O que é a histeria hoje? | Christian Dunker | Falando nIsso 54
Summary
TLDRThis YouTube video explores hysteria from a psychoanalytic perspective, discussing its historical significance and Freud's investigation into its symptoms. It highlights how hysteria has evolved and is now categorized differently in the DSM-5, with conditions like somatoform disorders and panic disorders taking its place. The video emphasizes the importance of understanding hysteria to grasp the social and psychological underpinnings of suffering and its manifestation in today's society.
Takeaways
- 📚 Hysteria was a significant diagnostic paradigm in psychoanalysis, investigated by Freud to understand unconscious processes, symbolism of symptoms, and the importance of childhood experiences and trauma.
- 🔍 Freud's initial concept of hysteria has evolved; what was once considered hysteria now encompasses various disorders like paranoia, obsessive-compulsive neurosis, and somatoform disorders.
- 👩⚕️ Elisabeth Zetzel in the 1960s identified four subtypes of hysteria: depressive, somatic, infantilizing, and those related to historical 'madness', indicating a shift in diagnostic thinking.
- 📉 Hysteria was officially removed from the DSM-5 diagnostic manual, reflecting a fragmentation of the term into more specific disorders since 1973.
- 🌐 The concept of hysteria has been replaced by a range of disorders including depression, somatoform disorders like fibromyalgia, panic disorder, factitious disorders, histrionic personality disorder, dissociative disorders, eating disorders, and narcissistic and borderline personality disorders.
- 👥 Hysteria affects both men and women, but cultural, familial, and social power structures influence its manifestation and perception.
- 🤔 The importance of hysteria in contemporary discussions lies in its ability to prompt reflection on the genesis and ordering of symptoms, and their social and psychological context.
- 🌟 Hysteria challenges the notion of suffering as an individualized, decontextualized phenomenon, emphasizing the social bonds and relational aspects of distress.
- 📚 The script suggests that revisiting the psychoanalytic concept of hysteria can offer critical insights into current forms of suffering and their societal implications.
- 📖 For further reading on hysteria's evolution and its relation to gender and societal roles, the script recommends the work organized by Pedro Ambar and Nelson Silva Jr., particularly the chapter 'Hysteria and Gender: Sex as a Missed Encounter'.
Q & A
What is hysteria according to the script?
-Hysteria is a historical diagnostic paradigm in psychoanalysis, originally investigated by Freud to uncover aspects of the unconscious, symbolic determination of symptoms, the importance of memory, and the impact of childhood experiences and trauma.
How has the concept of hysteria evolved since Freud's time?
-The concept of hysteria has evolved significantly. Freud's initial texts grouped what we now consider different disorders under hysteria. By the 1960s, Elisabeth Zetzel had identified four subtypes of hysteria, and by the time of the DSM-5, hysteria was removed as a diagnostic category.
What are the four subtypes of hysteria mentioned in the script?
-The four subtypes of hysteria are: depressive, related to physical suffering with many somatizations, linked to depression, and associated with infantilization, characterized by very sweet and submissive personalities.
Why was hysteria removed from the DSM-5?
-Hysteria was removed from the DSM-5 because it was becoming an uncomfortable diagnostic entity. It was fragmented into numerous other smaller disorders such as depression, somatoform disorders, panic disorder, factitious disorders, histrionic personality disorder, dissociative disorders, eating disorders, and narcissistic personality disorder.
How does hysteria manifest in today's society according to the script?
-Today, hysteria is not diagnosed as such but its manifestations can be seen in various disorders that were previously categorized under hysteria. It is important to understand the genesis and ordering of symptoms within a social context.
What is the significance of hysteria in understanding human suffering?
-Hysteria is significant because it forces us to think about the origin of symptoms and their arrangement. It helps us understand the social ties and why suffering occurs in relation to others, rather than being solely a chemical or individualized mental issue.
Why is it important not to reduce hysteria to individualized mental chemistry?
-Reducing hysteria to individual mental chemistry ignores the social context and relationships that contribute to suffering. It's important to consider the broader social and cultural factors that influence the manifestation of symptoms.
What does the script suggest about the role of gender in hysteria?
-The script suggests that hysteria is reconceptualized when considering different gender relations, body relations, and social roles of women. It implies that the understanding of hysteria needs to evolve with changing societal views on gender and desire.
What is the recommended reading for a deeper understanding of hysteria according to the script?
-The script recommends a work organized by Pedro Ambar and Nelson Silva Jr, which includes a chapter titled 'Hysteria and Gender: Sex as a Missed Encounter,' discussing how hysteria is redefined with changing gender relations.
How can the concept of hysteria help in understanding contemporary forms of suffering?
