{"id":2682,"date":"2019-09-12T04:16:46","date_gmt":"2019-09-12T04:16:46","guid":{"rendered":"http:\/\/www.ruxandravoinea.ro\/?p=2682"},"modified":"2019-09-18T19:38:09","modified_gmt":"2019-09-18T19:38:09","slug":"durerea-psihica-si-fizica","status":"publish","type":"post","link":"https:\/\/www.ruxandravoinea.ro\/index.php\/2019\/09\/12\/durerea-psihica-si-fizica\/","title":{"rendered":"Despre durerea psihic\u0103 \u015fi psihosoma I"},"content":{"rendered":"\n
Durerea psihic\u0103 \u0219i fizic\u0103<\/h5>\n\n\n\n

Cuv\u00e2ntul “<\/em>durere<\/em><\/strong>” deriv\u0103, \u00een limba rom\u00e2n\u0103 din latinescul “dolor”; \u00een terminologia utilizat\u0103 \u00een terapia durerii se mai folosesc termeni ce deriv\u0103 din r\u0103d\u0103cina indo-european\u0103 “algo”, care la greci (algeo) definea durerea fizic\u0103 (nevralgie, hiperalgezie, analgezie), r\u0103d\u0103cina “angh” (din greac\u0103, latin\u0103 \u0219i sanscrit\u0103 – intr\u0103 \u00een constitu\u021bia cuvintelor angin\u0103, anxietate) \u0219i r\u0103d\u0103cina “spao” (din lb. greac\u0103, spasm). Dac\u0103 pentru durere se mai folose\u0219te \u0219i sinonimul “algie”, pentru suprimarea durerii, \u00een limba rom\u00e2n\u0103 se folose\u0219te cuv\u00e2ntul “analgezie” (an-f\u0103r\u0103, algos-durere) \u0219i algeziologie pentru disciplina care studiaz\u0103 durerea \u0219i tratarea sa. Defini\u021bia I.A.S.P. (International Association for the Study of Pain) a durerii este “o senza\u021bie \u0219i o experien\u021b\u0103 senzitiv\u0103 \u0219i emo\u021bional\u0103 nepl\u0103cute asociate cu o leziune tisular\u0103 existent\u0103 sau poten\u021bial\u0103, sau descris\u0103 ca o astfel de leziune” (Merskey, 1986). Aceast\u0103 defini\u021bie implic\u0103 at\u00e2t factori senzitivi (de ex. nocicep\u021bia) c\u00e2t \u0219i emo\u021bionali (ex. suferin\u021ba). Se formuleaz\u0103 de asemenea evenimente “actuale” dar \u0219i “poten\u021biale”. <\/em><\/p>\n\n\n\n

Cite\u0219te \u0219i despre Psihosoma, t\u0103r\u00e2mul dintre boala fizic\u0103 \u0219i cea psihic\u0103<\/a><\/p>\n\n\n\n

\"Durerea<\/figure><\/div>\n\n\n\n

Durerea,<\/strong> aceast\u0103 punte privilegiat\u0103 care asigur\u0103 leg\u0103tura dintre soma \u015fi psyche<\/strong>, \u00eei preocup\u0103 pe to\u0163i cei care se apleac\u0103 asupra suferin\u0163ei omene\u015fti. Neexist\u00e2nd modalit\u0103\u021bi obiective de m\u0103surare a durerii (fizice sau psihice), ea poate fi comunicat\u0103 doar de c\u0103tre cel bolnav, prin afirma\u021bii sau ac\u021biuni, \u00eentr-o manier\u0103 relativ\u0103. R\u0103spunsul fiziologic al \u021besuturilor la injurie \u0219i durere acut\u0103 este similar, indiferent dac\u0103 are drept surs\u0103 actul chirurgical, trauma, arsura sau afectarea visceral\u0103. Revine sarcina doctorului sau a psihologului de a decela intensitatea real\u0103 \u0219i poten\u021barea sau diminuarea ei datorit\u0103 aspectelor de natur\u0103 psihic\u0103. Flerul \u0219i experien\u021ba specialistului sunt puse \u00een slujba g\u0103sirii cauzelor, \u00een\u021belegerii \u0219i sprijinului oferit pacientului pentru a-i \u00eembun\u0103t\u0103\u021bi starea.  <\/p>\n\n\n\n

