Resumo

REZENDE, Natália Barros de  e  TOSTA, Rosa Maria. The use of scarification and its reverberations in adolescence: a clinical case. Bol. - Acad. Paul. Psicol. [online]. 2024, vol.44, n.106, pp.61-71.  Epub 23-Set-2024. ISSN 1415-711X.  https://doi.org/10.5935/2176-3038.20240006.

This article aims to reflect on the issue of self-mutilation in adolescence through the clinical report of a teenager who used scarification as a way to alleviate her internal anxieties. Through psychotherapeutic care, it was observed in this case how the practice of scarification would be related to very primitive aspects of primitive emotional development, and that when entering adolescence, such points are revisited, and mix with the very issues brought up in the midst of this phase. The main foundation is Donald W. Winnicott’s theory of emotional development and this author’s considerations about fear of collapse and primitive agonies. Also mentioned is the French psychoanalyst Didie Anzieu, addressing the importance of the constitution of the “I-skin” in the psyche, and the implications that failure in this constitution can generate, with selfmutilation being evidence of this precariousness of the “I-skin”. Furthermore, concepts from the French anthropologist Le Breton were used, and his study on adolescence and risky behavior, which includes self-mutilation. Based on this theoretical framework, the importance of the therapeutic setting, and of differentiated management, using holding and handling, can be shown, so that in the psychotherapeutic process described, the adolescent could relive flaws in her primitive emotional development, and therefore to be able to rely on a “good enough” environment.

Palavras-chave : self-harming; adolescence; primitive emotional development; D.W.Winnicott; psychoanalysis.

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