Terezinha de Camargo Viana

O corpo em psicanálise

In this article we intend to understand the Freudians fundaments about the body and its statutes, whose presence dates back to the birth of psychoanalysis. We intend to show that the initial moment is closely associated to the field of biology when Freud establishes the division between biological body and psychoanalytic body. Next, we examine how the passage from self-erotic and fragmented body to unified body by narcissism takes place. This opens the way for the resumption of the pulsing concept which will flow later to the second pulsional dualism, the creation of the second topic and the emerging of the body ego.

A velhice e a morte: reflexões sobre o processo de luto

Neste trabalho, apresentamos e discutimos, sob a perspectiva da psicanalise, reflexoes sobre a associacao da morte com o processo de envelhecimento humano. Sao analisadas, inicialmente, elaboracoes freudianas sobre a morte na cultura, destacando o estranhamento e o desamparo perante a velhice e a morte. Reflexoes sobre a vivencia da morte nas perdas experienciadas na velhice sao apresentadas neste trabalho, que tambem propoe uma discussao acerca do luto que e vivido simbolicamente nas perdas associadas ao processo de envelhecimento. As perdas vividas na velhice estao relacionadas a morte real de amigos e companheiros, ao corpo, ao fim das relacoes de trabalho, ao relacionamento social e familiar. Tais perdas perpassam tanto a dimensao do fisico, em sua concretude, como os universos profissional, social e familiar. Apos uma analise bibliografica, concluimos que e pertinente a reflexao de que a morte e a velhice constituem fenomenos fortemente atrelados na cultura, de modo que uma abordagem sobre o envelhecimento parece demandar uma compreensao e discussao do processo de luto vivenciado nas sucessivas experiencias de perdas na velhice.

A constituição do infantil na obra de Freud

The development of the concept of infantile in Freud. Freud’s understanding of the importance of infancy in psychical constitution is fundamental in psychoanalysis, leading us to consider that the notion of infantile, in metapsychology, assumes the statute of a concept. This essay proposes to research the concept of infantile in Freud. In order to point out the precocity of the appearance of the concept in psychoanalysis, the initial moments of Freud’s works are favored. Some texts written after the pre-psychoanalytic publications, such as “The Interpretation of Dreams” and “The three essays on the theory of sexuality”, will also be analyzed, so as to point out the initial development of the concept of infantile in metapsychology and in psychoanalytic

Sobre o conceito de contratransferência em Freud, Ferenczi e Heimann

All analysis is inevitably pierced by the countertransference. This phenomenon is one of the key issues of psychoanalytics theory and technique as it affects the analyst in his daily clinical and refers to his personal analysis, clinical supervision and writing, because of the anguish relative to the transferences disturbing strangeness. Denoted its importance in this text, we will investigate the construction of its concept in Sigmund Freud as a experience necessary, but also as a problem to be solved, in Sandor Ferenczis work, when approaching the countertransference as an inherent part of the transference relationship and the analytical technique. We will also demonstrate its subsequent comprehension by Paula Heimann in 1950, who made a major shift at the understanding of the term as an essential tool for analytical method.Todos los analisis estan impregnados, inevitablemente, por la contratransferencia. Este fenomeno constituye una de las cuestiones y de los problemas de la teoria y de la tecnica psicoanaliticas mas fundamentales, ya que afecta al analista en su clinica diaria y se refiere a su analisis personal, su supervision clinica y su escritura, tal es la angustia acerca de la extraneza inquietante de la transferencia. Denotada su importancia, este texto se dedica a la construccion del concepto en Sigmund Freud como una experiencia necesaria, sino un problema que hay que resolver, en Sandor Ferenczi, quien demuestra ser la contratransferencia una parte inherente de la relacion transferencial y de la tecnica analitica, y en su posterior reinterpretacion de Paula Heimann en 1950, lo que supone un cambio radical en la comprension del termino como una herramienta esencial para el metodo analitico.

