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Revista Mal Estar e Subjetividade

Print version ISSN 1518-6148On-line version ISSN 2175-3644


WINOGRAD, Monah; SOLLERO-DE-CAMPOS, Flávia  and  DRUMMOND, Claudia. O atendimento psicanalítico com pacientes neurológicos. Rev. Mal-Estar Subj. [online]. 2008, vol.8, n.1, pp. 139-170. ISSN 1518-6148.

The treatment of patients with brain injuries is centered on neurology and neuro-psychology. However, brain injury treatment should not be reduced to aspects related to the lesion; for beyond the aspects of brain, movement and cognitive losses, it also encompasses a transforming and even traumatic subjective experience. These aspects are deeply interconnected. We propose a psychoanalytic treatment that privileges the subject's relation to his/her disease and all of its consequences, one that does not neglect the physiological and cognitive aspects involved. In this article, we present the first elaborations regarding this clinic, highlighting a number of its aspects. From the outset, we conceive the objectives of psychoanalytic treatment of neurological cases, underscoring its differences and complementarities to neuropsychological treatment. We then elaborate the contributions that psychoanalysis can bring to bear upon the approach of such cases regarding aspects of loss, lack, and temporality. We also approach the important factors and phases of treatment, with emphasis on questions involving the demand for treatment, the irruption of the Real, and the body, in such cases. Finally we systematize certain significant patterns that may be observed in the treatment of such cases, among which are: the wounds in subjective identity, the problem of re-socialization, the presence of doubt, the different languages, disease as passage to the act and, finally, the aspects of shame and blame-liability.

Keywords : brain injury; psychoanalysis; subjectivity; psychic phenomenon; clinic.

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