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Editorial
João Baptista N. F. França - 255


A bar in the desert. Symmetric and assymetric aspects in the treatment of difficult adolescent patients
Stefano Bolognini - 259

Between "going clubbing" and the Convent: considerations on the analysis of adolescents
Ana Maria Stucchi Vannucchi - 271

Whose desire is it?
Regina de Baptista Colucci - 285

The anorexic object world and the bulimic violence of teenager girls
Marina Ramalho Miranda - 309

Pathology of Emptiness
Alicia Beatriz Dorado de Lisondo - 335

Challenge of Borderline Clinic
Raquel Elisabeth Pires - 359

Aspects os a Primary Container
Vera L. C. Lamanno-Adamo - 373

Some considerations about interpretation and intersubjectivity
Antonino Ferro - 389

Aesthetics, implicated psychoanalysis and critique of art
Antonio Carlos J. Pires e cols. - 403

History
History and Genealogy of Latin-American Psychoanalythical Ideas
Paulo Marchon - 419

Interface
• Estética, psicanálise implicada e crítica de arte
João A. Frayze-Pereira - 443


Graciliano, Cabral and the Other: about some possible therapeutic potentialities of the relationship writer/text/reader
Roberto Barberena Graña - 453

Resenhas
• La figurabilidad psíquica
César e Sara Botella - 475

• Você quer o que deseja?
Jorge Forbes - 479

• Violence or dialogue. Psychoanalytic insights on terror and terrorism
Sverre Varvin e Vamik D. Volkan - 481
• Manual de Psicopatologia
Elie Cheniaux Jr. - 485

Lançamentos - 489


A bar in the desert. Symmetric and assymetric aspects in the treatment of difficult adolescent patients

Stefano Bolognini, Bologna

The author considers the opportunity of specific alternate moments of symmetric-asymmetric relationship (which are to be contained in a classic asymmetric frame) to facilitate analytical work, and to allow interpretations with an analysand who is usually afraid of dependence, hostile to the Super-Ego representatives, being in need of non declared containment and of a basic contribution to the Self cohesion, as the adolescent patient is.
The clinical story illustrates this specific way of working, quite different from the one commonly adopted in adult patients analysis.
For instance, the analyst must be able to temporarily renounce, sometimes for a long period, to too frequent and brilliant interpretations that would underline the adult's superiority, hard to be tolerated by the adolescent.

El bar en el desierto. Aspectos simétricos y asimétricos en el tratamiento de pacientes adolescentes difíciles
El autor considera la oportunidad de una alterancia adecuada de momentos de simetria y de asimetria en la relación analítica (a pesar, de precisar ser mantenida, dentro de un encuadre clásico de asimetria) para facilitar el trabajo y permitir interpretaciones con un analisando que, en general, está asustado con la dependencia, y hostil a los representantes super egoicos, tienen necesidad de una contención no declarada y de una contribuición de base para la coesión del self, como es el paciente adolescente.
La historia clínica narrada ilustra este modo específico de trabajar, bien diferente del modo comunmente adoptado en el análisis de pacientes adultos.
El analista precisa ser capaz, por ejemplo, a vezes por largos períodos, de renunciar a interpritaciones muy frequentes o brillantes que resaltarian la superioridad del adulto, cosa que un paciente adolescente dificilmente poderia tolerar.

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Between "going clubbing" and the Convent: considerations on the analysis of adolescents

Ana Maria Stucchi Vannucchi, São Paulo


In the present work, the author discusses the fundamental questions that adolescent's analysts face in respect to the risks that adolescence experience necessarily presents.
I use two clinical cases as objects of study, Sonia's and Wanda's, who although presenting almost diametric opposed characteristics, illustrate several risky situations, either of excess or of its opposite, inhibition and seclusion.
I endeavor to show that the adolescent's analyst cannot omit himself or herself when facing a potentially risky situation for the adolescent, especially when this entails the indiscriminate use of drugs, of his /her own sexuality or even of his /her own life. I believe the danger must be mentioned, delicately but firmly. The same occurs in the other extreme, in which inhibition to development must be pointed out, so that the phobic aspects in relation to growth can be elaborated and overcome. In this way, I consider the analysis of adolescents as a double-edged knife, in which if on one hand omission can be disastrous, on the other a frontal confrontation can make the work impracticable. We therefore walk on a very fine hanging line, in which the analyst's flexibility is of utmost importance to enable the development of an identity at the same time defined and open to new potentialities.

