Do Val Machado, Maíla and Sheinkman Chatelard, Daniela
Abstract
The main objective of this paper is to present what place (function) of the psychoanalyst in general hospitals. Investigates this place from two dimensions that should be articulated: the dimension of psychoanalytic practice and the size of the institution. . It was concluded that the place of the psychoanalysts in general hospitals is somewhere between the clinical dimension and the institutional dimension. [ABSTRACT FROM AUTHOR]
Rezende Fagundes Netto, Marcus Vinícius, Oliveira Santos, Niraldo de, Guerra Benute, Gláucia Rosana, and De Lúcia, Mara Cristina Souza
Subjects
*BULIMIA treatment, *PSYCHOANALYSIS, *PUBLIC hospitals, *DIFFERENTIAL diagnosis, *MEDICAL research
Abstract
Manuals of classification and diagnosis are highly objective when describing the etiology, differential diagnosis and treatment for persons suffering from the so-called eating disorders. But whereas medicine as a science must seek generalizations, psychoanalysis has the unconscious as its field of research and the subject as an effect of language. This paper deals with issues based on observations of preliminary interviews in a clinical case where the symptom of bulimia was present. The observations refer to specific aspects of the symptom in psychoanalysis, the radical difference between the concepts of "instinct " and "drive " and the particular production of knowledge in psychoanalysis. [ABSTRACT FROM AUTHOR]
*PSYCHOANALYSIS, *REPRODUCTIVE health, *PSYCHOANALYSTS, *PHYSICIANS, *DECISION making in clinical medicine, *INFERTILITY treatment, *REPRODUCTIVE technology
Abstract
Based on her experience as a collaborator psychoanalyst in two Reproduction Services, the author in this paper distinguishes three different orders of demands from physicians to psychoanalysts in relation to their activities in the context of treatments of human infertility: 1) approach of the unconscious causation of infertilities without detected organic causes; 2) aid in the construction of parenthood in cases where it is necessary the use of donors of semen, eggs or embryos or even replacement wombs; 3) help to the medical staff in making decisions in face of complex situations from a bioethical point of view, i.e., concerning demands involving the assembly of family arrangements that contradict what is socially accepted or naturally feasible. Each of these orders of demands includes a trap for the psychoanalyst. The approach of these traps is, along with the explanation of demand orders referred above, the purpose of the article. [ABSTRACT FROM AUTHOR]