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Abstract
Este trabajo sintetiza un estudio clínico y conceptual acerca de la temporalidad como indicador clínico de los procesos de regulación del afecto en pacientes con expresiones somáticas. Se comparan los pacientes con somatizaciones con aquellos psiconeuróticos que manifiestan sus conflictos con síntomas de expresión corporal.
Se fundamenta en tres hipótesis principales:
El factor tiempo y las descripciones /enumeraciones de actividades regidas por éste, tanto consumido como alterado, se constituyen en la clínica en referentes privilegiados para evaluar el estado psíquico, la regulación afectiva y la evolución del proceso.
El cuerpo se considera dentro de la sesión una construcción representacional organizada en el intercambio con el semejante. Se constituye en el soporte representacional de la subjetividad.
El cuerpo en la sesión es siempre un hecho de discurso. Existen diferentes dimensiones de discurso y se describen dos estilos: el discurso del cuerpo evocado y el del cuerpo percibido.
Temporality in patients whose suffering is expressed through the body
This paper summarizes a clinical and conceptual study about temporality as clinical indicator of affect regulation processes in patients with somatic expressions. These are compared with psychoneurotic patients who express their conflicts through body language symptoms.
It is based on three main assumptions:
The time factor and the descriptions / lists of activities governed by time, both consumed and distorted, constitute privileged clinical referents to assess mental states, affect regulation and evolution of the process.
Within the session the body is considered as a representational construct organized through the exchange with the other. It becomes the representational support of subjectivity.
The body in the session is always a discursive fact. There are different dimensions of discourse and two styles are described: the discourse of the evoked body and that of the perceived body.
The author bases his thinking about the time axis on Greek mythology, which explains the existence of two gods: Kayros and Khronos. Khronos represents sequential time, while Kayros subjective time. Adherence to one or another type of temporality signifies different conceptions of psychoanalytical work. The historical-genetic conception (Khronos) is compared to historical rewriting created by He further clinically differentiates psychoneurotic symptoms from somatizations. These ideas are illustrated by clinical vignettes.