RESUMO
O texto coloca em pauta a importância de, a partir da lógica do desejo, que passantes e passadores os quais as experiências de passe não tenham culminado em nomeação, sigam nos trilhos da transmissão. A não nomeação de AE não deve encerrar a circulação e o questionamento tanto daquilo que foi experenciado, bem como do mecanismo do dispositivo em si. A transmissão não estar atrelada à nomeação, ou submetida a ela, permite que se faça escola, que se faça laço entre a experiência e a comunidade. Guiados pela ética e pela política do desejo, em que o analista se autoriza de si mesmo, passantes e passadores podem autorizar-se de si mesmos a escrever, dizer, o indizível da experiência que vivenciaram.(AU)
Departing from the logic of the desire, the text discusses the importance "passants" and passers whose experiences have not culminated in nomination, are to follow on the transmission tracks. The AE non-nomination should not close the circulation and the questioning of both the experience and the mechanism of the device itself. Keeping the transmission free from the nomination or submitted to itself, allows school to be carried out, and also a bond between experience and community. Guided by the ethics and politics of the desire in which the analyst gets his own authorization, "passants" and passers may authorize themselves to write and speak the unspeakable about the lived experience.(AU)
RESUMO
BACKGROUND: There seems to be a consensus in the literature on the symptomatic description of laryngeal focal dystonia (LFD). Its etiology, however, presents controversies since the literature points to psychological and neurological aspects. As a result of this controversy, presented not only in the literature but also in the clinical practice, the present research privileged this pathology among others that also have vocal symptoms because it seems to be, per excellence, a pathology where both voice/psychic can be treated. AIM: To report a case study of a patient diagnosed with LFD, emphasizing the mutual effects between voice and psychic. METHOD: This is a clinical qualitative research, based on a case study (follow-up) of a male patient, 54 years old, who was diagnosed with LFD. All therapeutic sessions were systematically registered and were later analyzed based on the existing speech-language, medical and psychoanalytical literature. RESULTS: The analysis of the results indicate that the combination of different therapeutic procedures--attentive to the fact that interventions on the body tend to produce physical and psychological effects--along with dealing with the psychological contents, resulted in therapeutic progresses and improvement of vocal quality. CONCLUSION: The vocal symptom not only reflects a sick body, but also an individual who suffers and evokes a symptom that needs to be heard. In this way, the clinical method investigates not only the organic symptom, but also the reason why it manifests itself in the voice.
Assuntos
Músculos Laríngeos , Distúrbios da Voz/psicologia , Humanos , Músculos Laríngeos/fisiopatologia , Laringe , Masculino , Pessoa de Meia-Idade , Prega Vocal/fisiopatologia , Distúrbios da Voz/terapia , Qualidade da Voz/fisiologiaRESUMO
TEMA: a descrição sintomática da distonia focal laríngea (DFL) parece ser unânime na literatura, no entanto, o que diz respeito a sua etiologia causa polêmica, uma vez que aponta para aspectos psíquicos e neurológicos. Devido a tal impasse, que se faz presente na literatura e, principalmente na prática clínica, este estudo privilegiou esta patologia, dentre outras que englobam sintomas vocais, pois parece ser o lugar, por excelência, em que a questão voz/psiquismo pode ser tratada. OBJETIVO: relatar o caso de um paciente portador de DFL com ênfase nos efeitos recíprocos entre voz e psiquismo. MÉTODO: trata-se de uma pesquisa de natureza clínico-qualitativa desenvolvida a partir do procedimento de estudo de caso clínico longitudinal de um paciente do sexo masculino, 54 anos, diagnosticado como portador de DFL. Foram elaborados registros sistemáticos dos atendimentos fonoaudiológicos que posteriormente foram analisados a partir de referenciais teóricos advindos da literatura fonoaudiológica, médica e psicanalítica. RESULTADOS: a análise demonstrou que a mescla de procedimentos técnicos específicos, utilizados a partir de um novo olhar, atentando para o fato de que as intervenções no corpo produzem efeitos corporais e psíquicos, com a escuta de conteúdos psíquicos, resultou em progressos terapêuticos e melhora da qualidade vocal. CONCLUSÃO: o sintoma vocal não remete apenas a um corpo doente, mas a um sujeito que sofre e recorre ao sintoma para ser escutado. Sendo assim, o método clínico não investiga o sintoma estritamente no que diz respeito ao funcionamento orgânico, mas também a serviço de quê e porque se manifesta especificamente na voz.
BACKGROUND: there seems to be a consensus in the literature on the symptomatic description of laryngeal focal dystonia (LFD). Its etiology, however, presents controversies since the literature points to psychological and neurological aspects. As a result of this controversy, presented not only in the literature but also in the clinical practice, the present research privileged this pathology among others that also have vocal symptoms because it seems to be, per excellence, a pathology where both voice/psychic can be treated. AIM: to report a case study of a patient diagnosed with LFD, emphasizing the mutual effects between voice and psychic. METHOD: this is a clinical qualitative research, based on a case study (follow-up) of a male patient, 54 years old, who was diagnosed with LFD. All therapeutic sessions were systematically registered and were later analyzed based on the existing speech-language, medical and psychoanalytical literature. RESULTS: the analysis of the results indicate that the combination of different therapeutic procedures - attentive to the fact that interventions on the body tend to produce physical and psychological effects - along with dealing with the psychological contents, resulted in therapeutic progresses and improvement of vocal quality. CONCLUSION: the vocal symptom not only reflects a sick body, but also an individual who suffers and evokes a symptom that needs to be heard. In this way, the clinical method investigates not only the organic symptom, but also the reason why it manifests itself in the voice.