Parentalidade e o desenvolvimento psíquico na criança

This paper presents an analysis of the concept of parenthood based on the psychoanalytical perspective, which allo- ws the study of both the subjectivity of parents and children. The hypothesis is that parenthood, characteristically infiltrated by the narcissism of parents themselves, can be a source of tension. Based on this premise, it is possible to understand certain responses in the development of a childs ego and which signals success to a greater or lesser extent in the passage from the principle of pleasure to the principle of reality. We also stress the importance of studying effects of this narcissist infiltration of parental love on the subjectivity of parents. This study contributes both to investigations addressing psychoneurosis, based on a comparison provided between clinical practice and psychoanalytical theory, and to the investigation of more complex social phenomena such as violence and the disaggregation of human communities.This paper presents an analysis of the concept of parenthood based on the psychoanalytical perspective, which allo- ws the study of both the subjectivity of parents and children. The hypothesis is that parenthood, characteristically infiltrated by the narcissism of parents themselves, can be a source of tension. Based on this premise, it is possible to understand certain responses in the development of a childs ego and which signals success to a greater or lesser extent in the passage from the principle of pleasure to the principle of reality. We also stress the importance of studying effects of this narcissist infiltration of parental love on the subjectivity of parents. This study contributes both to investigations addressing psychoneurosis, based on a comparison provided between clinical practice and psychoanalytical theory, and to the investigation of more complex social phenomena such as violence and the disaggregation of human communities.

Velhice?: acho ótima, considerando a alternativa: reflexões sobre velhice e humor

O presente artigo objetiva articular a nocao de humor, a partir da psicanalise, e a velhice. A sociedade hodierna, marcada pelo espetaculo e culto a beleza e juventude, reafirma as tres fontes de sofrimento psiquico discutidas por Freud. No contexto atual, o sujeito velho encontra-se em um lugar quase de nao-existencia. O idoso ainda e considerado como uma pessoa que existiu em um passado, realizou seu percurso psicossocial e espera a morte. Destarte, o velho e lancado no passado para revisita-lo atraves das lembrancas, mas sem possibilidade de articulacao com o presente e de se projetar no futuro. Alem disso, a associacao atual da velhice com decrepitude retira do sujeito idoso a possibilidade de elaboracao de um projeto possivel de futuro e traz efeitos para o psiquismo. Diante disso, tres estilos psiquicos retratam formas do idoso lidar e manejar esse impasse: depressao, paranoia e mania. Entretanto, existem formas alternativas para enfrentar a finitude da vida e resgatar seu lugar na propria existencia. Uma dessas formas e o humor ironico que tem como foco um olhar para dentro de si e para fora. Esses olhares ironicos provocam o riso perante os proprios problemas, mas tambem impulsionam o sujeito a encarar a realidade e seguir em frente. Aproximar o conceito de humor ironico a conceitos ja elaborados por psicanalistas pos-freudianos que estudaram o processo de envelhecimento e um desafio. Dentre esses autores, destaca-se Erikson e seu conceito de sabedoria. Essa forca psicossocial envolve, tambem, um duplo olhar e parece poder caminhar junto ao olhar ironico como forma alternativa de experimentar a velhice.

Characterization of the Brazilian production in scientific papers on Art and Psychology (2004-2014)

Art has always been an object of study and performance tool for Psychology professionals in Brazil. In order to increase the knowledge on this relationship, the present study aims to characterize as Art has been used by psychology professionals in the country. The method used was the bibliographical and exploratory research in databases on production of scientific papers on the use Art by Psychology in Brazil from 2004 to 2014. 318 abstracts from six categories of analysis of articles that had been analyzed were selected: year of publication, type of study, theoretical references, artistic expression type, field in Psychology and objective of the work. After the analysis it was concluded that, in Brazil, there is a predominance of theoretical and epistemological work in literary and visual arts, based on psychoanalytic theory, aimed at theoretical / conceptual expansion.

Caracterização da Produção Brasileira em Artigos Científicos sobre Arte e Psicologia (2004-2014)

Art has always been an object of study and performance tool for Psychology professionals in Brazil. In order to increase the knowledge on this relationship, the present study aims to characterize as Art has been used by psychology professionals in the country. The method used was the bibliographical and exploratory research in databases on production of scientific papers on the use Art by Psychology in Brazil from 2004 to 2014. 318 abstracts from six categories of analysis of articles that had been analyzed were selected: year of publication, type of study, theoretical references, artistic expression type, field in Psychology and objective of the work. After the analysis it was concluded that, in Brazil, there is a predominance of theoretical and epistemological work in literary and visual arts, based on psychoanalytic theory, aimed at theoretical / conceptual expansion.

