Estudo das resistências e da reação terapêutica negativa em um caso de histeria: uma contribuição para a clínica psicanalítica

Abstract

This dissertation has the purpose of shedding light on some of the difficulties found in the analytical process of a case of hysteria, morespecifically on the resistances observed in this process, especially thenegative therapeutic reaction. Considering that the notion of psychological repression and consequently resistance, compose one of thethree conceptual pillars of psychoanalysis, along with the concepts of the unconscious mind (which include sexuality and the Oedipus complex) and transference, in the same manner in which clinical cases are an originating field and worthy of psychoanalytical investigation, clinical cases were used as the main axis for the development of this study. The study fundamentally took place from Freudian writings, to which were added collaborations from psychoanalysts such as Joan Riviere, Benno Rosenberg, Mario Pablo Fuks, Renato Mezan and Silvia Leonor Alonso. During the course of this study, which clearly demonstrated the hysteric organization of the patient, whom I will call Elisabeth, her moral masochism in close association with the oedipal stalemates that acted within her, plus the analyst’s therapeutic ambition established the conditions for the negative therapeutic reaction and the premature termination of the analysis. In the end, inaddition to the Freudian meta-psychological contributions, two perspectives for the understanding of the patient’s negative therapeutic reaction phenomenon were highlighted: a predominantly economic perspective, based on notions of life-guardian masochismanddeadlymasochism according to Benno Rosenberg, and an object perspective basedon some of Luiz Meyer’s considerations regarding the Dora case and Joan Riviere’s theoretical considerations contained in her work, “Those wrecked by success”, of 1936