Características definidoras da histeria e da neurose obsessiva.

Summary

In this video, the speaker explores the comparative characteristics of obsessive neurosis and hysteria through the lens of Lacanian psychoanalysis. Drawing from Bruce Fink's book on clinical psychoanalysis, the speaker delves into key differences in symptoms, desire, sexuality, and the role of the unconscious. By explaining the diagnostic process and theoretical foundations, such as the influence of early life stages and the role of the 'big Other', the video provides a nuanced understanding of how these conditions manifest. The discussion emphasizes the complexity of these disorders and the importance of forming hypotheses in clinical practice.

Takeaways

• 😀 Psicanalytic diagnosis is based on a hypothesis rather than a fixed conclusion, focusing on the subject's history and the relationship with the analyst.
• 😀 Clinical evaluation involves looking at three key aspects: the subject's history, their symptoms, and the role of transference.
• 😀 There is no pure clinical structure in psychoanalysis; individuals often show a predominance of characteristics from different types of neuroses or psychoses.
• 😀 Obsessive neurosis is marked by symbolic death and an avoidance of desire, often leading to obsessive thoughts to keep the subject inert.
• 😀 Hysteria, especially in women, often involves struggles with gender identity, such as confusion around being a man or woman, often linked to the mother figure.
• 😀 The subject of desire differs in both neurotic structures: hysterics have unsatisfied desires and a passive, complaining discourse, while obsessive neurotics view desire as impossible.
• 😀 Sexuality is addressed differently in both structures: hysterics often show disgust or repulsion toward sexuality, while obsessive neurotics grapple with intense feelings of guilt, sometimes using religion to cope.
• 😀 Hysteria tends to stem from oral fixations or trauma, while obsessive neurosis is often related to anal phase fixations, as language and memory become involved.
• 😀 Hysterics try to complete the other person (especially through a female identity) to gain power, while obsessive neurotics try to avoid recognizing their own lack by focusing on completing the other as an equal.
• 😀 Both neurotic structures are shaped by their approach to separation: hysterics often seek to fulfill others to feel whole, while obsessive neurotics attempt to prevent encountering their own castration or lack.

Q & A

What is the main theme discussed in the video?

The main theme is a comparison between obsessive neurosis and hysteria, with a focus on the characteristics of each within the context of psychoanalysis, particularly in relation to the work of Bruce Fink.

Why is it important to not make a diagnosis based solely on symptoms?

A psychoanalytic diagnosis requires more than just identifying symptoms. It's important to consider the subject's personal history, including family dynamics, relationships, and the deeper meanings behind their complaints. A diagnosis is always a hypothesis, not a final conclusion.

What is the role of 'transfer' in psychoanalytic diagnosis?

Transfer refers to how the subject positions the analyst, often seeing them as a figure of authority or knowledge. The transfer process helps form the diagnosis, as the subject's emotional responses during the analysis provide insight into their unconscious struggles.

What does the term 'structure' refer to in psychoanalysis, and how does it relate to clinical types?

In psychoanalysis, 'structure' refers to the overall mental framework of the subject, such as neurotic, psychotic, or perverse. Within each structure, there are 'clinical types,' such as obsessive neurosis and hysteria, which may exhibit overlapping characteristics, but there is always a predominance of certain traits.

How are obsessive neurosis and hysteria different in terms of their bodily symptoms?

Hysteria is characterized by bodily symptoms, often manifesting in the body, as the individual is unable to express their emotions verbally. Obsessive neurosis, on the other hand, is more centered in thought, where the individual struggles with obsessive thinking, but may also occasionally show bodily symptoms.

What is the 'north guiding question' for hysteria and obsessive neurosis?

For hysteria, the guiding question revolves around issues of gender identity ('Am I a man or a woman?'), often connected to familial and parental relationships. For obsessive neurosis, the key question involves the concept of death ('Am I alive or dead?'), with an emphasis on the fear of existence and desire.

How does desire manifest in hysteria compared to obsessive neurosis?

In hysteria, desire is often expressed as unfulfilled, with a passive, complaining tone that stems from feelings of being unloved. In obsessive neurosis, desire is portrayed as impossible, where the individual struggles to allow themselves to desire, leading to feelings of guilt and an attempt to suppress their desires.

What is the difference in how sexuality is approached in hysteria versus obsessive neurosis?

In hysteria, sexuality may be approached with disgust or spiritualized rejection, often showing difficulties in engaging with sexual intimacy. In obsessive neurosis, sexuality is often associated with guilt, and the individual may use religious or moral justifications to cope with their sexual desires.

What does Freud's concept of 'primary affected zone' mean in relation to hysterical and obsessive personalities?

Freud's concept of 'primary affected zone' refers to the developmental stage where a person experiences the most fixation or trauma. For hysterics, this is often the oral phase, associated with bodily symptoms and a lack of language. For obsessive neurotics, the fixation tends to be in the anal phase, where language and memory begin to develop.

What is the strategy for dealing with separation in hysteria versus obsessive neurosis?

In hysteria, the subject may attempt to 'complete' the other person, especially through the feminine role, seeking to fulfill the missing aspects in the other to gain power. In obsessive neurosis, the subject avoids confronting the other’s flaws, as they attempt to 'complete' the other by focusing on sameness and avoiding the recognition of their own lack or castration.