Keywords
Adolescence, risks in adolescence, excesses, inhibitions, analyst's flexibility.

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Whose desire is it?

Regina de Baptista Colucci, Marília


The reconstruction of the desire in an anorexic patient
The author proposes herself to consider the phenomena experienced in an analytical relationship in a case of anorexia. She starts form the perception that the analysand did not express any desires, a fact which reflected on their work. The life of the relationship and even the life of the analysand became the desire of the analyst and of the analysand's parents, whereas the analysand, in an apparently passive manner, controlled and affronted the setting in the same manner she affronted herself by self imposing the symptom which brought her to analysis. It was her conflict that acted on the relationship. The difficulty to let the relationship progress and the difficulty for desire indicated the fear of being separated and alone in face of the new and the unknown. Leaving childhood and entering preadolescence requires a mental structure which can tolerate getting in touch with the internal pressure of instincts and the external pressure of the difficulties for which it is required.

Key words
Adolescence, anorexia nervosa, mutism, negativism, catastrophe.

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The anorexic object world and the bulimic violence of teenager girls

Marina Ramalho Miranda, São Paulo


The psychoanalytical encounter generates the perception that anorexia and bulimia are manifestations having origin in psychological suffering, oral symptoms which hinds archaic anguish, linked to primitive stages of the mind development, specially as early ruptures with an internalized maternal image. A story of passion, mother and daughter bound together, dependent on each other, but at the same time feeling haunted by the dependence which involves their relationships, fused in a corporeal prison, in a desire perversion, in eternal search for filling an empty interior that comes from their violent object world, looking for meaning to some affects printed on their body and on their acting-out.

Key-words
Anorexia, bulimia, nourishment, mother-daughter relationship, archaic anguish.

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Pathology of Emptiness

Alicia Beatriz Dorado de Lisondo, Campinas


The pathologies of mental emptiness challenge Psychoanalysis in the present culture of the Era of Emptiness.
The post-modern era of emptiness is characterized by an individualism that is hedonistic, personalized and narcissistic. It also involves apathy, generalized seduction, legitimacy of all life styles, the coexistence of contradictions and the inversion of ideas where the truth is buried.
Outstanding in this scene is the destructive use of TV and computers by promoting the substitution of the real by the virtual.
I chose the nosological concept of mental emptiness as a metaphysical paradigm. This permits dealing with the various forms in which this emptiness appears in the clinic: neo-sexualities, drug addiction, autistic enclaves, bulimia, narcissistic pathological anorexia and psychosomatic conditions. Mental emptiness is a grave structural alteration
It is not only the task of therapy to make Eros weaken muteness, but it also ought to make Thanatos more efficient at working mutely. The technical proposal with these patients is to edit, to permit psychic inscription, in the transference relation instead of re-editing.
I illustrate the hypotheses with a clinical experience of an adolescent in analysis and a little account from Bebês - Método Esther Bick.

Key words
Culture of Emptiness, danger of virtual reality, pathologies of emptiness, technical reformulation in the light of new pathologies.

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Challenge of Borderline Clinic

Raquel Elisabeth Pires, São Paulo


The present paper has the objective of examining issues related to the technical handling of the borderline patient; the emotional turmoil that the treatment of these patients creates in the analyst is analysed along with the consequences it brings to his work. The author utilizes a few clinical vignettes to illustrate the ideas displayed in the text.

Key words
Analytical technique, borderline, emotional mobilization, negative capacity.

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Aspects os a Primary Container

Vera L. C. Lamanno-Adamo, Campinas


Based on a clinical experience with a patient presenting a melanoma and taking into account some formulations by Bion, Winnicott, Dejours, Ferrari and Damasio, the author suggests a continuous linking between body and mind. A linking which implies transformative movements in both directions:
body<->mind.
Based in the concept of container-contained elaborated by Bion, it is discussed a Primary Container to summarize a complex somatopsychic structures which maintain psyche and soma in permanent relationship, resulting in different levels and order of bonding. Fragments of a clinical experience are used to illustrate these notions.

