O distúrbio psicossomático como expressão de uma falha no amadurecimento emocional: uma reflexão a partir de um caso clínico

• Autor(a) principal: Corrêa, Ana Maria Acunha
• Data de Publicação: 2019
• Tipo de documento: Dissertação
• Idioma: por
• Título da fonte: Biblioteca Digital de Teses e Dissertações da PUC_SP
• Texto Completo: https://tede2.pucsp.br/handle/handle/22677
• topic: Distúrbio psicossomático; Medicina psicossomática; Regressão à dependência; Psychosomatic disorder; Medicine, Psychosomatic; Holding; Handling; Regression to dependece; CNPQ::CIENCIAS HUMANAS::PSICOLOGIA

This paper presents Donald W. Winnicott's propositions about psychosomatic disorder. For the author, excessive failures in the holding and handling maternal that leads the individual to a fragile psychosomatic integration, hindering the primitive emotional development and contributing to an intellectual hyperfunction. These patients cannot inhabit their own body and will make use of it as an attempt to look for the care they received before the moment of failure, in the stage of absolute or relative dependence, with the goal of regaining psychosomatic integration that was lost. In the psychoanalytic context, according to Winnicott, a deepening on the genesis of the psychosomatic disorder allows us to the psychoanalytic work through regression to dependence as a new possibility for the individual to establish a process of personalization. In order to go deeper these questions, the clinical case of a patient, who presented psychosomatic questions, using the body as an important form of communication of her psychic states, was presented and discussed. In a dialogue with Winnicott, Ogden and Bollas, and considering the challenges found in this case, it was possible to conclude that the holding and handling maternal are protective factors against the psychosomatic disorder, and its offer is a therapeutic model to be used by the analyst