-The concept of hysteria can help in understanding contemporary forms of suffering by providing a framework to analyze the social and psychological factors behind symptoms, rather than just focusing on individual biological or mental aspects.
What is the main message of the script regarding the discussion of hysteria?
-The main message is that hysteria, despite being removed as a diagnostic term, still serves as a critical concept to understand the social and psychological aspects of suffering, and to avoid reducing human distress to individualized, decontextualized issues.
Outlines
🧠 Understanding Hysteria
The paragraph delves into the concept of hysteria from a psychoanalytic perspective, highlighting its historical significance in Freud's work and its evolution over time. It discusses how hysteria was initially a broad diagnostic category that encompassed various forms of mental suffering, including what we now recognize as paranoia, obsessive-compulsive disorder, and other neuroses. The speaker also mentions Elisabeth Zetzel's work from the 1960s, which identified four subtypes of hysteria: depressive, somatic, infantilizing, and those linked to rebellious behavior. The paragraph concludes by noting the removal of hysteria as a diagnostic entity from the DSM-5, replaced by more specific disorders such as depression, somatoform disorders, panic disorder, factitious disorders, histrionic personality disorder, dissociative disorders, eating disorders, and narcissistic personality disorder.
🌐 The Social Relevance of Hysteria
This paragraph explores the continued relevance of hysteria as a concept, even though it has been removed from the DSM-5. It emphasizes the importance of hysteria in understanding the genesis and ordering of symptoms, as well as the social context in which suffering occurs. The speaker argues that hysteria challenges the notion of suffering as an individualized, internal problem and instead frames it as a social phenomenon related to our relationships with others. The paragraph suggests that hysteria can be used to critique the way society often individualizes suffering, encouraging a return to a psychoanalytic understanding of hysteria that considers the social and gender dynamics at play. The speaker recommends a work organized by Pedro Ambar and Nelson Silva Jr., which discusses how hysteria is redefined in the context of changing gender relations and societal roles.
Mindmap
Keywords
💡Hysteria
💡Freud
💡Elisabeth Zetzel
💡DSM-5
💡Somatic Symptom Disorder
💡Conversion Disorder
💡Factitious Disorder
💡Histrionic Personality Disorder
💡Dissociative Disorders
💡Eating Disorders
💡Narcissistic Personality Disorder
💡Borderline Personality Disorder
Highlights
Hysteria is a complex paradigm that was a major focus of psychoanalysis, investigated by Freud to understand the unconscious mind, symbolism of symptoms, and the importance of childhood experiences and trauma.
Freud's early texts on hysteria encompassed what we now call paranoia, obsessive-compulsive neurosis, and other conditions.
In the 1960s, Elisabeth Zetzel argued that hysteria as a diagnostic entity was becoming uncomfortable for psychoanalysts and identified four subtypes of hysteria.
The four subtypes of hysteria include depressive, somatization-related, infantilization, and those linked to what was historically termed 'hysterical madness'.
Hysteria has been largely replaced in the DSM-5 by other diagnoses such as depression, somatoform disorders, panic disorder, and factitious disorders.
Hysteria can manifest in both men and women, though cultural and social factors may influence its expression.
The concept of hysteria is important for understanding the genesis and ordering of symptoms, not just their occurrence.
Hysteria challenges the notion of suffering as an individualized, decontextualized phenomenon and emphasizes the social context of suffering.
The concept of hysteria invites a critical return to understanding suffering in relation to societal structures and power dynamics.
Hysteria can be reconceptualized in light of changing gender relations, body perceptions, and social roles, especially with regards to women.
The book 'Histeria e Gênero: o sexo como um desencontro' discusses how hysteria is redefined with new gender relations and societal roles.
The speaker recommends the work organized by Pedro Ambar and Nelson Silva Jr. for a deeper understanding of hysteria today.
The concept of hysteria is still relevant for understanding the social and psychological aspects of suffering in contemporary society.
The speaker emphasizes the importance of not falling into the trap of viewing suffering as an individual's private issue disconnected from social context.
The discussion highlights the evolution of the concept of hysteria and its relevance in understanding mental health in the context of societal changes.