Caracterización de la Producción Brasileña en Artículos Científicos sobre Arte y Psicología (2004-2014)

Art has always been an object of study and performance tool for Psychology professionals in Brazil. In order to increase the knowledge on this relationship, the present study aims to characterize as Art has been used by psychology professionals in the country. The method used was the bibliographical and exploratory research in databases on production of scientific papers on the use Art by Psychology in Brazil from 2004 to 2014. 318 abstracts from six categories of analysis of articles that had been analyzed were selected: year of publication, type of study, theoretical references, artistic expression type, field in Psychology and objective of the work. After the analysis it was concluded that, in Brazil, there is a predominance of theoretical and epistemological work in literary and visual arts, based on psychoanalytic theory, aimed at theoretical / conceptual expansion.

Psychodynamics of patients who regained weight after bariatric surgery

E are the fattest Africans, says WHO. Approximately 90 percent of type 2 diabetes mellitus (T2DM),the most common form of diabetes, is attributable to excessive body fat. Bariatric/metabolic surgery is a legitimate and cost-effective approach to the treatment of type 2 diabetes in obese patients in cases where treatment with diet, exercise, and medications have proved to be insufficient, bariatric/metabolic surgery can be an alternative and/or additional treatment for obesity and type 2 diabetes.Over the past few years, bariatric surgery has become a viable option for obesity treatment. Being a multifactorial disease, different professionals play an important role in the preparation for surgery and its follow-up. The relations between oral health (or lack of it) and obesity have increasingly brought dentists closer to the bariatric multidisciplinary team.Backround: There is paucity of clinical and demographic information of Ulcerative Colitis(UC) in rural area of Gujarat. Evidently high number of cases diagnosed with UC inspired this study. Objective: To provide clinical and demographic data of UC patients seen in our hospital. Methods: A review was performed in all cases of Ulcerative Colitis seen in the hospitals from 2007 2014 by retrieval from Medical record department. The diagnosis of UC was based on a combination of clinical, endoscopic and histological findings consistent with UC. Study also focused on food habits which included self-identified food triggers and tobacco chewing. Along with this extraintestinal manifestation were also taken into account. As the duration of study was quite long and data were obtained by primary questionnaire and follow up. Patient were asked to come to hospital for filling up a questionnaire which included their current disease condition tobacco chewing habits, smoking history food habits, presumed food triggers Analysis was performed using the Microsoft Excel and Graphpad prism. Results: A total of 47 patients with UC consulted over the eight-year study period (2007-2014). The mean annual incidence of UC from 2007-2014 was 17.9 new cases: 100,000 new consults per year. An increase in the mean annual incidence from 9.9 in 2007-2010 to 25.9 in 2011-2014 was noted (Table 1, Figure 1). 29.8 % patients were chronic regular tobacco chewer, 2.1% were regular smokers and 2.1% patient consumed alcohol regularly. There were 17% patients with family history of UC. (18.2%) Figure 2. Astonishing fact is that none of the patient required surgical intervention and their symptoms are usually controlled by medicines therapy. None of the patients had gut obstruction, or toxic megacolon. Mean ESR was compared for both the groups was statistically significant. Weight loss and anemia were one of the key features of UC patients. Extraintestinal manifestation: 8.6% had episcleritis, 23.4% patients had mouth ulcers, 2.1%patient had erythema nodusum and 17%(8) patient had complain of hairfall and itching. 31.9% patient had pain while defecation and could not sit longer, who were later diagnosed with sacroilitis. None of the patient had colingitis. Conclusion: The incidence of UC in our study is higher than Indian and other Asian country estimates but our rates may be an overestimation of the true regional incidence since our hospital and associated centers are >>>>> ? referral centers. Clinical presentation is similar to neighboring state and countries except for higher appearance of extraintestinal symptoms and no surgical intervention. Extensive research is required to understand food habits, tobacco chewing and reason or pattern of high incidence of disease in this region. This study also include data from Dhoraji – Trimurti hospital and charitable camps by associated with Bhavanben Chikhaliya foundation. Triumurti hospital which is located in district of Junagadh, a district in south west of state of Gujarat. Increasing number of UC patient was inspiration of study with aim being collecting, analyzing and reporting data of incidence and clinical symptomology of UC in patient of this region. Materials and Methods Setting Trimurti Hospital is one of