PARA TODO TRATAMENTO POSSÍVEL DAS DORES CRÔNICAS: PERSPECTIVAS PSICANALÍTICAS SOBRE A FIBROMIALGIA

Abstract

The syndromes of chronic pain mark contemporary times as bodily ailments that have been increasingly diagnosed by medicine, not presenting a well-defined causation, but nevertheless, various treatments are dispensed to those affected by it. Fibromyalgia stands out as a syndrome of chronic pain that has had greater diagnostic relevance nowadays, being defined by an illness that presents symptoms related to intense and widespread body pain, along with fatigue, sleep problems, cognitive disorders, among others. The etiology of fibromyalgia is still unknown, but multidisciplinary treatment is recognized as the most indicated treatment method in these cases. Consequently, it is observed that individuals suffering from fibromyalgia are increasingly seeking psychological treatment, sometimes even going to services and offices where psychoanalytic knowledge is present. In this sense, psychoanalytic clinic has been called upon to listen to these individuals, conducting a clinical research and study, aiming to delve into the topic of chronic pain to open up possibilities for the direction of treatment considering the singularity of each case and the function of chronic pain for each one. The present study is a bibliographical research using psychoanalytic literature with a Lacanian orientation aiming to delve into the topic of fibromyalgia in psychoanalytic clinic, working with concepts such as: the body, symptom, chronic pain, jouissance, body event, among others. In this sense, the working hypothesis is that chronic pain is a singular solution found by the subject from an encounter with the real stemming from traumatic situations they experience, with this pain being a body event that produces an emergence of a displaced jouissance, and that plays a singular function in each person's life. It is in an attempt to find the trails and traces towards the direction and a possible treatment for people marked by chronic pain, especially fibromyalgia, that the present work is grounded in the clinic and will also use clinical vignettes to broaden and support the theoretical discussions presented. Therefore, what we observe as a conclusion is that psychoanalysis, with its ethics and its listening to the singular - taking into consideration the structure of the subject, the function of chronic pain, and the singularity of history - allows the creation of a place where individuals afflicted by fibromyalgia can use words to make a border in this unspeakable real that petrifies their bodies with productions of generalized chronic pain, allowing what is mute in the body to flow into words.