2 resultados para Psychosis
em REPOSITÓRIO ABERTO do Instituto Superior Miguel Torga - Portugal
Resumo:
Este estudo teve como objetivo principal explorar dois conceitos importantes na teoria do psicanalista francs Andr Green: complexo de me morta e psicose branca. A decatexia provocada pelo afastamento emocional materno (complexo de me morta), induz um vazio interior (angstia branca). Esta sensao de vazio, de paragem, uma depresso sem afetos e a alucinao negativa, so manifestaes da psicose branca (estrutura matriz onde se observa o ncleo da psicose sem que esta necessariamente se manifeste). O mtodo utilizado foi o estudo de caso, de um sujeito do sexo masculino em regime de internamento. Os instrumentos de avaliao incluem a tcnica projetiva de Rorschach (aplicada no incio e no final do internamento) e o Thematic Apperception Test (aplicado no incio do internamento). Atravs do material colhido em contexto de acompanhamento individual e das tcnicas projetivas observaram-se pontos de contacto entre o conceito de psicose branca de Green, falso self de Winnicott e as personalidades as if de Helene Deutsch. A morte metafrica da me, o seu afastamento emocional, poder estar na origem destas perturbaes, onde se observa o ncleo da psicose. Nestas situaes clnicas, em que o vazio interno predomina, a prtica psicoteraputica requer um posicionamento particular do clnico, que no deve estar nem muito prximo (sentido como intrusivo) nem muito distante (sentido como abandnico) do seu paciente. / This work had the purpose of exploring two important concepts in the theory of the French psychoanalyst Andr Green: the dead mother complex and the blank psychosis. The decathexis caused by a maternal emotional withdrawal (dead mother complex) induces an internal void (blank anguish). This feeling of emptiness, stoppage, a depression without affects and the negative hallucination are manifestations of blank psychosis (a matrix structure where one can observe the psychotic kernel, even though without having a manifest psychosis). The applied method was the case study, with a young male institutionalized subject, and to support it we used the Thematic Apperception Test (applied in the early phases of treatment) and the Rorschach projective technique (applied at the beginning and ending of the treatment). Through the data collected in the therapeutic sessions and the projective techniques applied, we observed points of contact between blank psychosis, Winnicott`s False Self and Helene Deutsch as if personalities. The mothers metaphorical death, her emotional withdrawal, could be in the genesis of these disturbances, where we can observe the psychotic kernel. When we are dealing with this kind of patient, where the internal void prevails, the psychotherapeutic technique requires a special positioning from the therapist in relation to the patient, that shouldnt be too close (experienced as intrusive), nor too distant (experienced with feelings of abandonment).
Resumo:
Os sintomas psicolgicos nos indivduos consumidores de lcool o tema investigado neste trabalho, que se dedicou a analisar as diferenas entre grupos de indivduos alcolicos e no alcolicos homens e mulheres. A oportunidade desta investigao se originou no trabalho de psicologia clnica com pacientes alcolicos e, principalmente, frente s carncias bibliogrficas no mercado sobre o assunto. O presente trabalho, buscou, portanto, investigar-se, a partir das hipteses, a intensidade de problemas psicolgicos e sintomas psicopatolgicos em sujeitos alcolicos de ambos os sexos. Para tal, foram realizadas entrevistas orientadas para a aplicao do instrumento. O instrumento utilizado na pesquisa foi o SCL 90-R (Symptom Check List 90 - Revised) (DEROGATIS, 1983) que se prope a medir a intensidade dos sintomas, especificamente em casos de alcoolismo, sendo este instrumento validado no Brasil (LALONI, 2001). Os sintomas psicolgicos avaliados foram: Psicose, Relaes Interpessoais, Ansiedade, Ideao Paranide, Hostilidade, Depresso, Fobia e Obsessivo Compulsivo. A populao investigada abrangeu pessoas no consumidoras de lcool da comunidade e pessoas alcolicas pertencentes aos AA (Alcolicos Annimos). Os dois grupos pertencem Regio Metropolitana de Porto Alegre no Estado do Rio Grande do Sul, Brasil. A comparao foi abrangente em relao aos aspectos de gnero, pois alm de comparar o grupo de alcolicos e no alcolicos verificou as relaes de gnero, analisando as diferenas entre o grupo de homens e mulheres alcolicos e no alcolicos. Os resultados encontrados demonstram que os alcolicos so mais sintomticos que os no alcolicos e as mulheres apresentam-se em relao aos sintomas avaliados com mdias mais altas que os homens. Os alcolicos homens e mulheres no diferem de forma estatisticamente significativa em seus sintomas psicolgicos. Da mesma forma homens e mulheres no alcolicos no diferem em seus sintomas psicolgicos. / The subject of this research concerns about psychological symptoms on alcohol consuming individuals, analyzing the differences between groups of alcoholic and non alcoholic individuals, men and women. This investigation arose from the psychological clinic work with alcoholic patients in face of the lack of literature about this subject. Based on the hypothesis we investigated the intensity of psychological problems and psychopathological symptoms in alcoholic individuals of both sexes. We also evaluated the presence and intensity of psychological problems and psychopathological symptoms in non alcoholic individuals of both sexes. For this research we performed interviews oriented to the application of the instrument. The instrument employed in the research was SCL 90-R (Symptom Check List 90 - Revised) (DEROGATIS, 1983) which measures the intensity of the symptoms. The instrument was validated in Brazil (LALONI, 2001) and is specific to evaluate symptoms in case of alcoholism. The psychological symptoms we evaluated were: Psychosis, Interpersonal Relations, Anxiety, Paranoid Ideation, Hostility, Depression, Phobia, and Obsessive Compulsive. The population investigated is formed by non alcohol consuming people and alcoholics belonging to the Anonymous Alcoholics (AA). Both groups are from the Metropolitan Region of Porto Alegre in the southern sate of Rio Grande do Sul, Brazil. The comparison was comprehensive regarding the aspects of gender, since besides comparing the group of alcoholics and non alcoholics, it compared alcoholic men and women among themselves, and non alcoholic men and women as well. The results that were found demonstrate that alcoholics are more symptomatic than non alcoholics and women, regarding the evaluated symptoms, present themselves with higher averages than men. Alcoholic men and women do not expressively differ in their psychological symptoms, as non alcoholic men and women do not expressively differ in their psychological symptoms as well.
