdf.com/reader/full/elizabete-trabalho-revisado-1odt 89/177
FACULDADE JK *(i$$" +(# M&i
8/15/2019 elizabete trabalho revisado (1).odt
http://slidepdf.com/reader/full/elizabete-trabalho-revisado-1odt 90/177
C*&+' "$5'5i 3 +"."+#&"
T&(+#'&('
E+")#&' A*#i+# @TEA
8/15/2019 elizabete trabalho revisado (1).odt
http://slidepdf.com/reader/full/elizabete-trabalho-revisado-1odt 91/177
C'()"i#':
O T&(+#'&(' $' E+")#&' A*#i+# @TEA "(5l'! $i7"&"(#"+ +9($&'."+
.&)$+ '& "&#*&!;"+ $' $"+"('li."(#' ("*&'lB5i)' )'. #&?+
)&)#"&9+#i)+ 7*($."(#i+ /*" '$". .(i7"+#&-+" ". )'(*(#' '*
i+'l$."(#"8 S,' "l+: $i7i)*l$$" $" )'.*(i),' '& $"7i)i?()i (' $'.9(i'
$ li(5*5". " (' *+' $ i.5i(,' & li$& )'. '5'+ +i.!Bli)'+
$i7i)*l$$" $" +')iliz,' " $&,' $" )'.'&#."(#' &"+#&i#i' " &""#i#i'8
T.!<. )%.$' $" D"+'&$"(+ $' E+")#&' A*#i+# @DEA '* ASD ".
i(5l?+ &")"!" ' ('." $" "+")#&' @+")#&*. '&/*" "('l" +i#*;"+ "
&"+"(#;"+ .*i#' $i7"&"(#"+ *.+ $+ '*#&+ (*. 5&$,' /*" i $.i+ l""+ .i+ 5&"8 T'$+ '&<. ". ."('& '* .i'& 5&* "+#,'
&"l)i'($+ )'. + $i7i)*l$$"+ $" )'.*(i),' " &"l)i'(."(#' +')il8
8/15/2019 elizabete trabalho revisado (1).odt
http://slidepdf.com/reader/full/elizabete-trabalho-revisado-1odt 92/177
Ti'+:
D" )'&$' )'. ' /*$&' )li(i)' ' TEA '$" +"& )l++i7i)$' ".:
@1 A*#i+.' )l=++i)' ' 5&* $" )'.&'."#i."(#' '$" &i& $"
.*i#'8 D" .("i& 5"&l '+ '&#$'&"+ +,' 'l#$'+ & +i ."+.'+ (,'
"+#!"l")". )'(##' i+*l )'. + "++'+ (". )'. ' .!i"(#" )'(+"5*".
7l& .+ (,' *+. 7l )'.' 7"&&."(# $" )'.*(i),'8 E.!'& '++.
"(#"($"& "(*()i$'+ +i.l"+ #?. $i7i)*l$$" $" )'.&""(+,' " &""($".
"(+ ' +"(#i$' li#"&l $+ l&+8 N,' )'.&""($". ."#=7'&+ (". '
$*l' +"(#i$'8 N+ 7'&.+ .i+ 5&"+ $".'(+#&. *+?()i )'.l"# $"
/*l/*"& )'(##' i(#"&"++'l8 S,' )&i(+ i+'l$+ /*" (,' &"($".
7l& (,' 'l%. & + '*#&+ "++'+ ('+ 'l%'+ (,' &"#&i!*". +'&&i+'+
&""#". .'i."(#'+ "+#"&"'#i$'+ +". .*i#' +i5(i7i)$' '* 7i). 5i&($' '
&"$'& $" +i ."+.+ " &"+"(#. $"7i)i?()i ."(#l i.'&#(#"
@2 A*#i+.' $" l#' $"+"."(%' @(#"+ )%.$' $" +9($&'." $"
A+"&5"& '+ '&#$'&"+ &"+"(#. + ."+.+ $i7i)*l$$"+ $'+ '*#&'+
*#i+#+ .+ (*. ."$i$ !". &"$*zi$8 S,' "&!i+ " i(#"li5"(#"+8 T,'
i(#"li5"(#"+ /*" )%"5. +"& )'(7*($i$'+ )'. 5?(i'+ '&/*" +,' i.!#9"i+
(+ =&"+ $' )'(%")i."(#' ". /*" +" "+")iliz.8 *(#' ."('&
$i7i)*l$$" $" i(#"&,' +')il .i+ "l"+ )'(+"5*". l"& i$ &Bi. >
('&.l8
@ Di+#&!i' 5l'!l $' $"+"('li."(#' +". '*#& "+")i7i),'
@DGD-SOE '+ '&#$'&"+ +,' )'(+i$"&$'+ $"(#&' $'
"+")#&' $' *#i+.' @$i7i)*l$$" $" )'.*(i),' " $" i(#"&,' +')il .+ '+
+i(#'.+ (,' +,' +*7i)i"(#"+ & i()l*9-l'+ ". ("(%*. $+ )#"5'&i+
"+")97i)+ $' #&(+#'&(' ' /*" #'&( ' $i5(B+#i)' .*i#' .i+ $i79)il8
A+ C*++:
E+#*$'+ i(i)ii+ )'(+i$"&. ' #&(+#'&(' &"+*l#$' $" $i(.i)
7.ili& &'!l".=#i) " $" )'($i;"+ $" '&$". +i)'lB5i) l#"&$+ %iB#"+"
/*" +" .'+#&'* i.&')"$"(#"8 A #"($?()i #*l < $.i#i& "i+#?()i $"
.l#il+ )*++ & ' *#i+.' "(#&" "l"+ 7#'&"+ 5"(<#i)'+ !i'lB5i)'+ "
.!i"(#i+8 N' "(#(#' +!"& )'.' ' )<&"!&' $"+++ "++'+ i($ < *..i+#<&i' & )i?()i8
8/15/2019 elizabete trabalho revisado (1).odt
http://slidepdf.com/reader/full/elizabete-trabalho-revisado-1odt 93/177
8/15/2019 elizabete trabalho revisado (1).odt
http://slidepdf.com/reader/full/elizabete-trabalho-revisado-1odt 94/177
&")'."($ #*liz,' $'+ &'7i++i'(i+ " $#;"+ (' )*&&9)*l' & /*"
i()l*+,' ')'&& $ ."l%'& .("i& '++9"l8
8/15/2019 elizabete trabalho revisado (1).odt
http://slidepdf.com/reader/full/elizabete-trabalho-revisado-1odt 95/177
FACULDADE JK *(i$$" +(# M&i
8/15/2019 elizabete trabalho revisado (1).odt
http://slidepdf.com/reader/full/elizabete-trabalho-revisado-1odt 96/177
C*&+' "$5'5i 3 +"."+#&"
T&(+#'&('
T8D8A
8/15/2019 elizabete trabalho revisado (1).odt
http://slidepdf.com/reader/full/elizabete-trabalho-revisado-1odt 97/177
C'()"i#':
O T&(+#'&(' $' D<7i)i# $" A#"(,' )'. i"&#ii$$" @TDA < *.
#&(+#'&(' ("*&'!i'lB5i)' /*" &")" ( i(7()i " /*" ( .i'&i $'+ )+'+
)'.(% ' i($i9$*' '& #'$ i$8 O TDA +" )&)#"&iz "l
)'.!i(,' $" +i(#'.+ $" $"+#"(,' %i"&#ii$$" @i(/*i"#*$" .'#'& "
i.*l+ii$$" +"($' &"+"(#,' &"$'.i((#"."(#" $"+#"(# )'(%")i$
'& .*i#'+ )'.' DDA @Di+#&!i' $' D<7i)i# $" A#"(,'8
D" )'&$' )'. A++')i,' W&+il"i& $' D<7i)i# $" A#"(,'
&"l?()i $' TDA 5i& ". #'&(' $" $ '*l,' i(7(#il $' W&+il "
$" =&i'+ 9+"+ $' .*($' '($" ' #&(+#'&(' = 7'i "+/*i+$'8 N'+ $*l#'+
"+#i.-+" &"l?()i ". &'i.$."(#" 8 S"5*($' ' DSM-
l"(#."(#'+ '*l)i'(i+ +*5"&". /*" ' TDA ')'&&" ( .i'&i $+
)*l#*&+ ". )"&) $" $+ )&i(+ " 2 $'+ $*l#'+8
S"5*($' ' DSM- @M(*l Di5(B+#i)' " E+##9+#i)' $" T&(+#'&('+
M"(#i+ _ E$8 201 ' TDA < .i+ 7&"/*"(#" (' +"' .+)*li(' $' /*" ('
7".i(i(' ( '*l,' 5"&l ( &''&,' $" 2:1 ". )&i(+ " $" 16:1 ".
$*l#'+ )'. .i'&"+ )%()"+ $" "++'+ $' +"' 7".i(i(' +"
&"+"(#&". &i.&i."(#" )'. )&)#"&9+#i)+ $" $"+#"(,' ".
)'.&,' )'. + $' +"' .+)*li('
8/15/2019 elizabete trabalho revisado (1).odt
http://slidepdf.com/reader/full/elizabete-trabalho-revisado-1odt 98/177
Ti'+:
O TDA '$" +" &"+"(#& )'. +i(#'.+ $" $"+#"(,' " $"
%i"&#ii$$" '* i.*l+ii$$"8 D" )'&$' )'. /*(#i$$" $"++"+
+i(#'.+ '$".'+ )l++i7i)& ' TDA ". #&?+ +*!#i'+:
A&"+"(#,' )'.!i($: S" #(#' '+ )&i#<&i'+ $"
$"+#"(,' " %i"&#ii$$"i.*l+ii$$" +,' &""()%i$'+ ('+ l#i.'+
6 ."+"+
P&"$'.i((#"."(#" $"+#"(#': /*($' '+ )&i#<&i'+ $"
$"+#"(,' < &""()%i$' ('+ l#i.'+ +"i+ ."+"+ .+ '+ )&i#<&i'+
$" %i"&#ii$$" (,' +,'
P&"$'.i((#"."(#" %i"&#i'-i.*l+i': /*($' '+
)&i#<&i'+ $" %i"&#ii$$" < &""()%i$' ('+ l#i.'+ +"i+ ."+"+ .+ '+
)&i#<&i'+ $" $"+#"(,' (,' +,'
E. 5"&l & )$ )&i#<&i' +"& &""()%i$' )&i(+ &")i+.
&"+"(#& +"i+ '* .i+ +i(#'.+ "(/*(#' $*l#'+ " $'l"+)"(#"+ )'. .i+ $"
13 ('+ '$". &"+"(#& #< )i()' & +"&". )l++i7i)$'+ $"++ 7'&.8
Al<. $i++' "++' '$" #"& #&?+ $i7"&"(#"+ 5&*+ $" TDA:
L"": P'*)'+ +i(#'.+"+#,' &"+"(#"+ l<. $/*"l"+
(")"++=&i'+ & 7z"& ' $i5(B+#i)' " '+ +i(#'.+ &"+*l#. ". (,'
.i+ $' /*" "/*"('+ &"*9z'+ (' 7*()i'(."(#' +')il )$?.i)'
'* &'7"++i'(l
M'$"&$: Si(#'.+ '* &"*9z' 7*()i'(l "(#&" Yl""Z "
Y5&"Z "+#,' &"+"(#"+
G&": M*i#'+ +i(#'.+ l<. $/*"l"+ (")"++=&i'+ &
7z"& ' $i5(B+#i)' "+#,' &"+"(#"+ '* =&i'+ +i(#'.+ &#i)*l&."(#"
5&"+ "+#,' &"+"(#"+ '* '+ +i(#'.+ '$". &"+*l#& ". &"*9z'
)"(#*$' (' 7*()i'(."(#' +')il '* &'7i++i'(l8
A+ C*++
O TDA < *. $'+ #&(+#'&('+ +i/*i=#&i)'+ .i+ !". "+#*$$'+ ('
.*($' "(#&"#(#' "i+#" *. /*"+#i'(."(#' )'(#9(*' +'!&" +* '&i5". "
8/15/2019 elizabete trabalho revisado (1).odt
http://slidepdf.com/reader/full/elizabete-trabalho-revisado-1odt 99/177
#< ' .'."(#' (,' %= *. )'(+"(+' )i"(#97i)' +'!&" + +*+ &"i+ )*++
'* +" /*(#' "l" +"& i(#' @5"(<#i)' '* $/*i&i$' @.!i"(#l8
C'(+i$"&($'-+" /*" ' TDA < *. #&(+#'&(' %"#"&'5?("' @.(i7"+#-
+" $" i(."&+ 7'&.+ " $i."(+i'(l @'+ +i(#'.+ +" )'.!i(. ('+ .i+
&i$'+ 5&*+ $" i(#"(+i$$" < '++9"l i(7"&i& )'.l"i$$" $ /*"+#,')'. .l#il+ )*++ " 7#'&"+ $" &i+)'8 A++i. i($ )'(#i(* $i79)il &")i+&
i(7l*?()i " i.'&#()i &"l#i $" )$ 7#'& (' &")i."(#' $' #&(+#'&('
%"($' (")"++i$$" $" .i+ "+/*i++ +'!&" ' #".8
E. +*. .i'&i $'+ "+#*$i'+'+ )'()'&$ )'. '&i5".
.*l#i7#'&il $' TDA )'. +"*+ )'.'("(#"+ 5"(<#i)'+ " .!i"(#i+ ". /*"
&'"l."(#" =&i'+ 5"("+ (.l'+ $" "/*"(' "7"i#' ". )'.!i(,' )'.
*. .!i"(#" %'+#il 7'&.#&i. *. )<&"!&' l#"&$' ". +* "+#&*#*& /*9.i)
" (#.i)8
P'$".'+ $ii$i& '+ 7#'&"+ /*" )*+. ' TDA ". 7#'&"+
("*&'!i'lB5i)'+ @/*" i()l*". 5"(<#i) " ('&.li$$"+ )"&"!&i+ "
7#'&"+ .!i"(#i+8 E(#"($ ."l%'& )$ *. $"l"+:
F#'&"+ G"(<#i)'+
O+ 7#'&"+ 5"(<#i)'+ &")". #"& *. "l !+#(#" &"l"(#" (
'&i5". $' TDA8 A+ "+/*i++ +,' )'()'&$(#"+ " .'+#&. /*" &"l?()i
$" TDA < !". .i'& ". 7il%'+ " 7.ili&"+ $" "++'+ )'. TDA ". &"l,'
"++'+ +". ' &'!l". " /*" %"&$!ili$$" .<$i $' TDA < "+#i.$
". 368
E+#*$'+ *+($' 7.9li+ " )+'+ $" 5?."'+ " $',' "+#!"l")"&.+ !+"+ 5"(<#i)+ $' TDA 'i($' )'(#&i!*i,' 5"(<#i) & '
+*&5i."(#' $' #&(+#'&('8 E+#*$'+ "&i7i)&. /*" 60 $+ )&i(+ )'.
TDA #i(%. *. $'+ i+ )'. ' #&(+#'&(' /*" &'!!ili$$" $ )&i( #"&
' TDA *."(# ". #< 'i#' "z"+ +" '+ i+ #.!<. #i"&". ' &'!l".
/*" "(#&" 7.ili&"+ $" "++'+ )'. TDA ' &i+)' $" +" #"& ' #&(+#'&(' "&
)i()' "z"+ .i'& /*" ' $" "++'+ +". %i+#B&i 7.ili& /*" "+& $" (,'
%"& $i7"&"(+ i.'&#(#"+ ( i()i$?()i $" TDA "(#&" i+ " i&.,'+ $"7il%'+ $'#i'+ )'.&$'+ i+ " i&.,'+ $ '*l,' )'(#&'l" %i *.
8/15/2019 elizabete trabalho revisado (1).odt
http://slidepdf.com/reader/full/elizabete-trabalho-revisado-1odt 100/177
8/15/2019 elizabete trabalho revisado (1).odt
http://slidepdf.com/reader/full/elizabete-trabalho-revisado-1odt 101/177
8/15/2019 elizabete trabalho revisado (1).odt
http://slidepdf.com/reader/full/elizabete-trabalho-revisado-1odt 102/177
T"& $i7i)*l$$" $" "+"&& +* "z
I(#"&&'." '* +" i(#&'."#"& ". )'("&++ " #ii$$"+
#"(#& ++*.i& ' )'(#&'l" $' /*" '+ '*#&'+ "+#,' 7z"($' '* *+& )'i++
$'+ '*#&'+ +". "$i&8
E. 5"&l < &")i+' /*" )&i( &"+"(#" +"i+ '* .i+ $"++"+
+i(#'.+ '& .i+ $" +"i+ ."+"+ (#"+ $" +"& 7"i#' ' $i5(B+#i)'8 J= ".
$*l#'+ '* $'l"+)"(#"+ @)'. .i+ $" 13 ('+ < &")i+' &"+"(#& "(+
)i()' $"+#"+ +i(#'.+8
V=&i'+ +i(#'.+ $" $"+#"(,' '* %i"&#ii$$"-i.*l+ii$$"
"+#. &"+"(#"+ (#"+ $'+ 12 ('+ $" i$$" " ". .i+ $" $'i+ .!i"(#"+)'.' )+ "+)'l #&!l%' )'. .i5'+888
&")i+' %"& "i$?()i+ )l&+ $" /*" '+ +i(#'.+ i(#"&7"&". ('
7*()i'(."(#' +')il )$?.i)' '* &'7i++i'(l '* $" /*" &"$*z". +*
/*li$$"8 E '+ +i(#'.+ (,' $"". +"& .i+ "li)$'+ $"(#&' $" '*#&'
#&(+#'&(' ."(#l )'.' #&(+#'&(' !i'l& #&(+#'&(' $" "&+'(li$$" "(#&"
'*#&'+888
Di5(B+#i)':
W*+)($' *$ .<$i)
S" ')? "+#i"& &"')*$' )'. ' +"* 7il%' " +*+"i#& "l'+ +i(i+
&"+"(#$'+ /*" "l" #"(% ' TDA )'(+*l#" l'5' *. "+")ili+# (' #".8
O+ .<$i)'+ %!ili#$'+ 7z"&". *. $i5(B+#i)' )'&&"#' $' TDA &")i+.
+"& .*i#' ""&i"(#"+ (' &")'(%")i."(#' $'+ +i(#'.+ " (' #&#."(#' $'
TDA8
O+ &'7i++i'(i+ 5"&l."(#" .i+ ))i#$'+ +,' '+
@("*&'+i/*i#&+ @("*&'"$i#&+ " ("*&'l'5i+#+8 E(#&"#(#' ". i&#*$" $
.i'&i $+ )'.'&!i$$"+ $' TDA +"& $" )*(%' +i/*i=#&i)' ' .i+ )'.*. <
/*" i($i9$*'+ )'. ' #&(+#'&(' &')*&". *. +i/*i#&8 N' )+' $" )&i(+
" $'l"+)"(#" &")'."($-+" /*" '+ &'7i++i'(i+ +". $ =&" $ i(7()i "
$'l"+)?()i " ""&i"(#"+ (' ++*(#'8
8/15/2019 elizabete trabalho revisado (1).odt
http://slidepdf.com/reader/full/elizabete-trabalho-revisado-1odt 103/177
C+' ')? '* +"* 7il%' = #i"&". +i$' $i5('+#i)$'+ )'. TDA " =
i(i)i&. ' #&#."(#' ' ."+.' $""&= +"& 7"i#' &"5*l&."(#" +".&" $"
)'&$' )'. + i(+#&*;"+ $$+ "l' &'7i++i'(l8
N )'(+*l# .<$i)
E+")ili+#+ /*" '$". $i5('+#i)& ' TDA +,':
P+i/*i#&
N"*&'+i/*i#&
N"*&'"$i#&
N"*&'l'5i+#
E+#& &"&$' & )'(+*l# '$" 7)ili#& ' $i5(B+#i)' " '#i.iz& '#".'8 D"++ 7'&. ')? = '$" )%"5& > )'(+*l# )'. l5*.+
i(7'&.;"+:
U. li+# )'. #'$'+ '+ +i(#'.+ " %= /*(#' #".' "l"+
&")"&.
i+#B&i)' .<$i)' i()l*i($' '*#&+ )'($i;"+ /*" ')?
#"(% &"+"(#$' !". )'.' '+ ."$i)."(#'+ '* +*l"."(#'+
/*" "+#" #'.($' )'. &"5*l&i$$"
R")"i#+ (#"&i'&"+ )'. '+ ."$i)."(#'+ = #'.$'+
i+#B&i)' $" '*#&+ $'"( +i/*i=#&i)+8
O .<$i)' &'"l."(#" 7&= *. +<&i" $" "&5*(#+ #i+ )'.':
*l ' &i()il .'#i' "l' /*l ')? "i' > )'(+*l#Q
*i+ '+ +i(#'.+ /*" .i+ ' &"*$i).Q
*($' " )'.' )'."&.Q
O+ +i(#'.+ +,' 7&"/*"(#"+ '* ')+i'(i+Q
O*#&+ "++'+ $ 7.9li &"+"(#. '* = &"+"(#&.
/*$&' &")i$'Q
V')? #". '* = #"" '*#&'+ &'!l".+ $" +$" " /*i+Q
C'.' < '* "& ' +"* )'.'&#."(#' ( "+)'lQ
8/15/2019 elizabete trabalho revisado (1).odt
http://slidepdf.com/reader/full/elizabete-trabalho-revisado-1odt 104/177
T.!<. < i.'&#(#" l"& +*+ $i$+ & )'(+*l# '& "+)&i#'
)'."($' "l .i+ i.'&#(#"8 I++' 5&(#" /*" ')? )'(+"5*i&= &"+'+#+
& #'$+ + "&5*(#+ &"l"(#"+ (#"+ $ )'(+*l# )!&8
Di5(B+#i)' $" TDA
O $i5(B+#i)' & TDA < i(#"i&."(#" )l9(i)' 7"i#' '& .<$i)'
"+")ili+# ". TDA8 N,' < (")"++=&i' "." $" &"++'(()i
"l"#&'"()"7l'5&. '* /*l/*"& '*#&' /*" li" )&)#"&9+#i)+ 79+i)+8
T.!<. (,' < &")i+' 7z"& li,' ("*&'+i)'lB5i) +B ". )"&#'+ )+'+8
O &')"++' $i5(B+#i)' $" TDA +"5*" *. &"l,' $" )&i#<&i'+
.<$i)'+ "+")97i)'+ i()l*i($' $"#"&.i(,' $" +*!#i' (9"l $" &".i++,'
" 5&i$$" $' #&(+#'&('8
G"&l."(#" + )'(+*l#+ $" "++'+ )'. TDA +,' .i+ l'(5+ 'i+
< &")i+' )'l%"& + %i+#B&i+ (,' +B $' )i"(#" )'.' #.!<. + $" +"*+
7.ili&"+ .i+ &Bi.'+ @i+ i&.,'+ B+ "#)8 ". 7*(,' $ 5&($"
%"&$!ili$$" $' TDA8
N,' ."('+ i.'&#(#" < +!"& )'.' #&(+)'&&"&. 5"+#,'
&#' "&9'$' B+-&#' ' $"+"('li."(#' ("*&'+i)'.'#'& "+7"& +')il
" "+)'l&i$$" @& $'l"+)"(#"+ i("+#i5& #.!<. i$ )$?.i) +"
%= l('+ & i(5&"++& ". 7)*l$$" "#)8 " & $*l#'+ +!"& )'.' "+#=
+"($' i$ )'(*5l " &'7i++i'(l8
A &i."i& )'(+*l# $"" +"& 7"i# +B )'. .," '* )'. '+ i+8 A
+"5*($ $"" +"& 7"i# )'. ' )i"(#" /*" '$" +"& )&i( '* '
$'l"+)"(#"8 E #"&)"i& )'. #'$'+ &"*(i$'+8
#.!<. .*i#' i.'&#(#" "(#"($"& )'. $"#l%"+ ' 7*()i'(."(#' $
$i(.i) 7.ili& $' )i"(#" '* +" /*l < ' .'$' /*" '+ i+ " 7.ili&"+
li$. )'. "l" +" '+ i+ ' &'#*l. '* +" 7z". )'.&;"+ )'. i&.,'+ '*
)'l"5+ +" "l"+ +!". /*" ' 7il%' &"+"(# *. #&(+#'&(' /*" #".
