{"id":1108,"date":"2020-07-23T12:27:12","date_gmt":"2020-07-23T10:27:12","guid":{"rendered":"https:\/\/fjarno.org\/revista-renal\/?p=1108"},"modified":"2020-07-28T10:17:10","modified_gmt":"2020-07-28T08:17:10","slug":"estabilitat-emocional-en-temps-de-pandemia","status":"publish","type":"post","link":"https:\/\/fjarno.org\/revista-renal\/estabilitat-emocional-en-temps-de-pandemia\/","title":{"rendered":"Estabilitat emocional en temps de pand\u00e8mia"},"content":{"rendered":"

Esther Jim\u00e9nez Garriga<\/span>
\nPsic\u00f2loga sanit\u00e0ria i Psicoanalista
\nN\u00ba Col. 21600<\/span><\/p>\n

Existeix l\u2019estabilitat emocional? S\u2019aconsegueix despr\u00e9s de 15 anys de psicoan\u00e0lisi? Podem n\u00e9ixer amb ella? Podem incorporar-la llegint un llibre d\u2019autoajuda?<\/em><\/p>\n

Perdamos tiempo
\npara no perdernos a nosotros mismos.
\nLuciano Lutereau<\/strong><\/p>\n

Segons l\u2019Institut d\u2019Estudis Catalans, estabilitat<\/em> \u00e9s la tend\u00e8ncia d\u2019un sistema a recobrar una condici\u00f3 perduda <\/strong>a causa d\u2019una pertorbaci\u00f3. Aquesta condici\u00f3 perduda \u00e9s transversal a tota l\u2019esp\u00e8cie humana i mant\u00e9, a m\u00e9s, una relaci\u00f3 molt estreta amb la famosa concepci\u00f3 de la psicoan\u00e0lisi anomenada trauma<\/em><\/strong>.<\/p>\n

All\u00f2 traum\u00e0tic \u00e9s quelcom necessari i no t\u00e9 perqu\u00e8 ser una viv\u00e8ncia violenta o inoblidable. \u00c9s m\u00e9s, presenta un estatut m\u00edtic i inaccessible. Sovint es caracteritza pel fet d\u2019estar reprimit, i tant pot ser-ho el fet de n\u00e9ixer en si mateix, com el de comen\u00e7ar a parlar, entre d\u2019altres.<\/p>\n

Dit aix\u00f2, podem deduir que si hi ha alguna cosa estable en l\u2019\u00e9sser hum\u00e0 \u00e9s el que falla<\/strong>, all\u00f2 que esdev\u00e9 traum\u00e0tic, aquell intent per retornar a un estat m\u00edtic, i que justament la impossibilitat de retornar-hi \u00e9s el que ens fa de motor, fins i tot en situacions confinades.<\/p>\n

LA DIFICULTAT PER VIURE MILLOR<\/strong><\/h4>\n

Un objectiu vital generalitzable podria ser viure de la manera que m\u00e9s b\u00e9 ens provi<\/strong>. No obstant aix\u00f2, si existeix una dificultat en l\u2019\u00e9sser hum\u00e0 \u00e9s la de conservar un estat de plaer.<\/p>\n

Perqu\u00e8 les coses es mantinguin com a plaents s\u2019hi ha d\u2019incorporar un l\u00edmit, una mesura, ja que si hi apareix l\u2019exc\u00e9s, el que era plaer es torna molest. D\u2019altra banda, tampoc podem viure en un constant equilibri de joia, perqu\u00e8 el plaer nom\u00e9s es pot percebre si es contrasta amb el seu contrari. Tot i que\u2026 I si en lloc d\u2019una parella contr\u00e0ria entenem el plaer-displaer com quelcom continu? I si, a m\u00e9s, hi afegim que en tota satisfacci\u00f3 hi ha una insatisfacci\u00f3, i a la inversa?<\/p>\n

Ben f\u00e0cil \u00e9s que all\u00f2 que te\u00f2ricament ens prova i \u00e9s bo per a la nostra salut es torni una rutina plena d\u2019imperatius que finalment generen m\u00e9s angoixa que la preestablerta.<\/p>\n

Poso un exemple: sovint, pacients molt conscienciats amb les restriccions diet\u00e8tiques<\/strong> i amb por d\u2019avan\u00e7ar d\u2019estadi en el progr\u00e9s de la malaltia renal cr\u00f2nica detecten que el seu estat de salut f\u00edsic i ps\u00edquic millora<\/strong> quan es permeten incloure alguna excepci\u00f3<\/strong> a la seva rutina, quan all\u00f2 que te\u00f2ricament els prova, com fer esport, aplicar les t\u00e8cniques culin\u00e0ries, no menjar aliments desaconsellats, etc., deixa de ser un imperatiu per esdevenir una elecci\u00f3. I com tota elecci\u00f3, de vegades s\u2019escull no fer-la, \u00e9s a dir, per poder desitjar<\/strong> alguna cosa has de poder sentir-te lliure de no desitjar-la<\/strong>.<\/p>\n

