O lugar do trauma no adoecimento de pacientes difíceis: uma contribuição de Winnicott

Abstract

This research, of theoretical nature, had as objective to discuss the trauma related to the theory of primitive emotional development proposed on the work of D. W. Winnicott, as well as the association with the illnesses of patients called difficult. For this purpose, the theory of maturational development was initially presented in its general aspects, emphasizing the importance assigned by the author to the environmental function during human life beginning and, consequently, the motherly flaws which, being established as a pattern, contribute to the emergence of several forms of psychic suffering. It was sought, then, to express Winnicott’s contributions to the field of psychoanalytic nosography, mentioning the classification and characterization of some pathological manifestations, highlighting the forms of illnesses originated from early environmental flaws. Thereafter, the evolution of the trauma concept stands out in the author’s work, with the systematization of his propositions from the first reference to the term, in 1931, until the last discussion, held in a 1969 text. In the final part, the handling and its specificities in trauma practice were approached, emphasizing the modified analysis and the regression to absolute dependence, as to highlight the importance of adaptation in analytical environment to the fundamental needs of the patient