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DISSERTATIONS - 1999
Symbolic comprehensive diagnosis: a proposal for a new meaning of the organic disease in the medical praxis.
Susana de Albuquerque Serino
Advisor: Denise G.Ramos
Key words: Jungian psychosomatics, medical praxis, diagnosis.
Abstract:The following dissertation presents a clinical proposal aimed at a medical praxis which integrates both the scientific resources of Medicine and the psychological understanding of the symbolic meanings -included in the experience of an organic disease. By means of a historic analysis of the paradigms of modern Medicine, one shall find an explanation of its epistemological fundamentals. Such analysis is illustrated through the explanation of the present state of the medical act and of the outcome and limits usually found in traditional Medicine. From this starting point, the Symbolic Comprehensive Diagnosis is presented as a possible complement to the Nosological Diagnosis. Analytical Psychology, Symbolic Psychosomatics and the Symbolic Thought are presented as the theoretically base on which such symbolic approach is founded: the primordial structural unity body-psyche. From this paradigm there follows a proposal for a medical approach which encompasses anatomo-phisiological diagnosis as well as symbolic understanding. Thus, a dialectical relationship between organic concreteness and symbolic meanings is to be considered in addition to taking into account individual processes in dealing with de health-disease phenomenon. Last of all, the practice of the Symbolic Comprehensive Diagnosis is formally presented through the explanation of the medical act, of the anamnesis and of the diagnostic comprehensions - aspects which are illustrated with a clinical case study viewed through such mode.
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