Abstract

SILVA, Thaísa Angélica Déo da  and  RUMIM, Cassiano Ricardo. Fibromyalgia and the manifestation of mental suffering. Rev.Mal-Estar Subj [online]. 2012, vol.12, n.3-4, pp. 767-792. ISSN 1518-6148.

Fibromyalgia is characterized by chronic muscle pain that affects a wide extension of the body. Pain experiences in fibromyalgia imply a reduction of functional capacity, sleep disturbances and loss of social relations. Its etiology may include primary and secondary psychogenic phenomena related to pain. Primary phenomena are investigated from the proposition of psychosomatic disorders and hysteria symptoms. Secondary phenomena, in the other hand, involve depressive episodes. A psychotherapeutic intervention was carried out in five women on leave from work due to diagnosed fibromyalgia. The intervention consists of a psychoanalytic proposal, using mediation groups for listening and for the continence of conflicting and dynamic experiences of social isolation potentialized by the disease. Distant from the values attributed to efficient bodies, produced by work, they experience their absences as something pejorative. This position gave rise to anxiogenic experiences with depressive characteristics. The representation of affections in the space established by the group allowed a symbolic expression of suffering, the delimitation of situations that intensify pain and the report of bodily pain as "a rottenness of the body" that blocked the articulation of daily activities. By offering welcoming and affects resignification, the psychotherapeutic care contributed to maintain general health status, mitigating dissociative experiences and lead to reflections on forms of interdisciplinary care.

Keywords : Fibromyalgia; Health psychology; Workers health; Mental health; Interdisciplinarity.

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