Transtornos autísticos: a psicanálise e suas interfaces
Palavras-chave:
Transtornos autísticos, Psicopatologia do desenvolvimento, Psicanalise, DialogismoResumo
Partindo das idéias de Tustin sobre os fenômenos autísticos e apoiada em seu exemplo de busca constante de meios para expandir a compreensão dos mesmos, dediquei-me, nos últimos anos, a procurar elementos (conceitos, dados e métodos) das áreas vizinhas à psicanálise que ampliassem meu horizonte de entendimento dos dados acumulados
por mim ao longo de quase trinta anos de avaliação e psicoterapia psicanalítica de crianças com transtornos autísticos. Neste trabalho procuro relatar de modo resumido o resultado de tais estudos. Usei, em particular, o material clínico de dois pacientes, mas o pano de fundo sempre foi a clínica psicanalítica mais extensa. Assim, à perspectiva psicanalítica associei a das neurociências, da psicologia do desenvolvimento, da etologia e do construtivismo/dialogismo para criar um modelo hipotético de fisiopatogenia dos transtornos autísticos, ou seja, de como podem surgir e se estabelecer tais transtornos durante o desenvolvimento, quais os fatores envolvidos e quais as consequências. Espero que o texto venha reforçar o necessário e oportuno movimento, que já se pode identificar entre alguns psicanalistas, de explicitar e avaliar mais detalhadamente nosso trabalho no campo dos transtornos autísticos (AU)
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AKSHOOMOFF, N. et al. (2002). The neurobiological basis of autism from a developmental perspective. Development and Psychopathology, v. 14, p. 613-634.
ALVAREZ, A.; REID, S. (1999). Autism and personality. London: Routledge.
BEEBE, B. et al. (1997). Mother-infant interaction structures and presymbolic self and object representations. Psychoanalytic Dialogues, v. 7, p. 133-182.
BION, W. (1962). Learning from experience. London: Karnac.
BLURTON, J. N.; WOODSON, R. (1979). Describing behavior: the ethologist’s perspective. In: Social interaction analysis: methodological issues. Madison: University of Winsconsin.
BOWLBY, J. (1969). Apego e perda I: apego. São Paulo: Martins Fontes, 1990.
. (1973). Apego e perda II: separação, angústia e raiva. São Paulo: Martins Fontes, 1984.
BRÅTEN, S. (1998). Infant learning by altercentric participation: the reverse of egocentric observation indivíduo autism. In: Intersubjective communication and emotion in early ontogeny.
Cambridge: Cambridge University. p. 118.
. (2003). Participant perception of others’acts: virtual otherness in infants and adults. Culture & Psychology. v. 9, n. 3, p. 261-276.
BRAZELTON, T. B.; CRAMER, B. G. (1990). As primeiras relações. São Paulo: Martins Fontes, 1992.
DISSANAYAKE, C.; CROSSLEY, S. (1997). Autistic children’s responses to separation and reunion with their mothers. Journal of Autism and Developmental Disorders, v. 27, n. 3, p. 295-312.
FONAGY, P.; TARGET, M. (1998). An interpersonal view of the infant. In: HURRY, A. (Org.). Psychoanalysis and developmental therapy. Madison: International University.
FONSECA, V. R. (2009). The autistic dialogic style: a case of Asperger’s syndrome. Journal of Child Psychotherapy, v. 35, n. 3, p. 250-261.
. (2010). Les difficultés concernant le pronom personnel et l’espace mental dans les troubles autistiques: une hypothèse. Neuropsychiatrie de l’enfance et de l’adolescence, v. 58, p. 145-151.
FONSECA, V. R. et al. (2006). The autistic dialogic style: a case of Asperger syndrome. In: MEETING OF THE DIALOGIC SELF, 4., 2006, Braga, Portugal, 2006.
FONSECA, V. R. et al. (2004). Transtornos autísticos e espaço dialógico: breve conversa entre a psicanálise e o dialogismo. Revista Brasileira de Psicanálise, v. 38, n. 3, p. 679-692.
FONSECA, V. R.; BUSSAB, V. S. (2005a). The search for selfhood in autistic disorders: an interdisciplinary approach: fourth poster session. In: JANUARY MEETING OF THE AMERICAN PSYCHOANALYTIC ASSOCIATION, 2005, Nova York, 21 jan. 2005.
.; . (2005b). Trauma, deficit and defense-current trends in the psychoanalysis of children with PDD. In: CONGRESSO DA INTERNATIONAL PSYCHOANALYTICAL ASSOCIATION, 44., 2005. Rio de Janeiro, 27 a 31 de julho 2005.
.; . (2006). Self, other and dialogical space in autistic disorders. International Journal of Psychoanalysis, v. 87, p. 439-55.