#&#."(#' "(#&" '*#&+ /*"+#;"+8
I()l*+i" l5*(+ $*l#'+ &")i+. )%.& '+ i+ '* ' )(*5" '*
'*#&'+ 7.ili&"+ & &"'&#&". )'.' +" #&(+)'&&"&. ('+ &i."i&'+ ('+
8/15/2019 elizabete trabalho revisado (1).odt
http://slidepdf.com/reader/full/elizabete-trabalho-revisado-1odt 105/177
$" i$ 'i+ .*i#'+ $*l#'+ '$". (,' +" &")'&$& $" $$'+ i.'&#(#" $"
+* i(7()i "+)'l&i$$" " '*#&'+ $$'+ $ i$8 O+ "+")ili+#+ /*" #&#.-
'
TDA +B 7z". ' $i5(B+#i)' $' #&(+#'&(' B+ '!#"(,' $" #'$'+
'+ $$'+ (")"++=&i'+ ' ."+.'8
O TDA )'+#*. +"& '!+"&$' )'. .i+ 7)ili$$" $*&(#" ' "(+i('
7*($."(#l "l $"+#"(,' /*" 7i) .i+ +li"(#" " &"*$i)il8
N $'l"+)?()i %i"&#ii$$" )'+#*. $i.i(*i& '$"($' li.i#&-+"
)'.'&#."(#'+ .i+ i&&"/*i"#'+ '* +"(#i."(#'+ $" i(/*i"#*$" i(#"&( "
i.)i?()i8 O #&(+#'&(' '$" "&.(")"& Y"+#="lZ ("+#" "&9'$' .+
l5*(+ #?. i'& (' )*&+' $ $'"( " '$". &"+"(#& )'.'&#."(#'+
(#i++')ii+8
A .i'&i $'+ $'l"+)"(#"+ " $*l#'+ )'. TDA &"+"(#. &"$*,'
$ #ii$$" .'#'& ".!'& "&+i+#. +i(#'.+ $" $"+#"(,' i(/*i"#*$"
i.*l+ii$$" " )'.&'."#i."(#' $+ 7*(;"+ "")*#i+ @l("."(#'
'&5(iz,' "#)88
O $*l#' )'+#*. +'7&"& $" $"+#"(,' i(/*i"#*$" i.*l+ii$$" "
&"+"( $" )'.*l+;"+8
U. &)"l +i5(i7i)#i $" )&i(+ )'. TDA "&.(")".
&"*$i)$+ '& #'$ i$8
T&#."(#':
T&#."(#' $" TDA
O #&#."(#' &")')" $' TDA < ' Y'(#'-)%"Z & /*" i$
$/*"l"+ /*" #?. ' #&(+#'&(' +" .i+ +*$="l &'$*#i " )'. .i+
/*li$$"8 P'& i++' < i.&"+)i($9"l /*" '+ +i(#'.+ +". l'5' i$"(#i7i)$'+
" #&#$'+ )'&&"#."(#"8
O #&#."(#' $" )&i(+ " $'l"+)"(#"+ )'. TDA < .*l#i$i+)ili(&
'* +" +" !+"i ( i(#"&"(,' )'. &'7i++i'(i+ $" =&i+ =&"+ )'.' '+$ =&" .<$i) $" +$" ."(#l " "$5B5i)8 Ali;"+ )'. +i)Bl'5'
8/15/2019 elizabete trabalho revisado (1).odt
http://slidepdf.com/reader/full/elizabete-trabalho-revisado-1odt 106/177
7'('*$iBl'5' +i)'.'#&i)i+# '#'&&i('l&i(5'l'5i+# '7#l.'l'5i+# " '*#&'+
'$". +"& (")"++=&i+ )'(7'&." $".($ $" )$ )+'8
O+ +i)'"+#i.*l(#"+ +,' ' $&,'-'*&' (' #&#."(#' $' TDA #< '+
$i+ #*i+8 El"+ &"+"(#. *. l#' '$"& $" "7i)=)i " ."l%'&. '
7*()i'(."(#' $+ =&"+ )"&"!&i+ &"+'(+="i+ "l'+ +i(#'.+ $' #&(+#'&('8
P'&#$'&"+ $' TDA " 7.ili&"+ $"". 7&"/*"(#& G&*'+ $" A'i'
P+i)'"$*)#i'+ +'!&" ' TDA ('+ /*i+ ' &'7i++i'(l $" +$" 7l. #*$'
+'!&" ' #&(+#'&(' )'. i(7'&.;"+ )l&+ " '!"#i+ & /*" "l"+ &"($.
li$& )'. '+ +i(#'.+ " #.!<. '++. #&')& i?()i+ " ""&i?()i+ )'.
'*#&'+ '&#$'&"+ " 7.ili&"+8 A '&i"(#,' '+ i+ < 7*($."(#l 'i+ '+
i(+#&*i +'!&" $'"( 7)ili# ' )'(9i' ". 7.9li '+ "(+i(. li$& )'.
)&i( " )'.' &""(i& 7*#*&+ &")9$+8
E. &"l,' >+ i(#"&"(;"+ +i)'#"&=i)+ .i+ "+#*$$ " )'.
.i'& "i$?()i )i"(#97i) $" "7i)=)i & '+ +i(#'.+ )&$i(i+ $' TDA <
T"&i C'5(i#i' C'.'&#."(#l @TCC8 C&i(+ )'. TDA .*i#'
$"+$##i+ $".($. #<)(i)+ )'.'&#."(#i+ /*" '$". *$& .*i#'8
N". #'$ )&i( )'. TDA (")"++i# 7z"& +i)'#"&i ' /*$&' +".&"
"i5" '&i"(#,' 7.ili&8
N'+ )+'+ .i+ )'.l"'+ )'. &"*9z' 7*()i'(l ". =&i+ =&"+
&"+"( $" )'.'&!i$$"+ " i+ $" 'i(i;"+ $i+)'&$(#"+ $"".'+ i(i)i&
' #&#."(#' "l +i)'"$*),' 7.ili& " +*'&#" "$*))i'(l8
N+ 7.9li+ ". /*" ' TDA 7'& 7&"/*"(#" $""-+" #"& .*i#' )*i$$'
)'. + &i="i+ .!i"(#i+ /*" '++. +"&i& $" 5#il%' & /*"l"+ /*"
#i"&". &"$i+'+i,' ' #&(+#'&('8
M"$i)."(#'+
O #&#."(#' $" &i."i& li(% $' TDA < +i)'7&.)'lB5i)' " 7"i#'
)'. $&'5+ +i)'"+#i.*l(#"+ &'$+ "l A5?()i N)i'(l $" Vi5il()i
S(i#=&i @ANVISA /*" +,' ' M"#il7"(i$#' @MP " ' Di."+il#' $"
Li+$"(7"#.i( .!'+ )'. l#' '$"& $" "7i)=)i @3 (' #&#."(#' $"
)&i(+ )i. $'+ +"i+ ('+ $'l"+)"(#"+ " $*l#'+ )'. TDA8
8/15/2019 elizabete trabalho revisado (1).odt
http://slidepdf.com/reader/full/elizabete-trabalho-revisado-1odt 107/177
A"+& $' ('." "+++ $&'5+ ( "&$$" #?. *. "7"i#' Y)l.(#"Z
". "++'+ )'. TDA " '+ &"+*l#$'+ '+i#i'+ $' #&#."(#' (,' #&$.
+"&". "&)"!i$'+ "l' )i"(#" "+)'l " "l'+ /*" )'(i". )'. "l"+8
O MP < "()'(#&$' ( 7'&. $" li!"&,' i."$i# @)*&# ,' % "
( 7'&. $" li!"&,' &'l'(5$ @% " 12% $" ,'8 O Di."+il#' $"
Li+$"(7"#.i( < *. +i)'"+#i.*l(#" $"&i$' $ (7"#.i( " $" ,'
&'l'(5$ $" 1 %'&+8
N' W&+il #".'+ #&?+ ."$i)."(#'+ > !+" $" M"#il7"(i$#' " *.
$"&i$' $" (7"#.i(8
A+ ."$i);"+ > !+" $" MPF $"". +"& 7"i#+ $" )'&$' )'. ' "+'
$ "++'8 J= '+ $"&i$'+ (7"#.9(i)'+ (,' $""($". $' "+'8 A+ $'+"+
$"". +"& 7"i#+ (+ $'+"+ i($i)$+ +'! &i+)' $" 7z"&.'+ +*!$'+"+ " )'.
i++' (,' '!#"&.'+ '+ &"+*l#$'+ "+"&$'+8
O*#&+ $&'5+ +,' )'(+i$"&$+ $" 2_ "+)'l% " (,' #?. "7"i#' (
$"+#"(,': I.i&.i( N'&#&i#ili( " W*&'i'( @A(#i$"&"++i'+8 E
Cl'(i$i( @A(#i-%i"&#"(+i'8
N &=#i) '+ "7"i#'+ $"&+'+ +,' &&'+ ' .i+ )'.*. < 7l# $"
"#i#"8
P&i()ii+ "7"i#'+ )'l#"&i+:
P"&$ $" "+'
Si(#'.+ 5+#&'i(#"+#i(i+ @(=*+" $'& !$'.i(l
I(+(i
T'(#*&+
I&&i#!ili$$" l!ili$$" 7"#i
Ti/*"+8
É i.'&#(#" &"l#& /*l/*"& *. $"++"+ "7"i#'+ ' .<$i)' /*" +!"&=
)'(+"l%& ."l%'& 7'&. $" $&i!&=-l'+8
8/15/2019 elizabete trabalho revisado (1).odt
http://slidepdf.com/reader/full/elizabete-trabalho-revisado-1odt 108/177
M"$i)."(#'+ & TDA
O+ ."$i)."(#'+ .i+ *+$'+ & ' #&#."(#' $" TDA +,':
C'()"&#
E7"'& [R
Ri#li(
S'."(#" *. .<$i)' '$" $iz"& /*l ' ."$i)."(#' .i+ i($i)$'
& ' +"* )+' !". )'.' $'+5". )'&&"# " $*&,' $' #&#."(#'8
Si5 +".&" > &i+) + '&i"(#;"+ $' +"* .<$i)' " NUNCA +" *#'."$i/*"8
N,' i(#"&&'. ' *+' $' ."$i)."(#' +". )'(+*l#& *. .<$i)' (#"+ " +"#'.=-l' .i+ $" *. "z '* ". /*(#i$$"+ .*i#' .i'&"+ $' /*" &"+)&i#
+i5 + i(+#&*;"+ ( !*l8
C'(i"($' @&'5(B+#i)'
C'(i"($' P&'5(B+#i)'
U. $+ &i."i&+ #<)(i)+ "(+i($+ > 7.9li < +*+"(+,' $+
&"&""(+;"+ " $'+ )+#i5'+8 i.'&#(#" /*" "++'+ )'. TDA +".
"l'5i$+ &")'(%")i$+ " l'&iz$+ "l' /*" "l+ #?. $" !'. +".&" /*"
7iz"&". l5' )'&&"#."(#"8 E+#" &"7'&' '+i#i' *."(# *#'"+#i. $
)&i( " "i# +<&i'+ &'!l".+ 7*#*&'+8 .*i#' &"*$i)il 7i)& &"&""($"($'
'* )+#i5($' )&i( #'$' ' #".'8
I(#"&"(;"+ (' .!i#' "+)'l& +,' i.'&#(#"+ " .*i#+ "z"+ < &")i+'
*. )'.(%."(#' +i)'"$5B5i)' " &"7'&' "+)'l&8 A i(#"&"(,' "+)'l& 7)ili# ' )'(9i' $"+++ )&i(+ )'. '+ )'l"5+ " #"(# i."$i& /*" "l+ +"
$"+i(#"&"++". "l "+)'l ' /*" < .*i#' )'.*. (' TDA8
M*i#+ "+)'l+ (,' "(+ i($ $"+)'(%")". ' TDA )'.' (,'
#?. '++i!ili$$" $" &#i)i& $' #&#."(#' $"+++ )&i(+ "l+ .i+
&i$+ &z;"+8 7*($."(#l /*" "+)'l &")"! #'$' ' +*'&#"
i(7'&.#i' "&#i("(#" ' TDA +"*+ .")(i+.'+ " +*+ .(i7"+#;"+ (+
$i7"&"(#"+ i$$"+8
8/15/2019 elizabete trabalho revisado (1).odt
http://slidepdf.com/reader/full/elizabete-trabalho-revisado-1odt 109/177
&")i+' /*" "+)'l +i! $" +* i.'&#()i )'.' *. $+
&i()ii+ 7'(#"+ "().i(%$'&+ $" l*('+ & li,' .<$i)8 C$ "z
.i+ < .i'& ' (."&' $" )&i(+ " $'l"+)"(#"+ /*" )%"5. '+
)'(+*l#B&i'+ .<$i)'+ '& i($i),' $ "+)'l8
Li$($' )'. )&i( )'. TDA
S!"& li$& )'. '+ +i(#'.+ < *. $+ &#"+ .i+ $i79)"i+ $'
&')"++' $" #&#."(#' $' TDA8 Al5*.+ ."$i$+ (' "(#(#' '$".
7)ili#& )'(i?()i #(#' '& &#" $ )&i( /*(#' '& &#" $ 7.9li8
V" /*i+ +,' + $i)+ /*" ')? $"" li)& ' +"* 7il%' )'. TDA:
E+#!"l" li.i#"+ " &"5&+
S" )i"(#" $".'(+#&" 7"i,' " .'&
F "l'5i'+ +"* 7il%' i()"(#i"-' " )*.&i."(#"-'
+".&" /*" "l" )'(+"5*i& )*.&i& *. #ii$$"8 *($' &")i+&
&"&""($?-l' #'." )*i$$' )'. 7'&. )'. /*" i 7z"& i++'8 O
")"++' $" )&9#i)+ &"*$i) *#'"+#i. $ )&i(
P&')*&" ++& .i+ #".' ( )'.(%i $" +"* 7il%'
W*+/*" 7'&.+ $" *."(#& *#'"+#i. $" +"* 7il%'
" )'l'/*" $i+)ili( ". +* &'#i( E(+i(" +"* 7il%' $/*i&i& 7'&.+ $" '&5(iz,'
$"/*$+ )'.' )l"($=&i' $" #ii$$"+ $i=&i+
S" )l&' " '!"#i'8 Ei#" *+& l&+ $" $i79)il
"(#"($i."(#' ' +" )'.*(i)& )'. +"* 7il%' &')*&" *+& l&+
.i+ 7=)"i+ " 7&+"+ )*&#+
A' 7l& )'. +"* 7il%' 7i/*" > +* 7&"(#" 'l%' (' 'l%' "
7l" )'. )l. #< #"& )"&#"z $" /*" "l" ' )'.&""($"* J.i+ "'(% )&i( '* )&i" )'(+#&(5i."(#'+ "l
T"(#" *+& )&i#ii$$" " *+& #<)(i)+ $" .'#i,' "
&")'."(+ )'. "l"
N,' 5&i#" *+" ."('+ ' Y(,'Z ". $"#&i."(#' $"
$i=l'5'+ /*" ' .'#i". "(+& " &"7l"#i&
S" *. Y""&#Z ". TDA ++i. ')? )"&#."(#"
'#i.iz&= ' #&#."(#' $' +"* 7il%'8
C'.li);"+ '++9"i+
8/15/2019 elizabete trabalho revisado (1).odt
http://slidepdf.com/reader/full/elizabete-trabalho-revisado-1odt 110/177
O TDA (,' #&#$' '* ."+.' (,' $i5('+#i)$' '$" #&z"& $i"&++
)'(+"/*?()i (' $i $i $ )&i( $'l"+)"(#" '* $*l#' )'. ' /*$&'8
P"++'+ (,' $i5('+#i)$+ (,' &")"!"&,' #&#."(#' " )"&#."(#"
)'(#i(*&,' +"($' &'#*l$+ $" &"5*i'++ " .l)&i$+ /*($' ( "&$$"
' /*" "l+ &"+"(#. < *. )'.'&#."(#' !i'l'5i)."(#" $"#"&.i($' )'.
*. .$*&")i."(#' ". &"5i;"+ $' )<&"!&' /*" < $i7"&"(#" $/*"l"
&"+"(#$' '& i($i9$*'+ +". ' #&(+#'&('8
Ai($ '+ "+#*$'+ .'+#&. /*" "++'+ (,' #&#$+ &")')"."(#"
#"&,' .i+ Y&"*9z'+Z ' l'(5' $'+ ('+ " .i'& )'.&'."#i."(#' $
/*li$$" $" i$ ". #'$'+ '+ +"#'&"+8
O TDA ". )&i(+ " $'l"+)"(#"+ ". &"l,' +"*+ &"+ " '*
)'(#&'l"+ +" ++')i :
Mi'&"+ #+ $" +"(#i."(#' &")')" $" 7&)++'
M"('&"+ 9($i)"+ $" $"+"."(%' "+)'l& " ."('+ +*)"++'
)$?.i)'
Mi'&"+ )%()"+ $" +"(#i."(#'+ $" *#'"+#i.
*#')'(7i( " *#'i.5". !i'+
Mi'&"+ #+ $" &""i,' +')il " !*llXi(5
C%()"+ +i5(i7i)#i."(#" .i'&"+ &
$"+"('l"&". T&(+#'&(' $" )'($*# ( $'l"+)?()i8
O TDA ". $*l#'+ +" ++')i :
Pi'& $"+"."(%' +*)"++' ++i$*i$$" " '(#*li$$" ('
).' &'7i++i'(l
Mi'&"+ #+ $" $"+".&"5'
Al#'+ (9"i+ $" )'(7li#' i(#"&"++'l
Mi'&"+ 9($i)"+ $" &'!l".+ " $" ++<$i' .'&l ('
#&!l%'
C%()" +i5(i7i)#i."(#" .i'& & $"+"('l"&
T&(+#'&(' $" P"&+'(li$$" A(#i++')il
T+ .i'&"+ $" T&(+#'&(' $" C'($*# T&(+#'&('+ '&
*+' $" +*!+#()i+ " $" &'!l".+ )'. L"i &i+,' )&i."+ .'&#"&")')"
8/15/2019 elizabete trabalho revisado (1).odt
http://slidepdf.com/reader/full/elizabete-trabalho-revisado-1odt 111/177
Mi'& &'!!ili$$" $" +'7&"&". l"+;"+ 7&#*&+ "
%'+i#liz;"+ l<. $" )i$"(#"+ )'. '* +". 9#i.+ i'l;"+ $"
#&(+i#' .*l#+
Mi'& &'!!ili$$" $" '!"+i$$" '* '*#&+ )'.*l+;"+8
P&""(,':
A N"*&')i?()i i($ (,' +!" $iz"& ' )"&#' $" /*" 7'&. < '++9"l
&""(i& ')'&&?()i $" TDA8 O /*" +" )'(%")" %'" +,' 7'&.+ /*" *$.
&"$*zi& ' &i+)' $" +"* 7il%' $"+"('l"& ' $i+#&!i'8
C'(7i& l5*(+ "".l'+:
D*&(#" 5&i$"z "i#" 7z"& *+' $" +*!+#()i+ /*"'++. &"*$i)& ' $"+"('li."(#' 7"#l8 N,' !"! !"!i$+
l)'Bli)+ "i#" )i5&&'+ " '*#&+ $&'5+8 Ei#" #.!<. "'+i,'
#'i(+ .!i"(#i+
P&'#" +"* 7il%' $ "'+i,' 'l*"(#"+ " #'i(+
i()l*i($' 7*. $" )i5&&' &'$*#'+ /*9.i)'+ 5&9)'l+ '*
i($*+#&ii+ " )%*.!'8
C'.' #&!l%& "++" l*(' ". +l $" *l:
1- E+#!"l" &'#i(+: M(#"(% +l $" *l '&5(iz$ "
"+#&*#*&$8 O "+#!"l")i."(#' $" *. &'#i( $i=&i ". +l $" *l
7)ili#&= ' "(#"($i."(#' " &"($iz5". $" #'$+ + )&i(+8
E+#i.*l" ' l*(' li.& +* .')%il +".(l."(#" " .(#?-l
'&5(iz$ #.!<.8
2- 2- C&i" + &"5&+ $ +l $" *l: R"5&+ )l&+ " '!"#i+*$. ( .(*#"(,' $ $i+)ili( ". +l $" *l8 E+++ &"5&+
'$". +"& 7i$+ ". *. i("l l')liz$' ". l')l $" 7=)il i+*liz,'
"l'+ l*('+8 C'(+"/*?()i+ ("5#i+ '& /*"!& $+ &"5&+ #.!<.
'$". +"& 7i$+ (' i("l ++i. )'.' )'(+"/*?()i+ '+i#i+
@&?.i'+ '& )'.'&#."(#'+ ++"&#i'+8
- - A5"($ "+)'l-)+: T&#-+" $" *. "+#&#<5i
)'.*."(#" *+$ "l'+ &'7"++'&"+8 A#&<+ $"l i(7'&.;"+i.'&#(#"+ '$"&,' +"&
8/15/2019 elizabete trabalho revisado (1).odt
http://slidepdf.com/reader/full/elizabete-trabalho-revisado-1odt 112/177
#&')$+ +'!&" ' )'.'&#."(#' $' l*(' ". +l $" *l ('
&")&"i' "+)'l& '* +'!&" "")*,' $" $""&"+ $" )+ " #ii$$"+8
E(7i. i+ " &'7"++'&"+ '$"&,' .(#"& *. )(l $" )'.*(i),'
& +!"& )'.' "+#= )&i( '* $'l"+)"(#"8
- - S"(#& ( 7&"(#" ( +l $" *l: S"&= .i+ 7=)il .'(i#'&&
" *$& ' "+#*$(#" )'. $i7i)*l$$" ('+ "+#*$'+ " )'. *.
)'.'&#."(#' $"+#"(#' '* %i"&#i' +"(#($'-' ( 7&"(#" ( +l $"
*l &Bi.' ' /*$&' " ' &'7"++'&8 I++' i&= 7)ili#& ' )'(#&'l" "
.("' " )'.'&#."(#'+ i($"/*$'+ ". +l $" *l l<. $"
"&.i#i& /*" ' &'7"++'& 7 i(#"&"(;"+ '* "l'5i" !'+ #i#*$"+ $"++"
l*('8- - M#<&i+ .i+ $i79)"i+ (' i(9)i' $ *l: N,' "(+ '+ /*"
#". TDA .+ #'$'+ '+ "+#*$(#"+ "+#,' .i+ #'+ > &"($iz5".
(' i(9)i' $' %'&=&i' l"#i'8 P'&#(#' + $i+)ili(+ .i+ $i79)"i+ '$".
+"& Y&iil"5i$+Z ("++" .'."(#' )'. .i'&"+ )%()"+ $" +"&".
++i.il$+ "(/*(#' (' 7i(l $' $i #'$'+ "+#,' .i+ )(+$'+ " '+
)'(#"$'+ .i+ $i79)"i+ '$". +"& "(+i($'+ ("++" .'."(#'8
6- 6- P*++ &"5*l&"+: T'$'+ (B+ '++*9.'+ *.
