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O corpo petrificado: um caso de conversão histérica e mutismo seletivo

Mojgan Khademi, Foruzan Javaheri, Farah Giovannelli

Resumo


Um olhar sobre a evolução da psicanálise revela que o corpo sempre foi central para o funcionamento e para o desenvolvimento da mente. A histeria e sua característica definidora, a conversão, são sensíveis às correntes culturais e, em lugares como o Irã, a gama limitada de opções sociais e interpessoais para as mulheres torna tal solução autoplástica ainda possível. Este artigo foca o tratamento psicanalítico de uma jovem mulher iraniana que apresenta conversão histérica e mutismo seletivo. A paciente apresenta-se em uma cadeira de rodas e muda, após um coma prolongado que se sucedeu a uma dramática rejeição por parte um parceiro amoroso. A sua apresentação trouxe à mente ideias de depressão essencial e de narcisismo negativo. O tratamento foi adaptado a partir da Escola Psicossomática de Paris, sendo conduzido por uma psicoterapeuta treinada em psicodinâmica no Irã, supervisionada nos Estados Unidos por uma psicanalista de origens iranianas. No decurso das primeiras dez sessões, a paciente voltou a falar e a se movimentar. O processamento mental da transferência foi encorajado e, até a vigésima terceira sessão, a paciente caminhava. Abordamos a paciente como uma feminista não declarada, cujos sintomas imitavam modos culturalmente aceitáveis de expressar a sua angústia. O nosso objetivo foi recuperar a linguagem perdida que pudesse conectar-lhe a mente ao corpo.

Palavras-chave


Hysterical conversion; selective mutism; Iran; Feminism

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Referências


References

Aisenstein, M. (2006). The indissociable unity of psyche and soma: A view from the Paris Psychosomatic School. International Journal of Psychoanalysis, 87(3), 667-680.

Aisenstein, M. (2009). The death of the dead father? In L. J Kalinich & S.W. Taylor (Eds.), The dead father: A psychoanalytic inquiry. New York: Routledge.

Arundale, J. (1995). Introduction to the conference: Hysteria - 100 years since Freud. British Journal of Psychotherapy, 11(3), 388-391.

Bolgar, H. (2009). A century of essential feminism: The fourth wave of feminism. Studies in Gender and Sexuality, 10(4), 195-199. DOI:10.1080/15240650903228120

Bollas, C. (2000). Hysteria. London: Routhledge.

Deeley, Q., Oakley, D. A., Toone, B., Bell, V., Walsh, E., Marquand, A. F., ... Halligan, P. W. (2013). The functional anatomy of suggested limb paralysis. Cortex, 49(2), 411-422.

Deutch, H. (1959). On the mysterious leap from the mind to the body: A workshop study on the theory of conversion. New York, NY: International Universities Press.

Dunn, S. (1998). The place that writes: Locating Hélène Cixous in Feminist Theory [Stanford Presidential Lectures and Symposia in the Humanities and Arts]. Retrieved from https://prelectur.stanford.edu/lecturers/cixous/dunn.html

The Economist. (2014). Sexual mores in Iran: Throwing off the cover. 412(8899), 41.

Fenichel, O. (1945). The psychoanalytic theory of neurosis. New York, NY: W.W. Norton.

Fernandez-Marina, R. (1961). The Puerto Rican syndrome: Its dynamics and cultural determinants. Psychiatry, 24, 79-82.

Freud, S. (1957). The unconscious. In J Strachey (Ed. & Trans.), The standard edition of the complete psychological works of Sigmund Freud, volume XIV (1914-1916): On the history of the psycho-analytic movement, papers on metapsychology and other works (pp. 159-216). Retrieved from pepweb.org (Original work published 1915)

Freud, S. (1959). Inhibitions, symptoms and anxiety. In J Strachey (Ed. & Trans.), The standard edition of the complete psychological works of Sigmund Freud, volume XX (1925-1926): An autobiographical study, inhibitions, symptoms and anxiety, the question of lay analysis and other works (pp. 75-176). Retrieved from pepweb.org (Original work published 1926)

Freud, S. (1966). Hysteria. In J Strachey (Ed. & Trans.), The standard edition of the complete psychological works of Sigmund Freud, volume I (1886-1899): Pre-psycho-analytic publications and unpublished drafts (pp. 37-59). Retrieved from pepweb.org (Original work published 1888)

Freud, S., & Breuer, J. (1955). On the psychical mechanism of hysterical phenomena. In J Strachey (Ed. & Trans.), The standard edition of the complete psychological works of Sigmund Freud, volume II (1893-1895): Studies on hysteria (pp. 1-17). Retrieved from pepweb.org (Original work published 1893)

Gerson, S. (2011a). Hysteria and humiliation. Psychoanalytic Dialogues, 21(5), 517-530.

Gerson, S. (2011b). Humiliation and the cultural and relational structuring of hysteria: Reply to commentaries. Psychoanalytic Dialogues: The International Journal of Relational Perspectives, 21(5), 548-550.

Green, A. (1993). The dead mother. Psyche, 47(3), 205-240.

Green, A. (1999). The work of the negative. London: Free Association Books.

Green, A. (2001). Life narcissism and death narcissism [Narcissisme de vie, narcissisme de mort]. (A. Weller, Trans.). London: Free Association Books. (Original work published 1983)

Harms, E. (1945). Childhood schizophrenia and childhood hysteria. Psychiatric Quarterly, 19(2), 242-257.

