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Revista da SBPH

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RONICK, Patrick Vieira  and  CAMPOS, Elisa Maria Parahyba. Panic and abandonment in patients with implantable cardioverter defibrillator. Rev. SBPH [online]. 2017, vol.20, n.1, pp.99-121. ISSN 1516-0858.

Modern cardiology presents technological solutions for problems encountered in it's practice which may have consequences on their own, experienced by the patients as something possibly traumatic. Making use of three clinical illustrations of patients with surgical patch of Implantable Cardioverter Defibrillator and experiences of panic and abandonment, is proposed a dialogue between the knowledges of medicine and psychoanalytic psychosomatic, theorizing with it the importance of a listening space for patient's psychological issues, concomitant to medical treatment itself. In this article, we intend to demonstrate, from the clinical illustrations presented, that the panic described by these patients may be due to difficulties in the ability to symbolize what the device and experienced shocks represent. We conclude that at this point psychoanalysis brings to hospital scene possibilities for understanding and assistance.

Keywords : hospital psychology; psychosomatic disorganization; panic; cardiology.

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