$"#"&.i($ ))i$$" & "&.(")"&.'+ #"(#'+8 I++' +i5(i7i)
/*" B+ *. $"#"&.i($' #".' ('++ ))i$$" #"()i'(l $i.i(*i
.*i#' ++i. )'.' ('++' $"+"."(%'8 P'&#(#' "&.i#i& *++
&"5*l&"+ "(#&" + #ii$$"+ < *. )'($*# i.'&#(#" & /*" '+
l*('+ '++. &"l& '& l5*(+ .i(*#'+8
3- 3- E(+i(" #<)(i)+ $" '&5(iz,' " "+#*$': N'&.l."(#"
)&i(+ " $'l"+)"(#"+ &"+"(#. $i7i)*l$$" & +" '&5(iz& "
l("& '+ "+#*$'+8 S" "++"+ "+#*$(#"+ #i"++". TDA +"&= i($
.i'&8 P'&#(#' ' &'7"++'& '$" ""&)"& *. "l i.'&#(#9++i.' ('
"+#!"l")i."(#' $" #<)(i)+ $" '&5(iz,' & 7'&")"& ' "+#*$' ".
)+8
- - YT".' "#&Z & &"+'($"& >+ "&5*(#+: P'& /*" (,'Q
E+#.'+ li$($' )'. *. l*(' /*" &"+"(# $i7i)*l$$" (' )'(#&'l" $
#"(,' $"+'&5(iz$' .+ /*" +" )'(+"5*i& *. #".' "#& '$"
#i(5i& '+ '!"#i'+ &''+#'+ "l' &'7"++'&8 L'5' "&.i#i&
8/15/2019 elizabete trabalho revisado (1).odt
http://slidepdf.com/reader/full/elizabete-trabalho-revisado-1odt 113/177
*. #".' "#& & &"+'($"& >+ "&5*(#+ &''+#+ $*&(#" *l
'* $*&(#" &' '$" " $"" +"& &"liz$'8
- *"+#i'(" +'!&" $i$+ ". +l $" *l: O &'7"++'& $""
/*"+#i'(& ' '&#$'& $" TDA ++i. )'.' '*#&'+ "+#*$(#"+
$i7i)*l$$"+ )$?.i)+ +'!&" $i$+ ". +l $" *l8 I+#' *$&= (
++i.il,' $" )'()"i#'+ " 7'&")"&= #"(,' $' l*('8
- E+#i.*l" " "l'5i": P'&#$'&"+ $" TDA )'.*."(#"
&"+"(#. !i *#'"+#i. 'i+ "+#,' )'(+#(#"."(#" &")"!"($'
)&9#i)+ '$"($' +" #'&(& $"+"+#i.*l$'+ )'. "+)'l8 El'5i($' "
"+#i.*l($' +"* "+7'&' ' l*(' +" +"(#i&= l'&iz$' +* *#'"+#i.
+"&= &'#"5i$ " #"&".'+ 5&($"+ )%()"+ $" '!+"&& *. )&"+)i."(#')$?.i)'8 E+#i.*l" ' l*(' )'. l&+ $" i()"(#i'8 F )&#z"+
& +"&". )'l')$'+ (' .*&l $" &")$'+ )'. + &"5&+ $' !'.
)'.'&#."(#' &")'."(++ '& !'. )'.'&#."(#' "
)'(+"/*?()i+ "l' $"+&"+"i#' >+ &"5&+8
10- P&".i" ' !'. )'.'&#."(#' ". +l $" *l: T.!<.
)%.$' $" "+7'&' '+i#i'8 E++ "+#&#<5i i+ "+#i.*l& /*"
)'.'&#."(#'+ ++"&#i'+ +". '#"()iliz$'+ " ' i(#"&"++" "l'+"+#*$'+ *."(#" &'.'"($' ."l%'&i $' $"+"."(%' )$?.i)'
$" #'$'+8 I.l"."(#" *. &'5&. )'. '(#*,' " &")'."(++ '&
!'. )'.'&#."(#' #.!<. )%.$' $" ")'('.i $" 7i)%+8 V')?
'$" "+)&""& *. )'(#&#' "(#&" ')? " ' l*(' ". /*" "l" )'()'&$"
". &"liz& +"*+ #&!l%'+ $" +l " ++')i&-+" *. &".i,' ".
)+' $" +*)"++'8 A' 7i(l $' )9#*l' %= "".l'+ $" &".i;"+ ".
+l $" *l8
8/15/2019 elizabete trabalho revisado (1).odt
http://slidepdf.com/reader/full/elizabete-trabalho-revisado-1odt 114/177
FACULDADE JK *(i$$" +(# M&i
8/15/2019 elizabete trabalho revisado (1).odt
http://slidepdf.com/reader/full/elizabete-trabalho-revisado-1odt 115/177
C*&+' "$5'5i 3 +"."+#&"
T&(+#'&('+
Di+l"i
8/15/2019 elizabete trabalho revisado (1).odt
http://slidepdf.com/reader/full/elizabete-trabalho-revisado-1odt 116/177
C'()"i#':
A $i+l"i $""& +"& $i5('+#i)$ ' /*(#' (#"+ & "&.i#i& /*"
)&i( #"(% *. $"+"('li."(#' i(#"l")#*l " ".')i'(l +". &"*9z'+8
P'$".'+ )l++i7i)& '+ #&(+#'&('+ "+")97i)'+ $" &"($iz5". ".
#&?+ )#"5'&i+:
- T&(+#'&(' "+")97i)' $" l"i#*& DISLE[IA
- T&(+#'&(' "+")97i)' $ "+)&i# DISGRAFIA
- T&(+#'&(' "+")97i)' $ .#".=#i) DISCALCULIA
Di7"&"(#"+ "+/*i++ '(#. $""($"($' $'+ )&i#<&i'+ /*" $"
10 $ '*l,' &"+"(# l5*. #&(+#'&(' $" &"($iz5". )'.'
$i+l"i '* $i+)l)*li8 I++' +i5(i7i) /*" (,' < &&' ". *. +l $" *l
(*."&'+ "()'(#&& l*('+ )'. "+++ $i7i)*l$$"+8 N"+#" +*!5&*' <
!+#(#" )'.*. #.!<. ". )"&) $" 20 $'+ )+'+ &"+"(#& *.
)'.!i(,' @)'.'&!i$$" ( ('."()l#*& .<$i) $"++"+ #&(+#'&('+8
O .i+ (5*+#i(#" ("+#" )"(=&i' < /*" '*)'+ i+ " "$*)$'&"+
"&)"!". /*" l5' $i7"&"(#" +" ++ )'. )&i( @'* ."+.' $*l#' "
)!. +" )'(7'&.($' $iz"($' /*" < ++i. ."+.' 7'i +".&" ++i. '
i "& ++i. < &"5*i'+' (,' &"($" (,' 5'+# $" "+#*$& '* '*#&'
&B#*l' &")i$'8
8/15/2019 elizabete trabalho revisado (1).odt
http://slidepdf.com/reader/full/elizabete-trabalho-revisado-1odt 117/177
P'& '*#&' l$' +" 7i)&.'+ #"(#'+ "/*"('+ +i(i+ < '++9"l
"().i(%& "++ )&i( & *. $i5(B+#i)' " .*$& &$i)l."(#" +
"")##i+ " i(#"&"(;"+ +'!&" " )'. "l8
N"+#" &#i5' .'+ 7')& (*. #&(+#'&(' $" &"($iz5".
!+#(#" )'.*. '&<. '*)' i$"(#i7i)$' DISLE[IA8
A +l $" *l +" "l )'.'+# $" l*('+ $ "$*),' i(7(#il '* $
B+-5&$*,' < l)' $" &"l;"+ +')ii+ " $" &"($iz5".8 = *.
"#"(+ $i"&+i$$" $" "&)*&+'+ " +!"&"+ $"++"+ l*('+ /*" &")i+. +"&
)'.&""($i$'+ " #"&". 5&(#i$+ +*+ (")"++i$$"+ )'(+i$"&($' +
"+")i7i)i$$"+8 P'& i++' + &=#i)+ "$5B5i)+ $"". +"& *#$+ ".
$i7"&"(#"+ li(5*5"(+ " !'&$5"(+ "&.i#i($'-l%"+ *. $"+"('li."(#'
$"/*$'8
O i.)#' $ $i+l"i ( &"($iz5". < 5&($" " &#" $'
&'7"++'&$' $"+)'(%")" + )&)#"&9+#i)+ $i7i)*l#($' i$"(#i7i),' "
i(#"&"(,' $"/*$8
A $i+l"i < *. #&(+#'&(' $" '&i5". ("*&'!i'lB5i) " /*"l"+ /*" #?.
"+#" #&(+#'&(' ."+.' '++*i($' i(#"li5?()i i5*l " .*i#+ "z"+ +*"&i'&
'+ +"*+ &"+ +,' i()z"+ $" l"& )'. 7l*?()i8
A i.'&#()i $' $i5(B+#i)' $"/*$' " &")')" "i# /*" +
)&i(+ +" $"+"('l. )'. &"*9z'+ )$?.i)'+ " ".')i'(i+8 T(#'
)&i( /*(#' +* 7.9li 7i). !l$'+8 A )&i( #". +* *#'"+#i.
!i9++i. " 7.9li +" "&5*(# '($" "&&'*8
A+ $i7i)*l$$"+ ( l"i#*& i($ 7"#. '*#&+ =&"+ 'i+ '& ."i' $
l"i#*& +" #". )"++' )'(%")i."(#'+ )*l#*&i+ " %i+#B&i)'+8
I(7"liz."(#" "$*),' "+)'l& ')i$"(#l .&5i(liz l*('+ )'.
$i7i)*l$$"+ $" &"($iz5". " i.;" i.li)i#."(#" /*" *.
)'.*(i),' "7i)z "i5" ))i$$" $" $")'$i7i)& l& "+)&i#8 E++"
< *. l'& < i()*#i$' ". )&i(+ $"+$" "/*"(+8
8/15/2019 elizabete trabalho revisado (1).odt
http://slidepdf.com/reader/full/elizabete-trabalho-revisado-1odt 118/177
DIAGN]STICO DA DISLE[IA
O+ $i+l<i)'+ +,' ++i. $i5('+#i)$'+ /*($' + )'($i;"+ i(#"l")#*i+
+,' ('&.i+ '* +*"&i'&"+ " "i+#". i(!ili$$"+ 7'('lB5i)+ "'* $" .".B&i8 A
$i+l"i < &"+*l#$' $" *. l#"&,' $' ("*&'$"+"('li."(#' /*" &"? *.
$<7i)i# ( $")'$i7i),' '* +" ( l"i#*&8
O $i5(B+#i)' $"" +"& 7"i#' '& *. "/*i" .*l#i$i+)ili(& /*" i()l*i
&i.'&$il."(#" +i)'"$5'5' 7'('*$iBl'5' " +i)Bl'5' '$"($' +"&
(")"++=&i+ i($ '*#&+ 'i(i;"+ )'.' $" ("*&'l'5i+#+ '7#l.'l'5i+#+ "
'#'&&i('l&i(5'l'5i+#+ $"(#&" '*#&'+8 O $i5(B+#i)' < 7"i#' '& ")l*+,' '&
i++' i.'&#()i $" +" !*+)& &'7i++i'(i+ )'.&'."#i$'+ " /*" 5&"5*".
&"+*l#$'+8
G"&l."(#" ' $i5(B+#i)' < 7"i#' ( "# $" l7!"#iz,' "
l"#&."(#'8 M+ < '++9"l i$"(#i7i)& l5*(+ +i(i+ (#"+ $i++'
'++i!ili#($' '+ i+ '* "$*)$'&"+ i(#"&i&". &")')"."(#" ."+.' +".
' $i5(B+#i)' '(#*l8
- A#&+' ( /*i+i,' $ 7l
- Di7i)*l$$"+ ". .".'&iz& '"+i+ .+i)+ " &i.+
- Di7i)*l$$" & ('."& '!"#'+ " l&+
- Di7i)*l$$" ". .".'&iz& ('+ l&+ '* ."+.' &""#i& *.
%i+#B&i
- Di7i)*l$$" ". l".!&& ('." $" l"#&+ " $" "(#"($"& /*"
l& '$" +"& +"5."(#$ @+9l!+8
A' i(i)i& ' &')"++' $" l7!"#iz,' " l"#&."(#' '*#&'++i(i+ '$". +"&i& $" l"&# #i+ )'.':
- L"& " (,' )'.&""($"& ' /*" 7'i li$' ' ++' /*" +" '*#&
"++' l"& )'.&""($"
- Fz"& .*i#' "+7'&' & l"& " /*($' (,' )'(+"5*" Y$ii(%Z
l&+
- S*!+#i#*i& l&+ $' ."+.' 5&*' $" +i5(i7i)$'+ @+".(#i)' )'.'
Y5#'Z '& Y5l'Z
8/15/2019 elizabete trabalho revisado (1).odt
http://slidepdf.com/reader/full/elizabete-trabalho-revisado-1odt 119/177
A+ )*++:
- T&')& ")"++i."(#" l"#&+ ". l&+ /*" +" i(i)i". '*
)'(#"(%. ' ."+.' '(#' $" &#i)*l,' )'.' ! # $ 7 '* '&
"".l'
- D".'(+#&& $i7i)*l$$"+ ". '&i"(#,' #".'&l @'(#". " %'" '*
"+)il @". )i. " ".!i'
- D".'(+#&& $i7i)*l$$"+ ". )'i& l5' $ l'*+ '* ."+.' $"
*. li&' 'i+ +" "&$" ' 'l%& " 'l#& & ' )$"&('8
O 7#' $" *. )&i( &"+"(#& *. '* .i+ $'+ +i(i+ )i. (,'
+i5(i7i) /*" +" $i+l<i)8 C'.' $"+)&i#' (#"&i'&."(#" +'."(#" *.
"/*i" .*l#i$i+)ili(& '$"&= 7z"& *. $i5(B+#i)' $"/*$'8 P'& '*#&' l$'
+" i+ '* "$*)$'&"+ "&)"!"&". l5*(+ $"++"+ +i(i+ ". )&i(+ i($
( "$*),' i(7(#il +"&= '++9"l 7i)&". #"(#'+ " !*+)&". i(#"&i& ."+.'
(#"+ $" i(i)i& ' &')"++' $" l7!"#iz,' " l"#&."(#' ' /*" )"&#."(#" i&=
.*$& %i+#B&i $" i$ )$?.i) &'7i++i'(l " "++'l $"l8
O+ "+/*i+$'&"+ (,' +!". "#."(#" ' /*" )*+ $i+l"i .+)&"$i#. /*" *. &'!l". $*&(#" ' $"+"('li."(#' $ )&i( '$". 7"#&
7'&. )'.' ' )<&"!&' &')"++ i(7'&.,'8
El"+ #.!<. )&"$i#. /*" 5"(<#i) @%"&( $"+"."(% *. "l
i.'&#(#"8 M+ (,' < )*+$ '& *. $"7i)i?()i 79+i) #i+ )'.' &'!l".+
$" i+,' '* *$i,'8 M*i#+ "++'+ )'. $i+l"i #?. .<$i '* i(#"li5?()i
)i. $ .<$i8 W+i)."(#" ' )<&"!&' $" "++'+ )'. $i+l"i #?. $i7i)*l$$"
". &")"!"& " '&5(iz& i(7'&.;"+8
8/15/2019 elizabete trabalho revisado (1).odt
http://slidepdf.com/reader/full/elizabete-trabalho-revisado-1odt 120/177
Tratamentos: Uma pessoa com dislexia pode apresentar prolemas
como:
I$"(#i7i)& l&+R")'(%")"& '+ +'(+ /*" )'.;". + l&+ @( l"i#*&
O&#'5&7i
O&5(iz& '* +"/*"()i& "(+."(#'+
Pl&+ /*" &i..
A&"($"& ' l7!"#' " (."&'+ $*&(#" &<-"+)'l " &$i. $"
i(7()i
P'& "".l' *. "++' )'. $i+l"i #"($" i("&#"& '*
$"+)&)#"&iz& l"#&+ "'* l&+ )'.' )'(7*($i& l"#& Y!Z & Y$Z '* l"($' '
(."&' Y6Z )'.' Yg '* #< ."+.' .*$& '&$". $+ l&+ ". *. 7&+"8
A $i+l"i (,' < *. &'!l". $" i+,'8 O+ 'l%'+ (,' ?". l&+
i()'&&"#."(#" .+ ' )<&"!&' &"(#"."(#" #". #". $i7i)*l$$" ('
&')"++."(#' $ i(7'&.,'8
T&#."(#': O .<$i)' i&= "&5*(#& +'!&" )'(+*l#+ $"+"('li."(#' (
i(7()i " (li+& '*#&+ '++9"i+ )*++ 79+i)+ /*" '$"&i. #'&(& l"i#*&
$i79)il )'.' *$i,' '* &'!l".+ $" i+,'8
E(#,' i&= &')*&& '& +i(i+ $" '*#&'+ &'!l".+ /*" '$"&i. "+#&
)*+($' $i7i)*l$$"+ $" l"i#*&8 E+#"+ '$"&i. i()l*i& $i+#&!i'+ $" )''&$"(,'
.'#'& $" $<7i)i# $" #"(,' %i"&#ii$$" $"&"++,' (+i"$$" " $i+#&!i'+ $
#i&"Bi$"8
C+' "()'(#&" *. )*+ 79+i) ' .<$i)' '$" "().i(%& ' )i"(#" >
*. "+")ili+# & '*#&'+ #i'+ $" li;"+8
N,' %= *. (i)' #"+#" & $i5('+#i)& $i+l"i8 U. +<&i" $" #"+#"+
$&'(iz$'+ +,' *+$'+ & li& i(#"li5?()i li(5*5". )'.'&#."(#' "
%!ili$$"+ )$?.i)+ $' )i"(#" ". 5&($" &#" )&i(+8
8/15/2019 elizabete trabalho revisado (1).odt
http://slidepdf.com/reader/full/elizabete-trabalho-revisado-1odt 121/177
C'.' #&!l%& )'. *. l*(' $"++" ". +l $" *l:
D"'i+ $" $"#")#$ $i+l"i )!" > "+)'l *(#."(#" )'. '
&'7"++'& i()l*i& "+#" l*(' ( +l $" *l #&!l%($' & )'. /*" "+#"
l*(' )'(+i5 ."(iz& +"* $i+#&!i' $" &"($iz5".8 O(-li("
%##:&"i+#8*(i&8"$*8!& I(#"&$i+)ili(&: R"i+# El"#&(i) $ U(i& @2012
(843 8 1 - ISSN 1-1[ i.'&#(#" "(7#iz& /*" $i+l"i (,' <
."(iz$ +". *. #&#."(#' &'&i$'8 N,' +" #&# $" *. &'!l". /*" <
+*"&$' )'. ' #".' "l (,' '$" ++& $"+"&)"!i$8 A++i. &
#&!l%& )'. )&i( $i+l<i) ' &'7"++'& (")"++i# +"& ))i#$' " #"&
)'(%")i."(#' &"+"i#' $' &'!l".8 YM*i#'+ &'7"++'&"+ &"')*$'+ )'. '
"(+i(' $+ &i."i&+ l"#&+ " (,' +!"($' )'.' &"+'l"& + $i7i)*l$$"+
&"+"(#$+ '& +"*+ l*('+ =&i+ "z"+ '+ "().i(%. & + $i"&++)l9(i)+ "+")iliz$+ /*" '+ &'#*l. )'.' Z$'"(#"+Z i()z"+ '*
&"5*i'+'+8 N &"li$$" .*i#+ $"+++ $i7i)*l$$"+ '$"&i. +"& &"+'li$+
$"(#&' $ &B&i "+)'l8Z @OLIVEIRA 13 8 8 N"++" +"(#i$' ' &'7"++'&
'$" " $"" *$& +"* l*(' #&!l%($' )'. *#'('.i $' ."+.' &
/*" "l" +" +i(# i($""($"(#" ". #*$' )'l%"($'-' " &"+"i#($'-'8 O
&'7"++'& < ' .i'& &"+'(+="l '& 7)ili#& ' $i--$i $' $i+l<i)' )&i($'
l#"&(#i+ $" #&!l%' $"(#&' $ +l $" *l #&<+ $ &=#i) $" &"++& ' l*(' ' &"+*.' $' &'5&. +"& $"+"('li$' l<. $" "'& (' i(9)i' $'
(' /*l .#<&i " /*i+ .<#'$'+ +"&,' *#iliz$'+ i(i)i& )$ ('' )'(#"$'
)'. *. "+/*". .'+#&($' ' /*" +"&= &"+"(#$' (' "&9'$' *+& =&i'+
&")*&+'+ $" 'i' & &"+"(#& li,' > )l++" l<. $" *+& $" 7'&.
'&5(iz$ ' /*$&'("5&' *#iliz& #.!<. &'"#'& $" +li$"+ " 9$"'+ "i#&
$& i(+#&*;"+ '&i+ " "+)&i#+ ' ."+.' #".' i+& (#")i$."(#"
/*($' %'*"& #&!l%' /*" "('l. l"i#*& & /*" l*(' "()'(#&" '*#&+
7'&.+ $" &"liz=-l' &''& +".&" /*" %'*"& ''&#*(i$$" #&!l%'+ ".
