Title |
Proposal of Study |
Synopsis |
Care of the elderly as an intersubjective field: ethical reflections 88 Cherix K, Coelho Júnior NE. O cuidado de idosos como um campo intersubjetivo: reflexões éticas. Interface. 2017;21(62):579-88.. |
Reflection on the care of the elderly with a basis in intersubjectivity. |
Four types of intersubjectivities were described: transobjective (difference between the Self and the Other), traumatic (the other in a constitutive and traumatic relationship), interpersonal (symmetrical/horizontal relationship between the Self and the Other) and intrapsychic (based on psychoanalytic theory - the relationship between the Self and its introjected psychic objects). The ethics of caring is described in the sense that the elderly should assume self-care as much as possible. |
Clinical Considerations The psychoanalysis of aging in the SUS: the CRI-Norte99 Genaro Junior F. Considerações sobre a clínica psicanalítica do envelhecimento no SUS: o CRI-Norte. Mais 60. 2016;27(66):20-45.. |
Experience Report on the management of a Winnicottian psychoanalytic clinic in the SUS. |
The use of brief psychodiagnosis and individual and group psychotherapy and thematic therapeutic groups. The dependence of humans themselves is described. The valorization of feeling oneself in the cycle of real life, and being alive (in Winnicotti), which is beyond the determinism of diseases. |
Aesthetics and poetics of old age in autobiographical narratives: a study in the light of psychoanalysis 55 Lima PMR, Viana TC, Lima SC. Estética e poética da velhice em narrativas autobiográficas: um estudo a luz da psicanálise. Estud Pesqui Psicol. 2015;15(1):58-78.. |
Reflection on autobiographical writing as a technique. |
Autobiography is defended as a technique for proposing sublimation, desexualization, and the use of written words to give vent to the drives of the elderly. The use of group workshops in which the elderly recall facts for the resignification of identity and the remaking of their social place and relations is described. |
Directing clinical treatment of the elderly1010 Mucida A. Direção do tratamento na clínica com idosos. Rev Bras Ciênc Envelhec Hum. 2015;12(3):245-55.. |
A reflection on psychoanalytical care for the elderly, focusing on the symptom. |
Analysis is performed with the unconscious which does not age and not with the aged body and, as such, the symptom brings up to date the inscribed marks. There are no symptoms of the old but rather old symptoms, which are primary marks. Many elderly people have many bodily symptoms that are a form of pleasure, of weaving a bond with the "other”. |
Psychoanalysis and aging: clinical considerations1111 Silva JM, Moreira JO. Psicanálise e velhice: considerações clínicas. Ciênc Téc Vitiv. 2015;30(2):238-56.. |
Case study with elderly woman in panic syndrome and "delicate surgery”. |
After surgery, the elderly woman requested medical care, since she now has an "artificial organ". This "signifier" referred to existential questions. The analytical work allowed resignification and the search for activities to give meaning to her life. |
Older Adults and psychoanalytic treatment: it’s about time1212 Plotkin DA. Older adults and psychoanalytic treatment: it's about time. Psychodyn Psychiatr. 2014;42(1):23-50.. |
Case study with elderly woman hospitalized in a Geriatric Psychiatry Clinic. |
Analysis sessions three times a week for 18 months in the hospital and then for three further years after discharge. Transfer was observed with the patient feeling herself motivated to change, tolerant towards her frustrations and searching for new meanings in life. |
Winnicotti and the challenge of care for elderly patients in a confused state1313 Fontoni MR, Oliveira WL, Kaneta CN. Winnicotti e o desafio do atendimento a pacientes idosos em estado confusional. Psicol Saúde Doenças. 2014;15(3):816-27.. |
Qualitative research with categorization performed with four elderly women in a confused state, in an orthopedic hospital. |
Two categories were elucidated: "characterization of the clinical picture" and "performances of the Psychotherapist". In the former the patients suffered attention and consciousness disturbances, memory loss and confusion. In the second category, the condition of the patients prevented traditional analysis using holding, from the perspective of reception and support. Like with the care of the psychotic, listening, reception, guidance for the family and team had an effect. |
Special problems for the elderly psychoanalyst in the psychoanalytic process1414 Chessick RD. Special problems for the elderly psychoanalyst in the psychoanalytic process. J Am Psychoanal Assoc. 2013;61(1):67-93.. |
