Fantasmas del cuerpo y marcas clínicas
Fecha
2018
Autores
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Editor
Universidad Nacional de Rosario. Facultad de Ciencias Médicas.
Resumen
La marca, lo que marcó, lo que fue excluido por el lenguaje interpela el saber médico en un terreno álgido, el de las llamadas enfermedades psicosomáticas, que comprometen tanto la subjetividad del paciente como la del médico.
Hay un cuerpo que enferma, pero en muchos casos no sabemos por qué resiste y los tratamientos no dan los resultados esperados. Tales enfermedades incumben a las distintas especialidades de la medicina, puesto que, en algunos sujetos, el soma es conmovido hasta tal punto que terminan representados por él.
Desde esta perspectiva, los objetivos de la investigación se centraron, fundamentalmente, en indagar la estructura psíquica de estos pacientes y la génesis de las enfermedades psicosomáticas desde la pregunta sobre la operatividad fantasmática; y concluimos en que dicha operatividad fracasa.
Trabajamos, además, poniendo en consideración y diferenciando los conceptos de soma y cuerpo. Entendimos que ello permite otra lectura, que excede la linealidad fisiopatológica del proceso salud-enfermedad. En tal sentido, se pretendió ampliar el pensamiento y accionar médico.
Sostuvimos que el cuerpo es pasible de inscripciones a modo de marcas, a las que denominamos estigmas. En la construcción del cuerpo erógeno de ciertos pacientes, determinado órgano quedó por fuera de lo que, en psicoanálisis, es la cadena significante, con lo cual dicho órgano pasa a ser reservorio de estancamiento de libido narcisista.
Como método de investigación, se utilizó el marco teórico del psicoanálisis. La investigación contempló una articulación teórico-clínica; clínica del caso por caso, regida por la rigurosidad ética inherente a la práctica psicoanalítica.
The mark, what’s been marked, what was excluded by language questions medical knowledge in a critical field, that of psychosomatic diseases, which compromise both the patient’s and the doctor’s subjectivity. There is a sick body, but in many cases the reason why it resists is unknown and treatments do not accomplish the expected results. Such diseases concern the different specializations in medicine, for in some subjects the soma is so altered that they finish being represented by it. From this viewpoint, the research objectives focused, mainly, on investigating these patients’ psyche structure and the genesis of psychosomatic diseases, taking as our startpoint the phantom’s correct functioning; we concluded that such functioning fails. Furthermore, we considered and differentiated the concepts of soma and body. We acknowledged that this allows a different reading, which exceeds the physiopathological linearity of the health-illness process. In this way, we expected to broaden medical thought and action. We claimed that the body can endure certain imprints as if they were marks, which we have called stigmas. Among some patients, when the erogenous body came into being, certain organ was left out of what in Psychoanalysis is known as the signifying chain, thereby becoming a narcissist libido stagnation reservoir. As our research methodology we used the theoretical framework of Psychoanalysis. The research took into account a theoretical-clinical articulation, case by case, ruled by the ethical rigidity that characterizes the psychoanalytic practice.
The mark, what’s been marked, what was excluded by language questions medical knowledge in a critical field, that of psychosomatic diseases, which compromise both the patient’s and the doctor’s subjectivity. There is a sick body, but in many cases the reason why it resists is unknown and treatments do not accomplish the expected results. Such diseases concern the different specializations in medicine, for in some subjects the soma is so altered that they finish being represented by it. From this viewpoint, the research objectives focused, mainly, on investigating these patients’ psyche structure and the genesis of psychosomatic diseases, taking as our startpoint the phantom’s correct functioning; we concluded that such functioning fails. Furthermore, we considered and differentiated the concepts of soma and body. We acknowledged that this allows a different reading, which exceeds the physiopathological linearity of the health-illness process. In this way, we expected to broaden medical thought and action. We claimed that the body can endure certain imprints as if they were marks, which we have called stigmas. Among some patients, when the erogenous body came into being, certain organ was left out of what in Psychoanalysis is known as the signifying chain, thereby becoming a narcissist libido stagnation reservoir. As our research methodology we used the theoretical framework of Psychoanalysis. The research took into account a theoretical-clinical articulation, case by case, ruled by the ethical rigidity that characterizes the psychoanalytic practice.
Descripción
Revisión de Casos Clínicos - Método Psicoanalítico
Palabras clave
https://purl.org/becyt/ford/3.3, Fantasmas del cuerpo, Marcas clínicas, Enfermedad psicosomática