LA RESPOSTA SOCIAL<\/strong><\/h4>\n

Aquesta pand\u00e8mia ens ha ofert, en el millor dels casos, una aturada temporal que ha perm\u00e8s m\u00e9s conscienciaci\u00f3 del que ens agrada de la nostra vida o del que trobem a faltar en la quotidianitat.<\/p>\n

En un primer moment, s\u2019hi va detectar un component d\u2019empatia social<\/strong>. Les precaucions que una persona amb malaltia renal cr\u00f2nica i\/o trasplantada havia de prendre tamb\u00e9 van ser preses per la poblaci\u00f3 en general. La incertesa i la possibilitat d\u2019infecci\u00f3 ha estat present en cada habitatge.<\/p>\n

En un segon moment, ja de plena desescalada, aquesta companyia solid\u00e0ria es va tornar enemistat, un perill per a les persones amb MRC.<\/p>\n

D\u2019una banda, la Covid-19 \u00e9s invisible, i les persones amb malaltia renal cr\u00f2nica tamb\u00e9 s\u00f3n \u00f2pticament indetectables, per tant, en no poder distingir les que s\u00f3n de risc pel que fa a la Covid-19 provoca que autom\u00e0ticament no es tingui en compte aquesta possibilitat, motiu pel qual \u00e9s m\u00e9s f\u00e0cil que la poblaci\u00f3 en general es relaxi. De l\u2019altra, fa anys que socialment es promou el dret a la felicitat, un objectiu del tot formidable. No obstant aix\u00f2, \u00e9s en la mateixa l\u00f2gica de la felicitat <\/strong>que pot apar\u00e8ixer l\u2019individualisme m\u00e9s fero\u00e7<\/strong>. Aquesta pand\u00e8mia ha tocat un a un cada ciutad\u00e0, i \u00e9s per aix\u00f2 que en \u00e8poca de desconfinament ha estat dif\u00edcil mantenir la dist\u00e0ncia i les normes de seguretat.<\/p>\n

Aquest punt ha generat for\u00e7a malestar en la poblaci\u00f3 renal, situaci\u00f3 que ha provocat que moltes persones decidissin no optar per les possibilitats que la desescalada oferia, com ara sortir a passejar.<\/p>\n

SER UN COS MALALT O TENIR UN COS AMB UNA MALALTIA<\/strong><\/h4>\n

Fa unes setmanes, en una entrevista a trav\u00e9s de la plataforma NEF<\/a>, una oient va preguntar com es podia gestionar l\u2019angoixa en entorns on la resta de la poblaci\u00f3 no segueix els protocols de seguretat. Marisol Robles,[1]<\/sup><\/a> fundadora de la fundaci\u00f3 de NEF, va respondre fent incid\u00e8ncia en una tem\u00e0tica que trobo molt important: confia en el teu cos<\/strong>.<\/p>\n

Aquest comentari em va ajudar a pensar en la desconfian\u00e7a que sovint el\/la pacient amb MRC mant\u00e9 amb el seu cos i com, per la disfunci\u00f3 dels ronyons, es genera un recel corporal hol\u00edstic.<\/p>\n

En la relaci\u00f3 de cadasc\u00fa amb el seu cos, freq\u00fcentment s\u2019hi detecta una identificaci\u00f3 massiva. Sentim que som aquell cos<\/strong> en lloc de tenir-lo i disposar-ne. I quan emmalalteix, la identificaci\u00f3 es despla\u00e7a cap al fet de sentir, de presentar-se com alg\u00fa que est\u00e0 malalt<\/strong>. Plantejar que en lloc de ser un cos malalt es t\u00e9 una malaltia<\/strong> ja inclou una dist\u00e0ncia i una relaci\u00f3 m\u00e9s favorable al pacifisme. Tota una posici\u00f3 subversiva.<\/p>\n

Si assumim que el cos no nom\u00e9s \u00e9s el conjunt d\u2019\u00f2rgans o el sistema nervi\u00f3s, i hi incloem un element gest\u00e0ltic en qu\u00e8 el cos <\/strong>passa a ser m\u00e9s que la suma de les seves parts<\/strong>, de ben segur que l\u2019angoixa i la por a infectar-se minva.<\/p>\n

