A urgência de uma clínica viva diante da precocidade do trauma

Abstract

Throughout the history of psychoanalysis, while the knowledge of clinical conditions has expanded, the setting and the technique have also been transformed. The present dissertation aims to investigate the importance of offering a space that allows the encounter with the vitalization in the clinic of patients who had their emotional maturation interrupted, in the face of traumatic environmental failures. The guiding thread for this study was the Robbie case, a patient with severe withdrawal, treated by Anne Alvarez. To arrive at this case, the theoretical framework of Figueiredo and Coelho Junior about the matrices of psychic illness was used as a basis. The Ferenczian matrix and its model of illness by passivation were used within this theoretical framework, so that the investigation progressed chronologically starting from Sándor Ferenczi, passing through Donald Winnicott until we reach the transmatrix psychoanalysis, focusing on the author Anne Alvarez. The choice towards the Ferenczian matrix was due to the dedication of these authors to the study of this group of patients submitted to severe and early trauma, showing signs that something of their psyche is frozen, leading them to become survivors or zombies. Faced with these situations, it is important and necessary that the analyst, in addition to preserving his own vitality, provides a vitalizing experience, with an active posture and emotional urgency. Ferenczi's contributions stem from his theory of trauma and his ideas concerning about the elasticity of technique. In Winnicott, his contributions referring to the possible consequences of failures in the scope of the participation of otherness in the process of subjective constitution and the resources he developed in the modifications of the setting in the care of these serious cases were used. In Anne Alvarez, the reader will follow, from the Robbie case, how the author built the concept of Reclaming – or an attitude of calling to life and psychic vitality, on the part of the analyst