Homayounpour, G. (2012). Doing psychoanalysis in Tehran. Boston, MA: The MIT Press.

Katan, A. (1961). Some thoughts about the role of verbalization in early childhood. Psychoanalytic Study of the Child, 16, 184-188.

Kohon, G. (Ed.). (1999). The dead mother: The work of Andre Green. New York: Routledge.

Kriegman, D. (2002). Interpreting & Negotiating Conflicts of Interests in the Analytic Relationship: A Discussion of Salee Jenkins's Clinical Case. In A. Goldberg (Ed.), Progress in Self Psychology, Vol. 18, (pp. 87–112). Hillsdale, NJ: Analytic Press.

Krohn, A. (1978). Hysteria: The elusive neurosis. New York, NY: International Universities Press.

Levine, H.B. (1992). [Review of the book Theaters of the Body. A Psychoanalytic Approach to Psychosomatic Illness by J McDougall. New York/London: W.W. Norton & Co., 1989]. Psychoanalytic Quarterly, 61, 98-101.

Lombardi, R. (2009). Body, affect, thought: Reflections on the work of Matte Blanco and Ferrari. Psychoanalytic Quarterly, 78(1), 123-160.

Lovinger, S. (2005). Conversion hysteria in a pre-adolescent girl. Psychoanalytic Social Work, 12(1), 47-61.

Marshall, J.C., Halligan, P.W., Fink, G.R., Wade, D.T., & Frackowiak, R.S. (1997). The functional anatomy of a hysterical paralysis. Cognition, 64(1), B1e-B8.

McDougall, J. (1980). A child is being eaten: I. Psychosomatic states, anxiety neurosis and hysteria—A theoretical approach. II. The abysmal mother and the cork child—A clinical illustration. Contemporary Psychoanalysis, 16(4), 417-459.

MCougall, J. (1984). The “dis-affected” patient: Reflections on affect pathology. Psychoanalytic Quarterly, 53, 386-409.

McDougall, J. (1985). Theaters of the mind: Illusion and truth on the psychoanalytic stage. New York, NY: Basic Books.

McDougall, J. (1986). Chapter 9: Parent Loss. The Reconstruction of Trauma: Its Significance in Clinical Work, 135-151

McDougall, J. (1989). Theaters of the body: A psychoanalytic approach to psychosomatic illness. Free Association Books.

McDougall, J. (1995). The many faces of eros: A psychoanalytic exploration of human sexuality. New York, NY: W.W. Norton.

McDougall, J. (1997). Somatic violence and the therapeutic relationship. Canadian Journal of Psychoanalysis, 5, 51-72.

McDougall, J. & Coen, S. J (2000). Affect, somatization, and symbolization. International Journal of Psychoanalysis, 81, 159-161.

Michels, R. (2000). The case history. Journal of American Psychoanalytic Association. 48(2), 355-375.

Prosen, H. (1967). Sexuality in females with hysteria. American Journal of Psychiatry, 124(5), 687-692.

Rangell, L. (1959). The nature of conversion. Journal of American Psychoanalytic Association, 7, 632-662.

Rose, D. L. (2002). Review- Andre Green at the Squiggle Foundation [Review of the book Andre Green at the Squiggle Foundation]. Metapsychology, 6(22). Retrieved from http://metapsychology.mentalhelp.net/poc/view_doc.php?type=book&id=1167

Showalter, E. (1997). Hystories: Hysterical epidemics and modern culture. New York: Columbia University Press.

Sidoli, M. (2000). When the body speaks: The archetypes in the body. London: Routledge.

Sperling, M. (1973). Conversion hysteria and conversion symptoms: A revision of classification and concepts. Journal of the American Psychoanalytic Association, 21, 745-771.

Sperling, M. (1974). Meeting of the psychoanalytic association of New York. Psychoanalytic Quarterly, 43, 701-701.

Steiner, R. (1987). Narcissisme de vie. Narcissisme de mort: By André Green. Paris: Les editions de minuit. 1983. International Journal of Psychoanalysis, 68, 133-138.

Treacher, A. (2003). Reading the other women, feminism, and Islam. Studies in Gender and Sexuality, 4(1), 59-71.

Welldon, E.V. (1995). Female perversion and hysteria. British Journal of Psychotherapy, 11(3), 406-414.

Wolson, P. (2012). Working with the relational unconscious: An integration of intrapsychic and relational analysis. Psychoanalytic Review, 99(2), 209-225.

Yanof, J.A. (1996). Language, communication, and transference in child analysis: I. Selective mutism: The medium is the message; II. Is child analysis really analysis? Journal of the American Psychoanalytic Association, 44(1), 79-116.




DOI: https://doi.org/10.5281/sppa%20revista.v24i2.223

Direitos autorais

Revista de Psicanálise da SPPA | Publicada desde 1993 (1988-93 com o nome de Arquivos de Psicanálise da SPPA)

Publicação Quadrimestral | ISSN 1413-4438 (versão impressa) | ISSNe 2674-919X (versão eletrônica) | Qualis: B2 Psicologia
 
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CLASE | Citas Latinoamericanas en Ciencias Sociales y Humanidades (Universidad Nacional Autónoma de México - UNAM)
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