Durerea psihic\u0103 \u0219i fizic\u0103 \u0219i cei care au studiat-o<\/h5>\n\n\n\n

Aisenstein (2006,667) consider\u0103 c\u0103 “<\/em>descoperirea psihanalizei ofer\u0103 o solu\u021bie unic\u0103 \u0219i incontestabil\u0103 la faimoasa problem\u0103 minte-corp. Transfer\u00e2nd dualitatea psihe-soma pe dualitatea excita\u021biei pulsionale, psihanaliza plaseaz\u0103 originea procesului g\u00e2ndirii \u00een corp“. <\/em>Freud considera c\u0103 tuturor g\u00e2ndurilor li se asociaz\u0103 emo\u021bii (o descoperire congruent\u0103 cu neuro\u0219tiin\u021bele moderne, Damasio 200), rezult\u00e2nd o excita\u021bie fizic\u0103 care se descarc\u0103 \u00een corp.<\/p>\n\n\n\n

McDougall \u0219i-a\n\u00eembun\u0103t\u0103\u021bit reflec\u021biile despre fenomenul psihosomatic pornind de la cercet\u0103rile\nasupra bolilor psihosomatice ale colegilor s\u0103i din Societatea Psihanalitic\u0103 din\nParis, cu prec\u0103dere pe lucr\u0103rile lui Marty, Fain, Davind \u0219i M\u2019Uzan.<\/p>\n\n\n\n

\"Durerea<\/figure><\/div>\n\n\n\n

Psihosoma func\u021bioneaz\u0103 ca o entitate; orice eveniment psihologic are un efect asupra corpului psihologic la fel cum orice eveniment somatic are repercursiuni asupra min\u021bii, chiar dac\u0103 nu sunt \u00eenregistrate con\u0219tient. Astfel, dac\u0103 e\u0219u\u0103m \u00een a procesa mental suferin\u021ba psihic\u0103, procesul psihosomatic preia comanda \u0219i putem spune ca procesul psihanalitic este antiteza procesului psihosomatic.  Simptomele psihosomatice apar la orice pacient, \u00een analiz\u0103 fiind \u0219i un fenomen comun la nivelul \u00eentregii popula\u021bii. <\/p> (McDougall 1974, 439-442) <\/cite><\/blockquote>\n\n\n\n

Durerea psihic\u0103 \u0219i fizic\u0103: dar cu absen\u021ba durerii cum r\u0103m\u00e2ne?<\/h5>\n\n\n\n

\n\nPentru noi, anali\u015ftii, durerea psihic\u0103, starea de r\u0103u, constituie o dimensiune fundamental\u0103 a c\u00e2mpului nostru de observa\u0163ie \u015fi de explorare zilnice. At\u00e2ta vreme c\u00e2t nu se traduce \u00een discurs simbolic, suferin\u0163a fizic\u0103 nu intr\u0103 \u00een zona noastr\u0103 de interes. Dar, se dovede\u015fte c\u0103 grani\u0163a care desparte durerea fizic\u0103 de durerea psihic\u0103<\/strong> este extrem de fluid\u0103 \u015fi la fel de \u00een\u015fel\u0103toare. Este oare coerent s\u0103 spunem c\u0103 o durere moral\u0103 “declan\u015feaz\u0103” o alta, corporal\u0103? Sau invers? Totu\u0219i, \u00eentre cele dou\u0103 c\u00e2mpuri de suferin\u021b\u0103 exist\u0103 o asemenea leg\u0103tur\u0103, \u00eenc\u00e2t durerea care se manifest\u0103 \u00een unul dintre ele provoac\u0103 \u00eentotdeauna un efect \u00een cel\u0103lalt<\/strong>, cel pu\u021bin \u00een m\u0103sur\u0103 \u00een care psihosoma func\u021bioneaz\u0103 c\u0103 un \u00eentreg.
Este posibil c\u0103 drumurile care permit aceast\u0103 permeabilitate s\u0103 fie blocate. Sau chiar c\u0103 subiectul, de\u0219i are acces la reprezentarea lor, s\u0103 confunde tr\u0103irea afectiv\u0103 dureroas\u0103 cu senza\u021bia corporal\u0103 dureroas\u0103, ba chiar s\u0103 le \u00eenlocuiasc\u0103 pe una cu alt\u0103 \u00een scopuri defensive, de ap\u0103rare. E greu de spus \u00een ce moment un pacient pune accentul pe o durere fizic\u0103 pentru a masca o durere mental\u0103. S\u0103 ne g\u00e2ndim, de pild\u0103, la acei pacien\u021bi care vorbesc despre oboseal\u0103 \u00een loc s\u0103 recunoasc\u0103 un afect depresiv cu tot alaiul de idei conexe sau, dimpotriv\u0103, caz la fel de banal, la pacien\u021bii care nu-\u0219i ascult\u0103 defel corpul bolnav, ci se str\u0103duiesc s\u0103 g\u0103seasc\u0103 o mie de motive “psihologice” pentru a elimina semnifica\u021bia somatic\u0103. <\/p>\n\n\n\n