5&*' " #ii$$"+ 7'& $ +l $" *l )'.' $&.#iz;"+ "(#&"i+#+ "
"+/*i++ $" ).' 7z"& &"i+;"+ )'. #".' +*7i)i"(#" & /*" ' l*(' #i&"
+*+ $i$+ $' ++*(#' !'&$$' *#'&iz& ' *+' $" #!*$+ )l)*l$'&+
" $i)i'(=&i'+ $*&(#" + #ii$$"+ " li;"+ *."(#& ' #".' &
#ii$$" "+)&i# l"& "(*()i$'+ ". 'z l# " "&i7i)& +" #'$'+ "(#"($". '
/*" "+#= +"($' "$i$'8 @hNGELA MARIA R"i+# N' E+)'l 2008
8/15/2019 elizabete trabalho revisado (1).odt
http://slidepdf.com/reader/full/elizabete-trabalho-revisado-1odt 122/177
FACULDADE JK *(i$$" +(# M&i
8/15/2019 elizabete trabalho revisado (1).odt
http://slidepdf.com/reader/full/elizabete-trabalho-revisado-1odt 123/177
C*&+' "$5'5i 3 +"."+#&"
T&(+#'&('+
Di+lli
8/15/2019 elizabete trabalho revisado (1).odt
http://slidepdf.com/reader/full/elizabete-trabalho-revisado-1odt 124/177
C'()"i#':
E++" $i+#&!i' ( 7l < ' /*" "()'(#&.'+ (' "&+'(5". $ T*&. $
M(i) V')? )'(%")" l5*. '&#$'& $" Di+lliQ P'$"-+" $iz"& /*" '
.i+ 7.'+' $"l"+ < ' "&+'(5". $" M*&9)i' $" S'*+ ' C"!'li(%
)'(%")i$' '& #&')& l"#& YRZ '& YLZ l<. $" &'*!& ' )'"l%i(%' $ M(i)8
E++" < *. )+' )l=++i)' $" Di+lli *. $i+#&!i' $" 7l )&)#"&iz$' "l
$i7i)*l$$" ". &#i)*l& + l&+ " "l .= &'(*()i,' +" '.i#i($'
)&"+)"(#($' #&')($' '* $i+#'&)"($' '+ 7'(".+8 P'$".'+ )i#& l5*(+
)+'+: #&') $" Y!'lZ '& YBlZ $" Y'&#Z '& Y'i#Z $" Y&"#'Z '& Y"#'Z $"
Y#'."iZ '& Y'."iZ $" Y!&#Z '& Y!l#Z $" Y#l(#i)'Z '& Y#"l(#i)'Z8 O*#&'
"".l' )'.*. "('l" &'(*()i $' YKZ " $' YGZ: Y#'Z ' i(<+ $" Y5#'Z
Y. 'Z (' l*5& $" Y.))'Z8 A+ #&')+ .i+ )'.*(+ +,':
P '& W
F '& V
T '& D
R '& L
F '& S
8/15/2019 elizabete trabalho revisado (1).odt
http://slidepdf.com/reader/full/elizabete-trabalho-revisado-1odt 125/177
J '& c
[ '& S8
A#< '+ /*#&' ('+ ' "&&' ". &'(*()i& + l&+ < )'(+i$"&$'
('&.l .+ B+ "++ i$$" )'(#i(*& 7l($' .l '$" )&&"#& +<&i'+&'!l".+ i()l*+i" ( "+)&i#8 U. ',' < 7z"& ' #&!l%' &""(#i' >
l7!"#iz,' "i#($' $i7i)*l$$"+ "+)'l&"+8 P'++i"l."(#" ')'&&
"+#i.*l,' $' $i+#&!i' )+' )&i( *+" )%*"# .." ..$"i& '*
)%*" $"$' '& #".' &'l'(5$' )*+($' 7l)i$"z .*+)*l& " '+#*&
i($"i$ $ l9(5*8
Vl" &"++l#& l5*.+ $i)+ & (,' *$& $"+"('l"& "++"
$i+#&!i'8 E. .*i#'+ )+'+ '+ #i'+ B+ i+ "(7i. )%. 5& /*($'
)&i( 7l $" 7'&. "&&$ )'.' Y!ii#'Z @!'(i#' Y#"!i+,'Z @#"l"i+,' YT'#-
T'lZ @C')-)'l M+ < i.'&#(#" (,' )%& 7'7' " +".&" )'&&i5i-l8 Fl&
)"&#' $i(#" $ )&i( & /*" "l )&"+ +!"($' " +" %!i#*($' '
)'&&"#'8 O &'7"++'& $"" &#i)*l& !". l& 7z"($' )'. /*" '+
7'(".+ "+#". )l&'+8 A' "&)"!"& ". +l $" *l /*" *. $"#"&.i($'
l*(' (,' "+#= &'(*()i($' !". $"" &')*&& '+ i+ " )'.*(i)=-l'+8 E
)'.' 7l < *. #' .'#'& "l!'&$' #&'/*" i(7'&.;"+ )'. '+ &'7"++'&"+
$" "$*),' 79+i) /*" '!+"&. ."l%'& ' $"+"('li."(#' +i)'.'#'& $'
l*('8 O &'7"++'& $"" #'.& .*i#' )*i$$' ( %'& $ )'&&",' & '
l*(' (,' +" +"(#i& i(7"&i'&iz$' '& i++' (")"++i$$" " i.'&#()i $'
7'('*$iBl'5' (' #&#."(#'8
A+ )*++:
A Di+lli "+#= +*!$ii$i$ ". /*#&' #i'+:
E'l*#i: )'(+i$"&$ ('&.l ". )&i(+ " )'&&i5i$
5&$#i."(#" $*&(#" ' $"+"('li."(#'
F*()i'(l: /*($' ')'&&" +*!+#i#*i,' '* "li.i(,' $+ l"#&+
$*&(#" 7l "'* $i+#'&,' $' +'.
A*$iB5"(: )'(#")" ". i($i9$*'+ )'. $"7i)i?()i *$i#i 'i+(,' )'(+"5*" i.i#& '+ +'(+8
8/15/2019 elizabete trabalho revisado (1).odt
http://slidepdf.com/reader/full/elizabete-trabalho-revisado-1odt 126/177
O&5(i): ')'&&" ". )+'+ $" l"+,' (' "()<7l' ' /*"
i.'++i!ili# &'(*()i )'&&"# '* /*($' %= l#"&,' ( !')8
T&#."(#':C$ )+' "i5" *. &')"$i."(#' &#i)*l& &
' #&#."(#' $$i+lli .+ ' #&!l%' $' 7'('*$iBl'5' +'!&" 7l% "
$i7i)*l$$" < i($i+)*#9"l8 A )&i( +"&= #&!l%$ " "+#i.*l$ & $"+"('l"&
l5*.+ )'."#?()i+ )'.' +"(+,' " ))i$$" $" +"(#i& '+ +'(+
"&)",' '* +" #i$,' & &")'(%")"& ' +'. " "l!'&,' /*" <
))i$$" $" &"7l",' +'!&" '+ +'(+ "&)"!i$'+8 A &#i& $9 7l.'+ $
*#')'(7i( !'. &"l)i'(."(#' )&"+)i."(#' "++'l A)&"$i#"j A $i+lli #". #&#."(#' " & i++' *. "/*i" i(#"&$i+)ili(& $"
&'7i++i'(i+ !+"$' ". +i)'"$5'5' 7'('*$iBl'5' +i)Bl'5' "(#&"
'*#&'+ #". .*i# i.'&#()i & ' &"+*l#$' '+i#i'8
P&""(,':
N"(%*. 'i+ '$" )'(#")"& )'. #'$'+
C'.' #&!l%& "++" l*(' ". +l $" *l:
F'&. *#iliz$+ !+"+ $" $$'+ $' W&+il " P'&#*5l .#"&il $'
l*(' " 5&;"+ &#i)*l&"+8
8/15/2019 elizabete trabalho revisado (1).odt
http://slidepdf.com/reader/full/elizabete-trabalho-revisado-1odt 127/177
FACULDADE JK *(i$$" +(# M&i
8/15/2019 elizabete trabalho revisado (1).odt
http://slidepdf.com/reader/full/elizabete-trabalho-revisado-1odt 128/177
C*&+' "$5'5i 3 +"."+#&"
T&(+#'&('+
Di+5&7i
8/15/2019 elizabete trabalho revisado (1).odt
http://slidepdf.com/reader/full/elizabete-trabalho-revisado-1odt 129/177
C'()"i#':
E+#" #&!l%' < &"7"&"(#" > (=li+" $' #&(+#'&(' Di+5&7i (' "(+i('-
&"($iz5". $+ "+)'l+8 Di+5&=7i)'+ +,' /*"l"+ /*" &"+"(#.
$i7i)*l$$"+ $" &"($iz5". ( "+)&i# $"i$' *. &'!l". "&)"#i'-
.'#'&8 D"++ 7'&. "+/*i+ '!"#i i$"(#i7i)& '+ 7#'&"+ /*" l".
$i7i)*l$$" $ $i+5&7i i+($' &''& )'(+)i"(#iz,' $" "$*)$'&"+
$($' ?(7+" > i.'&#()i $ i$"(#i7i),' " !'&$5". $" #<)(i)+
."#'$'lB5i)+ )'()"&("(#"+ ' &'!l". &#i& $" *. ."#'$'l'5i
")l*+i."(#" /*li##i " $"+)&i#i !+"$ ". l"(#."(#'+
!i!li'5&=7i)'+8 A++i. &';". *. &*#*& )'. $i+)&i.i(,' &#i& $
)'(+)i"(#iz,' $" "$*)$'&"+ ' i()"(#i' i$"(#i7i),' & *. ."l%'& i(+"&,' +')il $'+ $i+5&=7i)'+ " *#iliz,' $" #<)(i)+ ."#'$'lB5i)+
"+")97i)+ & +"&". #&!l%$+ (' .!i#' "+)'l& $" )&i(+ /*"
&"+"(#. "++" #&(+#'&(' 7i. $" ."l%'&& ' $"+"('li."(#' "
&"($i."(#' "+)'l& $+ ."+.+8
A $i+5&7i < "&#*&!,' $ "+)&i# (' /*" $iz &"+"i#' ' #&$'
$+ l"#&+ " > $i+'+i,' $'+ )'(*(#'+ 5&=7i)'+ (' "+' *#iliz$'8 R"l)i'(-+" '&#(#' $i7i)*l$$"+ .'#'&+ " "+)ii+8 L'5' )&i(+ $i+5&=7i)+ +,'
/*"l+ /*" &"+"(#. $i7i)*l$$"+ (' #' .'#'& $ "+)&i# #'&(($' 5&7i
&#i)."(#" i($")i7&="l8
L'&"+"# l @200 ' &"liz& *. #&!l%' ( "+)'l N'++ S"(%'& $
C'()"i,' ". W"(5*"l +'!&" $i7i)*l$$" $" &"($iz5".( $i+l"i "
$i+5&7i (' "(+i(' $" $*l#'+ )'(+##'* /*": $i+5&7i < ' $i+#&!i' $
l& "+)&i# /*" +" )&)#"&iz '& *. l"" )''&$"(,' .'#'&
&"+"(#($' ."+. l"#& )'. .'i."(#'+ $i7"&"(#"+8
E. l5*(+ )+'+ $i+5&7i ++')i-+" )'. $i+'&#'5&7i /*" +,' "&&'+
8/15/2019 elizabete trabalho revisado (1).odt
http://slidepdf.com/reader/full/elizabete-trabalho-revisado-1odt 130/177
'&#'5&=7i)'+ )* )&i( .'(#' l"#&+ & "+)'($"& +"*+ "&&'+ $" "+)&i#8 A
."+. " )&)#"&iz$ '& #&')+ $" l"#&+ $"i$' +*+ +"."l%(+ 7'(<#i) "
7'('lB5i)8 T'$i $"".-+" l"& ". )'(# l5*(+ 7#'&"+ /*" l". "++"
)'($i)i'(."(#' $ "+)&i# E(#,' +"5*($' G&)i @1:
A $i+'&#'5&7i < )&)#"&iz-+" '& #&') $" 7'(".+ ( "+)&i# *(,' '*
+"&,' i($"i$ $+ l&+ )'(7*+;"+ $" +9l!+ '.i++;"+ $" l"#&+ "
i("&+;"+8 Al<. $i++' $i7i)*l$$"+ ". "&)"!"& + +i(liz;"+ 5&=7i)+ )'.'
&=5&7'+ )"(#*,' " '(#*,'8
D'.i(5*"+ @2010 8 12 ". +"* "+#*$' i(#i#*l$' Di+l"i Di+5&7i
Di+'&#'5&7i " Di+)l)*li:$i5(B+#i)' " i(#"&"(,' +i)'"$5B5i)
"&)"!"* '*#&' +")#' $ "+)&i# $i+'&#'5&=7i) 7i&.($' /*":
A $i+'&#'5&7i (,' 7"# 5&7i '* +" )&i( (")"++&i."(#" (,' +"&=
$i+5&=7i) 'i+ ' #&$' $ l& < &"+"&$' /*(#' +* /*li$$"8 O$i+'&#'5&=7i)' )'. 7&"/*?()i i(7&i(5" + &"5&+ 5&.#i)i+ $ l9(5* (' /*"
$iz &"+"i#' >+ "+#&*#*&+ $+ l&+ " #"#*i+8
T.!<. < &")i+' +!"& /*" $i+5&7i (". +".&" +" )'-&"l)i'( )'.
$i+'&#'5&7i '&#(#' < (")"++=&i' )'(%")"& + $"7i(i;"+ " )&)#"&9+#i)+ $"
.!'+ &'!l".+ & '$"& +"& 7"i# i$"(#i7i),' )'&&"#8
'" )'. '+ ."i'+ $" )'.*(i),' ". l# )&i(+ " '"(+ #"($".
#&"i(& ."('+ l"#& )*&+i "".l' $i++' +,' '+ )'.*#$'&"+ /*"$i++".i(. *. ('' $&,' $" i$ #i&($' $ "$5'5i '+ )$"&('+ $"
)li5&7i8 E(#&"#(#' +". "++"+ )$"&('+ #"(,' $" i+ " "$*)$'&"+
$"" +"& &"$'!&$8
S" ' #&"i(."(#' $ l"#& )*&+i "i+#" $"+$" )"$' +"&i '++9"l i$"(#i7i)&
O P"l $ "+)'l ( i$"(#i7i),' $'+$i+5&=7i)'+8
A "+)'l " #'$' )'&' $')"(#" ". "+")i7i)' "$*)$'& ""&)". *. "l
&i.'&$il (' "(+i('- &"($iz5".8*($' )&i( &"+"(# $i7i)*l$$"+
$" &"($iz5". < .*i#' )'.*. )'(7li#'+ "(#&" i+ " &'7"++'&"+8 T'$i <
(")"++=&i' /*" i+ " &'7"++'&"+ $". "+#& *(#'+ & #&!l%& (' *ili'
$' $"+"('li."(#' $ )&i(8 P'i+ i+ " &'7"++'&"+ #". *. #&"7 .*i#'
i.'&#(#" ( i$"(#i7i),' $"++" &'!l". (+ )&i(+ $i+5&=7i)+ ++i.
)'.' 7i&. C.(*$' @200 ". +"* &5*."(#':
Ai($ ++i. < l."(#="l 'i+ l*('+ /*" (,' &"+"(#. &"($i."(#' "+)'l&
+,' i5('&$'+ '& '*#&+ )&i(+ " #< ."+.' '& +"*+ &'7"++'&"+8 N"++"
8/15/2019 elizabete trabalho revisado (1).odt
http://slidepdf.com/reader/full/elizabete-trabalho-revisado-1odt 131/177
)+' < .*i#' i.'&#(#" ' "l $' &'7"++'& 'i+ "l" $"" .i(i+#&& !".
"++ +i#*,' $" .("i& /*" (,' % $"+)&i.i(,' &''($' !&i()$"i&+
/*" *$" ( +')iliz,' " #ii$$"+ ". 5&*' & /*" #'$+ + )&i(+
"&)"!. +"* "l +')il8 D"" #.!<. "i#& /*" "+++ )&i(+ /*"
&"+"(#. "+++ $i7i)*l$$"+ (,' +" +i(#. ."('+&"z$+ " &"#&9$+ "l'
)'(#&=&i' .'+#&& "l+ +"*+ +")#'+ '+i#i'+ " $' /*" "l+ +,' )z"+8
P&'.'"& +')iliz,' $"+#+ )&i(+ $i+5&=7i)+ &"/*"& )i?()i "
C'.&'.i++' $" .("i& /*" (,' % $i+)&i.i(,' #(#' "l'+
)'l"5+ /*(#' "l'+ &B&i'+ "$*)$'&"+
Ti'+ $" $i+5&7i
S"5*($'C&)i\i @2006 "i+#". $'i+ #i'+ $" $i+5&7i: .'#'& @$i+)li5&7i
" "&)"#i8
A $i+5&7i .'#'&< $i7i)*l$$" .'#'& /*" )&i( "()'(#& ( %'& $"
"+)&""& + l"#&+ i($ /*" "l +i! l"& " 7l& '* +" )&i( ? 7i5*&
5&=7i) '&<. (,' )'(+"5*" &"liz& +"*+ .'i."(#'+8 P'& '*#&' l$' (
$i+5&7i "&)"#i )&i( (,' )'(+"5*" 7z"& &"l,' "(#&" ' +i+#".
+i.!Bli)' " + 5&7i+ /*" &"&"+"(#. '+ +'(+ + l&+ " 7&+"+8 AB+ (=li+" $'+ #i'+ C&)i\i @200 "&i7i)-+" i($ $"(#&' $"++"+ #i'+ +
+"5*i(#"+ )&)#"&9+#i)+:l"(#i$,' ( "+)&i# l"#& il"59"l "+)&i#
$"+'&5(iz$ #&'+ i&&"5*l&"+ '* .*i#' 7'&#"+ /*" )%"5. .&)& ' "l
'* .*i#' l""+ $"+'&5(iz,' 5"&l ( 7'l% '& (,' '++*i& '&i"(#,'
"+)il $"+'&5(iz,' $' #"#' 'i+ (,' '!+"&. .&5". &($'
.*i#' (#"+ '* *l#&++($' $"+'&5(iz,' $+ l"#&+: l"#&+ &"#')$+
%+#"+ .l 7"i#+ #&'7i$+ '.i++,' $" l"#&+ l&+ (."&'+ 7'&.+
$i+#'&)i$+ .'i."(#'+ )'(#&=&i'+ > "+)&i# @*. S ' i(<+ $' '& "".l'
$"+'&5(iz,' $+ 7'&.+: #.(%' .*i#' "/*"(' '* .*i#' 5&($" "+)&i#
l'(5$ '* )'.&i$ ' "+' /*" $= "(#&" + li(%+ l&+ " l"#&+ <
i&&"5*l& li5& + l"#&+ $" 7'&. i($"/*$ " )'. "+."(#' i&&"5*l&
E+++ )&i(+ '$". +"& "#&".."(#" !&il%(#"+ )z"+ $" ")"l"(#"+
i$<i+ '&<. )'.l"#."(#" i()z"+ $" ++& & ' "l ' '#"()il $"
+*+ )!"+ @`AJNScTEJN 2008
8/15/2019 elizabete trabalho revisado (1).odt
http://slidepdf.com/reader/full/elizabete-trabalho-revisado-1odt 132/177
I$"(#i7i),' " #&#."(#':
= +".&" $i$ ( %'& $" i$"(#i7i)& /*($' +" #&# $" *. #&(+#'&('
&"++ '* &"5*i '& i++' < &")i+' "+#& #"(#' & + )&)#"&9+#i)+ $
$i+5&7i8 D"++ 7'&. C&*+' @200 7i&. /*":
D""-+" +".&" &')*&& i("+#i5& +!"& )'.' )&i( "+# +"
+'!&"++i($' ( "+)'l8 U. #"+#" !+#(#" &"l"(#" < "$i& /*" )&i(
"+)&" ". *. 7'l% +". li(%+ +" ' &"+*l#$' 7'& *. "+)&i# l"(# )'.
l"#&+ i&&"5*l&"+ " 7'& $+ .&5"(+ < %'& $" &"')*&-+"8 Al<. $i++' '+
$i+5&=7i)'+ #?. $i7i)*l$$"+ ". '&5(iz,' "+)il: $9 "+)&i# ". /*" +
l&+ &")". Y+*!i& " $"+)"& ' .'&&'Z88
C&*+' @200 $iz i($ /*":
T.!<. < &")i+' 7z"& "."+ .i+ "+")97i)'+ )'.': '7#l.'lB5i)'*$i'lB5i)' " "l"#&'"()"7l'5&=7i)'8 P'i+ /*(#' .i+ )"$' .i+ )%()"+ $"
&""&#" ' /*$&' $' $i+5&=7i)'8 Al<. $i++' $"".-+" l"& ". )'(# '*#&'+
7#'&"+ /*" *$. '+ i+ i$"(#i7i)& $i+5&7i (#"+ $ l7!"#iz,' $'
7il%' 'i+ +" ')? l" )&i( *. 7"+# *(i( '& "".l' '!+"&" +"
"l #". &i#.' & )'.(%& + .+i)+ .".B&i & 7i& '+ ++'+ "
#"(,' '+ .'i."(#'+8
O #&#."(#' "('l" *. 5&*' $" "+")ili+#+ )'.': ("*&'l'5i+#++i)'"$5'5'+ 7'('*$iBl'5'+ " #"&"*#+8 P'i+ " .*i#' i.'&#(#"
' )'.(%."(#' $"++"+ &'7i++i'(i+ & &"+'l*,' $"++"+
&'!l".+@`AJNScTEJN 2008
P'&<. & C&*+' 200 ' #&#."(#' < .*i#' &"l#i' 'i+ $""($" $" )$
)+'8 O '!"#i' .i'& < l)(& *. l"#& l"59"l8O '(#' &i()il < #&!l%&
)'. ' )'&' )'. ""&)9)i'+ )'.' .(*+"& &5il " .++5"(+ " $"'i+
&#i& & ' "+")97i)' /*" < "+)&i# " '*#&'+ &'!l".+ )'.' ' $"
.".B&i8
A+ )*++:
E#i.'l'5i)."(#" $i+5&7i $"&i $'+ )'()"i#'+ Y$i+Z @$"+i' b
Y5&7iZ @"+)&i# '* +" < Y*. "&#*&!,' $" #i' 7*()i'(l /*" 7"#
/*li$$" $ "+)&i# $' +*"i#' (' /*" +" &"7"&" ' +"* #&$' '* > 5&7i8Z
@T'&&"+ d F"&(=($"z 2001 8 123 &"($"-+" )'. Y)'$i7i),' "+)&i# @
)'. &'!l".+ $" "")*,' 5&=7i) " $" "+)&i# $+ l&+Z @C&*z 200 8
108 A )&i( )'. $i+5&7i &"+"(# *. "+)&i# $"+i(#" ". &"l,' >
('&.$&,' i+#' < *. Y)li5&7i $"7i)i"(#" )'. l"#&+ '*)'
8/15/2019 elizabete trabalho revisado (1).odt
http://slidepdf.com/reader/full/elizabete-trabalho-revisado-1odt 133/177
$i7"&"()i$+ .l "l!'&$+ " .l &''&)i'($+Z @A8P8P8D8A8E8 2011!
)%.$ Yl"#& 7"iZ8 O!i."(#" /*" *. )&i( ". &')"++' $"
&"($iz5". $ "+)&i# &"+"(# (#*&l."(#" $i7i)*l$$"+ (' #&$' $+
l"#&+8 A++i. $*&(#" "+#" "&9'$' ' &'7"++'& $""&= &""l& "+")il
A#"(,' " 7'&(")"& + '&i"(#;"+ (")"++=&i+ & /*" '+ l*('+
&"liz". $"/*$."(#" "+)&i# "i#($' $"+#" .'$' ( *+?()i $"
'*#&+ &'!l".=#i)+ ++')i$+ "&.(?()i $" #&$'+ i()'&&"#'+ /*"
)'(+"/*"(#"."(#" '$"&,' "'l*i& & *. /*$&' $" $i+5&7i8 C*++ O
"+#*$' $+ )*++ $ $i+5&7i < )'.l"' 'i+ +,' .*i#'+ '+ 7#'&"+ /*"
'$". l"& *. "+)&i# l#"&$8 T'&&"+ d F"&(=($"z @2001 5&*. ".
#&?+ #i'+ + )*++ $ $i+5&7i: .#*&#i+ )&#"&ii+ " "$5B5i)+8 A+
&i."i&+ "+#,' &"l)i'($+ )'. "&#*&!;"+ $" l#"&li$$" " $" "7i)i?()i
+i)'.'#'& @.'#&i)i$$" "/*il9!&i'8 E+#+ )&i(+ +,' $"+"i#$+ $' '(#'$" i+# .'#'& @5"&l."(#" '++*". i$$" .'#'& i(7"&i'& > i$$" )&'('lB5i)
" &"+"(#. *. "+)&i# i&&"5*l& ' (9"l $ &"++,' "l')i$$" " #&$'
!". )'.' "&#*&!;"+ $" '&5(iz,' "&)"#i'-.'#'&
"+#&*#*&,''&i"(#,' "+)il " i(#"&i'&iz,' $' "+/*". )'&'&l8 A+
)*++ )&#"&ii+ '& +"* l$' "+#,' ++')i$+ 7#'&"+ $" "&+'(li$$"
/*" '$". )'(+"/*"(#"."(#" $"#"&.i(& ' +"#' $' 5&7i+.'