Reflection on the special conditions of elderly psychoanalysts in the therapeutic process. |
The condition of the elderly psychoanalyst as a context requires awareness of his or her existence and continuous monitoring of transference and countertransference, avoiding silent, dangerous and unconscious interaction with his or her patients. |
Psychoanalysis and old age: are the elderly obsolete1515 Castilho G. Psicanálise e velhice: o idoso é obsoleto? Trivium. 2012;4(2):48-58.. |
Psychoanalytical reflection on the elderly in a University hospital outpatient clinic. |
The patient gives authenticity to his or her illness as much as he or she can, and the doctor contributes to this antidepressants that instead of "elaborating his or her context" makes the patient numb. In the analytic perspective, pain, recurrent falls, forgetfulness should be seen in the elderly in the subjective dimension. |
Pour une approche intégrative de la maladie d’Alzheimer: pertinence et limites1616 Pierron-Robinet G. Pour une approche intégrative de la maladie d'Alzheimer: pertinence et limites. Geriatr Psychol Neuropsychiatr Vieil. 2012;10(1):73-81.. |
Reflection of the need to combat Alzheimer's beyond neurological issues. |
The concept of a memory trait from psychoanalytic and neuropsychological theories is described. Forgetfulness in Alzheimer's disease may be a defense mechanism that is rooted in a "desire for forgetfulness" associated with traumatic loss, leading to real psychic suicide. |
Aging in the light of psychoanalysis44 Altman M. O envelhecimento à luz da psicanálise. J Psicanál. 2011;44(80):193-206.. |
Reflection on losses experienced by the elderly. |
Argues that the age of neurosis is more important than chronological age, necessitating the elaboration of loss, mourning, and reinventing life. |
The aging of Anna Freud's diagnostic profile: a re-examination and re-application of the psychoanalytic assessment for older adults1717 Chase C. The aging of Anna Freud's diagnostic profile: a re-examination and re-application of the psychoanalytic assessment for older adults. Psychoanal Study Child. 2011;65:245-74.. |
Case study of the applicability of the Anna Freud diagnostic profile in the elderly |
Case study of a 70-year-old woman using Ana Freud's diagnostic profile technique for greater clarity, intrapsychic diagnosis or understanding. |
The workshop of letters, photographs and souvenirs as a group psychotherapeutic intervention with the elderly1818 Gil CA, Tardivo LSPC. A oficina de cartas, fotografias e lembranças como intervenção psicoterapêutica grupal com idosos. Mudanças. 2011;19(1-2):19-30.. |
Winnicottian psychoanalytic research, developed in a group of six elderly people. |
The mediating materiality was used. Patients were invited to bring letters, photographs, or other souvenirs. There were 16 weekly meetings of 90 minutes each. The objects were placed on a magnetic board and the group talked about what they brought up. They were then photographed and recorded for a new memory. The socialization of the meanings of the objects allowed affective exchanges and projection of the future. |
Clinical observations on the value of reminiscences in the aging process1919 Santos SS, Carlos AS. Observações clínicas sobre o valor das reminiscências no processo de envelhecimento. Barbarói. 2011;35:128-40.. |
Case study with a 89-year-old woman on historical reminiscences that broke the barrier of repression . |
The children (50 years old or older) ask the elderly woman to reveal past love stories that involved guilt caused by religious values. She has a "blackout" and a spell of anger and crying. In the past, her husband died and she was left with five small children, experiencing moments of depression and suicide attempts. The analysis took around two months with two sessions per week, and conflicts over the forbidden themes emerged, giving way to a reconciliation with herself, showing that there is no time limit for the return of repressed memories. |
Psychoanalytical diagnostic2020 Bodni O. Diagnóstico psicoanalítico. Subj Procesos Cogn. 2010;14(2):1-14.. |
Case study with David Libermam Algorithm (DLA) psychoanalytic diagnosis. |
The case presented is of an elderly writer, and relates to fragments from an interview about a dream and a literary work, with drive stagnation and various physical (respiratory) symptoms. Phallic genital eroticism and intra-somatic libido fixation is demonstrated in a poem. In the dream there is a smaller and dramatic intra-somatic component. The interview focuses on economic issues, the will to live and breathe the air on a ranch. The DLA is cited as an instrument that orders words, phrases, rhetoric, narratives, intonations and provides the semiological ordering of discourse. |