title: [Body and finitude--listening to suffering as a working tool in an oncological institution].
abstract: Based on the day-to-day care of patients in the Pain Clinic of a Brazilian cancer hospital (INCA), this article seeks to examine the consequences upon the psychic dimension of the fact of pain being intimately linked to the body. Almost always profoundly affected by the illness, the concept of the subject's own body deeply modifies this identification. This not only causes suffering, but also prejudices oncological treatment. Conceptualizing the body from a psychoanalytical standpoint, this article emphasizes the importance of language and the spoken word in its constitution, as the body perceived by psychoanalysis does not coincide with the biological body. The importance of listening to what the patients say is therefore seen as an important tool in the work of professionals in an oncological institution. Two possible positions regarding professionals dealing with the imminence of death and the finitude of life are then outlined. The first is refraining from being affected by the finite and perishable dimension of life, feeling pity for the patients, resigning and distancing oneself from their predicament. The second involves listening to the patients with compassion, acknowledging the inexorable finitude common to all, such that they may not suffer alone and share some of the horror they are experiencing.
authors.affiliation: Clínica da Dor, Instituto Nacional de Câncer José Alencar Gomes da Silva, Praça Cruz Vermelha 23, Centro, 20.230-130 Rio de Janeiro RJ, Brazil. juliana.castro@inca.gov.br
authors.forename: Juliana de Miranda
authors.initials: Jde M
authors.lastname: e Castro-Arantes
authors.forename: Anna Carolina
authors.initials: AC
authors.lastname: Lo Bianco
mesh_terms: D001293:Attitude to Death; D002173:Cancer Care Facilities; D018594:Human Body; D006801:Humans; D009369:Neoplasms / Q000523:psychology*; D018710:Pain Clinics; D013315:Stress, Psychological / Q000523:psychology*