the largest tertiary hospitals in the Junagadh. Our institution receives patients from all parts of the Junagadh although the majority comes from rural area of Junagadh, Amreli, Porbandar, Gir Somanath and Veraval District. The total number of new admissions, outpatient and emergency consults from Citation: Devraj P Chikhaliya, Patel Parag G, Patel Rupal P, Mehta Kajri V (2017) Demographic Profile and Clinical Presentation of Ulcerative Colitis in Trimurti Hospital From 2007 To 2014. GastroenteArol Hepatol J 1:110. Gastroenterol Hepatol J, 2017 Volume 1(1): 35-38 2007 to 2014 is about 2,62,728 1,34,000 with an average annual consult of 32,841 16,700 patients per year. Case Ascertainment All files of inflammatory bowel disease patients seen at Trimurti Hospital from from 2007 to 2014 were retrieved atfrom the medical records department. Since charts have been organized into type of disease according to the ICD-10 format, patients with diagnosis of ulcerative colitis were identified. We likewise performed a separate inspection of histopathology reports and patient logbooks of general surgery, colorectal surgery and gastroenterology sections. The diagnosis of UC was based on a combination of clinical, endoscopic and histological findings consistent with UC. Typical clinical features include diarrhea usually sanginous-, rectal bleeding, passage of mucus, abdominal pain, anorexia and weight loss. Lower endoscopic findings consistent with UC are presence of ulcerations, pseudopolyps, increased contact bleeding, and mucous production, Teneasmus, and hematochezia, transmural inflammatory infiltration. The following are the histological findings of UC: distorted epithelial architecture, crypt abscesses in some cases, ulcerations, non-caseating granuloma, transmural inflammatory infiltration and inflammatory cells in the lamina propria. Study also focused on food habits which included self-identified food triggers and tobacco chewing. Along with this extraintestinal manifestation were also taken into account. As the duration of study was quite long and data were obtained by primary questionnaire and follow up.A develop type 2 diabetes at a lower BMI because of their genetic propensity to have more visceral fat for their BMI range. It is no longer believed now that the reversal of diabetes after metabolic surgery is due primarily to weight loss and there is now much data showing that diabetes reverses quite quickly after surgery before much weight loss has occurred. Clearly hormonal mechanisms are at play, some of which have been worked out and others remain to be discovered. It is also no longer in doubt that bypass operations have a stronger anti-diabetic effect, although a sleeve resection does an adequate job in the obese and overweight patient. In this small series of 60 patients, we document the result of an unselected group of low BMI patients operated mainly with the goal of improving or reversing their type 2 diabetes. We define full reversal as those who get off all medication including insulin and are able to document a HbA1C result of 6.5% or below. We collected 60 patients of average age 50.3 years (Range 33-64 years). There were 34 males and 26 females. Duration of diabetes averaged 8.3 years. 22 were on insulin and 38 were only on oral medication. Average blood sugar before surgery was 9.5 mmole/l. Average weight of patients before surgery was 78.59 Kg (Range 51.5 Kg to 126.7 Kg). BMI before surgery was 28.99 Kg/square meter (Range 18.7 Kg/square meter to 37.66 Kg/square meter). 18 patients had BMI 27 or under and only 4 patients had BMI more than 35 Kg/ square meter. Pre-operative C-Peptide level was 2.4 UG/L (Range 0.75 to 4.5). All patients who were obese with BMI around 27 or above had a laparoscopic gastric sleeve resection. Those under BMI of 27 had a Roux-en-Y gastric Bypass or Mini-bypass. The Bypass was modified to minimize the weight loss effect of the operation. Average blood sugar before the surgery was 9.57 mmole/l, this dropped to 6.03 mmole/l after this operation. The difference was 3.28 mmole/l. After an average of 18 months follow up, 90% were off all medications. 6 patients (10%) were still on oral medication but were off insulin. Patients who were previously only on oral medication were all off diabetic medication. Of the 6 patients who are still on medication, 4 are in the below BMI 27 Kg/square meter group. This gives a success rate in this very low BMI group of 77%. Success rate in the above BMI 27 group was 95% (40 of 42 patients). Average HbA1C before surgery was 8.02%. All of these were despite medication or insulin. Average HbA1C after surgery was 5.9% (Range 4.9% to 6.8%). The average drop in HbA1c was 2.9%. Average weight of patient after the surgery was 62.27 Kg (Range 46.7 Kg to 91.5 Kg). Average weight loss was 12.5 Kg (Range 6.3 Kg to 22.1 Kg). No patient became excessively underweight after the surgery. We strongly believe that the effect of metabolic surgery on type 2 diabetes is independent of start weight or weight loss and that BMI should no longer be considered in evaluating patients for metabolic surgery. There should not be any fixed lower BMI for doing this surgery.