LA LISTENING TO THE INAUDIBLE: THE CONSTRUCTION OF A THERAPEUTIC SPACE BEYOND INSTITUTIONAL LIMITS AND THROUGH INTERDISCIPLINARY WORK. THE CASE OF INÉS

CASO INÉS

Abstract

This paper addresses the treatment of a young girl seen within the framework of hospital-based clinical practice, whose continuity of care was challenged by the temporal limits established by the institutional setting. At the time of consultation, the patient presented with a laryngeal condition associated with HPV (Human Papillomavirus), which caused a severe reduction in her voice, and was undergoing the mourning process following the interruption of an adoption process. Based on this case, the paper examines the tension between the regulatory time of an institution and the singular time required for the constitution of a therapeutic space.

From a psychoanalytic perspective, the paper reflects on the construction of a space for listening where speech appeared to be weakened both in its bodily and subjective dimensions. It also seeks to consider the clinical, ethical, and institutional implications of sustaining therapeutic continuity beyond the hospital framework, through the transition to private clinical care provided pro bono.

This clinical trajectory makes it possible to situate the importance of interdisciplinary work and of a clinical position capable of receiving what, due to the patient’s conditions of vulnerability, her history of interruptions, and her fragile inscription in the bond with others, was at risk of remaining inaudible.