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Revista Brasileira de Psicanálise

versão impressa ISSN 0486-641X


LISONDO, Alicia Beatriz Dorado de. Metapsychological discrimination between child psychosis and autistic states: epistemology of psychoanalytic assessment. Rev. bras. psicanál [online]. 2017, vol.51, n.4, pp. 89-105. ISSN 0486-641X.

In the history of psychiatry and psychoanalysis, autism was included among childhood psychoses. Advances in the psychoanalytic practice and their theoretical results have enabled the professionals to progressively differentiate autism from psychosis. In this paper, the author establishes metapsychological and epistemological differences between these two pathologies. The author bases her work on the following concepts: etiology, constitution of mental life, quality of objects, anguishes, defenses, psychic dimensionality, and transformations, in Bion's frame of reference. The psychoanalytic object is ineffable in its essence. This quality, however, does not exempt us from a conceptual precision. We need this conceptual precision in order to formulate diagnostic hypotheses and to form intuitive, imaginative, and rational conjectures about the prognosis for the patient, which is always both uncertain and mysterious. Confusion and conceptual imprecision, as well as difficulties in the psychoanalytic observation, may be obstacles to reaching patients at their current level.

Palavras-chave : autism; psychosis; psychoanalytic evaluation; disorders; symptoms.

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