@"+#="li(+#="l l"(#'&=i$' " #.!<. 7#'&"+ +i)'7"#i'+ 'i+ ' +*"i#'&"7l"#" ( "+)&i# ' +"* "+#$' " #"(+,' ".')i'(i+8 A+ l#i.+ )*++
"$5B5i)+ '$"&,' "+#& &"l)i'($+ '& "".l' )'. *.
i(+#&*,'"(+i(' &95i$' " i(7l"9"l )'. *. .*$( i($"/*$ $" l"#& $"
i.&"(+ & l"#& .(*+)&i# "'* *. ?(7+" ")"++i ( /*li$$" '*
&i$"z $ "+)&i#8 U. '*#&' *#'& Ci("l @200 &"+"(#-('+ )i()' 5&*'+ $"
)*++ &'.'#'&+ $ $i+5&7i: - Di+#&!i'+ ( .'#&i)i$$" .l " 7i(
&"l)i'($'+ )'. 7l# $" )''&$"(,' "(#&" ' /*" )&i( +" &';" 7z"&
@i(#"(,' " ' /*" &"liz @"&#*&!;"+ (' $'.9(i' $' )'&' - Di+#&!i'+ (
)''&$"(,' i+'.'#'& ++')i$ > $i7i)*l$$" (' )'.(%."(#' @i+*l
$' .'i."(#' $'+ .".!&'+ +*"&i'&"+ "'* i(7"&i'&"+ - D"7i)i?()i (
'&5(iz,' #".'&'"+)il @$i&"i#"+/*"&$ 7&"(#"#&=+l$' "
(#"+$"'i+ - P&'!l".+ ( l#"&li$$" " $i&"))i'(li$$" @$'.i(()i
.(*l - E&&'+ "$5B5i)'+ &"l)i'($'+ )'. 7l%+ (' &')"++' $" "(+i('
"+#&#<5i+ i($"/*$."(#" "+)'l%i$+ "l'+ $')"(#"+ '* ."+.'
$"+)'(%")i."(#' $"+#" &'!l".8 C&#"&iz,' V=&i'+ *#'&"+ #?. +*5"&i$'
)&#"&9+#i)+ )'.*(+ >+ )&i(+ )'. $i+5&7i8 C'(#*$' < i.'&#(#" +!"&
8/15/2019 elizabete trabalho revisado (1).odt
http://slidepdf.com/reader/full/elizabete-trabalho-revisado-1odt 134/177
/*" &"+"(#,' $" "(+ *.$'i+ $'+ )'.'&#."(#'+ /*" +" +"5*".
(,' < +*7i)i"(#" & )'(7i&.& "+# &'!l".=#i) )&i( $""&= &""l& '
)'(*(#' @'* /*+" #'#li$$" $+ +"5*i(#"+ )'($i;"+: - l"#&
")"++i."(#" 5&($" @.)&'5&7i '* "/*"( @.i)&'5&7i - 7'&. $+
l"#&+ i&&")'(%")9"l @'& "z"+ $i+#'&)". i()li(. '* +i.li7i). #(#' +
l"#&+ /*" "+)&i# < &#i)."(#" i($")i7&="l - #&$' "5"&$' " 5&'++'
@/*" i() ' "l '* $".+i$' +*" " i."&)"#9"l - 5&7i+.' #&<.*l' '*
)'. *. .&)$ i&&"5*l&i$$" '&i5i(($' &i;"+ (' #.(%'+ $'+
5&7".+ - "+)&i# $".+i$' &=i$ '* l"(# - "+."(#' i&&"5*l& $+
l"#&+ '* $+ l&+ /*" '$". &")"& $"+li5$+ +'!&"'+#+ '*
il"59"i+ '* "l' )'(#&=&i' $".+i$' *(#+ - "&&'+ " !'&&;"+ /*" /*+" (,'
$"i. '++i!ili$$" & l"i#*& $ "+)&i# @".!'& + )&i(+ +".
)z"+ $" l"& ' /*" "+)&"". - $"+'&5(iz,' 5"&l ( 7'l%#"#' -*#iliz,' i()'&&"# $' i(+#&*."(#' )'. /*" "+)&"". @A*&i5*"&& "# l8 13
" C++ 1 )i#+8 '& C&*z 200 T'&&"+ d F"&(=($"z 20018 P'$"&,' i($
'!+"&&-+" *. +<&i" $" '*#&'+ )'.'&#."(#'+ .*i#+ "z"+ ++')i$'+
'*#&+ $i7i)*l$$"+ "+")97i)+ $" &"($iz5". @Di+'&#'5&7i Di+l"i "
Di+)l)*li !'&$$+ ('+ &"+#(#"+ +*!)9#*l'+ $"+#" &#i5'8
T&#."(#':' #&#."(#' '$" *$& *. '*)'8
C'.' #&!l%& "++" l*(' ". +l $" *l
O #&!l%' !&(5" ' )'(#"#' "+)'l& )'. ' '!"#i' $" i$"(#i7i)& '+ 7#'&"+
)*+$'&"+ $ $i+5&7i ("++" .!i"(#"8
A M"#'$'l'5i +"& #&!l%$ < $' #i' /*li##i $" )*(%' !i!li'5&=7i)' "
$"+)&i#i /*" i+ ' l"(#."(#' $" $$'+ ( li#"&#*& " )&)#"&iz,'
$'+ .!i"(#"+ "+)'l&"+ $"(#&' $' $&,' $" "(+i('-&"($iz5". &#i&
$" *. "+/*i+ $" &"i+,' !i!li'5&=7i)8
D"++ 7'&. "++ ."#'$'l'5i 7'i "+#&*#*& &''($'-+" #&?+ #i'+ $" ."$i$+
/*" ( &"li$$" +,' "(+ &''+#+ +"&". #&!l%$'+ '* "(7#iz$'+
$"(#&' $' .!i"(#" "+)'l&: )'(+)i"(#iz,' $" &'7"++'&"+ " 7*#*&'+
"$*)$'&"+ +'!&" $i+5&7i i$"(#i7i),' $+ )&i(+ $i5&=7i)+ "
8/15/2019 elizabete trabalho revisado (1).odt
http://slidepdf.com/reader/full/elizabete-trabalho-revisado-1odt 135/177
!'&$5". $" #<)(i)+ ."#'$'lB5i)+ +"&". #&!l%$+ )'.
"$*)$'&"+ ". +l $" *l8
A &i."i& ."$i$ !&(5" /*"+#,' $ )'(+)i"(#iz,' $" "$*)$'&"+ "
7*#*&' "$*)$'&"+ &"+"i#' $ $i+5&7i (' .!i#' "+)'l&8 D"++ 7'&.
&';".-+" &'.',' $" ""(#'+ '* &'"#'+ '($" '$"&,' +"& &"liz$+
l"+#&+ $"(#&' $+ "+)'l+ 'l#$+ &: ' "+)l&")i."(#' +'!&" $' /*" +"
#&# $i+5&7i /*i+ +,' '+ +")#'+ ("5#i'+ /*" "l #&z & ' &')"++'
"(+i('-&"($iz5". /*l ' "l $ "+)'l ( i$"(#i7i),' $'+ $i+5&=7i)'+
'+ #i'+ $" $i+5&7i " ' #&#."(#'8
A +"5*($ &''+# +"& #&!l%$ < *. !'&$5". +'!&" i.'&#()i $
i$"(#i7i),' $+ )&i(+ )'. $i+5&7i ( "+)'l (+ &"*(i;"+ $"
l("."(#'8 C'.' i(+#&*."(#' $" i$"(#i7i),' '$"&= +"& &"+"(#$ '+
"$*)$'&"+ *. 7i)% & )'l"# $" $$'+ '!"#i($' &#i& $'+ +")#'+!'&$$'+ ( ."+. i$"(#i7i),' $'+ l*('+ $i+5&=7i)'+ $"(#&' $ "+)'l
& !*+)& ."$i$+ ."#'$'lB5i)+ "+")97i)+ +"&". #&!l%$+ )'.
"+++ )&i(+ '&#$'&+ $"++" #&(+#'&('8
A 7i)% &''+# & i$"(#i7i),' $" l*('+ $i5&=7i)'+ '$"&= )'(#"& )i()'
+")#'+ '&5(iz$'+ ". l)*(+ /*" '$"&,' +"& +"l")i'($+
@.&)$+ $" )'&$' )'. "&)",' $' &'7"++'& +,' "l"+: l"(#i$,' (
"+)&i# l"#& l"59"l #&'+ .*i#' l""+ '* 7'&#"+ /*" )%"5. .&)& '"l "+)&i# $"+'&5(iz$ " ' "+' i&&"5*l& $$' "(#&" + li(%+
l&+ " l"#&+8 E *. $$ )'l*( $" '!+"&;"+ '($" ' &'7"++'&
'$"&= "'& +* i$"(#i7i),' +'!&" ' &'!l".8
D"(#&' $ #"&)"i& " l#i. ."$i$ /*" < &"7"&"(#" > ."#'$'l'5i #&!l%$
'& &'7"++'&"+ (+ "+)'l+ !*+)-+" ' i()"(#i' *. "&7"i'."(#' '*
.*$( $"++"+ &'7i++i'(i+ )'. &"l,' >+ #<)(i)+ ."#'$'lB5i)+ $'+
."+.'+ #&!l%$'+ ". +l $" *l /*" #< "(#,' (,' +,' +*7i)i"(#"+
#'&(.-+" i("7i)i"(#"+ '* +i.l"+."(#" (,' "i+#". & +"&". '+#+ ('
.!i"(#" "+)'l& $'+ l*('+ $i+5&=7i)'+8
O .<#'$' "$5B5i)' &''+#' & +"& #&!l%$' )'. $i+5&=7i)'+ 7'i
!+"$' (' #&!l%' $" Ci("l@20108 A+ #<)(i)+ ."#'$'lB5i)+ !'&$. '
&"&' $' l*(' & "+)&""& )'. )'&&",' " l"5i!ili$$" < #&!l%& )'.
"l" $"+$" ' i(9)i' #"(#($' & 5&7i )'&&"# $+ l&+ 7'&. $+
l"#&+ *(i7'&.i$$" (' #&$' ' "+."(#' ' li5."(#' " i()li(,'
8/15/2019 elizabete trabalho revisado (1).odt
http://slidepdf.com/reader/full/elizabete-trabalho-revisado-1odt 136/177
$ "+)&i# ". &"l,' ' "+' '($" +" "+#= "+)&""($'8
I- A 7'&. $ l"#&:)$ l"#& #". *. 7'&. )&)#"&9+#i)8 A )l&"z $"
#&$' "(#,' &"+i$" ". "+)&""& )$ l"#& ( +* 7'&. "#8 A l"#& )*&+i
$"7'&.$ '$" +"& )*+ .i+ '$"&'+ $" il"5i!ili$$"8 P'& "".l': +" '
l*(' (,' 7")% ' )9&)*l' $' '$"-+" l?-l' )'.' * '* )"
II-U(i7'&.i$$": l"#& )*&+i ". ('++' l7!"#' &"+"(#
/*#&' )&)#"&9+#i)+ (' #&$' ". &"l,' > li(%:
• +B %= *. l"#& )*' #&$' +'!" " $"+)" 7
• %= +"i+ l"#&+ )'. %+#" +)"($"(#" ! $ % \ l #
• %= +"i+ l"#&+ )'. %+#" $"+)"($"(#" 5 / X z
• %= #&"z" l"#&+ /*" )%..'+ $" "/*"(+ )"i.('&+*8
A&"($"& .(#"& *(i7'&.i$$" (' #&$' +i5(i7i) 7'&.& %=!i#'+ $" "+)&i#
/*" '!"$". >+ /*#&' )&)#"&9+#i)+ '(#$+8III- E+."(#': ' "+."(#' < i.'&#(#" 7#'& /*" )'()'&&" &
l"5i!ili$$"8 &")i+' "&i7i)&:
• S" %= "+' "(#&" *. l"#& " '*#& ( l&
• S" %= "+' "(#&" *. l& " '*#&
• S" %= "+' "(#&" *. 7&+" " '*#&
• S" %= "+' "(#&" &=5&7'+8
*($' '+ "+'+ "(#&" + l"#&+ (,' +,' *(i7'&."+ %= &"*9z' ( l"i#*& '."+.' )'(#")" "(#&" + l&+8 E+")il."(#" (' /*$&'-$"-5iz '
&'7"++'& $"" )*i$& & /*" 7i/*" *. "+' $"/*$' "(#&" + l&+
&i()il."(#" (+ +<&i"+ $' 1' )i)l'8 I+#' "i# /*" + )&i(+ /*" "+#,'
.i+ 7+#$+ $' /*$&' ". + l&+ *. )'.' )'(#i(*,' $ '*#&
)'i($'- + )'.' +" 7'++". *. +B8 &")i+' )*i$& #.!<. ' "+'
"(#&" 7&+"+ #"($' ". i+# + l"#&+ )'. %+#"+8
IV- Li5."(#'+: ( l"#& )*&+i '+ li5."(#'+ #.!<. +,' 7#'&"+
i.'&#(#9++i.'+ & l"5i!ili$$": l"#&+ /*" 7'&.. *. l& $"".
+"& li5$+ "(#&" +i8 A '.i++,' $" li5."(#'+ &'') (' l"i#'& *. #"($?()i
> l"i#*& $" *. l& '& &#"+ +i.*l($' $i7"&"(#"+ l&+8 E. +"
#&#($' $" )&i(+ /*" l?". ' /*" "+)&"".'+ (' /*$&'-$"-5iz '* ".
7'l%+ "&'5&7$+ ('++ '.i++,' $" li5."(#'+ '$" )'()'&&"& &
il"5i!ili$$"8 O l*(' 5"&l."(#" "+)&"" )'.' ' &'7"++'& "(+i(8
V- I()li(,': l"#& )*&+i $" *. "++' $"+#& +" &"+"(# li5"i&."(#"
8/15/2019 elizabete trabalho revisado (1).odt
http://slidepdf.com/reader/full/elizabete-trabalho-revisado-1odt 137/177
i()li($ & $i&"i#8 I+#' 7'&")" l"i#*&8 A i()li(,' $ l"#&
'$" $""($"& $ '+i,' /*" +" $'# & "+)&""& .+ "++"()il."(#"
$""($" $ '+i,' ". /*" +" )'l') ' "l '($" i "+)&""&8 U. l*('
+"(#$' $" 7&"(#" & +* ."+ $""&= )'l')& 7'l% $" "l '* $" +"*
)$"&(' l""."(#" i()li($ & "+/*"&$8 D"++" .'$' l"#& +i&=
li5"i&."(#" i()li($ & $i&"i#8 *(#' .i'& i()li(,' $' "l >
"+/*"&$ .i'& i()li(,' $" l"#& > $i&"i#8 C&i(+ /*" "+)&"". )'.
.,' "+/*"&$ $""&,' i()li(& ' "l & $i&"i#8
8/15/2019 elizabete trabalho revisado (1).odt
http://slidepdf.com/reader/full/elizabete-trabalho-revisado-1odt 138/177
FACULDADE JK *(i$$" +(# M&i
8/15/2019 elizabete trabalho revisado (1).odt
http://slidepdf.com/reader/full/elizabete-trabalho-revisado-1odt 139/177
8/15/2019 elizabete trabalho revisado (1).odt
http://slidepdf.com/reader/full/elizabete-trabalho-revisado-1odt 140/177
C'()"i#':
P& .*i#'+ +i(i+ $" Y.i+Z Y."('+Z Y.i'&Z '$". &")"& *.
!i)%' $" +"#" )!"+8 P'&<. .*i#+ "z"+ ' &'!l". (,' "+#= ( )&i(
.+
('+ &'7"++'&"+ '* ( ."#'$'l'5i $ "+)'l /*" (,' +" $# ' l*('8
E+#*$'+ .'+#&. /*" ' $"+"('li."(#' $ )&i( ". #"&.'+ /*(#i##i'+ <
$/*i&i$' 5&$#i."(#" .+ ". l5*(+ )+'+ $i7i)*l$$" '$" +"& "(+$ "++' #&#($'-+" $" *. #&(+#'&(' )'(%")i$' )'.' $i+)l)*li " (,'
)'.'$i+.' '* &"5*i )'.' l5*(+ '$". "(+&8 A $i+)l)*li < )*+$
'& .= 7'&.,' ("*&'lB5i) &'')($' $i7i)*l$$" ". &"($"& #*$' ' /*"
"+#= &"l)i'($' (."&'+ )'.': '"&;"+ .#".=#i)+ $i7i)*l$$" ".
"(#"($"& '+ )'()"i#'+ " li),' $ .#".=#i) +"5*i& +"/*?()i+
)l++i7i)& (."&'+ i.'&#(#" "+)l&")"& /*" $i+)l)*li (,' < )*+$
'& .= "+)'l&iz,' $"7i)i?()i ."(#l $<7i)i#+ i+*i+ '* *$i#i'+ '*
/*l/*"& li5,' )'. (9"i+ $" I8
A .#".=#i) < *. 7"&&."(# "++"()il ". ('+++ i$+ '& i++'
i.'&#()i $" $i5('+#i)& $i+)l)*li('+ &i."i&'+ ('+ $" i$8 *($'
(,' &")'(%")i$' #".' '$" $i7i)*l#& ' $"+"('li."(#' $ )&i(
&"+*l#($' (' ."$' )'.'&#."(#'+ i($"/*$'+ 5&"++ii$$" #i "
#< ' $"+i(#"&"++"8 Ei+#". +"i+ +*!#i'+ & Di+)l)*li8
V"&!l: &"+i+#?()i ". ('."& (."&'+ #"&.'+ " +9.!'l'+−
8/15/2019 elizabete trabalho revisado (1).odt
http://slidepdf.com/reader/full/elizabete-trabalho-revisado-1odt 141/177
L<i): &'!l".+ & l"& '+ +9.!'l'+ .#".=#i)'+−
P&)#'5(B+#i): $i7i)*l$$" & "(*."&& )'.&& "'* .(i*l& '!"#'+
'* i.5"(+ .#".=#i)+−
G&=7i): $i7i)*l$$" ". "+)&""& +9.!'l'+ .#".=#i)'+−
O"&)i'(l: &"+i+#?()i & "")*#& '"&;"+ " )=l)*l' (*.<&i)'+−
I$"'5(B+#i): $i7i)*l$$" & ."(#liz& + '"&;"+ " & )'.&""($"& '+
)'()"i#'+ .#".=#i)'+8−
T&#."(#':
P& ' &'7"++'& $i5('+#i)& $i+)l)*li ". +"* l*(' <
7*($."(#l '!+"&& #&"#B&i $ &"($iz5". $"l"8 Fi)& #"(#' +" )'.
7&"/*?()i '+ +9.!'l'+ +,' "+)&i#'+ i()'&&"#."(#" +" %= i())i$$" ".
'"&& )'. /*(#i$$"+ (*.<&i)+ +" (,' &")'(%")" '+ +i(i+ $+
'"&;"+8 Di7i)*l$$" ( l"i#*& $'+ (."&'+ " ". ."(#liz& + )'(#+
#.!<. +,' +i(i+ $ $i+l"i8 i.'&#(#" /*" ' &'7"++'& &"liz" #ii$$"+
"+")97i)+ +". i+'l=-l' $' &"+#(#" $ #*&.8 &"5&"++i' ' #&#."(#'
$" $i+)l)*li&"++l#& + $i7i)*l$$"+ $i7"&"()i($' ' l*(' $'+ $".i+
)'l"5+ .'+#&&-+" i.)i"(#" i(#"&&'."& '* #"(#& $ii(%& ' /*" )&i(
/*"& $iz"& )'&&i5i& ' l*(' 7&"/*"(#"."(#" $i(#" $ #*&. i5('&=-l' 7'&=-l'
7z"& + li;"+ /*($' ("&'+' '& (,' #"& )'(+"5*i$'8 U. $i) < &''&
'5'+ ". +l " *+& +i#*;"+ )'()&"#+ ('+ &'!l".+ .#".=#i)'+8
O +i)'"$5'5' < i($i)$' ' #&#."(#' $ $i+)l)*li /*" $""
+"& 7"i#' ". &)"&i )'. "+)'l " )'. '+ 7.ili&"+8 E++" &'7i++i'(l *$
)'. &"l,' > *#'"+#i. " l'&iz + #ii$$"+ &"liz$+8 T.!<. i
$"+)'!&i& ' &')"++' $" &"($iz5". $ )&i( #&<+ $" i(+#&*."(#'+ /*"i&,' *$=-l (' "(#"($i."(#'8 O+ '5'+ *$. )'. + %!ili$$"+
+i)'.'#'&+ " "+)ii+ ( )'(#5".
J= *. ("*&'l'5i+# i&= )'(7i&.& #&<+ $" "."+ $i7i)*l$$" "+")97i)
$' )i"(#" " "().i(%=-l' & ' #&#."(#' i$"l8 i.'&#(#" $"#")#& +
=&"+ $' )<&"!&' 7"#$+8 A .i'&i $+ )&i(+ '$" (,' 5'+#& $" )'(#+
)%& )%# " $i79)il8 M+ < i.'&#(#" $i7"&"()i& i($#,' $' l*(' '
"(+i(' $ "+)'l '* ' &'7"++'& $' $i+#&!i' /*" &'') $i7i)*l$$" )'. '+(."&'+8 C+' "++' "+#" +" $"+"('l"($' ('&.l."(#" ". '*#&+
$i+)ili(+ &')*&" *. "+")ili+# /*" '++ #i&& $i$ " $""($"($'
8/15/2019 elizabete trabalho revisado (1).odt
http://slidepdf.com/reader/full/elizabete-trabalho-revisado-1odt 142/177
)'."& ' #&#."(#' 'i+ /*(#' (#"+ 7'& $"+)'!"&#' ."('& '
&"*9z' & )&i( " ."l%'& "l +" $#&= )'. + /*"+#;"+ $'
)'#i$i(' &"l)i'(."(#' *#')'(7i( '$"& $" $")i+,'
Cli/*" /*i " !i" $i)+ +'!&" YA SRIE: O+ P&i()ii+ T&(+#'&('+
$ A&"($iz5".Z8
C+' &")i+" $" *. "/*i" i(#"&$i+)ili(& & 7z"& *. $i5(B+#i)'
"(#&" ". )'(##' )'. ' C"(#&' P+i)'"$5B5i)' A'i'8 NB+ #*.'+ )'.
")"l?()i ( &""(,' $+ $i7i)*l$$"+ $" &"($iz5". &#i& $" *.
"(7'/*" #&(+$i)ili(&8 R"liz.'+ #"($i."(#' +i)'lB5i)' +i)'"$5B5i)'
+i)(l9#i)' " 7'('*$i'lB5i)'8
/*i+ '+ &i()ii+ +i(#'.+ $ Di+l"iE+)++"z $" ')!*l=&i' '.i++,' )&<+)i.' $" l"#&+
O+ +i(#'.+ $ $i+l"i &i. $" )'&$' )'. '+ $i7"&"(#"+ 5&*+ $'
#&(+#'&(' .+ "++' #". $i7i)*l$$" & $")'$i7i)& + l"#&+ $' l7!"#'
" #*$' ' /*" < &"l)i'($' > l"i#*&8 O $i+l<i)' (,' )'(+"5*" ++')i& '
+9.!'l' 5&=7i)' " + l"#&+ ' +'. /*" "l"+ &"&"+"(#.8 P'$". )'(7*($i&
$i&"i# )'. "+/*"&$ (' +"(#i$' "+)il '* "+)&""& $" 7'&. i("&#i$ '
i(<+ $" Y'BZ Y'BZ Y#'Z '& Y#'Z8 A $i+l"i #.!<. 5"& '.i++,' $"
+9l!+ '* l"#&+ )'.' Y#&(+'&('Z & Y#&(+#'&('Z #< ."+.' )'(7*+,' $"
l&+ )'. 5&7i +i.il& '& "".l' (-* -. -" -/ -! !-$ T"&
(")"++i$$" $" +"5*i& li(% $' #"#' )'. '+ $"$'+ < '*#&' +i(#'.
