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Vol. 42 N.º 1 (2022)
Revista Portuguesa de Psicanálise

Teoria e Epistemologia

Trauma Cumulativo: Quando a estória sobrevive entre a repetição relacional do trauma e o corpo

https://doi.org/10.51356/rpp.421a4

Publicado 2022-08-06

Paulo Ferrajão
Universidade Europeia

António Esteves


Mairi Stumpf


Resumo

As formulações dominantes na literatura descrevem a perturbação pós-traumática como uma perturbação da memória. No âmbito de extensa investigação extra clínica e prática clínica, apresentamos um modelo das consequências pós-traumáticas como uma perturbação da identidade, especificamente uma dissociação estrutural da personalidade. Descrevemos a dissociação estrutural terciária associada ao trauma cumulativo precoce ocorrido num contexto relacional. Apresentamos a expressão da narrativa psíquica na dissociação estrutural terciária em duas modalidades: 1) enactment de sistemas relacionados dissociados na qual a divisão de múltiplas representações do self e dos objetos instauram a oscilação entre múltiplos sistemas relacionais: vítima, perseguidor e salvador; 2) preocupações ou sintomas somáticos com predomínio de um pensamento concreto que origina que o corpo seja o continente dos afetos não-elaborados e dessimbolizados expressos como memórias corporificadas. Propomos que a repetição relacional do trauma no triângulo do drama e/ou as preocupações ou sintomas somáticos deverão ser analisadas na relação transferência-contratransferência destes pacientes como procedimento de explicitação no aqui-e-agora dos sistemas relacionais implícitos. Este processo auxilia na estruturação e integração progressiva das partes dissociadas no self que promovem a mudança estrutural do psiquismo.

Palavras-chave

Trauma cumulativo, Identidade, Dissociação estrutural da personalidade, Triângulo do drama, Memórias corporificadas

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Biografia Autor

Paulo Ferrajão

Psicólogo Clínico, Professor Auxiliar. Faculdade de Ciências da Saúde e do Desporto, Universidade Europeia.

António Esteves

Psicólogo.

Mairi Stumpf

Psicóloga e Psicoterapeuta.

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