PER ACABAR (o per continuar\u2026)<\/strong><\/h4>\n

Una de les q\u00fcestions crucials pels efectes de la Covid-19<\/strong> \u00e9s el seu car\u00e0cter temporal<\/strong>. No obstant aix\u00f2, la combinaci\u00f3 d\u2019aquesta temporalitat amb la MRC<\/strong>, que \u00e9s cr\u00f2nica<\/strong>, pot refor\u00e7ar<\/strong> els efectes inhibitoris<\/strong> i de simptom\u00e0tiques depressives<\/strong> i ansioses<\/strong>.<\/p>\n

Una articulaci\u00f3 possible \u00e9s passar de l\u2019\u00e0nsi<\/strong>a que prov\u00e9 de l\u2019ansi<\/strong>etat a l\u2019\u00e0nsia[2]<\/sup><\/a> del desig vehement.<\/p>\n

Cada cas \u00e9s particular i cada cos respon d\u2019una manera singular al que ens causa malestar, per\u00f2 si esteu angoixats o veieu que aquesta situaci\u00f3 ha potenciat les vostres inhibicions, proveu de parlar amb alg\u00fa proper o truqueu al tel\u00e8fon 600 419 917<\/strong>. Les paraules s\u00f3n m\u00e9s desbloquejants del que ens imaginem.<\/p>\n

\n

BIBLIOGRAFIA<\/strong><\/p>\n

Dipaola, E.; Lutereau, L.; Smud, M.; Merlin, N.; Porras, A.; Martyniuk, L.; Quiroga, C.; Artaza Saade, G.; Esborraz, M.; Knobel Freud, J.; Michelson C.; Mu\u00f1oz, P. (2020). El deseo en cuarentena. El psicoan\u00e1lisis despu\u00e9s de la pandemia<\/em>. Buenos Aires, Argentina. Letra Viva.<\/p>\n

[1]<\/sup><\/a> Marisol Robles \u00e9s una pacient renal nadiua de M\u00e8xic i fundadora de la Fundaci\u00f3n Mario Robles Ossio<\/a>.<\/p>\n

[2]<\/sup><\/a> Segons l\u2019Institut d\u2019Estudis Catalans, la quarta accepci\u00f3 d\u2019\u00e0nsia<\/em> \u00e9s 4 <\/strong>f.<\/em> [LC] Desig vehement.<\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"

Esther Jim\u00e9nez Garriga Psic\u00f2loga sanit\u00e0ria i Psicoanalista N\u00ba Col. 21600 Existeix l\u2019estabilitat emocional? S\u2019aconsegueix despr\u00e9s de 15 anys de psicoan\u00e0lisi? Podem n\u00e9ixer amb ella? Podem incorporar-la llegint un llibre d\u2019autoajuda? Perdamos tiempo para no perdernos a nosotros mismos. Luciano Lutereau Segons l\u2019Institut d\u2019Estudis Catalans, estabilitat \u00e9s la tend\u00e8ncia d\u2019un sistema a recobrar una condici\u00f3 perduda […]<\/p>\n","protected":false},"author":3,"featured_media":1112,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[6],"tags":[32],"class_list":{"0":"post-1108","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-psicologia","8":"tag-numero-3"},"yoast_head":"\nEstabilitat emocional en temps de pand\u00e8mia | Revista Renal<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/fjarno.org\/revista-renal\/estabilitat-emocional-en-temps-de-pandemia\/\" \/>\n<meta property=\"og:locale\" content=\"ca_ES\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Estabilitat emocional en temps de pand\u00e8mia | Revista Renal\" \/>\n<meta property=\"og:description\" content=\"Esther Jim\u00e9nez Garriga Psic\u00f2loga sanit\u00e0ria i Psicoanalista N\u00ba Col. 21600 Existeix l\u2019estabilitat emocional? S\u2019aconsegueix despr\u00e9s de 15 anys de psicoan\u00e0lisi? Podem n\u00e9ixer amb ella? Podem incorporar-la llegint un llibre d\u2019autoajuda? Perdamos tiempo para no perdernos a nosotros mismos. Luciano Lutereau Segons l\u2019Institut d\u2019Estudis Catalans, estabilitat \u00e9s la tend\u00e8ncia d\u2019un sistema a recobrar una condici\u00f3 perduda […]\" \/>\n<meta property=\"og:url\" content=\"https:\/\/fjarno.org\/revista-renal\/estabilitat-emocional-en-temps-de-pandemia\/\" \/>\n<meta property=\"og:site_name\" content=\"Revista Renal\" \/>\n<meta property=\"article:published_time\" content=\"2020-07-23T10:27:12+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2020-07-28T08:17:10+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/fjarno.org\/revista-renal\/wp-content\/uploads\/2020\/07\/estabilitat-emocional-en-temps-pandemia.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"700\" \/>\n\t<meta property=\"og:image:height\" content=\"700\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"Fundaci\u00f3 Renal\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta 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