$" $i+l"i8 O i($i9$*' +'7&" )'. '!&"z $" ')!*l=&i' "+)++"z $"
)'(%")i."(#' &<i' )'(7*+,' )'. &"l,' >+ #&"7+ "+)'l&"+ '$"($'
&"+*l#& (*. #&+' "+)'l&8 A "i+#?()i $" )+'+ $" $i+l"i ( 7.9li
$i7i)*l$$"+ & )'.&""(+,' $" #"#' &")'(%")"& &i.+ " +9.!'l'+ $")'&&
#!*$ i("&+,' )&<+)i.' '* '.i++,' $" l"#&+ +l#& '* &"#&')"$"& li(%+
(' .'."(#' $ l"i#*& +,' +i(i+ $" $i+l"i8
Al5*(+ +i(i+ /*" '$". $i5('+#i)& $i+l"i:
A+ )*++:
*($' i()'.&""(+,' ( l"i#*& *l#&++ 7+" $"l7!"#iz,'
8/15/2019 elizabete trabalho revisado (1).odt
http://slidepdf.com/reader/full/elizabete-trabalho-revisado-1odt 143/177
A l"i#*& < +il!$
Fz $ii(%;"+ '& "".l' "(#"($" l& Y7.'+'Z )'.'
Y7.9liZ @'i+ "+# l#i. < .i+ 7&"/*"(#"
T&') '.i#" '* i("&#" + l"#&+ $*&(#" l"i#*&
S*!+#i#*i,': Y#'$'+Z '& Y#'#'+Z
O.i++,': YC%* 7'&#"Z '& Y)%* 7'#"Z
A)&<+)i.' $" l"#&+ '* +9l!+: YE+#&(%'Z '& Y"+#&i(%'Z
-S"&,': YE+#= ".!i' $ ).Z '& YE+#= ". !i' $ ).Z
O* YCi* *. )%*Z '& Y)i* *. )%*Z
J*(,': YA l* "+#= "(#&" + (*"(+Z '& YAl*"+#= "(#&"+ (*"(+Z8
C'.' #&!l%& "++" l*(' ". +l $" *l:
S"5*($' `'&l$ F"$"&#i'( '7 N"*&'l'5i+#+ @16 $i+l"i $'
$"+"('li."(#' < *. $i+#&!i' ". /*" )&i( "+& $" #"& )"++' >
"+)'l&iz,' &"5*l& 7l% ". $/*i&i& + %!ili$$"+ $" l"i#*& "+)&i# "
+'l"#&,' /*" +"&i. "+"&$+ $" )'&$' )'. +"* $"+"."(%' i(#"l")#*l8
S"5*($' $"7i(i,' $' N#i'(l I(+#i#*#" '7 "l#% ."&i)('
$i+l"i < *. $'+ =&i'+ #i'+ $" $i+#&!i'+ $" &"($iz5".8 *. $i+#&!i'
"+")i7i)' $" li(5*5". $" '&i5". )'(+#i#*)i'(l " )&)#"&iz$' '& $i7i)*l$$"+ ". $")'$i7i)& l&+ i+'l$+ 5"&l."(#" &"7l"#i($' %!ili$$"+
$" &')"++."(#' 7'('lB5i)' $"7i)i"(#"+8
P& +*+"i# $" $i+l"i $"" +"& ")l*9$ &"+"( $" '*#&'+
$i+#&!i'+:
- A#&+' G"&l $' D"+"('li."(#'
- Di+#&!i'+ A*$i#i'+
8/15/2019 elizabete trabalho revisado (1).odt
http://slidepdf.com/reader/full/elizabete-trabalho-revisado-1odt 144/177
- L"+;"+ N"*&'lB5i)+
- Di+#&!i'+ E.')i'(i+8
N". #'$+ + )&i(+ )'. $i+l"i &"+"(#. + ."+.+
)&)#"&9+#i)+ (i) )&)#"&9+#i) )'.*. < $i7i)*l$$" ( l")#'"+)&i#8
E+#*$'+ .'+#&. /*" /*(#' .i'& i$$" $ )&i( '&#(#'
/*(#' .i+ #".' +" ++ )'. $i7i)*l$$" $" l"i#*& " "+)&i# ."('&"+
+,' '+ "7"i#'+ $ i(#"&"(,'8
C'.' '$"&i "&)"!"& ' #"#' *. )&i( /*" &"+"(#
$i+l"i8 I.5i("
8/15/2019 elizabete trabalho revisado (1).odt
http://slidepdf.com/reader/full/elizabete-trabalho-revisado-1odt 145/177
FACULDADE JK *(i$$" +(# M&i
8/15/2019 elizabete trabalho revisado (1).odt
http://slidepdf.com/reader/full/elizabete-trabalho-revisado-1odt 146/177
C*&+' "$5'5i 3 +"."+#&"
T&(+#'&('+
TOC
8/15/2019 elizabete trabalho revisado (1).odt
http://slidepdf.com/reader/full/elizabete-trabalho-revisado-1odt 147/177
C'()"i#':
TOC @T&(+#'&(' O!+"++i' C'.*l+i' < *. $i+#&!i'
+i/*i=#&i)'$"+i5($' '& *. #&(+#'&(' 5"&$' '& "(+."(#'+
)'.*l+i'+/*" 5"&. (+i"$$" )*+($' *. $"+)'(7'&#' '* +'7&i."(#' ('
i($i9$*'8 N'&.l."(#" < $"+i5($' )'.' TOC
'!+"++,' '& %i5i"("+i."#&i "&7"))i'(i+.' .(i+ '* Y&i#*i+Z8 O
TOC '$" +"& .(i7"+#$' $" =&i+ .("i&+ +"($' /*" ".l5*(+ )+'+ +,' .i+ 5&"+ " ". '*#&'+ '$". +"& ."('+ "&)"#9"i+8
E++" #i' $" #&(+#'&(' #'&."(# .il%&"+ $" "++'+ ". #'$' ' .*($'8
O TOC '$" +"& i$"(#i7i)$' +" ' i($i9$*' +" &"')* #'$' '
.'."(#' )'. +*"i& l($' + .,'+ =&i+ "z"+ ' l'(5' $' $i '* '&
*. $"+)'(7'&#' +" '+ '!"#'+ (,' "+#i"&". +i."#&i)."(#" '+i)i'($'+8
$"7i(i$' )'.' TOC S*!)l9(i)' (' )+' $" "i+#i&". l5*(+ Y&i#*i+Z
'* '!+"++;"+ /*" +" &""#". )'. l5*. &"5*l&i$$" .+ /*" (,'
)%"5. & #&l%& i$ +')il $' i($i9$*'8
E+#" $i+#&!i' '$" i."$i& *. i($i9$*' $" "")*#& ' +"* #&!l%' "
$" i(#"&5i& ". *. )'(#"#' +')il8 E. i(5l?+ "+#" #&(+#'&(' < )'(%")i$'
)'.' OCD - !sessive"comp#lsive disorder$
8/15/2019 elizabete trabalho revisado (1).odt
http://slidepdf.com/reader/full/elizabete-trabalho-revisado-1odt 148/177
A+ C*++
Ei+#". .*i#+ i()"&#"z+ &"l#i."(#" >+ )*++ $' TOC +"($' /*"
l5*.+ )*++ i($ (,' 7'&. )i"(#i7i)."(#" )'.&'$+8 A )*+ .i+
)'.*. < 5"(<#i) /*($' l5*<. $ 7.9li +'7&" '* +'7&"* $"++" #i' $"
#&(+#'&(' < )'.*. "&i7i)& '*#&+ "++'+ )'. ' ."+.' #&(+#'&(' '*
&")i$'8 E+#*$'+ '(#. & *. ('.li .*l#i7#'&il $"i$' *.
&'!l". $" )'.*(i),' ". l5*.+ =&"+ $' )<&"!&' li5$+ > +"&'#'(i(8
U. i(7"),' !)#"&il #.!<. '$" $"+"()$"&
+i(#'.+ &"l)i'($'+ )'. ' #&(+#'&(' '!+"++i' )'.*l+i'8
C'.' .*i#+ )*++ $' TOC +,' $"+)'(%")i$+ (,' < '++9"l 7l&
$" *. )*& $"7i(i#i $"+#" #&(+#'&('8 N' "(#(#' "i+#". #&#."(#'+ /*"
'$". #"(*& '+ +"*+ +i(#'.+8
T&#."(#':
O TOC < *. #&(+#'&(' /*" +" &""l (' )'.'&#."(#' $" *.
i($i9$*' '$"($' +"& *. #&(+#'&(' l"" .'$"&$' '* 5&"8 U. "++'
(,' ."l%'& +". #&#."(#' " )'.' ' #&(+#'&(' +" .(i7"+# $" 7'&.+
$i7"&"(#"+ ". )$ "++' '+ #&#."(#'+ #.!<. '$". &i&8 Al5*(+
+i/*i#&+ 7i&.. /*" #"&i )'.'&#."(#l #"&i )'5(i#i'-)'.'&#."(#l " l5*(+ ."$i)."(#'+ )'(+#i#*". #&#."(#'+ $" &i."i&
li(% & ' TOC8
O $i5(B+#i)' $' TOC
P& /*" +" "+#!"l")i$' ' $i5(B+#i)' $" TOC < (")"++=&i' /*" +
'!+"++;"+ '* )'.*l+;"+ )'(+*.. *. #".' &z'="l @'& "".l'
#'.. .i+ $" *. %'& '& $i '* )*+". $"+)'(7'&#' )li(i)."(#"
+i5(i7i)#i' '* )'.&'."#. i$ +')il ')*)i'(l )$?.i) '*
'*#&+ =&"+ i.'&#(#"+ $' 7*()i'(."(#' $' i($i9$*'8 O+ +i(#'.+
'!+"++i'-)'.*l+i'+ (,' '$". +"& #&i!*9$'+ ' "7"i#' 7i+i'lB5i)' $i&"#' $"
*. +*!+#()i @8"8 $&'5 $" !*+' '* *. ."$i),' '* '*#&
)'($i,' .<$i) )'.' $'"(+ +i/*i=#&i)+ /*" #.!<. '$". #"& "(#&"
+"*+ +i(#'.+ - '!+"++;"+ " '* )'.*l+;"+ @'& "".l': $""($?()i
$&'5+ )'."& )'.*l+i' '5' #'lB5i)'8 A+ '!+"++;"+ " )'.*l+;"+#.!<. (,' '$". +"& )'(+"/*?()i $" $'"(+ ("*&'lB5i)+8
8/15/2019 elizabete trabalho revisado (1).odt
http://slidepdf.com/reader/full/elizabete-trabalho-revisado-1odt 149/177
P&""(,':
C'(+i$"&$' &&' #< '*)' #".' ' TOC < *. #&(+#'&(' ."(#l
!+#(#" )'.*. )'."#"($' &'i.$."(#" *. ". )$ 0 60
i($i9$*'+ '* ' &"$'& $" 2 $+ "++'+ ' l'(5' $ i$ '* ' &"$'& $"
1 ". $"#"&.i($' .'."(#'8 N' W&+il < &'="l /*" "i+#. ' &"$'& $"2 .il%;"+ $" i($i9$*'+ )'. ' #&(+#'&('8 S"* i(9)i' ". 5"&l < (
$'l"+)?()i .+ (,' &&' ( i(7()i8 O+ +i(#'.+ '$". +"& $"
i(#"(+i$$" l"" .+ (,' &&' +,' .*i#' 5&"+ " #< i())i#(#"+8 O TOC
#"($" +"& )&(i)' )'. '+ +i(#'.+ )&"+)"($' '* $i.i(*i($' $" i(#"(+i$$"
' l'(5' $' #".'8 S" (,' #&#$' '$" )'.(%& ' i($i9$*' ' l'(5' $"
#'$ +* i$ 'i+ &&."(#" ."l%'& "+'(#("."(#"8
C'.' #&!l%& "++" l*(' ". +l $" *l:
.*i#' i.'&#(#" !*+)& *9li' & $"+)'!&i& $i+)l)*li '* (,'
(' "&9'$' "+)'l& /*($' l5*(+ +i(i+ +,' &"+"(#$'+ 'i+ l5*(+ l*('+
/*" +,' $i+)l)li)' +,' "+#i5.#iz$'+ )'.' $"+#"(#'+ " &"5*i'+'+
/*($' '++*". &'!l".+ /*(#' > ++i.il,' " )'.&""(+,' $' /*" <
"$i$'8 =li$' &"++l#& /*" ' $i+#&!i' ("*&'lB5i)' /*" &'') $i+)l)*li
(,' )*+ $"7i)i?()i+ ."(#i+ )'.' l5*.+ "++'+ /*"+#i'(.8 O
$i+)l)li)' '$" +"& *ili$' (' +"* $i--$i '& *. )l)*l$'& *.
#!*$ *. )$"&(' /*$&i)*l$' )'. /*"+#;"+ $i&"#+ " +" i($ #i"& .*i#
$i7i)*l$$" ' &'7"++'& '* )'l"5 $" #&!l%' '$" 7z"& +"*+
/*"+#i'(."(#'+ '&l."(#" & /*" ' &'!l". +" &"+'li$'8 O $i+)l)li)'
(")"++i# $ )'.&""(+,' $" #'$+ + "++'+ /*" )'(i". &Bi.+ "l"
'i+ "()'(#& 5&($"+ $i7i)*l$$"+ (+ )'i++ /*" &")". B!i+8 E++ .=
7'&.,' ("*&'lB5i) &'') #&(+#'&('+ ( &"($iz5". $" #*$' ' /*" +"
&"l)i'( (."&'+ )'.' 7z"& '"&;"+ .#".=#i)+ 7z"& )l++i7i);"+
$i7i)*l$$" ". "(#"($"& '+ )'()"i#'+ .#".=#i)'+ li),' $ .#".=#i)
(' )'#i$i(' " ( +"/*"()i,' (*.<&i)8 A)&"$i#-+" /*" )*+ $"++ .=
7'&.,' '$" +"& 5"(<#i) ("*&'!i'lB5i) '* "i$".i'lB5i)8
N'&.l."(#" )&i(+ " /*l/*"& '*#& "++' /*" '++*i #l $i+#&!i'
&"+"(#. +i(i+ )'.' $i7i)*l$$" )'. #!*$+ '&$"(+ (*.<&i)+
8/15/2019 elizabete trabalho revisado (1).odt
http://slidepdf.com/reader/full/elizabete-trabalho-revisado-1odt 150/177
$i7i)*l$$"+ ". '+i)i'(& '+ (."&'+ ". 7'l% $" "l $i7i)*l$$"
". +'.& +*!#&i& .*l#ili)& " $ii$i& $i7i)*l$$" ". .".'&iz& )=l)*l'+ "
7B&.*l+ $i7i)*l$$" ". $i+#i(5*i& '+ +9.!'l'+ .#".=#i)'+ $i7i)*l$$" ".
)'.&""($"& '+ #"&.'+ *#iliz$'+8
Al5*.+ $+ $i7i)*l$$"+ i($ "i+#"(#"+ ". "++'+ )'.
$i+)l)*li < #.!<. )&)#"&iz$ ( $i+l"i $i+#&!i' /*" &"+"(#
$i7i)*l$$" ". l"& "+)&""& " +'l"#&& 'i+ "++' )'. (")"++i$$"
"$*)#i "+")il '++*i $i7i)*l$$" ". i(#"&&"#& ' "(*()i$' $'+ ""&)9)i'+
" $'+ )'()"i#'+ .#".=#i)'+8
A $i+)l)*li = '$" +"& ('#$ &#i& $ &<-"+)'l /*($'
)&i( #"($" #"& $i7i)*l$$"+ ". )'.&""($"& '+ #"&.'+ = *#iliz$'+ )'.'
i5*l $i7"&"(#" '&<. +'."(#" B+ i(#&'$*,' $" +9.!'l'+ " )'()"i#'+
.i+ "+")97i)'+ < /*" ' &'!l". +" )"(#* " +i. = '$" +"& $i5('+#i)$'8
Ei+#". .<#'$'+ /*" '$". 7)ili#& i$ $"+++ "++'+ /*($'
(")"++i#. $ .#".=#i)8 P& ."l%'&& ' +"* $"+"."(%' ' &'7"++'&
$"" "&.i#i& /*" ' i($i9$*' *#iliz" #!*$ )l)*l$'& )$"&('+
/*$&i)*l$'+ " "l!'&& ""&)9)i'+ " &'+ )'. "(*()i$'+ .i+ )l&'+ "
$i&"#'+8 Ai($ '$" "+#i.*l& ' i($i9$*' ++($' #&!l%'+ $" )+ )'.
""&)9)i'+ &""#i#i'+ " )*.*l#i'+8 M*i#'+ l*('+ $i+)l)li)'+ (,')'.&""($". '+ &'!l".+ /*" &'7"++'& ++ (' /*$&' " 7i). .*i#'
#".' #"(#($' "(#"($"& +" < & +'.& $i.i(*i& '* .*l#ili)& (,' +!".
(". ' /*" ' &'!l". "+#= "$i($'8 Al5*(+ ". &#i)*l& (,' "(#"($". '+
+i(i+ .*i#' ."('+ + "&"++;"+8 C'(#+Q SB ('+ $"$'+ " 'l%" l=8
E. .*i#'+ )+'+ ' &'!l". (,' "+#= ( )&i( .+ (' &'7"++'&
/*" "l!'& &'!l".+ )'. "(*()i$'+ i($"/*$'+ & i$$" )'5(i#i $
)&i(8 C&&%"& 7i&. /*": YV=&i'+ "+#*$'+ +'!&" ' $"+"('li."(#' $
)&i( .'+#&. /*" #"&.'+ /*(#i##i'+ )'.' Y.i+Z Y."('+Z .i'&Z
Y."('&Z "#)8 +,' $/*i&i$'+ 5&$#i."(#" " $" i(9)i' +,' *#iliz$'+ "(+
(' +"(#i$' !+'l*#' $" Y' /*" #". .i+Z Y' /*" < .i'&Z " (,' (' +"(#i$'
&"l#i' $"Z #"& .i+ /*"Z '* Y+"& .i'& /*"Z8 A )'.&""(+,' $"+++
"&"++;"+ )'.' i($i)($' *. &"l,' '* *. )'.&,' "(#&" $*+
)'i++ &")" $""($"& $ /*i+i,' $ ))i$$" $" *+& $ lB5i) /*" <
$/*i&i$ (' "+#=5i' $+ '"&;"+ )'()&"#+Z888ZO &'!l". ++ "(#,' +"&
8/15/2019 elizabete trabalho revisado (1).odt
http://slidepdf.com/reader/full/elizabete-trabalho-revisado-1odt 151/177
l5' +". +"(#i$' " +'l*,' ' i(<+ $" +"& &')*&$ #&<+ $' *+' $
lB5i) #'&(-+" *. /*"+#,' $" $ii(%,'Z8
N' "(#(#' ". '*#&'+ )+'+ $i7i)*l$$" '$" +"& &"l."(#" $
)&i( " #&#-+" $" *. $i+#&!i' " (,' $" &"5*i )'.' "(+. .*i#'+ i+
" &'7"++'&"+ $"+i(7'&.$'+8
E. 5"&l $i7i)*l$$" ". &"($"& .#".=#i) '$" #"& =&i+
)*++8 D" )'&$' )'. J'%(+'( " MX\l"!*+# #"&"*#+ $" )&i(+ )'.
$"+'&$"(+ " 7&)++'+ ". &i#.<#i) "i+#". l5*(+ $i+#&!i'+ /*" '$"&i.
i(#"&7"&i& ("+# &"($iz5".8
8/15/2019 elizabete trabalho revisado (1).odt
http://slidepdf.com/reader/full/elizabete-trabalho-revisado-1odt 152/177
FACULDADE JK *(i$$" +(# M&i
8/15/2019 elizabete trabalho revisado (1).odt
http://slidepdf.com/reader/full/elizabete-trabalho-revisado-1odt 153/177
C*&+' "$5'5i 3 +"."+#&"
T&(+#'&('
"+/*iz'7&"(i
8/15/2019 elizabete trabalho revisado (1).odt
http://slidepdf.com/reader/full/elizabete-trabalho-revisado-1odt 154/177
C'()"i#':
A "+/*iz'7&"(i < *. #&(+#'&(' ."(#l )'.l"' /*" $i7i)*l# (
$i+#i(,' "(#&" + ""&i?()i+ &"i+ " i.5i(=&i+ i(#"&7"&" ('
"(+."(#' lB5i)' (+ &"+'+#+ ".')i'(i+ ('&.i+ " )'.'&#."(#'
"+"&$' ". +i#*;"+ +')ii+8
A' )'(#&=&i' $' /*" .i'&i $+ "++'+ "(+ "+/*iz'7&"(i (,'
< *. $i+#&!i' $" .l#il+ "&+'(li$$"+8 *. $'"( )&(i) )'.l"
" /*" "i5" #&#."(#' '& #'$ i$8
A+ C*++
A+ )*++ "#+ $ "+/*iz'7&"(i i($ +,' $"+)'(%")i$+ .+ '+
.<$i)'+ )&"$i#. /*" *. )'.!i(,' $" 7#'&"+ 5"(<#i)'+ " .!i"(#i+
'++ "+#& "('li$ (' $"+"('li."(#' $"+#" $i+#&!i'8
E+/*iz'7&"(i: "(#"($ $'"( /*" &'') $"l9&i'+ " l*)i(;"+ -
1 $" 6
P&'!l".+ )'. )"&#+ +*!+#()i+ /*9.i)+ $' )<&"!&' i()l*i($'
("*&'#&(+.i++'&"+ )'.' $'.i( " ' 5l*#.#' #.!<. &")". "+#&
"('li$'+ (+ )*++ $ "+/*iz'7&"(i8 E+#*$'+ &")"(#"+ $" ("*&'i.5".
.'+#&. $i7"&"(+ ( "+#&*#*& $' )<&"!&' " $' +i+#". ("&'+' )"(#&l $+
"++'+ )'. "+/*iz'7&"(i ". )'.&,' '+ $" "++'+ +*$="i+8
8/15/2019 elizabete trabalho revisado (1).odt
http://slidepdf.com/reader/full/elizabete-trabalho-revisado-1odt 155/177
E.!'& '+ "+/*i+$'&"+ (,' "+#". #'#l."(#" )"&#'+ +'!&" ' /*"
+i5(i7i). #'$'+ "++"+ 7#'&"+ "+#"+ +,' i($9)i'+ $" /*" "+/*iz'7&"(i <
$" 7#' *. $'"( )"&"!&l8
F#'&"+ $" &i+)'
A"+& $" + )*++ $ "+/*iz'7&"(i i($ +"&". $"+)'(%")i$+
+!"-+" $" l5*(+ 7#'&"+ /*" '$". )'(#&i!*i& & ' $"+"('li."(#' $
$'"(8 C'(%":
E+/*iz'7&"(i: ' *+' $" $&'5+ '$" i(i)i& '* 5&&
$'"(Q
T!5i+.' "+#= ++')i$' &i+)' $" "+/*iz'7&"(i
i+#B&i 7.ili& $" "+/*iz'7&"(i
S"& "'+#' #'i(+ 9&*+ " > .= (*#&i,' $"(#&' $' #"&'
$ .," "+")il."(#" ('+ $'i+ &i."i&'+ #&i."+#&"+ $ 5"+#,'
D'"(+ *#'i.*("+
T"& *. i )'. i$$" .i+ ($
Fz"& *+' $" ."$i)."(#'+ +i)'#&Bi)'+ $*&(#"
$'l"+)?()i " ' i(9)i' $ i$ $*l#
T!5i+.' 8
Si(#'.+:
Si(#'.+ $" E+/*iz'7&"(i
O+ +i(#'.+ $" "+/*iz'7&"(i (' +"' .+)*li(' )'+#*.. &")"&
"(#&" '+ 20 " 2 ('+8 J= ". .*l%"&"+ '+ +i(i+ $ $'"( +,' .i+
)'.*(+ !"i&($' '+ 0 ('+ $" i$$"8 &&' "()'(#&& )+'+ $"
"+/*iz'7&"(i ". )&i(+ '* $*l#'+ )i. $'+ ('+8
E+/*iz'7&"(i "('l" *. +<&i" $" &'!l".+ #(#' )'5(i#i'+ /*(#'
)'.'&#."(#i+ " ".')i'(i+8 O+ +i(#'.+ )'+#*.. &i& " "(#&" "l"+
"+#,' i()l*+'+:
D"l9&i'+ E+#"+ +,' )&"(+ ". 7#'+ i&&"i+ /*" (,' '++*".