Transcripts
Bem vindos ao nosso canal no youtube com Falando Nisso de hoje e a pergunta de Débora Lázaro "o que é,
afinal, a histeria e como ela se manifesta no nosso tempo?" histeria é um grande paradigma né diagnóstico
para a psicanálise no fundo foi uma forma de sofrimento que o Freud investigou pra descobrir
uma série de coisas, de visão do sujeito, inconsciente, a determinação simbólica dos sintomas, a importância
da memória, a importância de experiências infantis, a importância do trauma, mas se a gente olha no
Freud essa categoria é um pouco inflacionada né, os primeiros textos que ele chama de histeria
compreenderiam o que hoje a gente chama assim de paranóia compreenderia uma partida da neurose
obsessiva, compreenderia uma série de outros quadros, já na década de 60 uma psicanalísta
chamada Elisabeth Zetzel mostrou que a histeria no fundo já estava se tornando deconfortável para os
psicanalistas enquanto entidade diagnóstica, ela dizia no fundo a gente tem quatro subtipos da histeria
um subtipo depressivo, um subtipo que está ligado à aos sofrimentos corporais né então
com muitas somatizações, conversões, dores, anestesias problemática ligada ao corpo, outra ligado então a
depressão, outra ligada a infantilização né, as personalidades muito dóceis, muitos subservientes, e
outra quarto subtipo seria as histerias ligadas ao que antes chamava de loucura histérica
né que são quadros assim de insubordinação, de confronto com a lei, de insurreição e que
tinham um destino muito trágico se é que hoje tem um outro lugar social, como ela se
manifesta então nosso tempo? então falei do Freud, falei dos anos 60 e hoje, hoje a histeria ela foi
excluída do manual diagnóstico estatístico DSM-5 né isso aconteceu há principalmente a partir
de 1973 né com a fragmentação do que chamava de histeria em inúmeros outros quadros menores
né, então depressão, transtornos somatoformes como fibromialgia com dores crônicas, síndrome do
pânico né os ataques de pânico elas tem uma relação com que o Freud chamava de neurose de angústia que era
um quadro associado com a histeria, os transtornos factícios que são aqueles tipo munchausen
a mãe que precisa ter um filho que está doente, que permanece doente, que cria doenças no filho
que inclusive simula doenças em si e no filho, síndrome de munchausen por procuração ou em si mesmo na sua forma mais
simples, a personalidade histriônica ou pessoa que está teatralizando, que que precisa chamar a atenção o
tempo todo, que é hiper afetavel, extremamente sensível né os transtornos dissociativos
aqueles em quem que há perda brutal de memória ou de uma parte da lembrança, esquecimento de infância
ou de um período inteiro dá na vida da pessoa, transtornos do pânico, transtornos de alimentação
como anorexia, como a bulimia, transtornos narcisicos, personalidade borderline todos esses quadros
eles poderiam então ser descritos 50/100 anos atrás como como quadros histéricos, uma coisa que
fique clara a histeria acontece igualmente em homens e em mulheres, se há uma diferença é uma diferença
responsiva a fatores assim culturais, organização da família, organização do poder, o tipo de identificação
prevalente, economia gozo, tudo isso que se transforma com o tempo mas hoje a gente
poderia perguntar assim mas então para que serve a gente falar em histeria? já que são tantos outros
quadros mais simples que a gente pode então ver e são visíveis e etc, justamente por isso, uma um
fator importantíssimo na histeria é que ele é um quadro que faz a gente pensar na génese dos sintomas
no ordenamento dos sintomas, porque que as coisas acontecem assim e não só que elas acontecem
com presença num determinado sujeito, porque há um problema de sono depois um problema de alimentação daí
uma depressão daí a angústia daí uma conversão né, porque isso acontece numa determinada ordem
porque isso acontece num determinado contexto, porque isso tem que ver com a forma como a
gente fala de nós mesmos e não simplesmente são comportamentos objectivaveis né como uma doença
propriamente dita ou seja a histeria diz respeito a toda uma lógica de como pensar o sujeito a partir
dessa hipóteses que é a sua divisão e a presença do inconsciente, a histeria serve pra que? serve
pra gente extorcizar o nosso sofrimento, serve pra gente não subordinar o nosso sofrimento á uma
determinação que da qual estaríamos vamos dizer assim desresponsabilizados, serve para a gente entender os
laços sociais e porque o sofrimento se da na relação com o outro e não na química mental ou no
caldeirão de representações desempenho individualizado que caracteriza justamente a nossa época né, a nossa
época quer que você sofra assim, como um problema que diz respeito a você, o seu interior sua vida íntima
e só assunto seu não caia nesse truque, todas essas formas de sofrimento elas podem ser redescritas
com um retorno crítico ao conceito psicanalítico de histeria. Se você tem interesse de aprofundar essa
matéria histeria hoje eu vou recomendar esse trabalho organizado pelo Pedro Ambar e Nelson Silva Jr na
qual tem um capítulo chama-se "Histeria e Gênero: o sexo como um desencontro" então vai falar de como a
histeria ela se reformula completamente quando a gente tem uma outra relação de gênero quando a gente tem uma
outra relação ao corpo, quando muda o papel social da mulher, quando a nossa relação com o desejo
com o gozo, com a angústia se reformula nas nossas novas formas de vida, da editora nVersos recomendo.
Para receber então falando nisto toda quarta e domingo inscreva-se no nosso canal peace.
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