O Sintoma como acontecimento de corpo: uma leitura psicanalítica a partir de um construção de caso clínico

Abstract

The choice of the research theme was built from the clinical practice of this author, based on the psychoanalytic theory in hospital and private practice. In this practice, it was possible to evidence that, in patients with body symptoms that supposedly have medical urgency, when they are listened to, it is observed that the manifestations are under the register of the psychic and cannot be treated exclusively by medicine. Since the beginning, the psychoanalytic theory has verified that the body is crossed by language, leaving marks that point to the real of the symptom. The case chosen was the one that best represented the theme of the research, since it is about a young woman who comes in complaining of "shortness of breath in her heart" and, by talking about it, starts questioning herself about what is missing in the condition of being a woman. The construction of the clinical case as a method makes legitimate what has been decanted from the analytic experience, making it clear that the subject is not the case, nor the story report, because, assured by the ethics of telling, psychoanalysis presents itself not only as treatment, but also as research. And, by treating what is real in the symptom, as an event of the body, it assumes the position of extraterritoriality in relation to medicine, substantiating the hypothesis that the body enjoys, which makes it necessary to include the dimension of jouissance in the psychoanalytic treatment of the body. Listening to the epistemo-somatic failure points to the relevance of this research when it corroborates that the symptom treated by medicine can coexist with the symptom that is a matter for the talker. And this one, only if spoken about under transference, can be transformed into an enigma, so that the fissured subject can build a knowledge about his truth, even if not all of it. In view of this, the following question arose: to what extent do bodily phenomena, such as hysterical conversion, summon psychoanalysis, in contemporary times, to treat the body from the epistemosomatic failure? In order to answer this question, the general objective of this study was established: to investigate the reading of psychoanalysis concerning the concept of symptom as a body event, based on a clinical case of hysterical conversion. The following specific objectives were defined: to discuss the treatment given to the body by medicine and psychoanalysis; to identify the difference and approximations between the symptom of hysterical conversion and the symptom as a body event; to examine the relation between body and jouissance in psychoanalytic clinics; to analyze the management of transference in the treatment given to the symptom as a body event.