In this paper I intend to describe the work of recuperation of the psychic apparatus of a patient as a way of achieving the elaboration of psychotic parts and of making possible the development of the capacity of thinking and feeling. This recovery, which was actually almost the construction of a psychic apparatus, allowed the development of the capacity to think symbolically and to establish object relations. I will report a case maintaining what is pertinent in relation to the issue addressed, leaving out other elements present in the analytic process.I will try within the scope of this Congress to stick to the use of the psychoanalytic tools that we have today, when in the 21st century we are faced with the challenges brought by patients who cannot even inform what they feel or think. These patients live in a world where action prevails and conflict is not experienced and where few relations are established which makes it necessary to help them build a psychic apparatus capable of symbolizing and consequently thinking and establishing relations. In this case these features are radicalized by the psychotic state presented.Freud differed from the psychiatrists of his time being able to listen to what his hysterical patients said and revealed enabling him with this listening to see beyond what was said and known. Listening allowed contact with a whole world of feelings and emotions that until then were not understood. I believe that nowadays we have to take this lesson of Freud as an example of listening to patients who came to us with various complaints or even without knowing what they complain about or feel. Psychoanalytic listening remains a major psychoanalytic instrument.Bion (1962a) called alpha function the transformation of rudimentary emotions into alpha elements. That is, the function that the object has of containing rudimentary emotions and experiences that are projected by the subject so that they can be slowly digested psychically and thought by the object. In his model container/contained Bion (1962a) calls our attention to the object that receives the projections of the baby, metabolizes them and returns them to the baby giving a different meaning to the projected. In this model the baby introjects an object that receives and understands its anxieties. These experiences, common to humans, form a pattern of object *As per the agreement between the IJP, the IPA and Wiley, copyright for this article is retained by the contributors. This article forms part of a collection from the keynote speakers at the 49th IPA Congress in Boston, USA: "Changing World: The shape and use of psychoanalytic tools today", scheduled for 22-25 July 2015. Registration is available via the IPA website: www.ipa.org.uk/congress. Int J Psychoanal (2015) 96:521-533
O autor pretende, por meio de um caso clínico, descrever as interações transferenciais e contratransferenciais de situações em que a maneira de ser do paciente se choca com maneiras e modos do analista conceber determinadas situações. Aborda a importância do exame minucioso da contratransferência para que o analista se exima de preconceitos em relação a atitudes e vivências do paciente em questão. O choque entre as diferenças de mundo do paciente e do analista é compreendido a partir da ação transferencial sobre a mente do analista. Não pretende discutir o caso clínico como um todo, mas apenas exemplificar e discutir a interação entre analista e paciente, tomando por base as diferenças entre um e outro. Considera, também, que preconceitos do analista, se não examinados e superados, podem levar a conluios e impasses no processo analítico.
Trabalho apresentado na IX Jornada da Sociedade Brasileira de Psicanálise de Porto Alegre. Porto Alegre 25 e 26 de Novembro de 2011.
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