Nouvelles normalités Nouvelles pathologies Nouvelles ... - Psynem

6° 6éme Congresso Congrès Européen Europeo de di Psicopatologia Psychopathologie dell’Infanzia de l’Enfance e et dell’Adolescenza
de l’Adolescence
Nuove Nouvelles normalità normalités Nuove Nouvelles patologie pathologies Nuove pratiche Nouvelles pratiques
FRIDAY, May 6
Workshop 15 Perinatal intervention
INTERVENCIONES PSICOLÓGICAS EN DUELO Y ENFERMEDAD ORGÁNICA
Mónica Carugatti Hospital Privado de Buenos Aires (Buenos Aires - AR)
that it is crucial that each one understands and
respects the limitations of our poor knowledge
and techniques. I consider that in a general hospital,
mental health professionals have a second
place in the attention of organic patients and their
parents. This is so because the patient establishes
transference with the doctor, expect to be healed
by the doctor and this is correct. Psychological
interventions are to be done “here” and “now”
after a doctor’s intervention.
Communication is also to build a trust and
personal relation based on mutual respect with
fellow physicians and nurses, being the psychologist’s
role to analyze and solve disagreements
and conflicts that occur daily. Communication
means listening to what the patient asks us leaving
our theories aside for a moment in order to
create something new that can lead to any type
of answer.
Thought and change
The theme of this Congress is change, the challenge
that therapists face due to the accelerating
social and economic transformations and the
emergence of new diseases, how to deal with
them and what answers to give.
Bacheler says “when we believe to have developed
a theory of an absolute and complete
knowledge about an object, we have developed
the most important and essential function of the
subject: deceive ourselves.[…] Then, reality seems
to be the realization (and disillusion) of an intimate
assumption more than being the verification of a
pre-existing and objective data”.
This is why I am not explaining how we organized
the inter-consultation system (you can ask
me during the debate) but I am telling you what are
the structures that I think that made it possible:
education that includes the study of writers as
234
diverse as Freud, Klein, Bion, Bowlby, Watson,
Erikson, Rogers, Piaget, Aulagnier, Emilce Dio
Bleichmar, Jacques Hassoum, Andre Green,
Chiozza. And many more...
ment
did not include a systematic learning on
Bioethics, but that was inside me, as in many
of us, culturally transmitted from generations to
generations. Today it is essential that courses of
Bioethics are included in training programs.
on its own. (Personal analysis and supervision help
when the two previous premises are fulfilled)
Creation
Creation, then, emerge from the authenticity of
the intersubjective relationship with the patient,
physicians, nurses, parents. It tries to make a
difference there, where there is suffering, anguish
and misunderstanding. Kleinian theory of early
psychics allowed me to understand, describe,
interpret and intervene where there were primitive
anxieties circulating in the neonatological and
paediatric intensive care unit among parents,
children, professionals and other involved people
from the clinic. Clinical practice showed me how
iatrogenic the classic psychoanalytic approach
can be . We received a 28-year-old patient weighing
28 kilos and with chronic eating disorders.
She had been under psychological therapy for 2
years 4 times a week with a psychologist member
of APA in a didactic function. She used to go to
his therapy by car, but she used to get lost so she
often arrived late or didn’t arrive at all. This was
strictly interpreted by the analyst as resistance.
Needless to say that the patient suffered from
hypoglycemia.
The patient’s father, who was very worried, told
his own therapist that the daughter only had water
on her refrigerator and that she was increasingly