!+" l5*. ( &"li$$"8 U. "++' )'. "+/*iz'7&"(i '$")%& '&
8/15/2019 elizabete trabalho revisado (1).odt
http://slidepdf.com/reader/full/elizabete-trabalho-revisado-1odt 156/177
"".l' /*" "+#= +"($' &"*$i)$ $" l5*. 7'&. '* #<
."+.' ++"$i$8 El '$" )&"$i#& #.!<. /*" )"&#'+ 5"+#'+ '*
)'."(#=&i'+ +,' $i&")i'($'+ "l /*" "l #". l5*. ))i$$"
'* #l"(#' ")")i'(l '* #< ."+.' 7.8 P'$" )%& #.!<. /*"
$"#"&.i($ "++' "+#= i'($ '& "l " /*" *. 5&($")#=+#&'7" "+#= &"+#"+ ')'&&"&8 Al5*(+$"l9&i'+ i()l*". i$"i+ $" /*"
l5*.+ &#"+ $' )'&' (,' "+#,' ". l"(' 7*()i'(."(#' " #?.
*. i()i$?()i $" /*#&' ". )i()' "++'+ )'. "+/*iz'7&"(i8
Al*)i(;"+
E+#+ ". #"&.'+ 5"&i+ "('l". "& '* '*i& )'i++ /*" (,'
"i+#".8 N' "(#(#' & "++' )'. "+/*iz'7&"(i "+++ )'i++ #?. #'$
7'& " ' i.)#' $" *. ""&i?()i ('&.l8 A+ l*)i(;"+ '$". "+#&
". /*l/*"& *. $'+ +"(#i$'+ .+ '*i& 'z"+ < l*)i(,' .i+ )'.*. $"
#'$+8
P"(+."(#' $"+'&5(iz$'
E++" +i(#'. '$" +"& &"7l"#i$' ( 7l /*" #.!<. +i $"+'&5(iz$ "
)'. '*)' '* ("(%*. ("'8 A i$"i $" /*" "(+."(#' $"+'&5(iz$' < *.
+i(#'. $ "+/*iz'7&"(i +*&5i* &#i& $' $i+)*&+' $"+'&5(iz$' $" l5*(+
)i"(#"+8 P& '+ .<$i)'+ '+ &'!l".+ ( 7l +B '$". "+#& &"l)i'($+ >
i())i$$" $" "++' 7'&.& *. li(% $" "(+."(#' )'"&"(#"8 N"+#"
+"(#i$' )'.*(i),' "7i)z $" *. "++' '&#$'& $" "+/*iz'7&"(i '$" +"&
&"*$i)$ '& )*+ $"+#" &'!l". " + &"+'+#+ >+ "&5*(#+ 7"i#+ '$".
+"& &)il '* )'.l"#."(#" l%"i+ " $"+)'("+8
!ili$$" .'#'& $"+'&5(iz$ '* ('&.l
O )'.'&#."(#' $" *. "++' )'. "++" #i' $" $i+7*(,' (,' <
7')$' ". *. '!"#i' ' /*" #'&( $i79)il & "l "")*#& #&"7+8
C'.'&#."(#' .'#'& ('&.l '$" i()l*i& &"+i+#?()i i(+#&*;"+ '+#*&
i($"/*$ " !iz&& '* *. +<&i" $" .'i."(#'+ i(#"i+ " ")"++i'+8
8/15/2019 elizabete trabalho revisado (1).odt
http://slidepdf.com/reader/full/elizabete-trabalho-revisado-1odt 157/177
O*#&'+ +i(#'.+
Al<. $'+ +i(i+ )i#$'+ '*#&'+ &")". "+#& &"l)i'($'+ )'.
"+/*iz'7&"(i8 U. "++' )'. $'"( '$":
N,' &"(#& ".';"+
N,' 7z"+ )'(##' i+*l
N,' l#"&& + "&"++;"+ 7)ii+
T"& 7l .'(B#'( " +". $i,' $" /*i+/*"& .'i."(#'+
/*" ('&.l."(#" $,' ?(7+" ".')i'(l ' $i+)*&+'8
Al<. $i++' "++' '$" #"& &"$*zi$ +* ))i$$" $" l("& '*
&"liz& #ii$$"+ #i+ )'.':
Di.i(*i,' $ 7l
N"5li5?()i ( %i5i"(" "++'l
P"&$ $" i(#"&"++" ". #ii$$"+ )'#i$i(+
I+'l."(#' +')il
S"(+,' $" i())i$$" $" )'(+"5*i& +"(#i& &z"&8
Di5(B+#i)' " "."+:
W*+)($' *$ .<$i)
P"++'+ )'. "+/*iz'7&"(i .*i#+ "z"+ (,' #?. )'(+)i?()i $"
/*" +*+ $i7i)*l$$"+ &"+*l#. $" *. $'"( /*" &"/*"& #"(,' .<$i)8
P'& i++' .*i#+ "z"+ l5*. &"(#" '* .i5' &Bi.' $"" +"&
&"+'(+="l '& l"& "++' $'"(#" *. "+")ili+#8
• E+/*iz'7&"(i: )'.' i$"(#i7i)& +" *. .i5' '* 7.ili&
"+#= )'. +i(i+ $ $'"(Q
S" ('#& /*l/*"& *. $'+ +i(#'.+ $"+)&i#'+ )i. &')*&" *$
.<$i) i."$i#."(#"8
N )'(+*l# .<$i)
S" ')? "+#= )'.(%($' *. "++' )'. +*+"i# $"
"+/*iz'7&"(i &')*&" 5iliz& ' ($."(#' $ )'(+*l# " l"" ('#$'+ #'$'+'+ +i(#'.+
8/15/2019 elizabete trabalho revisado (1).odt
http://slidepdf.com/reader/full/elizabete-trabalho-revisado-1odt 158/177
'!+"&$'+ ( "++'8 Ti&" +*+ $i$+ +'!&" +i(i+ '++9"i+
$i5(B+#i)'+ " ' /*" 7z"& & *$& ( &")*"&,'8
R"+'($ #.!<. >+ "&5*(#+ /*" ' .<$i)' '$"&= 7z"& )'.':
*($' '+ +i(#'.+ )'."&.Q
O+ +i(#'.+ +,' 7&"/*"(#"+ '* ')+i'(i+Q
= i($9)i'+ $" /*" "l" '* "l /*"i& )'."#"& +*i)9$i'Q
El" '* "l 7'i $i5('+#i)$' )'. '*#&' &'!l". .<$i)'
&")"(#"."(#"Q
*i+ ."$i)."(#'+ "l" '* "l 7z *+'Q
Di5(B+#i)' $" E+/*iz'7&"(i
N,' %= "."+ .<$i)'+ $i+'(9"i+ )z"+ $" $i5('+#i)&
"+/*iz'7&"(i8 P& /*" ' )i"(#" +" $i5('+#i)$' )'. "+/*iz'7&"(i *.
+i/*i#& $"" ".i(& ' )i"(#" & )'(7i&.& +" < *. )+' $ $'"(
'* (,'8 O $i5(B+#i)' < 7"i#' )'. !+" ". *. "(#&"i+# .i(*)i'+ )'.
"++' " +"*+ 7.ili&"+8
E."+ )"&"!&i+ @)'.' #'.'5&7i+ '* &"++'(()i+ .5(<#i)+ "
"."+ $" +(5*" '$". *$& $"+)&#& '*#&+ $'"(+ )'. +i(#'.+
+"."l%(#"+ > "+/*iz'7&"(i .+ (,' +,' )z"+ $" $"#"&.i(& +" "l <
)*+ $'+ +i(#'.+8
T&#."(#':
T&#."(#' $" E+/*iz'7&"(iE+/*iz'7&"(i &"/*"& #&#."(#' $*&(#" #'$ i$ ."+.' B+ '
$"+&")i."(#' $" +i(#'.+8 O #&#."(#' )'. ."$i)."(#'+ " #"&i
+i)'++')il '$". *$& )'(#&'l& $'"(8 D*&(#" '+ "&9'$'+ $" )&i+"
'* #".'+ $" 5&."(#' $'+ +i(#'.+ %'+i#liz,' '$" +"&
(")"++=&i & 5&(#i& +"5*&( li."(#,' $"/*$ +'(' $"/*$'
" %i5i"(" !=+i) $' )i"(#"8
• E+/*iz'7&"(i: /*i+ +,' '+ ."l%'&"+ #&#."(#'+ &
$'"( +i/*i=#&i)Q
8/15/2019 elizabete trabalho revisado (1).odt
http://slidepdf.com/reader/full/elizabete-trabalho-revisado-1odt 159/177
U. +i/*i#& )'. ""&i?()i (' #&#."(#' $ "+/*iz'7&"(i
5"&l."(#" < /*". '&i"(# )'.' ' #&#."(#' +" $&=8 P+i)Bl'5' ++i+#"(#"
+')il " "(7"&."i&' +i/*i=#&i)' #.!<. '$". 7z"& &#" $ "/*i" .<$i)
/*" )*i$ $" *. "++' )'. "+/*iz'7&"(i8
O+ ."$i)."(#'+ +,' !+" & ' #&#."(#' $ "+/*iz'7&"(i8 N'"(#(#' "++"+ &".<$i'+ '$". )*+& "7"i#'+ )'l#"&i+ 5&"+ ".!'&
+". &&'+8 A+ "++'+ )'. "+/*iz'7&"(i (' "(#(#' '$". +"& &"l*#(#"+
". #'.-l'+8
M"$i)."(#'+ (#i+i)B#i)'+
M"$i)."(#'+ (#i+i)B#i)'+ +,' '+ ."$i)."(#'+ .i+ )'.*."(#"
&"+)&i#'+ & ' #&#."(#' $ "+/*iz'7&"(i8 El"+ +,' *+$'+ &)'(#&'l& '+ +i(#'.+ 5i($' $i&"#."(#" +'!&" &'$*,' $" $'.i( "
+"&'#'(i( (' )<&"!&'8
A "+)'l% $' ."$i)."(#' .i(i+#&$' ' )i"(#" $""($"&=
#.!<. $ '(#$" $' )i"(#" ". )''"&& )'. ' #&#."(#'8 Al5*<. /*"
+" &"+i+#"(#" #'.& ."$i),' '& "".l' '$" &")i+& $" i(";"+
". "z $" #'.& *. )'.&i.i$'8
Cl'zi(
*($' "+/*iz'7&"(i (,' &"+"(# ."l%'& )'. ' *+' $" $i"&+'+
(#i+i)B#i)'+ ' ."$i)."(#' )l'zi( '$" +"& $" 5&($" *$8 A )l'zi(
< ' ."$i)."(#' .i+ "7i)z ( &"$*,' $'+ +i(#'.+ $ "+/*iz'7&"(i .+
#.!<. #"($" )*+& .i+ "7"i#'+ )'l#"&i+ $' /*" '*#&'+ (#i+i)B#i)'+8
M"$i)."(#'+ & E+/*iz'7&"(i
O+ ."$i)."(#'+ .i+ *+$'+ & ' #&#."(#' $" l5*(+ +i(#'.+
$ "+/*iz'7&"(i +,':
A(7&(il
A&ii&z'l
W&'.z".
Cl'.i&.i(
Cl'zi(
8/15/2019 elizabete trabalho revisado (1).odt
http://slidepdf.com/reader/full/elizabete-trabalho-revisado-1odt 160/177
E/*ili$ 0.5
l$'l
l'"&i$'l
L"'#(
Ol(zi(
Ri+"&i$'(
cAP
S'."(#" *. .<$i)' '$" $iz"& /*l ' ."$i)."(#' .i+ i($i)$'
& ' +"* )+' !". )'.' $'+5". )'&&"# " $*&,' $' #&#."(#'8
Si5 +".&" > &i+) + '&i"(#;"+ $' +"* .<$i)' " NUNCA +" *#'."$i/*"8
N,' i(#"&&'. ' *+' $' ."$i)."(#' +". )'(+*l#& *. .<$i)' (#"+ " +"
#'.=-l' .i+ $" *. "z '* ". /*(#i$$"+ .*i#' .i'&"+ $' /*" &"+)&i#+i5 + i(+#&*;"+ ( !*l8
T'.& '+ ."$i)."(#'+ )'&&"#."(#" " li$& )'. '+ "7"i#'+ )'l#"&i+
• R")'(%")"& '+ +i(i+ i(i)ii+ $" *. &")9$ " +!"& )'.'
&"5i& +" '+ +i(#'.+ &"#'&(&".8
Li$& )'. '+ +i(#'.+ /*" +" .(i7"+#. ."+.' )'. ' *+'
$" ."$i)."(#'+8 U. #"&"*# '$" *$& :
A$.i(i+#&& $i(%"i&'
U+& ' #&(+'&#" !li)'8
C'.li);"+ '++9"i+
S" (,' 7'& #&#$ "+/*iz'7&"(i '$" &"+*l#& ". &'!l".+
".')i'(i+ )'.'&#."(#i+ " $" +$" 5&"+ ++i. )'.' &'!l".+
*&9$i)'+ " 7i(()"i&'+ /*" 7"#. /*+" /*" #'#l."(#" i$ $ "++'8
C'.li);"+ /*" "+/*iz'7&"(i '$" )*+& i()l*".:
S*i)9$i'
*l/*"& #i' $" *#'l"+,'
A(+i"$$" " 7'!i+
D"&"++,'
C'(+*.' ")"++i' $" =l)''l " !*+' $" $&'5+
'* ."$i)."(#'+ $" &"+)&i,'
8/15/2019 elizabete trabalho revisado (1).odt
http://slidepdf.com/reader/full/elizabete-trabalho-revisado-1odt 161/177
P"&$ $" $i(%"i&'
C'(7li#'+ 7.ili&"+
I.&'$*#ii$$" (' #&!l%' " ('+ "+#*$'+
I+'l."(#' +')il
O*#&'+ &'!l".+ $" +$" i()l*i($' /*"l"+ ++')i$'+
)'. ."$i)."(#'+ (#i+i)B#i)'+ " #!5i+.'
S"& 9#i. $" )'.'&#."(#' 5&"++i'
A5&"++ii$$"8
P&""(,':
N,' "i+#" *. 7'&. )'(%")i$ $" &""(i& "+/*iz'7&"(i8
• U+' &"5*l& $" ."$i)."(#' *$ &""(i& )&i+"+ $""+/*iz'7&"(i
AB+ ' $i5(B+#i)' '+ +i(#'.+ '$". +"& &""(i$'+ '& ."i' $'
*+' )'&&"#' $ ."$i),'8 O )i"(#" $"" #'.& '+ ."$i)."(#'+ &"+)&i#'+
"#."(#" )'.' ' .<$i)' &")'."($'*8 O+ +i(#'.+ &"#'&(&,' )+'
."$i),' +" i(#"&&'.i$'8
i.'&#(#" /*" ' )i"(#" +".&" )'("&+" )'. ' .<$i)'&i()il."(#" +" "+#i"& "(+($' ". .*$& '* i(#"&&'."& ' *+' $'+
."$i)."(#'+8 Fz"& i+i#+ &"5*l&"+ ' .<$i)' " ' #"&"*# +,'
."$i$+ "++"()ii+ & +" &""(i& &")'&&?()i $'+ +i(#'.+8
C'.' #&!l%& "++" l*(' ". +l $" *l:
O.' #&#& " li$& )'. l5*<. /*" +'7&" $" "+/*iz'7&"(i8 C'.' <
"++' "+/*iz'7&?(i) 7'& $ )&i+"Q
V" .i+ +'!&" "+/*iz'7&"(i
V" .i+ +'!&" "+/*iz'7&"(i ( $'l"+)?()i
V" .i+ +'!&" #&(+#'&(' $" "&+'(li$$" "+/*izBi$"
V" +'!&" $i+#&!i'+ "+/*iz'7&?(i)'+
V" .i+ +'!&" #&#."(#' & "+/*iz'7&"(i
8/15/2019 elizabete trabalho revisado (1).odt
http://slidepdf.com/reader/full/elizabete-trabalho-revisado-1odt 162/177
8/15/2019 elizabete trabalho revisado (1).odt
http://slidepdf.com/reader/full/elizabete-trabalho-revisado-1odt 163/177
C*&+' "$5'5i 3 +"."+#&"
T&(+#'&('
Wi'l&
8/15/2019 elizabete trabalho revisado (1).odt
http://slidepdf.com/reader/full/elizabete-trabalho-revisado-1odt 164/177
C'()"i#'
O #&(+#'&(' !i'l& < *. &'!l". ". /*" + "++'+ l#"&(. "(#&"
"&9'$'+ $" .*i#' !'. %*.'& " "&9'$'+ $" i&&i#,' '* $"&"++,'8 A+
)%.$+ '+)il;"+ $" %*.'& "(#&" .(i " $"&"++,' '$". +"&
.*i#' &=i$+ " '$". ')'&&"& )'. .*i# '* '*) 7&"/*?()i8
Ti'+
T&(+#'&(' !i'l& #i' 1: )i"(#"+ &"+"(#. "l'
."('+ *. "i+B$i' .(9)' " "&9'$'+ $" $"&"++,' &'7*($8
A(#i5."(#" ' #&(+#'&(' !i'l& $' #i' 1 "& )%.$' $"
$"&"++,' .(9)
T&(+#'&(' !i'l& #i' 2: )i"(#"+ (*() &"+"(#&.
"i+B$i'+ .(9)'+ )'.l"#'+8 E. "z $i++' "l+ &"+"(#.
"&9'$'+ $" (9"i+ "l"$'+ $" "("&5i " i.*l+ii$$" /*" (,' +,' #,'
i(#"(+'+ )'.' '+ $ .(i @)%.$' $" %i'.(i8 E++"+ "i+B$i'+
+" l#"&(. )'. "i+B$i'+ $" $"&"++,'
U. 7'&. l"" $" #&(+#'&(' !i'l& )%.$ )i)l'#i.i
"('l" '+)il;"+ $" %*.'& ."('+ 5&"+8 P"++'+ )'. "++ 7'&.
l#"&(. "(#&" %i'.(i " $"&"++,' l""8 A+ "++'+ )'. #&(+#'&('
!i'l& $' #i' II '* )i)l'#i.i '$". +"& $i5('+#i)$+ i()'&&"#."(#"
)'.' #"($' "(+ $"&"++,'8
8/15/2019 elizabete trabalho revisado (1).odt
http://slidepdf.com/reader/full/elizabete-trabalho-revisado-1odt 165/177
A+ C*++
A )*+ "# $' #&(+#'&(' !i'l& i($ < $"+)'(%")i$ .+
)i?()i )&"$i# /*" $i"&+'+ 7#'&"+ '++. "+#& "('li$'+ (+ '+)il;"+
$" %*.'& &'')$+ "l $'"( )'.':
P")*li&i$$"+ !i'lB5i)+: "++'+ )'. #&(+#'&(' !i'l&
&")". &"+"(#& $i7"&"(+ 79+i)+ ". +"*+ )<&"!&'+ ' /*" '$"
l"& '+ )i"(#i+#+ $"+)'!&i&". + )*++ "#+ $ $'"(
N"*&'#&(+.i++'&"+: *. $"+"/*il9!&i' "(#&" '+
("*&'#&(+.i++'&"+ &")" +"& *. i.'&#(#" 7#'& (+ )*++
$' #&(+#'&(' !i'l&
'&.(i'+: $"+"/*il9!&i' %'&.'(l #.!<. "+#= "(#&" +
'++9"i+ )*++
"&"$i#&i"$$": "++'+ /*" #"(%. &"(#"+ )'.
%i+#B&i)' $" #&(+#'&(' !i'l& +,' .i+ +*+)"#9"i+ > $'"( ' /*" l"
.*i#'+ )i"(#i+#+ )&"$i#&". /*" 5"(<#i) '++ "+#& "('li$
(+ )*++ $ $'"(
M"i' .!i"(#": 7#'&"+ "B5"('+ )'.' "+#&"++" !*+'
+"*l " '*#&+ ""&i?()i+ #&*.=#i)+ @)'.' .'&#" $" l5*.
"(#" /*"&i$' #.!<. '$". "+#& &"l)i'($+ ' $"+"('li."(#'
$' #&(+#'&(' !i'l&8
F#'&"+ $" &i+)'
Al5*(+ 7#'&"+ '$". )'(#&i!*i& & ' $"+"('li."(#' $" #&(+#'&('
!i'l&8 C'(7i&:
i+#B&i)' 7.ili& $ $'"( E+#&"++" i(#"(+'
U+' " !*+' $" $&'5+ &")&"#i+ "'* =l)''l
M*$(+ $" i$ " ""&i?()i+ #&*.=#i)+
T"& "(#&" 1 " 2 ('+8
'."(+ " .*l%"&"+ '++*". + ."+.+ )%()"+ $" $"+"('l"&
$'"(8
8/15/2019 elizabete trabalho revisado (1).odt
http://slidepdf.com/reader/full/elizabete-trabalho-revisado-1odt 166/177
Si(#'.+
Si(#'.+ $" T&(+#'&(' !i'l&
O+ +i(#'.+ $" #&(+#'&(' !i'l& $""($" $' #i' "#' $ $'"( "
)'+#*.. &i& $" "++' & "++'8 P& l5*(+ '+ i)'+ $" $"&"++,'
+,' '+ /*" )*+. '+ .i'&"+ &'!l".+8 P& '*#&'+ &"')*,' <.i'& $*&(#" '+ i)'+ $" .(i8 P'$" )'(#")"& #.!<. $" +i(#'.+ $"
$"&"++,' " %i'.(i )'(#")"&". ' ."+.' #".'8 C'(7i& '+ &i()ii+
+i(i+ $' #&(+#'&(' !i'l&:
F+" .(9)
Di+#&i&+" 7)il."(#"
R"$*,' $ (")"++i$$" $" +'(' C)i$$" $" $i+)"&(i."(#' $i.i(*9$
P'*)' )'(#&'l" $' #"."&."(#'
C'.*l+,' li."(#& !"!"& $".i+ "'* *+' ")"++i' $"
$&'5+
M(#"& &"l;"+ +"*i+ )'. .*i#'+ &)"i&'+
G+#'+ ")"++i'+
i"&#ii$$"
A*."(#' $" "("&5i
P"(+."(#'+ )"l"&$'+ /*" +" #&'"l.
Fl ". ")"++'
A*#'"+#i. .*i#' l# @il*+,' +'!&" +i ."+.' '*
%!ili$$"+
G&($" "('li."(#' ". #ii$$"+
G&($" 5i#,' '* i&&i#,'8
A 7+" .(9) $' #&(+#'&(' !i'l& '$" $*&& $i+ " #< ."+.'
