Made available in DSpace on 2016-04-04T18:28:03Z (GMT). No. of bitstreams: 1 Claudia Mezzarano Faria.pdf: 515723 bytes, checksum: 0a4f508dfa9e9c03f903b1a3eb2bac59 (MD5) Previous issue date: 2012-02-24 / The aim of this study was to clarify Winnicott s understandings of the psychosomatic problems, especially those related to the genesis, dynamics and potential treatment, thus contributing to the development of his psychosomatic theory. Several cases and clinical vignettes with psychosomatic symptoms and references, scattered in his work, were gathered, organized and classified. Data analysis was based on these references in relation to the theory. Beginning with the notions of integration psyche-soma and personalization, Winnicott considers the real psychosomatic disorder related to primary (early) development processes. He assumes the commonly called psychosomatic disorder phenomenon is only the body-psyche connection (linkage). Furthermore, he assumes that in several cases, the physical manifestations of psycho-emotional difficulties are natural phenomenon of human life and part of the maturation process. The classification of cases and clinical vignettes was proposed as follows: False psychosomatic disorder versus True psychosomatic disorder , in order to distinguish the phenomenon that is routinely taken as a psychosomatic disorder, but that only indicates the psyche-soma intimate relationship, from the true psychosomatic disorder, in Winnicott?s concept, and the False psychosomatic disorder subcategories Natural reaction versus Pathological symptom , to separate natural physical manifestations of emotional difficulties from some kind of psychopathology, although not characterized as a real psychosomatic disorder. The genesis, dynamics and potential treatment of a psychosomatic symptom depends on the category it fits. By analyzing and systematizing the Winnicott material (work), we intended to contribute to deepening his theory and to solving the empiric-clinical problem of the psychosomatic phenomena. / Essa pesquisa objetivou explicitar a compreens?o que Winnicott teve dos problemas psicossom?ticos, principalmente em rela??o ? g?nese, din?mica e possibilidade de tratamento, contribuindo para o desenvolvimento de sua teoria psicossom?tica. Procurou-se reunir, organizar e classificar diversos casos e vinhetas cl?nicas, dispersos na obra de Winnicott, nos quais h? refer?ncia aos sintomas psicossom?ticos. A an?lise dos dados se deu a partir da rela??o desses com a teoria winnicottiana. A partir das no??es de Integra??o psiquesoma e Personaliza??o, Winnicott considera que o dist?rbio psicossom?tico verdadeiro est? relacionado com falhas em processos primitivos do desenvolvimento, e ressalta que o fen?meno que comumente ? chamado de dist?rbio psicossom?tico refere-se apenas ?s vincula??es entre o corpo e o psiquismo. Al?m disso, Winnicott afirma que, muitas vezes, as manifesta??es f?sicas advindas de dificuldades psicoemocionais s?o fen?menos naturais que fazem parte da vida e do processo de amadurecimento. Dessa forma, foram propostas as seguintes classifica??es para os casos e vinhetas cl?nicas: Falso dist?rbio psicossom?tico versus Verdadeiro dist?rbio psicossom?tico , com o intuito de diferenciar o fen?meno que corriqueiramente ? chamado de dist?rbio psicossom?tico, mas que apenas indica a ?ntima rela??o entre psique e soma, do dist?rbio psicossom?tico verdadeiro, na concep??o winnicottiana, e as subcategorias Rea??o natural versus Sintoma patol?gico , dentro da categoria Falso dist?rbio psicossom?tico , que indica que algumas manifesta??es f?sicas devem ser caracterizadas apenas como modos de se reagir ?s dificuldades inerentes ? vida, enquanto que outras indicam a presen?a de alguma psicopatologia, ainda que n?o se caracterize como um dist?rbio psicossom?tico verdadeiro. A g?nese, a din?mica e a forma de se tratar um problema psicossom?tico depende da categoria na qual ele se enquadre. Ao sistematizar e analisar esse material apresentado por Winnicott procurou-se contribuir para o aprofundamento de sua teoria e para a resolu??o do problema emp?rico-cl?nico dos fen?menos psicossom?ticos.