title: [Hospitalization and premature surgeries; language and psychism: a report of 2 cases].
abstract: BACKGROUND
  mutual influences between body, psychism and language.
  
  
  OBJECTIVE
  The purpose of this work was to analyze the possible connections between hospital internations and surgeries, to which children were submitted at their earliest life years, as well as subsequent language and psychic adversities.
  
  
  METHODS
  It is a qualitative/clinical research, of a descriptive/interpretative nature, carried out through the longitudinal analysis of two clinical case studies with small children of approximately three years of age, whose families had co-occurrent complaints: surgeries and premature hospital internations (as a consequence of organical diseases) and subsequent language disorders. Clinical material was analyzed under a theorical perspective, articulating psychoanalytical and speech therapy theories, based on clinical practice.
  
  
  RESULTS
  In both cases, speech therapy symptoms decreased progressively as the organic disorders gained space during therapeutic dialogues (between speech therapist and patient), as well as in home-circle narratives. This promoted modifications/surpasses of the language symptoms presented by the patients.
  
  
  CONCLUSIONS
  The organic birth of the studied children was not concomitant to their symbolic birth, thus creating a gap between them. This gap is derived from the lack of compatibility between the development of corporal scheme and subjective processes. The symbolic effects suffered by parents due to the birth of children who are radically divergent from what was expected was devastating, making it impossible for parents to conceive their babies symbolically. After the violent impact of disappointment, these children remained being interpreted by their parents. This created a disturbance in the functioning of language and in the psychism of these children. Thus, unconsciously, parents were only able to represent their children based on the place that was originally given to them: the place of disease.
authors.affiliation: Fonoaudiologia pela Pontifícia, Universidade Católica de São Paulo. malkabirk@yahoo.com.br
authors.forename: Malka
authors.initials: M
authors.lastname: Birkman
authors.forename: Maria Claudia
authors.initials: MC
authors.lastname: Cunha
mesh_terms: D002657:Child Development; D002675:Child, Preschool; D006760:Hospitalization; D006801:Humans; D007806:Language Disorders / Q000523:psychology* / Q000628:therapy; D008137:Longitudinal Studies; D008297:Male; D001523:Mental Disorders / Q000175:diagnosis* / Q000628:therapy; D011602:Psychophysiologic Disorders / Q000175:diagnosis / Q000628:therapy; D011613:Psychotherapy; D011618:Psychotic Disorders / Q000175:diagnosis / Q000628:therapy; D013514:Surgical Procedures, Operative / Q000523:psychology*