A clínica psicanalítica junto a pacientes com câncer: transferência e trauma

Abstract

This research aimed, through case studies, to carry out an analysis of the psychoanalytic clinical practice with the cancer patient. The transferential relationship was valued as a possibility of new forms of subjectivity on this patient, who is under real life threat, announced by the occurrence of the disease and reaffirmed with the medical treatment. For that purpose, clinical care of two cancer patients at different stages of disease treatment was performed, in order to discuss the theory questioned by clinical practice. Such discussion took place from theoretical approaches on the psychic functioning of the illed subject in relation to the concept of trauma. Freud and Ferenczi\'s propositions subsidized theoretical discussions, as well as texts from contemporary authors, which helped elucidate the theme. The patients were able to get in touch with the pain from the situation of illness and with their own life stories, in search of symbolization and of some releif from their suffering, whether adoudes or awakened by the illness. It was found that the cancer, as a traumatic event, brought natural responses from the patients as to its effects on the psyche, having not only the development of a traumatic neurosis as an output. The importance of the clinical listening space offered to patients was noted, in the sense of contributing for the building of meaning of the symptoms presented by the patients and, from there, the building of a new way of life. It is important to highlight that the conduct of this clinical practice has brought challenges that mobilized me in my professional training.