| dc.description.abstract | Fibromyalgia is one of the most frequent rheumatological diseases, whose main
characteristic is diffuse and chronic musculoskeletal pain. In addition to pain, patients
complain of fatigue, morning stiffness, extremity paresthesia, subjective feeling of
edema and cognitive disorders. Due to the lack of an organic substrate, fibromyalgia
cannot be scanned, measured or verified, being then identified only through a clinical
examination, based exclusively on the patient's discourse. The diagnostic issue raises an
impasse for medical knowledge, since the disease is always linked to subjective aspects.
In addition to complaining about their intense physical pain, patients report difficulties
in being recognized in their suffering due to the impossibility of proving the disease. In
this sense, the subjects demonstrate a strong call for diagnosis as a way to legitimize
their body symptoms. It was in this direction that this dissertation aimed to discuss the
demand for pain recognition of subjects diagnosed with fibromyalgia. Psychoanalytic
theory, specifically the formulations of Freud and Lacan, was the theoretical-clinical
framework used in this construction, bringing important contributions in regard to
studies on pain, on its relationship with medical knowledge, the notion of the pulsating
body and the concept of demand, systematized in Lacanian theory. To carry out the
research, we used the meta-analysis, a method that allowed us to reconstruct and reanalyze the clinical cases brought in the dissertation work entitled “How to listen to the
body that hurts? Reflections on the event of body and transfer”, authored by Pauleska
Asevedo Nobrega, presented to the Graduate Program in Clinical Psychology at the
Catholic University of Pernambuco, in 2014. In the analysis of the cases, it was possible
to identify at least three forms of expression of the demand for recognition: as a demand
that the other/Other recognize their pain as legitimate; a demand that the pain be
recognized by the Other of science; finally, as a demand for recognition of the subject
itself in relation to what they feel. It was possible to conclude that pain can have
different psychic functions for the subject and, for these distinctions to be validated, as
well as for these demands to have a place in the subject's treatment, it is necessary to
recognize the patient's pain, listening to the statement between the lines of their
discourse, concerning to the uniqueness of their suffering and their own theory
regarding their symptoms. We also identified the need for a dialogue between the
medical field and the psychoanalytic clinic, as an essential resource for the treatment
and study of bodily manifestations. | eng |
