Una nueva oportunidad. El valor de la "consulta terapéutica en tiempos de desamparo" / A new opportunity. The value of therapeutic consultation in times of distress

En nuestra clínica cotidiana como psicoanalistas, ejercida en distintos contextos socioculturales (hospitales, escuelas, hogares de tránsito) nos encontramos día a día con historias signadas por el desamparo. Historias de niños y adolescentes que han sufrido déficits en la posibilidad de ser alojados. En el presente trabajo nos proponemos dar cuenta de nuestra experiencia, realizando entrecruzamientos teórico-clínicos, en el intento de visualizar diferentes dispositivos de intervención y tomando como marco conceptual el artículo de Donald Winnicott “El valor de la consulta terapéutica”. Presentaremos, además, algunos momentos de nuestras intervenciones en instituciones que albergan niños y adolescentes en situaciones de vulnerabilidad psíquica y social. La teoría y práctica winnicottiana nos resulta de gran utilidad para pensar en ese otro rango de la clínica que no cae dentro de lo que podríamos denominar un psicoanálisis clásico.

In our every day clinical practice as psychoanalysts, carried out in differentsocial-cultural contexts (hospitals, schools, temporary homes) we, day afterday, come across histories signed by helplessness.Histories that belong to children and adolescents who have suffered a lack ofthe possibility of being lodged.In the current work, we intend to state our experience, by means of theoryand practice crossovers, in the attempt of visualizing different interventiondevices, considering the article “The value of Therapeutic Consultation” byDonald Winnicott, as a conceptual frame.We will also introduce some moments of our intervention in institutions thatprovide shelter to children and adolescents under conditions of physical andpsychic vulnerability.We found Winnicott ́s theory and practice remarkably useful to thinkabout this clinical range, which does no fit in what we could call a classicpsychoanalysis.

História natural da síndrome de Kleine-Levin: revisão e discussão / Natural history of the Kleine-Levin syndrome: review and discussion

Neste artigo, os autores fazem um levantamento da história natural da síndrome de Kleine-Levin mediante a revisão e discussão críticas da literatura científica publicada até a data sobre o assunto. Prestam uma atenção especial aos correlatos psiquiátricos desta síndrome neuropsiquiátrica, focando os dilemas de diagnóstico deles decorrentes. Discutem as dificuldades e equacionam o perfil que os conhecimentos do estado da arte permitem delinear para a história natural da síndrome Kleine-Levin.

In this article, we provide a picture of the so-called natural history of the Kline-Levin syndrome by means of a critical review and discussion of the scientific literature published so far about this topic. We focused special attention on the psychiatric correlates of this neuropsychiatric syndrome, addressing the diagnostic dilemmas raised from them. We also discuss the difficulties and show the profile that the knowledge about the state of the art in this area allows us to outline for the natural history of this syndrome.