Doença de Crohn e repercussões emocionais: um estudo clínico

Abstract

This work analyses a patient, Felipe, sick with Crohn s Disease, and how the process of becoming sick occurred according to the Winnicott s theory, in a psychosomatic point of view. The author used an interview and the Drawings-Stories Procedure in order to have a large scope of the patient s psychodynamics through the analysis of the verbal and non-verbal expressions. We can consider two levels of the disease: when there is the dissociation psyche-body there is already a disease from the psychoanalytic point of view. The psychosomatic disease occurred when he was 26 years old, when his fragile balance he hardly could maintain through obsessive defenses, broke up because of two losses: his dog s death and when his brother left home. To get sick is a way of being noticed, in order to give significanced his body. An important aspect in Felipe s case is the feeling of non-existence, he seems to exist only via disease. The experience lived by Felipe during hospitalization had a traumatic feeling of distress. We can think that this experience is related to distress traumas lived when he was a baby, showing a repetition of a poor relationship with his mother. According to Winnicott s theory, the solution for Felipe s case is the possibility of living a regressive situation with the psychoanalyst, in order to access the traumatic experience of distress in his relationship with others, and thus re-update essential aspects of the constitution of his self, another possibility of reaching his identity