Os efeitos discursivos do diagnóstico na clínica psicanalítica e na clínica do comportamento

• Autor(a) principal: Delgado, Simone Mendonça
• Data de Publicação: 2008
• Tipo de documento: Dissertação
• Idioma: por
• Título da fonte: Biblioteca Digital de Teses e Dissertações da UERJ
• Texto Completo: http://www.bdtd.uerj.br/handle/1/14658
• topic: Psychoanalysis; Diagnosis; Human behavior; Psicanálise; Diagnóstico; Comportamento humano; Subjetividade; CNPQ::CIENCIAS HUMANAS::PSICOLOGIA::TRATAMENTO E PREVENCAO PSICOLOGICA

This clinical research has been constituted from questionings ensuing from the clinical work performed in the psychosocial attention and care sphere guided by the principles from the Brazilian Psychiatric Reform. It is remarkable the worsening of biological-organo-behavioral approaches of psychic phenomena in the contemporaneity. We have verified that the construction of clinical diagnosis and the direction of the treatment express in the current context the inciting of such approaches, imposing ways of the conception of madness and of psychic phenomena in general bounded to their phenomena and behavioral manifestations. We have verified that the diagnosis is effect and root, at once, and of distinctive discursive-methodological circumscribed positions, in this research, to the position of the analyst in the psychoanalysis clinic, and to the position of the behaviorist in what we have named clinical of behavior (configured by theories and practices in the field of medicine and behavioral psychology). It s worthwhile to highlight that this setting of comprehensive biological-behavioral interpretation may bring to the subject in its relations with the social links, disastrous consequences since the inclusion in unnecessary treatments up to a segregating and adapting posture. The axis of knowing which the diagnosis establishes cuts across all this work. Therefore, our subject of research is enrolled in the relation of the subject with the knowing in the psychoanalysis and in the contemporary science of behavior, in which we have bounded as paradigm the DSM-IV (Diagnostic and Statistical Manual of Mental Disorders, 4th ed.). We have started from the symptom formation in Freud as the condition of the knowing of the subject. We have highlighted in Lacan the knowing of the real of the symptom in the psycho-analytical field facing the nominalistic knowing of DSM and his empirical-pragmatic view. We have highlighted the subject of science as corollary of the modern science founded in a context of revolution of the knowing. Lacan tells us that this subject of science is the same subject of the unconscious. Nevertheless, this subject, dimension of real and contingent, is forcluded by the science which establishes the relation of the subject with the knowing by the suture mechanism. Although psychoanalysis operates around the return of the contingent, holding the subject in his relation with the unconscious infinite knowing. The dimension of joy and desire, names of knowing, are articulated therefore as the real forcluded of the knowing of science. The construction of a clinical case indicates to us to the treading which enrolls the debility in the radical impossibility of access to knowing. We have verified the existence of correlation between the suture operation played by the DSM science and the collage between subject and knowing built by debilities. From such we have hypothesized the equalization between the debility of the subject and of a certain operation of debility produced by the DSM. From a position of subjecting to the knowing of the Other, it may be noticed as a transference and its device of access (the supposed knowing subject) enrolled as constitutive ways to significant materiality of the space by which the debile subject may operate detached from knowing of the Other.