."+"+8 O+ +i(#'.+ )i. +,' .i+ )'.*(+ ". "++'+ /*" #". ' #i' 1 $
$'"(8 N' #i' 2 '+ +i(i+ +,' +i.il&"+ .+ ."('+ i(#"(+'+8
Di5(B+#i)' $' #&(+#'&(' !i'l& '$" l"& 10 ('+
R",' $ 7.9li i(7l*"()i )i"(#" )'. #&(+#'&('
!i'l&
8/15/2019 elizabete trabalho revisado (1).odt
http://slidepdf.com/reader/full/elizabete-trabalho-revisado-1odt 167/177
F+" $"&"++i
D"+(i.' $i=&i' '* #&i+#"z
Di7i)*l$$" $" +" )'()"(#&& $" l".!&& '* $" #'.&
$")i+;"+
P"&$ $" "+' " "&$ $" "#i#"
C'."& ")"++i."(#" " 5(%' $" "+'
F$i5 '* 7l# $" "("&5i
S"(#i&-+" i(#il +". "+"&( '* )*l$'
P"&$ $" i(#"&"++" (+ #ii$$"+ /*" (#"+ "&.
&z"&'++
Wi *#'"+#i.
P"(+."(#'+ +'!&" .'&#" " +*i)9$i' P&'!l".+ & $'&.i& '* ")"++' $" +'('
A7+#."(#' $'+ .i5'+ '* $+ #ii$$"+ /*" (#"+ "&.
&z"&'++8
O &i+)' $" #"(##i+ $" +*i)9$i' ". "++'+ )'. #&(+#'&(' !i'l&
< 5&($"8 O+ )i"(#"+ '$". !*+& $' =l)''l '* $" '*#&+ +*!+#()i+
i'&($' '+ +i(#'.+8
E. l5*(+ )+'+ + $*+ 7+"+ +" +'!&";".8 O+ +i(#'.+ .(9)'+
" $"&"++i'+ '$". ')'&&"& *(#'+ '* &i$."(#" *. B+ ' '*#&'8 I++'
&")"!" ' ('." $" "+#$' .i+#'8
A+ '+)il;"+ $" %*.'& '$". ')'&&"& #.!<. $" )'&$' )'.
"+#,' $' ('8 Al5*.+ "++'+ '& "".l' '++*". i)'+ $" .(i '*
%i'.(i $*&(#" &i."& " ' "&,' @"+#;"+ .i+ /*"(#"+ " +i(#'.+
$" $"&"++,' $*&(#" + "+#;"+ .i+ 7&i+ )'.' ' '*#'(' " ' i("&('8
P& '*#&+ "++'+ )'(#")" ' ''+#'8
A+ .*$(+ $" %*.'& '$". )'(#")"& )'. .i+ 7&"/*?()i ".
l5*.+ "++'+ )'. '+)il;"+ )'(#")"($' $" /*#&' )i()' "z"+ '&
(' " ". l5*(+ )+'+ #< ."+.' =&i+ "z"+ ' $i8
Ei+B$i'+ $" .(i " $"&"++,' '$". &"+*l#& #.!<. ". +i)'+"
$'"( ". /*" %= "&$ $" )'(##' )'. &"li$$"8
8/15/2019 elizabete trabalho revisado (1).odt
http://slidepdf.com/reader/full/elizabete-trabalho-revisado-1odt 168/177
Di5(B+#i)' " "."+
W*+)($' *$ .<$i)
V= )'.(%$' $" *. &"(#" .i5' '* "++' $" )'(7i(8 A
*$ .<$i) < i.'&#(#" & 5&(#i& /*li$$" $" i$ $" *. "++'
)'. #&(+#'&(' !i'l&8 "&7"i#."(#" '++9"l #"& *. i$ ('&.l ."+.'
#"($' $'"(8 O #&#."(#' (' "(#(#' < i($i+"(+="l " $"" +"& +"5*i$'
> &i+)8
M+ (#"+ & 7)ili#& ' $i5(B+#i)' ('#" #'$'+ '+ +"*+ +i(#'.+ "
$"+)&"-'+ ' .<$i)' ". $"#l%"+8 A )'("&+ )'. *. "+")ili+# <
&i.'&$il & /*" "+#" '++ &"liz& ' $i5(B+#i)'8 Ti&" #'$+ + +*+
$i$+ +'!&" +"*+ +i(#'.+ " + '++9"i+ )*++ +i5 > &i+) + '&i"(#;"+
.<$i)+ " +i! &"+'($"& )'&&"#."(#" + "&5*(#+ /*" '$"&,' l%" +"&
7"i#+8 V" "".l'+:
*($' ')? )'."'* +"(#i& +i(#'.+ $" $"&"++,' "
.(i"*7'&iQ
C'. /*" 7&"/*?()i ')? +'7&" $" '+)il;"+ $" %*.'&Q
V')? = "(+'* ". +*i)9$i'Q *l i(#"(+i$$" $" +"*+ +i(#'.+Q El"+ +,' ')+i'(i+
'* 7&"/*"(#"+Q
S"*+ +i(#'.+ i(7"&". ( +* /*li$$" $" i$ ". +*+
#ii$$"+ $i=&i+ (' #&!l%' '* ". +"*+ &"l)i'(."(#'+Q
= %i+#B&i)' $" #&(+#'&(' !i'l& ". +* 7.9liQ
V')? 7z *+' $" $&'5+ &")&"#i+ =l)''l '* )i5&&'+Q
*(#+ %'&+ ')? )'+#*. $'&.i& > ('i#"Q
V')? ++'* '& l5*. ""&i?()i #&*.=#i)
&")"(#"."(#"Q
'*" l5*. .*$( +i5(i7i)#i ". +*
i$ &")"(#"."(#"Q
N )'(+*l# .<$i)
P&')*&" i."$i#."(#" '& *9li' .<$i)' +":
V')? "+#i"& #"($' "(+."(#'+ $" .'&#" '* +*i)9$i'
8/15/2019 elizabete trabalho revisado (1).odt
http://slidepdf.com/reader/full/elizabete-trabalho-revisado-1odt 169/177
V')? &"+"(#& +i(#'.+ 5&"+ $" $"&"++,' '* .(i
V')? #i"& +i$' $i5('+#i)$' )'. #&(+#'&(' !i'l& " +"*+
+i(#'.+ #i"&". 'l#$' '* ')? &"+"(#& (''+ +i(#'.+
T"(% ". ."(#" /*" #&(+#'&(' !i'l& (,' $"+&")" +'zi(%' " /*"
' #&#."(#' < i.&"+)i($9"l & 5&(#i& /*li$$" $" i$ $' )i"(#" "l"=-l' > &")*"&,'8
Di5(B+#i)' $" T&(+#'&(' !i'l&
*($' %= +*+"i# $" #&(+#'&(' !i'l& '+ .<$i)'+ 5"&l."(#"
&")'."($. *. +<&i" $" "."+ " #"+#"+ /*" '$"&,' )'(7i&.& '
$i5(B+#i)' '& ."i' $ "li.i(,' $" '++9"i+ '*#&+ )*++8 Al<. $i++' '+
"."+ '$"&,' i$"(#i7i)& '++9"i+ )'.li);"+ $")'&&"(#"+ $ $'"(8
O ).i(%' & ' $i5(B+#i)' 5"&l."(#" )'." )'. *. "."
79+i)' " #"+#"+ l!'&#'&ii+ )'. "."+ $" *&i( " $" +(5*"8 D"'i+ '
)i"(#" < "().i(%$' & *. (=li+" +i)'lB5i)8 O .<$i)' '!+"&&=
'& l5*. #".' ' $&,' $" )'.'&#."(#' $' )i"(#" !". )'.' +*+
'++9"i+ l#"&;"+ $" %*.'&8
S" %'*"& +*+"i# $" /*" '*#&+ $'"(+ '++. "+#& )*+($''+ +i(#'.+ $"+)&i#'+ "l' )i"(#" ' .<$i)' $""&= +'li)i#& &"liz,' $"
"."+ "+")97i)'+ .+ "+#"+ )'+#*.. $""($"& $" "++' & "++'8
U. )'("&+ +'!&" ' %i+#B&i)' .<$i)' $' )i"(#" " $" +* 7.9li
#.!<. '$". *$& )'(7i&.& ' $i5(B+#i)'8
T&#."(#'+ $' #&(+#'&(' !i'l&
T&(+#'&(' !i'l& 7'&")" $""($?()i /*9.i)
T&#."(#'
T&#."(#' $" T&(+#'&(' !i'l&
O #&#."(#' & #&(+#'&(' !i'l& )'+#*. $*&& '& .*i#' #".'
#< ."+.' ('+8 El" )'+#*. +"& 7"i#' '& $i"&+'+ "+")ili+#+ $" =&i+=&"+ )'.' +i)Bl'5'+ +i/*i#&+ " ("*&'l'5i+#+8 A "/*i" .<$i)
&i."i&."(#" #"(# $"+)'!&i& /*i+ +,' '+ '++9"i+ $"+"()$"$'&"+ $
8/15/2019 elizabete trabalho revisado (1).odt
http://slidepdf.com/reader/full/elizabete-trabalho-revisado-1odt 170/177
l#"&,' $" %*.'&8 T.!<. '$". +"& i("+#i5$'+ '+ &'!l".+ .<$i)'+
'* ".')i'(i+ /*" i(7l*"()i. (' #&#."(#'8
C'(7i& l5*.+ 7'&.+ )'.*(+ $" #&#."(#' $' #&(+#'&(' !i'l&:
'+i#liz,' )+' ' )i"(#" #"(% )'.'&#."(#'
"&i5'+'+ /*" .")" &B&i i$ " $" '*#&+ "++'+
U+' $i=&i' $" ."$i)."(#'+ & )'(#&'l" $+ l#"&;"+
$" %*.'& )'+#*. +"& *. &=#i) !+#(#" i($i)$ (' i(9)i' $'
#&#."(#'
*($' '+ +i(#'.+ = "+#,' )'(#&'l$'+ ' #&#."(#'
( " ' 7')' ++ +"& .(#"& + l#"&;"+ $" %*.'& $' )i"(#"
"+#="i+
S" ' )+' $' )i"(#" 7'& $" $""($?()i 79+i) '*
+9/*i) $" +*!+#()i+ )'.' =l)''l $&'5+ '* )i5&&' ' #&#."(#'
#.!<. $""&= #.!<. &"!ili#& ' )i"(#" $"++"+ 9)i'+8
M+ #"(,': '+ "&9'$'+ $" $"&"++,' " .(i 'l#. ')'&&"&
( .i'&i $'+ )i"(#"+ ."+.' +'! #&#."(#'8 O+ &i()ii+ '!"#i'+ $
#"&i & #&(+#'&(' !i'l& +,':
Ei#& l#"&(()i "(#&" + 7+"+
Ei#& (")"++i$$" $" %'+i#liz,'
A*$& ' )i"(#" 5i& $ ."l%'& .("i& '++9"l "(#&"
'+ "i+B$i'+
I."$i& )'.'&#."(#' *#'$"+#&*#i' " +*i)9$i'
R"$*zi& 5&i$$" " 7&"/*?()i $'+ "i+B$i'+
A +i)'#"&i < *. '*#& &#" i#l $' #&#."(#' $" #&(+#'&('
!i'l&8 N"+#" +"(#i$' =&i'+ #i'+ $" #"&i '$". +"& #"i+8 E+#"+ i()l*".:
T"&i )'5(i#i )'.'&#."(#l
P+i)'"$5'5i
T"&i 7.ili&8
M"$i)."(#'+
8/15/2019 elizabete trabalho revisado (1).odt
http://slidepdf.com/reader/full/elizabete-trabalho-revisado-1odt 171/177
8/15/2019 elizabete trabalho revisado (1).odt
http://slidepdf.com/reader/full/elizabete-trabalho-revisado-1odt 172/177
8/15/2019 elizabete trabalho revisado (1).odt
http://slidepdf.com/reader/full/elizabete-trabalho-revisado-1odt 173/177
C'()l*+,' $+ +9($&'."+ " #&(+#'&('+:
D" )'&$' )'. l"(#."(#'+ !i!li'5&=7i)'+ "&)"!"-+" "(#,' /*"
)'(+)i"(#iz,' &"+"(#-+" )'.' 7*($."(#l & $i7*+,' $"
i(7'&.;"+ &#i& $" ."$i$+ )'.' &'.',' $" ""(#'+ '* &'"#'+
$"(#&' $+ "+)'l+ /*" "+)l&". > &i'&i &'!l".=#i) $ $i+5&7i &/*" +'."(#" &#i& $9 +" 7"i# )'&&"# i$"(#i7i),' $'+ $i+5&=7i)'+ "
7'&.*l,' '* &"7'&.*l,' $" #<)(i)+ ."#'$'lB5i)+ "+")97i)+ &
+"&". li)$+ $"(#&' $+ "+)'l+8 D"++ 7'&. 7i) "i$"(#" (")"++i$$"
$" i$"(#i7i),' $+ )&i(+ $i+5&=7i)+ (' .!i"(#" "+)'l& #"($' ". i+#
/*" < +'."(#" &#i& $"++ i$"(#i7i),' /*" '$"&,' +"& #'.$+ ."$i$+
& +"&". #&!l%+ )'. &'!l".=#i)8
P'&<. "&i7i)-+" *. $i7i)*l$$" ("++ i$"(#i7i),' 'i+ (,' < &&'
"()'(#&& "$*)$'&"+ /*" )'(+i$"&. $" i(9)i' l5*(+ l*('+ &"5*i'+'+ "
$"+i(#"&"++$'+ "++ #i#*$" "+)'($" &=#i) $')"(#" $' &'7"++'& /*"
#&i!*i ' l*(' )"&#'+ $"#i'+ '& 7l# $" )'(%")i."(#' +'!&" ' ++*(#'
". /*"+#,' .*i#'+ &'7"++'&"+ $"+)'(%")". '& )'.l"#' /*" "+++
)&i(+ '$". &"+"(#& l5*. &'!l". $" &"($iz5". ( "+)&i#8
L'5' < i.&"+)i($9"l /*" ' &'7"++'& (#"+ $" &'#*l& +"*+ l*('+ +"
i(#"&"++" "l i$"(#i7i),' ++($' *+=-l )'.' *. i(+#&*."(#' $"
li,' "7i)i"(#" " i($i+"(+="l & ' &i.'&."(#' $" +"* #&!l%'
$"(#&' $ +l $" *l " &i()il."(#" & +(& &'!l".+ )'.'
$i+5&7i /*" +,' "&$$"i&'+ "(#&"+ & ' $"+"('li."(#' " &"($i."(#'
"+)'l& $'+ l*('+8
A' (li+& '+ &"+*l#$'+ $ "+/*i+ )'(##'*-+" /*" )'(+)i"(#iz,' < *.
'(#' &i.'&$il & $i7*+,' $" i(7'&.;"+ (' .!i"(#" "+)'l&
'!"#i($' *ili& ( i$"(#i7i),' $" $i+5&=7i)'+ " ( "l!'&,' $"
."#'$'l'5i & +"&". #&!l%$+ ++i. )'.' i$"(#i7i),' #.!<. <
7*($."(#l & $& i(9)i' &')"++'+ ."#'$'lB5i)'+ " "$5B5i)'+ /*"
"(%. *ili& (' "(+i('-&"($iz5". $'+ $i+5&=7i)'+ l<. $i++'
"&)"!"*-+" #.!<. /*" '+ "$*)$'&"+ ". +* .i'&i (,' #?. #<)(i)+
."#'$'lB5i)+ '* "+++ +,' i("7i)i"(#" " i(+*7i)i"(#"+ &+ +"&". li)$+
(' .!i#' "+)'l& $" )&i(+ /*" &"+"(#. ' #&(+#'&(' ". "+#*$'8
N"++" +"(#i$' "&)"!"-+" /*" '+ &'7"++'&"+ %'" (,' &"+"(#.
8/15/2019 elizabete trabalho revisado (1).odt
http://slidepdf.com/reader/full/elizabete-trabalho-revisado-1odt 174/177
M"#'$'l'5i+ "+")97i)+ "l!'&$+ & #&!l%& ". +l $" *l
)'. l*('+ $i5&=7i)'+ 'i+ 5"&l."(#" + $i7i)*l$$"+ /*" '+ l*('+
&"+"(#. ( "+)&i# +" $"". 7l%+ (' &')"++' $" "(+i(' (+
"+#&#<5i+ i($"/*$+ "+)'l%i$+ "l'+ $')"(#"+ '* '& $"+)'(%")i."(#'
$' &'!l". '* '& $"+&"&'8
P'&#(#' & /*" #l +i#*,' .*$" < (")"++=&i' /*" "++" &'7i++i'(l
$/*i& ."#'$'l'5i+ "7i)i"(#"+ & /*" +l $" *l "(% +"& *.
.!i"(#" 7'&="l > )'(+#&*,' $' )'(%")i."(#' " $" i5*l$$" $+
$i7i)*l$$"+ $" &"($iz5". /*" '& )+' +" &"+"(#&".8
Al<. $i++' < (")"++=&i' /*" ' "$*)$'& +" )'.&'."#i$' )&i#i'
$i(.i)' " /*" &"+"i#" + i($ii$*li$$"+ $" )$ "$*)($' l'&iz($'
&"li$$" " + i?()i+ $'+ ."+.'+ & /*" (*. ,' )'(*(# "
i(#"5&$ '++ 7'&")"& " "+#i.*l& )''"&,' ' $i=l'5' $".')&)i" *#'('.i $' i($i9$*' " $' 5&*' '($" ' &z"& $" "+#& ( +l $" *l
+" )'.*. #'$'+8
Sl $" &")*&+'+:
A E+)'l Cl++" 100l')liz-+" > R 100 C'(8 T1 S(# M&i S*l
#"l"7'(" @61 016611 ( )i$$" $"S(# M&i DF
".il:")100k%'#.il8)'. #"($" &'i.$."(#" 600 l*('+ ('+ #*&('+
.#*#i(' " "+"&#i(' $ii$i$'+ ". #*&.+ $' 14 "&9'$' $ E$*),' I(7(#il
#< ' 4 (' $' E(+i(' F*($."(#l i()l*i($' l*('+ )'. (")"++i$$"+
"$*))i'(i+ "+")ii+ ". #*&.+ "+")97i)+ " ". i(#"5&,' i("&+8
T&#-+" $" *. "+)'l !li) /*" #*l."(#" #". )'.' $i&"#'& "
i)"-$i&"#'& &"+")#i."(#" + &'7"++'&+ V"& M&i $" J"+*+ Ri!"i&' "
C&i+l"(" $" C&l%' Sil @5"+#,' 201 20168 A+ C''&$"($'&+ $ "+)'l
+,': R"5i( @J&$i. " 14 (' J(" @24 " 4 (' C<li @4 " 4 ('8
A "+)'l '7"&")": #"($i."(#' +i)'"$5B5i)' ". +l $" 'i' >
&"($iz5". /*" )'(# )'. + &'7"++'&+ Eli(" )&l%' $" Al."i$ "
R'+il"X )=++i +il )&l%' +i)'"$5'5 +i)Bl'5 " +l $" &")*&+'+ &
#"($i."(#' 5"("&li+# '+ ANEE+ @Al*('+ )'. N")"++i$$"+ E$*)#i+
E+")ii+8 S,' "++"+ l5*(+ $'+ !&i(/*"$'+ "$5B5i)'+ *#iliz$'+ ( +l
$" &")*&+'8
8/15/2019 elizabete trabalho revisado (1).odt
http://slidepdf.com/reader/full/elizabete-trabalho-revisado-1odt 175/177
R"7"&"()i+:
%##:8.i(%i$8)'.8!&+*$"#".+#&(+#'&('-
!i'l& %##:8*+)8!&!i!li'#").i."+i+.i."+i+m2m(2m2011m&#m08$7
%##:"$*)&&)&"+)"&8!&il8)'.8!&)'.'&#."(#'i()l*+'-
+i($&'."-$'(-36668+%#.l
%##:&"i+#"+)'l8!&il8)'.8!&7'&.)'+i($&'."-$'(-i()l*+'-
)&'.'++'-21-6228+%#.l
%##:&"i+#"+)'l8!&il8)'.8!&7'&.)'+i($&'."-&"##-#5$-
6228+%#.l
8/15/2019 elizabete trabalho revisado (1).odt
http://slidepdf.com/reader/full/elizabete-trabalho-revisado-1odt 176/177
%##:8.i(%i$8)'.8!&+*$"#".++i($&'."-$"-&"##
%##:"$*))'"+")il!&+il8!l'5+'#8)'.8!&20120+i($&'."-$"-
&"##-i(#"&"()'-'(#*l8%#.l
%##:8*"l8!&""(#'+)'(5&"++'.*l#i$i+)ili(&5"+&/*i'+(
i+201AT0-201AT0-0018$7
%##:l+l*$7.ili&8)'.."$5i(+)'(+"l%."(#'-
5"("#i)'+i($&'."-$"-(''((8%
%##:8i(7'"+)'l8)'.$'"()++i($&'."-$"-(''((
%##:+*$"8)).8("#7/-+i($&'."-$"-+"&5"&n&""()'
%##:8.i(%i$8)'.8!&+*$"#".++i($&'."-$"-+"&5"&
%##:!&85*ii(7(#il8)'.+"&5"&161-$i5('+#i)'-"-#&#."(#'-$'-
+"&5"&8%#.l
%##:&"i+#"+)'l8!&il8)'.8!&7'&.)'+i($&'."-+"&5"&-
6208+%#.l
%##:8)"+*.&8!&&5""+/*i+.'+#&+/*i(m.'+#&.&)i'm(#'(i'm5i(+(#"m.&#i(+8$7
%##:&"i+#"+)'l8!&il8)'.8!&7'&.)'+i($&'."-illi.+-620208+%#
%ttp:&&www$portalcrid#c%at$com$r&novo&index$p%p&artigos&'()"sindrome"de"cri"
d#"c%at"sindrome"do"miado"do"gato
%##:8%)("#8*+8!&i/&"i+#'l2(218%#.l
%##:8+)i"l'8!&$7&!21(121(1108$7 %##:+*$"8%+8*'l8)'.8!&#'*&"##"28%#.
%##:8.i(%i$8)'.8!&+*$"#".++i($&'."-$"-"$&$+
%##:8)'l"5i'+''+"8)'.8!&$'(l'$+Di+#*&!i'+-$"- A&"($iz5".8$7
%##:8.i(%i$8)'.8!&+*$"#".++i($&'."-$'--7&5il
7il":C:U+"&+AOCD'(l'$+3-23-1-PW8$7
%##:8.i(%i$8)'.8!&+*$"#".+#$%
8/15/2019 elizabete trabalho revisado (1).odt
http://slidepdf.com/reader/full/elizabete-trabalho-revisado-1odt 177/177
%##:8*(i&8"$*8!&&"i+#$'(l'$+#&!l%&m)&i()m$i+l"i)8
$7
%##+:!i'+'.8)'.8!&!l'5+*$"$i+l"i
%##:l('+$""(+i('8('8)'.*(i$$"+8("##&(+#'&('-!i'l&-".-
)&i()+
%##:+"ill)&l%'8!l'5+'#8)'.8!&20120$i+)l)*li-$i)+-&-+l-$"-
*lm208%#.l
%##:8+i5(i7i)$'+8)'.8!&#')
%##:8*7&5+8!&#')i($"8%+'!&"-'-#')-'-/*"-"-'-
#')-"-/*i+-+'-'+-+"*+-+i(#'.+8%#.l
%##:8.i(%i$8)'.8!&+*$"#".++i($&'."-$"-#*&("&
%ttp:&&dra#*iovarella$com$r&crianca"(&tea"transtorno"do"
espectro a#tista ii&