A inserção da psicanálise no contexto da saúde pública : possibilidades e desafios

Detalhes bibliográficos
Ano de defesa: 2016
Autor(a) principal: Moraes, Fernanda Cesa Ferreira da Silva lattes
Orientador(a): Macedo, Mônica Medeiros Kother lattes
Banca de defesa: Não Informado pela instituição
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: Faculdade de Psicologia
País: Brasil
Palavras-chave em Português:
Área do conhecimento CNPq:
Link de acesso: http://tede2.pucrs.br/tede2/handle/tede/6560
Resumo: The Psychoanalysis has contributed significantly for the transformation of the treatment conditions and for the questioning regarding to the place that the subject occupies the spaces offered by the public health system. The non-dogmatic character of its theory, as well as the ethics of its intervention, enables the Psychoanalysis insertion in these contexts. This study aims, therefore, to meet the real contributions, challenges, and Psychoanalysis barriers in the public health intervention, so that this subject has, effectively, a becoming in the health field. Thus, this thesis has three sections, one theoretical and two empirical. The theoretical section, entitled “The notion of psychopathology: developments in a heterogeneity field”, aimed to inquire the several notions about psychopathology throughout History, exploring different ways to treat them and the consequences of such concepts in therapies. The mythical-religious conceptions, the anatomo-physiological, as well as the understandings that embrace the subjectivity dimension permeated this thesis. Nowadays, it is possible to notice a return on appreciating organicist explanations and on medicalization as main front therapy to psychiatric diseases. Then, it is necessary to redeem the own terms of Psychoanalysis and its ethic of prioritizing the singular subject’s speech in order to create possibilities of autonomy and freedom. The first empirical section, named “The creative power of Psychoanalysis at work with different public health subjects” experiences from their daily work in public health institutions. Accessing and discovering the impasses in this professional practice were the aims in this thesis, as well as the labor resources, which foment and ensure the specificity and the accuracy of this unique way to comprehend and intervene in human phenomena. Therefore, it interviewed ten psychoanalysts, individually, working in public health, in the mental health field. By using the Content Analysis (CA) technique (Bardin, 1992; Moraes, 1999), it was possible to analyze, qualitatively, the findings of this study. This method, in its a posteriori model, enabled the creation of three Final Considerations: Adaptation X Creation: challenges to Psychoanalysis in the heterogeneous field of public health; Health Staff - continent of otherness repercussions in doing ethical in public health; Apart from the protocol – the insistence of subjectivity in public health. It was viable to conclude that the practice of Psychoanalysis is not restricted to private clinic, being able to extrapolate their interventional contexts to other areas that deal with the human suffering. Thus, it confirms the pertinence and relevance of the contributions derived from the complexity of the conceptual and technical Psychoanalysis field in the public health context. The inclusion in Public Health System - SUS involves a create-action that, to oppose a simple adaptation, demands a constant opening to renew the daily practice, anchored in the ethical notion that guides the listening of the subject of Unconscious. In the second empirical section, “Integrality and Humanization in Public Health – challenges and possibilities from the Psychoanalysis perspective”, it utilized the materials derived from interviews with four participants who were active. Each participant acted in different spheres of SUS, considering the management and primary, secondary and tertiary attention. From the concepts of Integrality and Humanization, it sought questioning how these two elements exist in the psychoanalysts’ practice. Using the a priori CA technique (Bardin, 1992) in the interviews, allowed the development of two predefined categories: The Integrality as a rescue for the subject beyond the organism and Humanization: the challenge of the other’s role. It was evident that Psychoanalysis seeks to displace the look to the suffering of others, whether the user, technician or manager that condemn a mere repetition of the same. The psychoanalytic tools can foster dialogue and creation among different knowledge. In order that, in their practices in public health, the prominence and humanization are drivers of the effective rescue of subject’s uniqueness and of their right to stand as such.