O presente artigo visa apresentar os desdobramentos de um dos eixos temáticos fundamentais do projeto de pesquisa intitulado Patologias narcísicas e doenças auto-imunes: estudo comparativo sob a ótica da psicanálise, comparação clínica e metapsicológica entre pacientes melancólicos e portadores de Lúpus Eritematoso Sistêmico (LES), que se realiza a partir de um acordo entre o Instituto de Psicologia, o Instituto de Psiquiatria e o Hospital Universitário Clementino Fraga Filho da UFRJ. Trata-se aqui de pensar a relação que as pacientes atendidas pela pesquisa estabelecem com o próprio corpo. O desenvolvimento teórico-clínico da pesquisa apontou-nos a especificidade com que o corpo se apresenta em ambas as configurações subjetivas. Consideramos esta uma questão fundamental, uma vez que, nesses casos, o estatuto do corpo diverge daquele que costumamos delinear pelo viés da neurose.

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In his theory of trauma, Ferenczi points to the disbelief of adults of a child's account of an event as an actual traumatizing factor. Ferenczi also states that of all the consequences of the trauma, which include identification with the aggressor, psychic coma, departure from the possibility of dreams, and a fall to the hell of nightmares, the most important and fundamental is the lack of certainty of self. The disbelief of the adults destroys the certainty of what is perceived and experienced; it has the power of annihilating the child's belief in his own perceptions, his trust in his own senses. The loss of certainty of self appears to be a common characteristic in patients with distinct psychic dynamics. We will analyze the loss of certainty of self in cases of patients of the NEPECC (Núcleo de Estudos em Psicanálise e Clínica da Contemporaneidade) [Center of Studies in Psychoanalysis and Contemporarity Clinic] at the Federal University of Rio de Janeiro.

This paper discusses ideas about depression as a paradigmatic symptom of contemporaneous psychological suffering and makes a comparison between depression and melancholia. The ideas we describe were stimulated by two comparative studies that were conducted based on an analysis of how depressed subjects relate to the concept of desire, their feelings of shame and their self-image in today's age.