Fala-leitura-escrita: uma proposta de tratamento na clínica de linguagem com afásicos

Abstract

This dissertation, as the title indicates, addresses the speech-reading-writing relationship assumed here as a clinical procedure, which acquires particular nuances in therapeutic decisions, on a case-by-case basis, as discussed in the work. Aphasia is a symptomatic speech condition that usually occurs in the elderly after brain injury. This new language condition establishes a complex situation in which there is noncoincidence in the performance of the aphasic in the different linguistic modalities (speech-reading-writing). Writing, when speech is destroyed, has shown to be decisive in the conduct of clinical treatments. This fact was picked up by some Language Clinic researchers as a clinical question that requires detention and theoretical deepening. This work aligns itself with this effort and discusses autobiographical writings as a way of crossing mourning and the subjective drama in which the aphasic is thrown by aphasia. In this context, he presents the conception of writing that supports the idea that writing is neither representation nor designation, which sheds light on the presence of Saussure (1916) as a basic theoretical foundation. It is he who maintains that language is not nomenclature. Starting from it, it is stated, with Pontalis (1988), that writing is a place of life recreation/invention which sustains the aphasic’s subjective position. The idea is defended here that, through writing, the aphasic person can count himself and make himself count through his inscription on the blank sheet, as Pommier (1996) says. Clinical cases discussed at the Language Clinic, in which writing was recognized as a potent therapeutic instrument, are also addressed insofar as they offer the step towards affirmation, defended in this dissertation, that the speech-reading-writing braid must be constituted as necessary and effective procedure. At this point, I discuss the clinical effects on the subject-language relationship. This work is fundamentally theoretical-clinical, and the methodology adopted involves the use of autobiographical writings and clinical cases from the literature to illuminate the arguments defended in it. Theoretical foundations on language depart from European Structuralism as mobilized and interpreted in the Language Clinic. The concept of subject assumed here is the one that recognizes the hypothesis of the unconscious inaugurated by Freud (1900)