Acompanhamento terapêutico de pacientes neurológicos

The purpose of this research is to understand, conceptualize and present the psychological work done with neurological patients by means of psychoanalytically oriented therapeutic accompaniment (TA).This clinical intervention, still unheard of in the specialized literature on therapeutic accompaniment, was developed simultaneously with my activities as lecturer at an undergraduate course in Psychology.Due to this other feature inherent to TA work, I also started work as clinical supervisor, focusing on the teaching of the specificities of TA work to Psychology students, in a professionalizing internship.The theoretical orientation on which the clinical and professorial work was based on was psychoanalytical, using the works of Multiple Field Theory as the main "reading key", given its contribution to the recovery of the psychoanalytic method.This theoretical orientation led us to other issues, regarding the teaching of psychoanalytic technique and how to adapt it to TA practices.As such, we investigated certain technical parameters, discussed in view of clinical TA work, such as the therapeutic setting, free floating attention, a reserved posture, the use of transference and counter-transference, and also the pertinence of play in therapeutic accompaniment.The discussion of these issues was based on the analysis of a film and two clinical cases.The treatment given to the film "The diving bell and the butterfly" and to the patients' cases was the same: a discrimination of the psychoanalytical aspects specific to TA technique, in regards to the students' supervision experience.In this sense, the cases analyzed were approached in three simultaneous planes: the theoretical, the clinical and the didactic.From the analysis of this body of work, we were able to reach some technical recommendations for those working with TA in a psychoanalytical context, given the impossibility of directly transposing psychoanalytical technique to clinical TA work.Furthermore, we achieved a more global understanding of certain aspects of TA work with neurological patients, pointing towards the necessary interdisciplinary relations in a clinic in which physical issues also require simultaneous subjective care.Given its hybrid nature, in which one must articulate a management of the therapeutic bond with a listening of the subjectivity in the patient's everyday life, TA has shown itself to be a useful tool in the rehabilitation of neurological patients, asserting itself as a new and promising field of intervention to these professionals

Internship · Linguistics · Management · Medical education · Pedagogy · Psychoanalysis · Psychoanalytic theory · Psychotherapist · Supervisor · Linguistics and Language Studies · Medicine · Philosophy · Psychoanalysis and Psychopathology Research · Psychology · Psychology and Mental Health

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