Mal-estar na cultura do risco: uma leitura dos impasses e dificuldades criadas pelas situações dúplices de tratamento médico e psicanalítico

Abstract

The practice of psychoanalysis holds some challenges nowadays. One of them refers to the coexistence with medical treatments in a general way and, over all, with the psychopharmacological treatments, which had grown in the last years exponentially. The treatment of dual situation by psychoanalysis and conventional medicine becomes each day more common. This work represents an attempt to consider the possible clinical effects of this practice on the analytical situation. The research considers two premises: 1. The specific social cultural context that favors the dual situation strongly is that one which is dominated by the concern about the risks that surround the healthy and the body, inside the risk-society . 2. The more current psychopathological pictures are the psychosomatic manifestations, the addictions and the cases that an exceeding adaptation is observed (normopathy). The work tries to show that there are some non accidental resonances between the cultural environment and the clinic. The two initial chapters examine the social cultural context above critically, through concept analysis, values and specific mechanisms that produce it; this allows pointing out psychoanalysis, whiling therapeutic experience, away from the horizon of adaptation and equalization that reaches the individual, which cognitivism is one of its representatives. At this point some researches about psychoanalytical analysis of the contemporary culture are helpful guides. In the second part of the research, some clinical narratives are presented and argued in order to show what happens between analyst and patient in these situations. Two types of effects are detached: a weakness of transference, and a partial invalidation of the analyst s abilities, for instance, the decrease of the function of continent, as described by Wilfred Bion. Under this perspective, a conclusion that a risk logic appears is developed, which may affect the analytical experience and its results in a negative way