De que cor será sentir? : método psicanalítico na psicose

Abstract

This paper aims to describe and discuss the tortuous paths of the psychoanalytic method when dealing with institutionalized psychotic patients. Starting from a liaison between literature, poetry and painting, the author seeks to understand the difficulties of establishing a regressive process engaged in the work of rescuing the split parts of the self after a psychotic explosion. The purpose of this paper is to illustrate how the need for a modification of the technique can be put at the service of the time of holding, if we able to recognize the fundamental role of image in the experience, as archaic language in early problems, and as a possibility of communication and transformation in psychosis. This includes the possibility of exploring this time of holding, without becoming pure handling and, indeed, without losing the name of psychoanalysis, as Winnicott2 said in relation to what, when and how to do, based on clinical experience. Through fragments of a clinical case treated by the author for almost eight years in a mental institution, she tries to understand the listening of images revealed by painting as a way of thinking directly connected not only to the unconscious mechanisms and fantasies of the person being analyzed, but also with points of fracture in his functioning. Along the way, the association of emerging images, supported by the analyst, promotes the approach of some of the contents deeply cleaved by the patient, who becomes able to fill the absence of that which could not become psychic. On this journey the author found herself accompanied by several authors interested in the field of modified analysis with difficult patients, such as Winnicott and Ferenczi, and in the question of figurability, such as Antonino Ferro, Gaetano Benedetti, the couple Botella and René Roussillon, as well as national authors, researchers in those fields of interest such as Alfredo Naffah Neto, Luis Cláudio Figueiredo, Daniel Kuperman and others