Estudo de caso de disfagia: uma reabilitação bio-psíquica

Abstract

The aim was to demonstrate the relevance of the psychic aspects in the swallowing disorders treatment, searching to understand why the dysphagic symptoms became recurrent since in the organic-functionary point of view, the patient had no more disorders. This is a descriptive research done by an unique clinical case study of a home care patient with stroke that caused dysphagia, paresthesia and paresis of the left facial side, beyond language expression disorder and dysarthria. The stroke brought fragility to the patient subjectivity and made it difficult to support her familiar relations and routines. The opening of the therapist listening to this suffering situation allowed the patient to be dislocated from the organic rehabilitation into a construction of a new subjective profile, more satisfactory in her current relationary condition of life, and demonstrated the relevance of considering the body in the dysphagia treatment, not only on its organic face, but also on its symbolical and affective spheres.