Absen\u021ba durerii <\/strong>poate fi \u00een\u0219el\u0103toare. Pentru unii, orice reprezentare a suferin\u0163ei afective, uneori chiar a suferin\u021bei fizice, este negat\u0103, pentru c\u0103 apoi s\u0103 fie refulat\u0103 \u0219i chiar dezavuat\u0103 \u0219i distrus\u0103. Iar durerea nu mai exist\u0103. Aceast\u0103 absen\u021ba trimite la o serie de disfunc\u0163ii psihice \u0219i somatice importante<\/strong>, a c\u0103ror existen\u021ba nu este recunoscut\u0103 de subiect, din pricina lipsei unei capacit\u0103\u0163i de simbolizare. \u00cen\u0103bu\u0219irea afectului sau bruierea mesajelor somei se afl\u0103 \u00eentr-un c\u00e2mp prea pu\u021bin descifrabil. Ele pot paraliza evolu\u021bia curei analitice. \u00cen lipsa unor reprezent\u0103ri psihice traductibile \u00een cuvinte psihanalistul nu poate vedea nimic. \n\n<\/p>\n\n\n\n

Va urma…<\/em><\/p>\n\n\n\n

Cite\u0219te \u0219i despre Despre durerea psihic\u0103 \u015fi psihosoma II<\/a><\/p>\n\n\n\n

Bibliografie<\/strong>
<\/h3>\n\n\n\n

\nPsihosomatica, Peter Shoenberg, Editura Trei, 2007
<\/p>\n\n\n\n

Pledoarie pentru o anumit\u0103 anormalitate, Joyce Mc. Dougall, Editura Trei, 2008
<\/p>\n\n\n\n

From Psychosomatics to Neuropsychoanalysis: Contributions of the Paris School, Joseph Dodds <\/p>\n\n\n\n

https:\/\/ro.wikipedia.org\/wiki\/Durere<\/a><\/p>\n\n\n

\n<\/p>\n\n\n

Ruxandra Voinea<\/strong><\/p>\n\n\n\n

Telefon: 0724551022<\/a><\/p>\n\n\n\n

Email: voinea_ruxandra_cristina@yahoo.com <\/a><\/p>\n\n\n\n

valorificarepersonala@gmail.com <\/a><\/p>\n","protected":false},"excerpt":{"rendered":"

Durerea psihic\u0103 \u0219i fizic\u0103 Cuv\u00e2ntul “durere” deriv\u0103, \u00een limba rom\u00e2n\u0103 din latinescul “dolor”; \u00een terminologia utilizat\u0103 \u00een terapia durerii se mai folosesc termeni ce deriv\u0103 din r\u0103d\u0103cina indo-european\u0103 “algo”, care la greci (algeo) definea durerea fizic\u0103 (nevralgie, hiperalgezie, analgezie), r\u0103d\u0103cina “angh” (din greac\u0103, latin\u0103 \u0219i sanscrit\u0103 – intr\u0103 \u00een constitu\u021bia cuvintelor angin\u0103, anxietate) \u0219i r\u0103d\u0103cina “spao” (din lb. greac\u0103, spasm). Dac\u0103 pentru durere se mai folose\u0219te \u0219i sinonimul “algie”, pentru suprimarea durerii, \u00een limba rom\u00e2n\u0103…
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