RESUMO
O presente trabalho tem como base a narrativa de um atendimento clínico, no qual a paciente procura análise, pois todos os seus relacionamentos amorosos fracassavam causando-lhe intenso sofrimento. Ao longo dos atendimentos ela diz saber o porquê desses fracassos: ela fede. Formulamos a hipótese clínica de que o mau cheiro se insere na economia psíquica da paciente como um mecanismo de defesa e, tomando o conceito de narcisismo como norteador, discutimos o papel da alucinação olfativa na sustentação psíquica da paciente.
The present paper is based on a clinical situation in which the patient seeks an analysis because all her love relationships failed causing intense suffering. Along the treatment she says that she knows why her relationships come to an end: She stinks. We formulate the clinical hypothesis that stench is inserted into the patient’s psychic economy as a defense mechanism and, taking the concept of narcissism as a guide, we discuss the role of the olfactory hallucination as a psychic support for the patient.
Ce travail est basé sur le récit d’une situation clinique dans lequel le patient cherche l’analyse a cause des echècs dans toutes ses relations amoureuses lui causant des souffrances intenses. Au cours des sessions, elle dit connaître la raison de cette condition: Elle pue. Nous formulons l’hypothèse clinique que l’odeur est insérée dans l’économie psychique du patient comme un mécanisme de défense et, en prenant le concept de narcissisme comme un guide, nous avons discuté du rôle de l’hallucination olfactive dans le soutien psychologique du patient.
El presente trabajo tiene como base la narrativa de un atendimiento clínico en lo qual la paciente busca a un análisis porque todos sus relacionamientos amorosos fallaban, generandole un gran sofrimiento. Al largo de los atendimientos ella dice saber la razón destos fracasos: ella huele mal. Hemos formulado la hipótesis clínica de que el holor malo está insertado en la economía psíquica de la paciente como un mecanismo de defensa, y tomando el concepto de narcisismo como rector, discutimos el rol de la alucinación olfativa en el sostén psíquico de la paciente.
Die vorliegende Arbeit hat als Grundlage den Bericht ueber eine klinischen Behandlung in der eine Patientie eine Analyse sucht weil alle ihre Liebesbeziehungen zerbrachen was ihr intensives Leid zufuegte. Im Zuge der Behandlung sagte sie sie wisse die Ursache dieser Fehlschlaege: sie stinkt.. Wir stellten die klinische Hypothese auf dass sich der schlechte Geruch in der “psychischen Oekonomie” der Patientin als Mechanismus der Verteidigung eingliedert und indem wir das Konzept des Narzismus als Ausrichtung nahmen, diskutierten wir die Rolle der Geruchshalluzination in der psychischen Haltung der Patientin.
RESUMO
The hallucination are common and have an important role in diagnosing schizophrenia. Objectives: To describe and to follow up the evolution of the hallucination in schizopprenia. 40 patients with schizophrenia met to ICD.10 criteria and have hallucination were treated by anti-psychotic drugs in National Institute of Mental Health from September 1999 to November 2000. Methods: cross - sectional study. Results: The hallucination symptoms in the patients were: 92.5% had auditory hallucination, 12.5% had visual hallucination and 2.5% had olfactory hallucination. Most of auditory hallucination was comments located in head. 91.6% hallucinations were disappeared when the patients were treated by anti-psychotic drugs. Conclusions: Most of hallucinations are auditory, visual and olfactory. Hallucinations are likely sensitive to anti-psychotic drug.