Os atos do sujeito e a certeza: algumas considerações sobre a clínica psicanalítica na urgência / The acts of subject and certainty: some considerations on the psychoanalytic clinic in the urgency / Les actes du sujet et la certitude: quelques réflexions sur la clinique psychanalytique dans l'urgence

O artigo pretende correlacionar a questão da certeza com a clínica da urgência subjetiva. Valemo-nos dos esquemas sobre alienação e separação elaborados por Lacan em seu seminário sobre o Ato Analítico. Este percurso nos orienta quanto à importância do objeto a como organizador da clínica, uma vez que é diante da presença deste objeto que o sujeito responde através dos atos, resposta que revela a obtenção de uma falsa certeza por meio da alienação. Através do ato analítico o que se tem é a possibilidade da extração de uma certeza por meio do trabalho de transferência, a ser manejada de acordo com a temporalidade inerente a cada ato. A consideração de tais aspectos favorecerá a elaboração de estratégias de abordagem que levem em conta tanto a estrutura subjetiva quanto a apresentação do sujeito a partir dos atos, como poderá ser verificado na exposição de um fragmento de caso clínico

The article intends to correlate the issue of certainty with the clinic of subjective urgency. We have used the diagrams of alienation and separation developed by Lacan in his seminar about the Psychoanalytic Act. This course guide us to the importance of the object a as an organizer of the clinic, it is due to the presence of that the subject answers through the acts, revealing a false assurance by means of alienation. Through the psychoanalytic act we have the possibility of extracting a certainty by means of transference work, to be handled in according to the temporality or each act. The consideration of such appearances will favor the development of strategies to approach that takes into account both the subjective structure and presentation of the subject since the acts, as can be seen in the exhibition of a fragment of a clinical case

Cet article vise à corréler la certitude avec la clinique de la urgence subjective. Nous avons utilisé les formes d'aliénation et de séparation développées par Lacan dans son séminaire sur l'Acte Analytique. Ce parcours nous conduit sur l'importance de l'objet en tant qu'organisateur de la clinique, car il est dans la présence de cet objet que le sujet répondre par les actes, ce qui révèle la obtention d'une assurance fausse au moyen de l'aliénation. À travers l'acte analytique est ce qui a la possibilité d'extraire une certitude par des moyens de travail de transfert qui doivent être gérées conformément à la temporalité inhérente à tout acte. La prise en compte de ces facteurs favorisent le développement de stratégies à l'approche qui tienne compte à la fois la structure subjective et la présentation de l'objet à partir des actes, comme on peut le voir dans l'exposition d'un fragment d'un cas clinique

Os atos do sujeito e a certeza: algumas considerações sobre a clínica psicanalítica na urgência / The acts of subject and certainty: some considerations on the psychoanalytic clinic in the urgency / Les actes du sujet et la certitude: quelques réflexions sur la clinique psychanalytique dans l'urgence

O artigo pretende correlacionar a questão da certeza com a clínica da urgência subjetiva. Valemo-nos dos esquemas sobre alienação e separação elaborados por Lacan em seu seminário sobre o Ato Analítico. Este percurso nos orienta quanto à importância do objeto a como organizador da clínica, uma vez que é diante da presença deste objeto que o sujeito responde através dos atos, resposta que revela a obtenção de uma falsa certeza por meio da alienação. Através do ato analítico o que se tem é a possibilidade da extração de uma certeza por meio do trabalho de transferência, a ser manejada de acordo com a temporalidade inerente a cada ato. A consideração de tais aspectos favorecerá a elaboração de estratégias de abordagem que levem em conta tanto a estrutura subjetiva quanto a apresentação do sujeito a partir dos atos, como poderá ser verificado na exposição de um fragmento de caso clínico(AU)

The article intends to correlate the issue of certainty with the clinic of subjective urgency. We have used the diagrams of alienation and separation developed by Lacan in his seminar about the Psychoanalytic Act. This course guide us to the importance of the object a as an organizer of the clinic, it is due to the presence of that the subject answers through the acts, revealing a false assurance by means of alienation. Through the psychoanalytic act we have the possibility of extracting a certainty by means of transference work, to be handled in according to the temporality or each act. The consideration of such appearances will favor the development of strategies to approach that takes into account both the subjective structure and presentation of the subject since the acts, as can be seen in the exhibition of a fragment of a clinical case(AU)

Cet article vise à corréler la certitude avec la clinique de la urgence subjective. Nous avons utilisé les formes d'aliénation et de séparation développées par Lacan dans son séminaire sur l'Acte Analytique. Ce parcours nous conduit sur l'importance de l'objet en tant qu'organisateur de la clinique, car il est dans la présence de cet objet que le sujet répondre par les actes, ce qui révèle la obtention d'une assurance fausse au moyen de l'aliénation. À travers l'acte analytique est ce qui a la possibilité d'extraire une certitude par des moyens de travail de transfert qui doivent être gérées conformément à la temporalité inhérente à tout acte. La prise en compte de ces facteurs favorisent le développement de stratégies à l'approche qui tienne compte à la fois la structure subjective et la présentation de l'objet à partir des actes, comme on peut le voir dans l'exposition d'un fragment d'un cas clinique(AU)

T-helper cell type 17/regulatory T-cell immunoregulatory balance in human radicular cysts and periapical granulomas.

INTRODUCTION: Cysts and granulomas are chronic periapical lesions mediated by a set of inflammatory mediators that develop to contain a periapical infection. This study analyzed the nature of the inflammatory infiltrate, presence of mast cells, and in situ expression of cytokines (interleukin [IL]-17 and transforming growth factor [TGF]-beta), chemokines (macrophage inflammatory protein [MIP]-1beta and monocyte chemotactic protein [MCP]-1), and nuclear transcription factor (FoxP3) in human periapical granulomas and cysts compared with a control group. METHODS: Fifty-five lesions (25 periapical cysts, 25 periapical granulomas, and 5 controls) were analyzed. The type of inflammatory infiltrate was evaluated by hematoxylin-eosin staining, and the presence of mast cells was analyzed by toluidine blue staining. Indirect immunohistochemistry was used to evaluate the expression of cytokines, chemokines, and FoxP3. RESULTS: The inflammatory infiltrate mainly consisted of mononuclear cells. In cysts, mononuclear infiltrates were significantly more frequent than mixed (polymorphonuclear/mononuclear) infiltrates (P = .04). Mixed inflammatory infiltrates were significantly more frequent in patients with sinus tract (P = .0001). The number of mast cells was significantly higher in granulomas than in cystic lesions (P = .02). A significant difference in the expression of IL-17 (P = .001) and TGF-beta (P = .003) was observed between cysts and granulomas and the control group. Significantly higher IL-17 levels were also observed in cases of patients with sinus tract (P = .03). CONCLUSIONS: We observed that chronic periapical lesions might experience a reagudization process that is correlated with an increased leukocyte infiltration, with the predominance of neutrophils attracted by a chemokine milieu, as well as the increased presence of IL-17.