Key words
Dynamics of linking body and mind, psychossomatic integration, somatization, despersonalization, operational thinking.

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Some considerations about interpretation and intersubjectivity

Angela Mynarski Plass, Porto Alegre
Maria de Fátima Freitas, Porto Alegre
Maria Regina Limeira Ortiz, Porto Alegre
Vera Lúcia N. Pereira Lima, Porto Alegre
Antonio Carlos J. Pires, Porto Alegre


This paper's goal is to study the way in which Baranger, Ogden, Renik and Ferro build their interpretations during the analytic encounter. It evaluates, in so far as possible, the existing coherence among their theoretical propositions and the resulting interpretative technique. Finally, some considerations on the subject are also presented.

Keywords
Interpretation, intersubjectivity.

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Aesthetics, implicated psychoanalysis and critique of art

João A. Frayze-Pereira, São Paulo


Contemporary critique of art is related to many perspectives of different origins - in philosophy, in human sciences and even in natural sciences. The relation with psychoanalysis is particularly interesting because, in the 20th century, it is verified a way of feeling, defined in affective and emotional extents, irreducible to the aesthetics classical references, developed between the 18th and 19th centuries. Thus, Freud is placed as an important author to the arts and critique of the 20th century. So, it may be questioned not only what psychoanalysis can receive from arts and how the critique uses psychoanalysis perspective, but mainly, what this perspective has to offer to the contemporary critique. Moreover, considering both of the only assays about plastic arts written by Freud, as well as some trends of psychoanalysis and contemporary aesthetics, it is proposed the notion of "implicated psychoanalysis" which try to contemplate the specificity of psychoanalytical way of thinking, in its relation with the aesthetic experience and with the critique.

Key words
Arts, aesthetics, critique of art, psychoanalysis of art .

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History and Genealogy of Latin-American Psychoanalythical Ideas

Paulo Marchon, Fortaleza


By the account of his development as a psychoanalyst, the author comments the psychoanalytical ideas that he studied and followed in his life. He also speaks about the arrival and the development of new ideas and their impact in the Brazilian scenario. He focuses on group analythical psychoterapy, lacanism, Klein's, Bion's, Kohut's and Winnicott's influence and the importance Ar
gentinian psychoanalysis to Latin America. He observes the expressive development that São Paulo, Porto Alegre, Rio, Argentina, Chile, Uruguay and other regions of Latin America have achieved. The author shows differences and similarities between his previous and current work, focusing on the Kleinian "ethical turn" theme in psychoanalysis, as well as the evolution of Love-Eros concept to Love-Charitas, which is intimately linked to concern in relation to the other. He remembers Perestrello who, in 1974, already said that there was no medicine without Charitas, which is equivalent to love and not charity. The author emphasizes the "ethical turn" social value. He gives importance to forgiveness as a way the act can reach a termination, an end.

Key words
Love-Eros, love-charitas, group psychoanalythic psychotherapy, ethics, revenge and pardon, enlightenment, theorethic pluralism, past and present
.

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Graciliano, Cabral and the Other: about some possible therapeutic potentialities of the relationship writer/text/reader

Roberto Barberena Graña, Porto Alegre


In this study we especially aimed at presenting a new model of critical approach to the literary text - starting from the psychoanalytic theory - that is sustained in the transdisciplinarian dialogue. As we believe that literary theory, philosophy and psychoanalysis have each found it more and more difficult to abstract from the intertextual support that the other can offer, and that the three disciplines can obtain a maximum benefit from an opening for this dialogue, we intended to illustrate such perspective methodologically finding our support for that on the critical study of the relationship between the life and the work of Graciliano Ramos.
We understood that they make up two dimensions or forms of presentation of the author's self, which should be read and analyzed starting from the comparison between the autobiographical and the fictional narratives, in an approach that lies between existence and text, that will enable us to reach some formulations, that we believe to be consistently based on the author's relationship with his work which is intimately linked to the use of writing and of reading as subjecting activities, virtually therapeutical, ahead of the commitment implied in the human torture/delights of living.

Key words
Graciliano Ramos, literary theory, psychoanalysis, philosophy, Other, pleasure, enjoyment, subjectivation.

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