Defesa e sexualidade nos primórdios da psicanálise / Défense et sexualité dans les origines de la psychanalyse / Defense and sexuality in the dawn of psychoanalysis

Este artigo pretende investigar como a teoria da defesa que Sigmund Freud propõe no início de suas pesquisas possibilitou a consideração da sexualidade como causa das psiconeuroses. Nesse sentido, afasta-se das leituras que consideram a psicanálise como uma teoria culturalista, isto é, uma teoria que determina os processos psíquicos prevalentemente a partir de fatores sociais e culturais. Percorrendo os artigos pré-psicanalíticos, o autor mostra como Freud se separa dos seus mestres e também como expande a noção de sexualidade para as excitações de outras zonas corporais, ideia que vem a ser desenvolvida na caracterização da sexualidade das crianças como perverso-polimorfa

Cet article propose d’investiguer la façon don’t la théorie de la défense que Sigmund Freud a proposé au début de ses recherches a rendu possible la considération de la sexualité comme la cause des psychonévroses. Dans ce sens il s’écarte des lectures qui considèrent la psychanalyse comme une théorie culturaliste, c’est a dire, une théorie qui détermine les processus psychiques surtout d’élements sociaux et culturels. Tout en faisant un parcours des écrits pré-psychanalytiques, l’auteur nous montre comment Freud se sépare de ses professeurs et aussi comment il élargit la notion de sexualité pour comprendre l’excitation d’autres zones du corps, une idée qui sera développée dans la définition de la sexualité des enfants comme perverse-polimorphe

This article aims to investigate the manner in which the defense theory that Sigmund Freud proposed in his early research, made it possible to consider sexuality as the cause of psychoneuroses. In this sense he strays from the readings that consider psychoanalysis as culturalist theory, which means it is a theory that defines the psychological processes as mainly social and cultural products. While he courses through pre-psychoanalytic writings. The author shows us how Freud separates himself from his masters and also how he expands on the concept of sexuality in order to understand the excitement of other parts of the body, an idea that will be develloped into the definiton of children’s sexuality as polymorphous perverse

Hysteria: a symptom or a syndrome

A descriptive follow up study of 100 consecutive cases of hysterical [dissociative/ conversion] disorders was conducted from 1995-1998 at CMH Kharian to describe find out the relative frequency of hysterical disorders and other underlying conditions in the patients presenting with hysterical symptoms and also to see the long term validity of this diagnosis. The findings of this work indicated that in 40% of the cases there was either a physical or psychiatric underlying cause of these symptoms i.e. depression [40%], anxiety state [15%], adjustment disorder [17.5%], personality disorder [5%] and medical illnesses [25%]. In 60% of the cases of hysterical disorder who responded to the follow up questionnaire, the diagnosis of hysterical disorder was sustained. The prevalence of hysterical disorder was more in women, among young, undereducated and lower socio-economic groups. In majority of the patients, a psychosocial stress was identified. Convulsions, sensory loss, visual symptoms, aphonia, headache, amnesia and possession state dominated the presenting complaints. Further sound methodological studies using the structured instruments are needed to replicate these findings

case with post-vaccination hysteria

Conversion disorder is a disturbance of bodily functioning that does no conform to current concept of anatomy and physiology of central or peripheral nervous system. It typically occurs in a setting of stress and produces considerable dysfunction. It is a common disorder, however in this report we have introduced a rare case who presented after the measles and rubella [MR] vaccination

Las interconsultas psiquiátricas: Análisis y comparaciones / Psiquiatric consult: Analysis and comparison

Presentamos una revisión de 724 interconsultas psiquiátricas enviadas al servicio de psiquiatría de un hospital general durante el período de Abril de 1984 a Abril de 1988. Los resultados son analizados y comparados con otras publicaciones nacionales y extranjeras, invocándose medidas para mejorar los criterios diagnósticos y el análisis de los mismos

Pequeno estudo sobre as neuroses numa abordagem dinâmica / Small study about neuroses in a dynamic approach

Este artigo apresenta um pequeno estudo sobre as neuroses num enfoque psiconalítico, visando introduzir, principalmente, o clínico e o médico de formaçäo organicista numa área com a qual estes profissionais näo estäo muito familiarizados - as doenças de etiologia psicogênica

A clinical analysis of hysteria and psychalgia.

A retrospective study of children presenting with pain to the Child Guidance Clinic, during 1984-85 revealed 101 cases of hysteria and 22 of psychalgia. Children in these two groups did not differ significantly with respect to sex, age, education or occupation of parent. Children with psychalgia presented significantly later, and more frequently complained of headaches and abdominal pain. Children with hysteria presented with seizures, abdominal pain and anxiety symptoms. Pain can be of psychological origin also. Early diagnosis is essential to avoid unnecessary investigations and reinforcement of the "sick role".