GERGELY, G. (2001). The obscure object of desire “Nearly, but clearly not, like me”: contingency preference in normal children versus children with autism. Bulletin of Menninger Foundation,
v. 65, n. 3, p. 411-426.
GRANDIN, T.; JOHNSON, C. (2005). Animals in translation: using the mysteries of autism to decode animal behavior. New York: Simon and Schuster.
GREENSPAN, S. I. (1997). Developmentally based psychotherapy. New York: International Universities.
GROSSMANN, A. et al. (2003). Experience effects on brain development: possible contributions to psychopathology. Journal of Child Psychology and Psychiatry, v. 44, n. 1, p. 33-63.
GUIMARÃES, F. (1990). A hypothesis about the determining process of autistic states. International Journal Psycho-Analysis, v. 71, p. 393-402.
HIRSTEIN, W. et al. (2001). Autonomic responses of autistic children to people and objects. Proceedings Biological Sciences, v. 268, n. 1479, p. 1883-1888.
HOBSON, P. R. (1993). El autismo y el desarrollo de la Mente. Madrid: Alianza.
HOLQUIST, M. (1990). Dialogism: bakhtin and his world. London: Routledge.
KELLER, H. (2007). Cultures of infancy. New Jersey: Lawrence Erlbaum Associates.
KOHLER, E. et al. (2002). Hearing sounds, understanding actions: action representation in mirror neurons. Science, v. 297, n. 5582, p. 846-848.
LOVELAND, K. (1993). Autism, affordances, and the self. In: NEISSER, U. (Ed.). The perceived self: ecological and interpersonal sources of self-knowledge. Cambridge: Cambridge University.
MELTZER, D. et al. (1975). Exploración del autismo: un estudio psicoanalítico. Buenos Aires: Paidós, 1979.
NEISSER, U. (1993). The self perceived. In: The perceived self: ecological and interpersonal sources of self-knowledge. Cambridge: Cambridge University.
OGDEN, T. (2004). On holding and containing, being and dreaming. International Journal of Psychoanalysis, v. 86, n. 6, p. 1349-1364.
ORGANIZAÇÃO MUNDIAL DA SAÚDE. Classificação estatística internacional de doenças e problemas relacionados à saúde: CID-10. 10. ed. rev. 2008.
SCHORE, A. (2003). Affect dysregulation and disorders of the self. New York: W.W. Norton & Company. p. 230.
. (2002). Dysregulation of the right brain: a fundamental mechanism of traumatic attachment and the psychopathogenesis of posttraumatic stress disorder. Australian & New Zealand Journal of Psychiatry, v. 36, n. 1, p. 9-30.
. (1994). Affect regulation and the origin of the self: the neurobiology of emotional development. Hove: Lawrence Erlbaum. p. 162.
STERN, D. (1985). The interpersonal world of the infant. New York: Basic Books.
TALAY-ONGAN, A.; WOOD, K. (2000). Unusual sensory sensitivities in autism: a possible crossroads. International Journal of Disability, Development and Education, v. 47, n. 2, p. 201-212.
TINBERGEN, N.; TINBERGEN, E. (1983). Autistic children: new hope for a cure. London: Allen & Unwin.
TOMASELLO, M. (1993). On the interpersonal origins of self-concept. In: NEISSER, U. (Ed.). The perceived self: ecological and interpersonal sources of self-knowledge. Cambridge: Cambridge University.
TREVARTHEN, K. et al. (1996). Children with autism. Philadelphia: Jessica Kingsley.
TREVARTHEN, C. (1993). The self born in intersubjectivity: the psychology of an infant communicating. In: NEISSER, U. (Ed.). The perceived self: ecological and interpersonal sources of self-knowledge. Cambridge: Cambridge University.
TUSTIN, F. (1972). Autismo e psicose infantil. Rio de Janeiro: Imago, 1975.
. (1981). Estados autísticos em crianças. Rio de Janeiro: Imago, 1984.
. (1986). Barreiras autistas em pacientes neuróticos. Porto Alegre: Artmed, 1990.
. (1990). The protective shell in children and adults. London: Karnac.
. (1991). Revised understandings of psychogenic autism. International Journal of Psycho-Analysis, v. 72, p. 585-591.
VEENSTRA-VANDERWEELE, J.; COOK, E. (2003). Genetics of childhood disorders: autism, part 5: genetics of autism. Journal of American Academy of Child and Adolescent Psychiatry, v. 42, n. 1, p. 116-118.
WINNICOTT, D. (1965). O ambiente e os processos de maturaçäo: estudos sobre a teoria do desenvolvimento emocional. Porto Alegre: Artmed, 1990.
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Atribuyo los derechos de autor que me pertenecen, sobre este trabajo, a SPPA, que podrá utilizarlo y publicarlo por los medios que considere oportunos, incluso en Internet o en cualquier otro tratamiento informático.
