Reflexões sobre o diagnóstico como representação

Abstract

This master´s dissertation has as its purpose to investigate and deepen the issue of the function of diagnosis, based on the Freudian theory and on the research field of Fundamental Psychopathology. Stemming from the idea that in psychoanalysis the diagnosis does not have the same function as in the empirical sciences and, at the same time, it has not been much explored by Freud, it will be necessary to recap the ideas on the distinction between psychoanalysis and medicine, so that it is possible to understand the function of the diagnosis on the clinic that is concerned with the subjectivity. With this aim, the point of departure will be the experience of a clinical treatment and its development, which are fundamental to the motivation and the generation of the issues that are here proposed. The main issue of this research goes around several questions: why is it so difficult to diagnose and how a patient is diagnosed? What is it, in fact, to diagnose? What is the boundary between one structure and the other? When one diagnoses, what is been diagnosed? And, still, once diagnosed, what changes would it bring to the listening and clinical practice? In this context, the concept of representation is inserted in this research, since it is from it that it became possible to consider diagnosis on a subjective perspective, which would follow neither the psychiatric nosology nor the psychoanalytical structuralism. In this sense, we propose that the diagnosis is a representation as a clinical psychic mechanism that allows the free association