Nuances do traumático e desdobramentos psíquicos no exercício do cuidado em catástrofes

• Ano de defesa: 2017
• Autor(a) principal: Kegler, Paula
• Orientador(a): Macedo, Mônica Medeiros Kother
• Tipo de documento: Tese
• Tipo de acesso: Acesso aberto
• Idioma: por
• Instituição de defesa: Pontifícia Universidade Católica do Rio Grande do Sul
• Programa de Pós-Graduação: Programa de Pós-Graduação em Psicologia
• Departamento: Escola de Humanidades
• País: Brasil
• Palavras-chave em Português: Catástrofes; Profissão Militar; Cuidado; Narrativa; Psicanálise
• Área do conhecimento CNPq: CIENCIAS HUMANAS::PSICOLOGIA
• Link de acesso: http://tede2.pucrs.br/tede2/handle/tede/7571

The growing responsibility of Brazilian soldiers regarding care of people struck by catastrophes reinforces the need to extend attention to these professionals. This study aimed to investigate, from the ramifications which exist in this modality of work, elements related to trauma and their deployment on subjects. This thesis is organized in three Sections: a theoretical and two empirical ones. The first Section, Narratives of excess: the potential of words in Psychoanalysis, discusses the function of words in the necessary drive connection of psychic work. On reviewing the formation of Psychic apparatus and conditions of representability, we have approached the possibilities of metabolism of exceeding psychic intensities. Before the devastating death drive domain, there is the obstacle of (im)possible narratives. Words, with their articulation and elaboration potentials, are perceived as a possible way to restrain and to historicize lived contents. The subjectsº active position makes it possible to break with Thanatos predominance of repetition. The narrative experiences transform, therefore, into vital resistance before what is harmful regarding drive unrepresentativeness. The second Section, From protocol to the unexpected: subject of affection: exercising care during catastrophes, investigates the narratives of ten health care soldiers in order to unveil the meanings and the effects of their working experiences. We have explored elements related to health care professionals” particularities and psychic conditions of processing what has been experienced in a job marked by devastation. From the interviews, analyzed with Interpretative Analysis (Erikson, 1997), we have built three assertions: Demands of affection before de (un)predictable in catastrophes; The inscription of Others into the Self: the foreigner paradox in care practice; Institutional obstacles facing ‘a posteriori’: disavowal and legitimation. The interviews allowed us to access unpredictable tensioning following interventions guided by care. The identified obstacles on others’ and self’s effective care practice have alluded to institutional barriers which impede and/or make it difficult for the affective processing which usually follows professional action. On the third Section, The 'a posteriori' in times of research in Psychoanalysis: narrative and hospitality, we have worked with contents built along the development of a narrative research (Creswell, 2014) before offering protection to the subjects’ narratives about themselves. In the interviews, it was shown that soldiers experience meanings in both tragedy and research contexts. Knowledge production was ‘a posteriori’: in participants’ narratives about what has been already experienced, and in hospitality conditions to these narratives. This “a posteriori” convergence of narrative and hospitality opened access to particular changes of working in catastrophes, and unveiled new phenomenon facets produced in and by research. Psychoanalysis has given theoretical support to the investigative modalities which guided the three Sections of this Thesis. It was possible, in this epistemological mark, to give priority to elements of subjectivity itself when a real devastation setting can, dangerously, make the attention to working professionals succumb.