O tear psicanalítico : uma pesquisa etnográfica sobre as práticas da psicanálise em uma equipe de saúde mental

Abstract

Thinking the term "mental health" implies contextualizing a possible space of professional action, that is, a technical exercise that takes the subject from their psychic aspects in continuous relation with biological and social factors. In this sense, mental health refers to a polysemic field, insofar as it is directed to the mental state of both subjects and collectivities, being for that reason a highly complex work that makes impossible any form of categorization and reductionism of human and social existence. Psychoanalysis presents itself as one of the knowledges that make up mental health and which, in the encounter with it, may face challenges that demand the transformation of its practices. Therefore, it is necessary to analyze the pathways of psychoanalytical practice, considering the challenges that the specificities of public services bring to make the professionals identified with this theoretical line. This dissertation aimed to analyze the pathways of psychoanalytic practice in the non - ambulatory modalities of mental health care in public health. Through an ethnographic research carried out in a Mental Health Team, it was possible to follow the work routines of two psychoanalysts and, from these, to analyze the ways in which psychoanalysis is operated. It was identified that the political and structural characteristics of public mental health require the psychoanalyst a posture that integrates the uniqueness of his technique to the devices of psychosocial care and attention. In the encounter with non-ambulatory activities, the psychoanalyst brings about the movement of the "tear" that integrates the discursive singularities of public health users to the precepts of public mental health policy, placing the subject who suffers in an active position and responsible for the treatment itself and positioning. In the exercise of the loom, the psychoanalyst is not "one more", that is, someone else who only leads the process. Instead, the psychoanalyst becomes a political agent who, along with the user, encourages the updating of the psychiatric reform movements.